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Form 460 -- 07-01-04 thru 09-30-04 s. f` Recipient Committee COVER PAGE Type or print in ink. Campaign Statement Date Stamp CALIFORN k 2a0itl (Government Code Sections 84200-84216.5) oR Statement covers period Date of election if applicable: - •. 1 /27 from 07/01/2004 (Month, Day,Year) For Official Use Only SEE INSTRUCTIONS ON REVERSE through 09/30/2004 11/02/2004 1. Type of Recipient Committee:All Committees-Complete Parts 1,2,3,and 4. 2. Type of Statement: ❑ Officeholder, Candidate Controlled Committee ❑ Ballot Measure Committee Pre-election Statement ❑ Quarterly Statement 0 State Candidate Election Committee 0 Primary Formed ❑ Semi-annual Statement ❑ Special Odd-Year Report 0 Recall 0 Controlled (Also Complete Part 0 Sponsored ❑ Termination Statement ❑ Supplemental Preelection 5.) ❑ General Purpose Committee ❑ Amendment (Explain below) Statement-Attach Form 495 (Also Complete Part 6.) 0 Sponsored ❑ Primary Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7.) 3. Committee Information 11268244ER Treasurer(s) COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE NAME OF TREASURER Alice Jacobson for City Council Louise Cohen STREET ADDRESS(NO P.O.BOX) MAILING ADDRESS 164 Coop Court 5705 Friars Road Unit 54 CITY STATE ZIP CODE AREA CODE/PHONE Encinitas CA 92024-1437 (yp �jb,2�3� CITY STATE San Diego CA ZIP CODE AREA CODE/PHONE 92110-1815 MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX NAME OF ASSISTANT TREASURER,IF ANY CITY STATE ZIP CODE AREA CODE/PHONE MAILING ADDRESS OPTIONAL:FAX/E-MAIL ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL:FAX/E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on 0 1 n`f- By 4lkTE IGNATURE O REASURER OR ASSISTANT TREASURER Executed on O By DATE SIGNATURE OF CONTROLLING O F CEHOLDER,CANDIDATE,STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE, STATE MEASURE PROPONENT Executed on By FPPC Form 460(June/01) DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,STATE MEASURE PROPONENT FPPC Toll-Free Helpline:866/ASK-FPPC State of California Recipient Committee Type or print in ink. COVER PAGE-PART 2 Campaign Statement GA �l+#IA Cover Page — Part 2 � .y 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Alice Jacobson OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Sought: City Council Member City Encinitas RESIDENTIAL/BUSINESS ADDRESS(NO.AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or to make expenditures on behalf of your candidacy. COMMITTEE NAME I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑YES ❑NO COMMITTEE ADDRESS STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑YES ❑NO COMMITTEE ADDRESS STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE 6. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO.OR LETTER I JURISDICTION I❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder,candidate,or state measure proponent,if any. NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY 7. Primarily Formed Committee List names of officeholder(s)or candidate(s)for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460(June/01) FPPC Toll-Free Helpline:866/ASK-FPPC State of California Campaign Disclosure Statement Type or print in ink. Summary Page Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Alice Jacobson for City Council Contributions Received 1. Monetary Contributions ............................................. LoansReceived ......................................................... 3. SUBTOTAL CASH CONTRIBUTIONS............................ 4. Nonmonetary Contributions ................................... 5. TOTAL CONTRIBUTIONS RECEIVED........................... Statement covers period from- through Expenditures Made 6. Payments Made ........................................................ Schedule E,Line 4 7. Loans Made .............................................................. Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS................................... Add Lines 6+7 9. Accrued Expenses (Unpaid Bills) ............................. Schedule F, Line 3 10. Nonmonetary Adjustment ......................................... Schedule C,Line 3 11. TOTAL EXPENDITURES MADE............................. Add Lines 8+9+ 10 urrent Cash Statement 12. Beginning Cash Balance ..................... Previous Summary Page, Line 16 13. Cash Receipts ................................................. Column A, Line 3 above 14. Miscellaneous Increases to Cash ....................................Schedule I,Line 4 Cash Payments ................................................. Column A, Line 8 above 16. ENDING CASH BALANCE..... Add Lines 12+ 13+ 14,then subtract Line 15 If this is a termination statement,Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED........................... Schedule B, Part 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse 19. Outstanding Debts ....................... Add Line 2+Line 9 in Column B above $ 6925.17 $ Column A 19556.00 Column B 0.00 TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 6925.17 CALENDAR YEAR TOTAL TO DATE Schedule A,Line 3 $ 19556.00 $ 19556.00 Schedule B, Line 7 0.00 0.00 Add Lines 1 +2 $ 19556.00 $ 19556.00 Schedule C,Line 3 346.98 346.98 Add Lines 3+4 19902.98 $ 19902.98 Expenditures Made 6. Payments Made ........................................................ Schedule E,Line 4 7. Loans Made .............................................................. Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS................................... Add Lines 6+7 9. Accrued Expenses (Unpaid Bills) ............................. Schedule F, Line 3 10. Nonmonetary Adjustment ......................................... Schedule C,Line 3 11. TOTAL EXPENDITURES MADE............................. Add Lines 8+9+ 10 urrent Cash Statement 12. Beginning Cash Balance ..................... Previous Summary Page, Line 16 13. Cash Receipts ................................................. Column A, Line 3 above 14. Miscellaneous Increases to Cash ....................................Schedule I,Line 4 Cash Payments ................................................. Column A, Line 8 above 16. ENDING CASH BALANCE..... Add Lines 12+ 13+ 14,then subtract Line 15 If this is a termination statement,Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED........................... Schedule B, Part 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse 19. Outstanding Debts ....................... Add Line 2+Line 9 in Column B above $ 6925.17 $ 6925.17 19556.00 0.00 0.00 $ 6925.17 $ 6925.17 from Column B of your last 0.00 0.00 346.98 346.98 $ 7272.15 $ 7272.15 $ 0.00 To calculate Column B,add 19556.00 amounts in Column A to the corresponding amounts 0.00 from Column B of your last report.Some amounts in 6925.17 Column A may be negative $ 12630.83 figures that should be subtracted from previous period amounts.If this is the first report being filed $ 0.00 for this calendar year,only carry over the amounts from Lines 2,7,and 9(if any). $ 0.00 $ 0.00 SUMMARY PAGE 3/27 I.D.NUMBER Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contribution Received $ 0.00 $ 19902.98 21. Expenditures Made $ 0.00 $ 7272.15 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) 11/02/2004 It 6925.17 *Since January 1,2001.Amounts in this section may be different from amounts reported in Column B. FPPC Form 460(June/01) FPPC Toll-Free Helpline:866/ASK-FPPC Schedule A Type or print in ink. SCHEDULE A Monetary ontributions Received rimuums may pe raunaea y to whole dollars. Statement covers period CALl�. COM fro ; (other than PTY or SCC) OTH- Other SEE INSTRUCTIONS ON REVERSE Othrough- 4 27 NAME OF FILER I.D.Number Alice Jacobson for City Council 1268244 DATE FULL NAME,MAILING ADDRESS CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED AND ZIP CODE OF CONTRIBUTOR CODE' OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) PERIOD (JAN.1 -DEC.31) (IF REQUIRED) Rcpt Dt: `18124/2004 X❑ IND President 250.00 250.00 250.00 G 04 Christopher Calkins ❑ COM 1440 Paseo De Las Flores ❑ OTH Encinitas CA 92024-2363 ❑ PTY Paul Ecke Ranch ID: ❑ SCC Rcpt Dt: X❑ IND Stock Photographer 250.00 250.00 250.00 G 04 08/24/2004 Diane Calkins ❑ COM 1440 Paseo De Las Flores ❑ OTH Encinitas CA 92024-2363 ❑ PTY Self ID: ❑ SCC Rcpt Dt: 08/24/2004 X❑ IND Retired 250.00 250.00 250.00 G 04 Elisabeth Ecke ❑ COM 8677 Villa La Jolla Drive ❑ OTH # 1113 La Jolla CA 92037-2354 ❑ PTY N/A ID: ❑ SCC Rcpt Dt: Q IND Real Estate 250.00 250.00 250.00 G04 08/24/2004 Lizbeth Ecke ❑ COM 5600 Avenida Encinas ❑ OTH Suite 100 Carlsbad CA 92008-4452 El PTY Carltas Company ID: ❑ SCC Rcpt Dt: 08/24/2004 Edward Kaiser El IND ❑ COM Banker 100.00 100.00 100.00 G04 2608 Jacaranda ❑ OTH Carlsbad CA 92009 ❑ PTY California Bank&Trust ID: ❑ SCC SUBTOTAL$ 77�] Schedule A Summary 1. Amount received this period -contributions of$100 or more. (Include all Schedule A subtotals.) ............................................ .................................$ 2. Amount received this period - unitemized contributions of less than $100 ............. 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .. ........................$ ........... TOTAL$ 18200.00 1356.00 19556.00 *Contributor Codes IND Individual COM Recipient Committee (other than PTY or SCC) OTH- Other PTY- Political Party SCC- Small Contributor Committee FPPC Form 460(JUNE/01) FPPC Toll-Free Helpline:866/ASK-FPPC Schedule A Type or print in ink. SCHEDULE A nuwunw may ue ruunueu Monetary Contributions Received to whole dollars. Statement covers period A1,IFORNIA 4 0 COM from (other than PTY or SCC) OTH- SEE INSTRUCTIONS ON REVERSE through 3n 5/27 Small Contributor Committee NAME OF FILER I.D. Number Alice Jacobson for City Council 1268244 DATE FULL NAME,MAILING ADDRESS CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED AND ZIP CODE OF CONTRIBUTOR CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) PERIOD (JAN.1 -DEC.31) (IF REQUIRED) Rcpt Dt: 9812412004 0 IND Retired 100.00 100.00 100.00 G 04 Eric Larson ❑ COM 602 Union St ❑ OTH Encinitas CA 92024 ❑ PTY N/A ID: ❑ SCC Rcpt Dt: 08/24/2004 Gerald Macchia X❑ IND ❑ COM Retired 250.00 250.00 250.00 G 04 1751 Sky Loft Lane ❑ OTH Encinitas CA 92024-1237 ❑ PTY N/A ID: ❑ SCC Rcpt Dt: 08/24/2004 0 IND Administrative Assistant 250.00 250.00 250.00 G 04 Wanda Macchia ❑ COM 1751 Sky Loft Lane ❑ OTH Encinitas CA 92024-1237 ❑ PTY Western Financial Planni- ID: ❑ SCC ng Rcpt Dt: 08/24/2004 Janet McClure 0 IND ❑ COM Student 250.00 250.00 250.00 G04 2174 Cambridge Avenue ❑ OTH Cardiff CA 92007-1803 ❑ PTY N/A ID: ❑ SCC Rcpt Dt: 08/24/2004 Vance McClure 0 IND ❑ COM Physical Chemist 250.00 250.00 250.00 G 04 2174 Cambridge Avenue ❑ OTH Cardiff CA 92007-1803 ❑ PTY Scaled Composites ID: ❑ SCC SUBTOTAL$ Schedule A Summary 1. Amount received this period -contributions of$100 or more. (Include all Schedule A subtotals.) ......................................... 2. Amount received this period - unitemized contributions of less than $100 ......... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .........$ ...........$ ..... TOTAL $ *Contributor Codes IND Individual COM Recipient Committee (other than PTY or SCC) OTH- Other PTY- Political Party SCC- Small Contributor Committee FPPC Form 460(JUNE/01) FPPC Toll-Free Helpline:866/ASK-FPPC Schedule A Type or print in ink. SCHEDULE A I1111VU111A Islay u0 Iou11ueu Monetary Contributions Received to whole dollars. 111 € �A States ent covers period -Individual COM from--7 (other than PTY or SCC) OTH- Other SEE INSTRUCTIONS ON REVERSE through O 6/27 NAME OF FILER I.D. Number Alice Jacobson for City Council 1268244 DATE FULL NAME,MAILING ADDRESS CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED AND ZIP CODE OF CONTRIBUTOR CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) PERIOD (JAN.1 -DEC.31) (IF REQUIRED) Rcpt Dt: '18/24/2004 Anne Patton Q IND ❑ COM Retired 100.00 100.00 100.00 G04 3120 Via De Caballo ❑ OTH Encinitas CA 92024 ❑ PTY N/A ID: ❑ SCC Rcpt Dt: 08/24/2004 Dee Snow 0 IND ❑ COM President 250.00 250.00 250.00 G 04 516 Latigo Row ❑ OTH Encinitas CA 92024-7270 ❑ PTY Dre-RCM Homes ID: ❑ SCC Rcpt Dt: 08/24/2004 William Snow ff] IND ❑ COM Retired 250.00 250.00 250.00 G 04 516 Latigo Row ❑ OTH Encinitas CA 92024 ❑ PTY N/A ID: ❑ SCC Rcpt Dt: 08/25/2004 Betty Johnson IND ❑ COM Retired 200.00 200.00 200.00 G 04 1413 Trabert Ranch Rd ❑ OTH Encinitas CA 92024 ❑ PTY N/A ID: ❑ SCC Rcpt Dt: 08125/2004 Deborah Van Huis 0 IND ❑ Director Forward Plannin- g 250.00 250.00 250.00 G04 2180 Sea Village Circle COM ❑ OTH Cardiff CA 92007 ❑ PTY KB Home ID: ❑ SCC SUBTOTAL $ Schedule A Summary 1. Amount received this period - contributions of$100 or more. (Include all Schedule A subtotals.) ............................................................. 2. Amount received this period - unitemized contributions of less than $100 ......... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ............................$ TOTAL$ *Contributor Codes IND -Individual COM Recipient Committee (other than PTY or SCC) OTH- Other PTY- Political Party SCC- Small Contributor Committee FPPC Form 460(JUNE/01) FPPC Toll-Free Helpline:866/ASK-FPPC Schedule A Type or print in ink. SCHEDULE A nnrounrs pray ue rounueu onetary ontri utions Received to whole dollars. Statemen co ers period from 1 0 .: SEE INSTRUCTIONS ON REVERSE q through ` 30 7/27 NAME OF FILER I.D.Number Alice Jacobson for City Council 1268244 DATE FULL NAME,MAILING ADDRESS CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED AND ZIP CODE OF CONTRIBUTOR CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) PERIOD (JAN.1 -DEC.31) (IF REQUIRED) Rcpt Dt: X8/27/2004 X❑ IND Project Manager 100.00 100.00 100.00 G 04 Patrick Fitzsimmons ❑ COM 11282 Caminito AClara ❑ OTH San Diego CA 92126-6101 ❑ PTY AT&T ID: ❑ SCC Rcpt Dt: 08/27/2004 X❑ IND Retired 250.00 250.00 250.00 G 04 Kenneth Granat ❑ COM 6117 N Coatimundi Drive ❑ OTH Tucson AZ 85750-0905 ❑ PTY N/A ID: ❑ SCC Rcpt Dt: 08/27/2004 IND Retired 100.00 100.00 100.00 G 04 J. Lloyd O'Connell Jr. ❑ COM 949 Eolus Avenue ❑ OTH Leucadia CA 92024 ❑ PTY N/A ID: ❑ SCC Rcpt Dt: 08/27/2004 Linda Schooler X❑ IND ❑ COM Retired 250.00 250.00 250.00 G 04 629 W Circle Drive ❑ OTH Solana Beach CA 92075-1113 ❑ PTY N/A ID: ❑ SCC Hcpt Dt: 08127/2004 Louis Schooler X❑ IND ❑ COM CEO/President 250.00 250.00 250.00 G 04 629 W Circle Drive ❑ OTH Solana Beach CA 92075-1113 ❑ PTY Western Financial Planni- ID: ❑ SCC SUBTOTAL$ Schedule A Summary 1. Amount received this period -contributions of$100 or more. (Include all Schedule A subtotals.) ........................................................................................................$ 2. Amount received this period - unitemized contributions of less than $100 ............................................$ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .................... TOTAL $ *Contributor Codes IND Individual COM Recipient Committee (other than PTY or SCC) OTH-Other PTY-Political Party SCC-Small Contributor Committee FPPC Form 460(JUNE/01) FPPC Toll-Free Helpline:866/ASK-FPPC Schedule A Type or print in ink. SCHEDULE A Monetary ontributions Received ""'"to w ole u dollars. y to whole dollars. Stateme t co ers period , CAI aNtA fromd , SEE INSTRUCTIONS ON REVERSE through po v 8/27 NAME OF FILER I.D. Number Alice Jacobson for City Council 1268244 DATE FULL NAME,MAILING ADDRESS IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED AND ZIP CODE OF CONTRIBUTOR AND CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) PERIOD (JAN.1-DEC.31) (IF REQUIRED) Rcpt Dt: `)812712004 Evelyn Weidner X❑ IND El COM Business Owner 250.00 250.00 250.00 G 04 695 Normandy Road ❑ OTH Encinitas CA 92024-1806 ❑ PTY Self ID: ❑ SCC Rcpt Dt: 08/27/2004 0 IND RE Manager 250.00 250.00 250.00 G 04 John White ❑ COM 5600 Avenida Encinas E1 OTH Suite 100 Carlsbad CA 92008-4452 ❑ PTY Cartlas Company ID: ❑ SCC Rcpt Dt: 08/27/2004 X❑ IND Retired 100.00 100.00 100.00 G 04 Belma Zweig ❑ COM 1005-1166 Bay Street ❑ OTH Canada Toronto ON M5S2X8 El N/A ID: ❑ SCC Rcpt Dt: 08/30/2004 Green Pony Press, Inc. ❑ IND ❑ COM 100.00 100.00 100.00 G 04 8507 Capricorn Way OTH Apt. 2 San Diego CA 92126-1866 F-1 PTY ID: ❑ SCC Rcpt Dt: 08/31/2004 Kristopher B. Field, Inc. El IND ❑ COM 100.00 100.00 100.00 G 04 1687 Hawk View Drive OTH Encinitas CA 92024-1252 ❑ PTY ❑ SCC ID: I SUBTOTAL$ Schedule A Summary 1. Amount received this period - contributions of$100 or more. (Include all Schedule A subtotals.) ..................................................... 2. Amount received this period - unitemized contributions of less than $100 ............. 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .. ................ TOTAL $ *Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH-Other PTY-Political Party SCC-Small Contributor Committee FPPC Form 460(JUNE/01) FPPC Toll-Free Helpline:866/ASK-FPPC Schedule A ■. Type or print in ink. SCHEDULE A ^ Vto whole dollars.��cu monetary Contributions Received Statement overs period ' GALI�aNt�, COM fromcil (other than PTY or SCC) OTH- Other SEE INSTRUCTIONS ON REVERSE through 3� 9/27 NAME OF FILER Alice Jacobson for City Council I.D. Number 1268244 DATE RECEIVED FULL NAME,MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR * IF AN INDIVIDUAL,ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) PERIOD (JAN.1 -DEC.31) (IF REQUIRED) Rcppt Dt: n8/31/2004 Skelly Engineering 619 S Vulcan Avenue ❑ IND El COM E,.,9 'Vee_+- 100.00 100.00 100.00 G 04 Suite 214B OTH El PTY Encinitas Encinitas CA 92024-3654 ID: ❑ SCC Rcpt Dt: 09/07/2004 Thomas D. English, Inc. ❑ IND ❑ COM C 250.00 250.00 250.00 G 04 5168 Carroll Canyon Road IK OTH Se c v l c,e 5 San Diego CA 92121-1729 ❑ PTY ID: ❑ SCC Rcpt Dt: 09/09/2004 Lisa and Lou Kessing X❑ IND ❑ COM Painting Contractor 100.00 100.00 100.00 G 04 261 Caliban Ct. ❑ OTH Encinitas CA 92024 ❑ PTY Self ID: ❑ SCC Rcpt Dt: 09/09/2004 Robb Schafer Q IND ❑ COM Real Estate 125.00 125.00 125.00 G04 2734 Madison Street ❑ OTH Carlsbad CA 92008-1727 ❑ PTY Schafer Pacific Properti- ID: El SCC es Rcpt Dt: 09/13/2004 Robert Booker IND ❑ COM Custom Homebuilder 250.00 250.00 250.00 G 04 3451 Toscano Court ❑ OTH Encinitas CA 92024 ❑ PTY Venture Pacific Dev. ID: ❑ SCC SUBTOTAL $ Schedule A Summary Amount received this period -contributions of$100 or more. (Include all Schedule A subtotals.) ........................................................ 2. Amount received this period - unitemized contributions of less than $100 ........ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) $ $ TOTAL $ *Contributor Codes IND -Individual COM Recipient Committee (other than PTY or SCC) OTH- Other PTY- Political Party SCC- Small Contributor Committee FPPC Form 460(JUNE/01) FPPC Toll-Free Helpline:866/ASK-FPPC Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Alice Jacobson for City Council DATE FULL NAME,MAILING ADDRESS RECEIVED AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE,ALSO ENTER I.D.NUMBER) Rcpt Dt: ^9/13/2004 Alex Borchers 733 Winding Way Encinitas CA 92024-2446 Rcpt Dt: 09/13/2004 David Buck 1333 Rainbow Ridge Lane Encinitas CA 92024-1816 RcRt Dt: 09/13/2004 Marilyn Buck 1333 Rainbow Ridge Lane Encinitas CA 92024 Rcpt Dt: 09/13/2004 Eric and Glenna Davis 752 Bracero Rd Encinitas CA 92024 ID: RCI)t Dt: 09/13/2004 Charles Du Vivier 1182 Rancho Encinitas Dr Encinitas CA 92024 Type or print in ink. Amounts may be rounded to whole dollars. CONTRIBUTOR IF AN INDIVIDUAL,ENTER OCCUPATION AND EMPLOYER CODE* (IF SELF-EMPLOYED,ENTER NAME 125.00 OF BUSINESS) 0 IND Software Engineer ❑ COM 250.00 ❑ OTH 250.00 G 04 ❑ PTY UCSD ❑ SCC ❑ IND Analyst ❑ COM ❑ OTH ❑ PTY Self ❑ SCC D IND Analysts ❑ COM ❑ OTH ❑ PTY County of San Diego ❑ SCC El IND Retired ❑ COM ❑ OTH ❑ PTY N/A ❑ SCC El IND Retired ❑ COM ❑ OTH ❑ PTY N/A ❑ SCC SUBTOTAL$ Schedule A Summary 1. Amount received this period - contributions of$100 or more. (Include all Schedule A subtotals.) ........................................................................................................$ 2. Amount received this period - unitemized contributions of less than $100 ............................................$ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .................... TOTAL$ SCHEDULE A period ►rough -50 1 o 10/27 I.D.Number 1268244 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN.1 -DEC.31) (IF REQUIRED) 100.00 100.00 100.00 G 04 125.00 125.00 125.00 G 04 125.00 125.00 125.00 G 04 100.00 100.00 100.00 G 04 250.00 250.00 250.00 G 04 *Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH-Other PTY-Political Party SCC-Small Contributor Committee FPPC Form 460(JUNE/01) FPPC Toll-Free Helpline:866/ASK-FPPC Schedule A Type or print in ink. SCHEDULE A - Amounts may be rounded Monetary Contributions Received to whole dollars. Statement overs period AUFORK� from Fci 11 27 through SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.Number Alice Jacobson for City Council 1268244 DATE FULL NAME,MAILING ADDRESS CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION AND ZIP CODE OF CONTRIBUTOR CODE' OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) PERIOD (JAN.1 -DEC.31) (IF REQUIRED) 250.00 Rcpt Dt: ❑ IND Retired 250.00 250.00 G 04 3/2004 Kathryn Du Vivier ❑ COM 1182 Rancho Encinitas Drive ❑ OTH ❑ PTY N/A Encinitas CA 92024-7023 ❑ SCC ID: Rcpt Dt: El IND Manager 200.00 200.00 200.00 G 04 09/13/2004 Isaac Elbaz ❑ COM 13026 Dana Vista#362 ❑ OTH ❑ PTY Habitat for Humanity Poway CA 92067 ❑ SCC ID: Rcpt Dt: IND Contractor 250.00 250.00 250.00 G 04 09113/2004 Arthur Katz ❑ COM 274 Stratford Park Circle ❑ OTH ❑ PTY U.S. Building and Develo- Del Mar CA 92014 ❑ SCC pment ID: Rcpt Dt: X❑ IND Secretary 250.00 250.00 250.00 G 04 09113/2004 Carol Katz ❑ COM 274 Stratford Park Circle ❑ OTH El PTY U.S. Building and Develo- Del Mar CA 92014-3255 El SCC Pment ID: Rcpt Dt: ❑ IND Real Estate Development 125.00 125.00 125.00 G 04 09/13/2004 Kristina Montag ❑ COM 406 Hickoryhill Dr. ❑ OTH ❑ PTY San Dieguito Development Encinitas CA 92024 ❑ SCC ID: SUBTOTAL$ Schedule A Summary 1. Amount received this period - contributions of$100 or more. (Include all Schedule A subtotals.) .................................................. 2. Amount received this period - unitemized contributions of less than $100 ........ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....$ .. TOTAL$ 'Contributor Codes IND Individual COM Recipient Committee (other than PTY or SCC) OTH-Other PTY-Political Party SCC-Small Contributor Committee FPPC Form 460(JUNE/01) FPPC Toll-Free Helpline:866/ASK-FPPC Schedule A Type or print in ink. SCHEDULE A M111VU11tU 111/1 be rounded Monetary Contributions Received y to whole dollars. Statement c vers period COM from 2/27 12/27' SEE INSTRUCTIONS ON REVERSE through O NAME OF FILER I.D.Number Alice Jacobson for City Council Small Contributor Committee 1268244 DATE FULL NAME,MAILING ADDRESS CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED AND ZIP CODE OF CONTRIBUTOR CODE' OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1 -DEC.31) (IF REQUIRED) OF BUSINESS) Rcpt Dt: 9/13/2004 0 IND Administrator 125.00 125.00 125.00 G 04 Beverly Schuler E] COM 5186 Carroll Canyon Road ❑ OTH Suite 100 San Diego CA 92121-1729 ❑ PTY Western Financial Planni- ID: E] SCC g Rcpt Dt: 09/13/2004 El IND Retired 100.00 100.00 100.00 G 04 Pamela Walker ❑ COM 583 Oceanview Ave. ❑ OTH Encinitas CA 92024 ❑ PTY N/A ID: ❑ SCC Rcpt Dt: 09/14/2004 Virginia Felker El IND El COM Realtor 100.00 100.00 100.00 G 04 2126 Redgap Court ❑ OTH Encinitas CA 92024-4332 ❑ PTY Coldwell Banker ID: ❑ SCC Rcpt Dt: 09115/2004 La Costa Pharmacy ❑ IND ❑ COM t''� ��- 250.00 250.00 250.00 G 04 317 N El Camino Real ❑ OTH Suite 310 El PTY Encinitas CA 92024-2814 ❑ ID: SCC Rcpt Dt: 09/17/2004 Colleen Bethea X❑ IND ❑ COM Homemaker 250.00 250.00 250.00 G 04 810 Robert Lane ❑ OTH Encinitas CA 92024-5639 ❑ PTY N/A ID: ❑ SCC SUBTOTAL $ Schedule A Summary 1. Amount received this period - contributions of$100 or more. (Include all Schedule A subtotals.) .............................................................................. 2. Amount received this period - unitemized contributions of less than$100 .................. 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....... .........$ TOTAL $ `Contributor Codes IND Individual COM Recipient Committee (other than PTY or SCC) OTH- Other PTY- Political Party SCC- Small Contributor Committee FPPC Form 460(JUNE/01) FPPC Toll-Free Helpline:866/ASK-FPPC Schedule A Type or print in ink. SCHEDULE A mmounis may oe rounaea Monetary Contributions Received to whole dollars. Stateme t covers period p GpLi�3Rl�4 46 " COM L[ 13/27 SEE INSTRUCTIONS ON REVERSE through o O NAME OF FILER I.D. Number Alice Jacobson for City Council Small Contributor Committee 1268244 DATE FULL NAME,MAILING ADDRESS CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED AND ZIP CODE OF CONTRIBUTOR CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) PERIOD (JAN.1 -DEC.31) (IF REQUIRED) Rcppt Dt: Q IND Principal 250.00 250.00 250.00 G 04 09/17/2004 Peter Bethea ❑ COM 810 Robert Lane ❑ OTH Encinitas CA 92024-5639 ❑ PTY Burnham ID: ❑ SCC Rcpt Dt: El IND Minister 100.00 100.00 100.00 G04 09/17/2004 Rev. Jane Claypool 2883 Lone Jack Road ❑ COM ❑ OTH Encinitas CA 92024-6645 ❑ PTY Center for Positive Livi- ID: ❑ SCC ng Rcpt Dt: IND Environmental Sciences 250.00 250.00 250.00 IS 04 09/17/2004 June Collins ❑ COM Manager 308 Trailview Rd. ❑ OTH Encinitas CA 92024 ❑ PTY Dudek&Associates ID: ❑ SCC Rcpt Dt: X❑ IND Business Owner 250.00 250.00 250.00 G 04 09/17/2004 Elise Curry ❑ COM 1636 Eolus Ave ❑ OTH Leucadia CA 92024 ❑ PTY Self ID: ❑ SCC ricpt Dt: ❑ IND Owner 100.00 100.00 100.00 G 04 09117/2004 Donald Hansen ❑ COM 1105 S. Coast Hwy 101 ❑ OTH Encinitas CA 92024 ❑ PTY Hansen's ID: ❑ SCC SUBTOTAL $ Schedule A Summary Amount received this period - contributions of$100 or more. (Include all Schedule A subtotals.) .......................................... 2. Amount received this period - unitemized contributions of less than $100 ........ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ...........$ ....$ TOTAL $ *Contributor Codes IND -Individual COM Recipient Committee (other than PTY or SCC) OTH- Other PTY- Political Party SCC- Small Contributor Committee FPPC Form 460(JUNE/01) FPPC Toll-Free Helpline:866/ASK-FPPC Schedule A Type or print in ink. SCHEDULE A Monetary Contributions Received y to whole dollars. Statement covers period N[A COM from SEE INSTRUCTIONS ON REVERSE through 30 0 14/27 NAME OF FILER I.D. Number Alice Jacobson for City Council Small Contributor Committee 1268244 DATE FULL NAME,MAILING ADDRESS CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED AND ZIP CODE OF CONTRIBUTOR CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) PERIOD (JAN.1 -DEC.31) (IF REQUIRED) Rcppt Dt: '9/17/2004 McClelland Hartley 350 N. El Camino 0 IND ❑ COM Teacher 100.00 100.00 100.00 G 04 Real, #48 ❑ OTH Encinitas CA 92024 ❑ PTY Mira Costa College ID: ❑ SCC Rcpt Dt: 09/17/2004 Andrew Kean El IND ❑ COM Attorney 250.00 250.00 250.00 G 04 14710 Beeler Canyon Road ❑ OTH Poway CA 92064 ❑ PTY Self ID: ❑ SCC Rcpt Dt: 09117/2004 0 IND Vice Chairman COO 250.00 250.00 250.00 G 04 C. W.Tucker Lewis ❑ COM 714 Cornish Drive ❑ OTH Encinitas CA 92024-4514 ❑ PTY Mammoth Equities ID: ❑ SCC Rcpt Dt: 09117/2004 0 IND Homemaker 250.00 250.00 250.00 G 04 Lisa Lewis ❑ COM 714 Cornish Dr. ❑ OTH Encinitas CA 92024 ❑ PTY N/A ID: ❑ SCC Rcpt Dt: 09/17/2004 Bart Neglia 0 IND ❑ COM CFO 250.00 250.00 250.00 G04 760 Garden View Court El OTH Suite 200 Encinitas CA 92024-2473 ❑ PTY Wiegand Neglia Corp ID: ❑ SCC SUBTOTAL$ Schedule A Summary Amount received this period - contributions of$100 or more. (Include all Schedule A subtotals.) ........................................................ 2. Amount received this period - unitemized contributions of less than $100 ........ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ................$ ..................$ TOTAL $ *Contributor Codes IND -Individual COM Recipient Committee (other than PTY or SCC) OTH- Other PTY- Political Party SCC- Small Contributor Committee FPPC Form 460(JUNE/01) FPPC Toll-Free Helpline:866/ASK-FPPC Schedule A Type or print in ink. SCHEDULE A "'"w"�"'Ma "`""'f""" monetary Contributions Received whole dollars. Statem nt overs period Gi� �NtA �� Recipient Committee from i � (other than PTY or SCC) OTH- SEE INSTRUCTIONS ON REVERSE through- 3 15/27 Small Contributor Committee NAME OF FILER Alice Jacobson for City Council r1D.Num ber 8244 DATE FULL NAME,MAILING ADDRESS CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED AND ZIP CODE OF CONTRIBUTOR CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1 -DEC.31) (IF REQUIRED) OF BUSINESS) Rcpt Dt: `19/17/2004 Pegg Neglia 760 arden View Court Q IND E] COM Homemaker 250.00 250.00 250.00 G04 Suite 200 ❑ OTH Encinitas CA 92024-2473 ❑ PTY N/A D ❑ SCC Rcr)t Dt: 09117/2004 Michael Pattinson 0 IND ❑ COM CEO 250.00 250.00 250.00 G04 3425 Lone Hill Ln. ❑ OTH Olivenhain CA 92024 ❑ PTY Barratt American ID: ❑ SCC Rcot Dt: 09/17/2004 And Rosenbaum X❑ IND ❑ COM Student 125.00 125.00 125.00 G 04 4863 Scotts Mill Way ❑ OTH D Duluth GA 30096-2957 N/A D ❑ SCC Rcpt Dt: 09/17/2004 Richard Ross Ph.D. 0 IND ❑ COM Mgt.Consultant 250.00 250.00 250.00 G 04 412 W F Street ❑ OTH Encinitas CA 92024-3427 ❑ PTY Ross Partners ID: ❑ SCC ricpt Dt: 09117/2004 Agda Shelley X❑ IND ❑ COM Homemaker 250.00 250.00 250.00 G 04 17230 Via Recanto ❑ OTH Rancho Santa Fe CA 92067 ❑ PTY N/A ID: ❑ SCC SUBTOTAL$ ' Schedule A Summary 1. Amount received this period - contributions of$100 or more. (Include all Schedule A subtotals.) ..................................................................... 2. Amount received this period - unitemized contributions of less than $100 ......... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................$ ............$ TOTAL $ *Contributor Codes IND -Individual COM Recipient Committee (other than PTY or SCC) OTH- Other PTY- Political Party SCC- Small Contributor Committee FPPC Form 460(JUNE/01) FPPC Toll-Free Helpline:866/ASK-FPPC Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers period CAIL1MWIA . from— 71 I I nq F0141411" through C( 30 16/27 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. Number Alice Jacobson for City Council 1268244 DATE FULL NAME,MAILING ADDRESS CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED AND ZIP CODE OF CONTRIBUTOR CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) IND (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) Retired PERIOD 250.00 (JAN.1 -DEC.31) 250.00 (IF REQUIRED) 250.00 G 04 Rcpt Dt: 9117/2004 Daniel Shelley ❑ COM 17230 Via Recanto ❑ OTH Rancho Santa Fe CA 92067 ❑ PTY ❑ SCC N/A ID: Rcpt Dt: X❑ IND Retired 250.00 250.00 250.00 G04 09/17/2004 Tricia Smith ❑ COM 1745 Rubenstein Dr ❑ OTH Cardiff CA 92007 ❑ PTY ❑ SCC N/A ID: Rcpt Dt: Q IND Owner 250.00 250.00 250.00 G 04 09117/2004 Kyriakos Sougias 1825 Rubenstein Drive El COM ❑ OTH Cardiff By The Sea CA 92007 ❑ PTY El SCC Cervices Foreign Car ID: Rcpt Dt: X❑ IND Auto Repair 250.00 250.00 250.00 G04 09/17/2004 Michele Sougias ❑ COM 1825 Rubenstein Drive ❑ OTH Cardiff CA 92007-2320 ❑ PTY Self ID: ❑ SCC Rcpt Dt: X❑ IND Home Builder 250.00 250.00 250.00 G 04 09/17/2004 Bruce Wiegand ❑ COM 760 Garden View Ct.#200 ❑ OTH Encinitas CA 92024 ❑ PTY Wiegand Neglia Corp. ID: ❑ SCC SUBTOTAL$ Schedule A Summary 1. Amount received this period - contributions of$100 or more. (Include all Schedule A subtotals.) .............................................................. 2. Amount received this period - unitemized contributions of less than $100 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .. TOTAL$ *Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH-Other PTY-Political Party SCC-Small Contributor Committee FPPC Form 460(JUNE/01) FPPC Toll-Free Helpline:866/ASK-FPPC Schedule A Monetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period SCHEDULE A SEE INSTRUCTIONS ON REVERSE through 17/27 NAME OF FILER I.D. Number Alice Jacobson for City Council (other than PTY or SCC) OTH- 1268244 DATE FULL NAME,MAILING ADDRESS CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED AND ZIP CODE OF CONTRIBUTOR CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) PERIOD (JAN.1-DEC.31) (IF REQUIRED) Rcpt Dt: 0911712004 Terrie Wiegand X❑ IND ❑ COM Homemaker 250.00 250.00 250.00 G 04 760 Garden View Court ❑ OTH Suite 200 Encinitas CA 92024-2473 ❑ PTY N/A ID: ❑ SCC Rcpt Dt: 09/17/2004 Jeffrey Wohler X❑ IND ❑ COM President 250.00 250.00 250.00 G 04 5186 Carroll Canyon Road ❑ OTH San Diego CA 92121-1729 ❑ PTY Self ID: ❑ SCC Rcpt Dt: 09117/2004 Generation Properties LP ❑ IND ❑ COM 125.00 125.00 125.00 G 04 760 Garden View Court OTH Suite 200 Encinitas CA 92024-2473 El PTY ID: ❑ SCC Rcpt Dt: 09/21/2004 Keith Harrison X❑ IND ❑ COM Real Estate 250.00 250.00 250.00 G 04 3707 Copper Crest Rd ❑ OTH Encinitas CA 92024 ❑ PTY Self ID: ❑ SCC Hcpt Dt: 09/21/2004 Sara Harrison X❑ IND ❑ COM Homemaker 250.00 250.00 250.00 G 04 3707 Copper Crest Road ❑ OTH E Encinitas CA 92024-7206 N/A D ❑ SCC Schedule A Summary 1. Amount received this period - contributions of$100 or more. (Include all Schedule A subtotals.) ......................................................................... 2. Amount received this period - unitemized contributions of less than $100 ............. 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .. SUBTOTAL $ ..........................$ ..........................$ ............. TOTAL$ *Contributor Codes IND Individual COM Recipient Committee (other than PTY or SCC) OTH- Other PTY- Political Party SCC- Small Contributor Committee FPPC Form 460(JUNE/01) FPPC Toll-Free Helpline:866/ASK-FPPC Schedule A Type or print in ink. SCHEDULE A Amounts may oe rounaea Monetary Contributions Received to whole dollars. Statement covers period from It - � .' SEE INSTRUCTIONS ON REVERSE Q through— ` �0 0 t 9 18/27 NAME OF FILER I.D. Number Alice Jacobson for City Council 1268244 DATE FULL NAME,MAILING ADDRESS CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED AND ZIP CODE OF CONTRIBUTOR CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE __- (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) PERIOD (JAN.1 -DEC.31) (IF REQUIRED) Rcpt Dt: X❑ IND Landscape Contractor 250.00 250.00 250.00 G 04 `9/21/2004 Kent Horner ❑ COM 1244 Berryman Canyon ❑ OTH Encinitas CA 92024 ❑ PTY Self ID: ❑ SCC Rcpt Dt: 09/21/2004 X❑ IND Homemaker 250.00 250.00 250.00 G 04 Kim Horner ❑ COM 1244 Berryman Canyon ❑ OTH Encinitas CA 92024-7915 ❑ PTY N/A ID: ❑ SCC Rcpt Dt: X❑ IND President/G.M> 250.00 250.00 250.00 G04 09/21/2004 Mark Wheeler ❑ COM 1424 Encinitas Blvd. ❑ OTH Encinitas CA 92024 ❑ PTY Encinitas Ford ID: ❑ SCC Rcpt Dt: 09121/2004 Delta ❑ IND ❑ COM 250.00 250.00 250.00 G 04 132 N El Camino Real X❑ OTH (�j 0 s i n C%S #362 Encinitas CA 92024-2801 El PTY ID: ❑ SCC Rcpt Dt: (] IND Job Foreman 125.00 125.00 125.00 G04 09/24/2004 Paul Linkogle ❑ COM 1961 Misty Circle ❑ OTH Encinitas CA 92024 ❑ PTY Soltek Pacific ID: ❑ SCC SUBTOTAL $ Schedule A Summary 1. Amount received this period -contributions of$100 or more. (Include all Schedule A subtotals.) ...................................... ..................................................$ 2. Amount received this period - unitemized contributions of less than $100 ...... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .... ........ TOTAL$ *Contributor Codes IND Individual COM Recipient Committee (other than PTY or SCC) OTH-Other PTY-Political Party SCC-Small Contributor Committee FPPC Form 460(JUNE/01) FPPC Toll-Free Helpline:866/ASK-FPPC Schedule A Type or print in ink. SCHEDULE A runvun S may oe rounaea Monetary ontributions Received to whole dollars. State t c vers period �r'%� lF�i�I,�l, from 4"'1 SEE INSTRUCTIONS ON REVERSE through— �O t 9 19/27 NAME OF FILER I.D.Number Alice Jacobson for City Council 1268244 DATE FULL NAME,MAILING ADDRESS CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED AND ZIP CODE OF CONTRIBUTOR CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) PERIOD (JAN.1 -DEC.31) (IF REQUIRED) X❑ IND Rcpt Dt: 9/24/2004 Organizational Consultan- 100.00 100.00 100.00 G 04 Stanley Pappelbaum ❑ COM t 831 Calle Del Cielo ❑ OTH La Jolla CA 92037 ❑ PTY Self ID: ❑ SCC Rcpt Dt: 09/24/2004 X❑ IND Builder 250.00 250.00 250.00 G 04 Larry Richards 1701 ❑ COM Grand Avenue ❑ OTH Del Mar CA 92014-2253 ❑ PTY Self ID: ❑ SCC Rcpt Dt: 09/24/2004 X❑ IND Homemaker 250.00 250.00 250.00 G04 Pamela Richards ❑ COM 1701 Grand Avenue ❑ OTH Del Mar CA 92014-2253 ❑ PTY N/A ID: ❑ SCC Rcpt Dt: X❑ IND Land Surveyor 100.00 100.00 100.00 G 04 09124/2004 Joseph Yuhas ❑ COM 7113 Manzanita Street ❑ OTH Carlsbad CA 92009-5126 ❑ PTY Pasco Eng ID: ❑ SCC Rcpt Dt: 09/24/2004 El Torito Market IND ❑ y r��'c�Le 1 _d 250.00 250.00 250.00 G04 948 N. Coast Highway OTH Suite ABC ❑ PTY Encinitas CA 92024 ID: ❑ SCC SUBTOTAL $ Schedule A Summary 1. Amount received this period - contributions of$100 or more. (Include all Schedule A subtotals.) ......................................................... 2. Amount received this period - unitemized contributions of less than $100 ............. 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ... .............................$ .........$ ......... TOTAL $ *Contributor Codes IND Individual COM -Recipient Committee (other than PTY or SCC) OTH-Other PTY-Political Party SCC-Small Contributor Committee FPPC Form 460(JUNE/01) FPPC Toll-Free Helpline:866/ASK-FPPC Schedule A Type or print in ink. SCHEDULE A "ri LHILS Mar be 1ounueO Monetary Contributions Received Sto whole dollars. Stateme t covers period CFO Recipient Committee from O � Other SEE INSTRUCTIONS ON REVERSE through 0 0 20/27 NAME OF FILER I.D.Number Alice Jacobson for City Council 1268244 DATE FULL NAME,MAILING ADDRESS CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED AND ZIP CODE OF CONTRIBUTOR CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) PERIOD (JAN.1-DEC.31) (IF REQUIRED) Rcpt Dt: `)9/24/2004 Promotion Sports, Inc. ❑ IND ❑ COM - '� �o f�1 vx 250.00 250.00 250.00 G 04 7668 El Camino Real X❑ OTH F_v try 5 Suite 104-Box 436 La Costa CA 92009 ❑ PTY roto`�-i on ID: El SCC Rcpt Dt: 09/27/2004 Tory Brookman x❑ IND ❑ COM Owner 250.00 250.00 250.00 G 04 2017 Woodmoss Court ❑ OTH Encinitas CA 92024-1924 ❑ PTY Tory Brookman Painting ID: ❑ SCC Rcpt Dt: 09127/2004 El IND Real Estate 200.00 200.00 200.00 G 04 John Dewald ❑ COM 1855 Freda Lane ❑ OTH Cardiff CA 92007-1414 ❑ PTY Self ID: ❑ SCC Rcpt Dtt004 Scott Kelly El IND Real Estate Developer 200.00 200.00 200.00 G 04 913 Delaware Street ❑ OTH Huntington Beach CA 92648-4305 ❑ PTY John DeWald and Associat- ID: ❑ SCC es Rcpt Dt: 09/27/2004 Q IND Administrative Asst. 250.00 250.00 250.00 G04 Shannon Linkogle ❑ COM 2017 Woodmoss Ct ❑ OTH Encinitas CA 92024 ❑ PTY Western Financial Planni- ID: ❑ SCC ng SUBTOTAL$ Schedule A Summary 1. Amount received this period - contributions of$100 or more. (Include all Schedule A subtotals.) ............................................................... 2. Amount received this period - unitemized contributions of less than $100 ........... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ......... TOTAL$ *Contributor Codes IND Individual COM Recipient Committee (other than PTY or SCC) OTH- Other PTY- Political Party SCC- Small Contributor Committee FPPC Form 460(JUNE/01) FPPC Toll-Free Helpline:866/ASK-FPPC Schedule A Type or print in ink. SCHEDULE A • r�uwto w hoar of ars. u Monetary Contributions Received to whole dollars. State t lovers period from— SEE INSTRUCTIONS ON REVERSE D 0 through– 21 /27 NAME OF FILER I.D. Number Alice Jacobson for City Council 1268244 DATE FULL NAME,MAILING ADDRESS CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED AND ZIP CODE OF CONTRIBUTOR CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) PERIOD (JAN.1 -DEC.31) (IF REQUIRED) Rcpt Dt: '19/27/2004 Janet McCollough X❑ IND ❑ COM Realtor 250.00 250.00 250.00 G 04 2477 Montgomery ❑ OTH Cardiff CA 92007 ❑ PTY Coldwell Banker ID: ❑ SCC Rcpt Dt: 09/30/2004 Bob Echter X❑ IND ❑ COM Flower Grower 250.00 250.00 250.00 G 04 1101 Leucadia Blvd. ❑ OTH Encinitas CA 92024 ❑ PTY Self ID: ❑ SCC Rcpt Dt: 09/30/2004 Steven Emmet MD X❑ IND ❑ COM Physician 250.00 250.00 250.00 G 04 773 Academy Drive ❑ OTH Solana Beach CA 92075-2031 ❑ PTY Steven D. Emmet MD, Inc. ID: ❑ SCC Rcpt Dt: 09/30/2004 Yuki Emmet X❑ IND ❑ COM Physician 250.00 250.00 250.00 G 04 773 Academy Drive ❑ OTH Solana Beach CA 92075-2031 ❑ PTY Steven D. Emmet MD, Inc. ID: ❑ SCC Schedule A Summary 1. Amount received this period - contributions of$100 or more. (Include all Schedule A subtotals.) ................................................. 2. Amount received this period - unitemized contributions of less than $100 ........ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) SUBTOTAL$ 18200.00 .............$ .............$ TOTAL$ *Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH-Other PTY-Political Party SCC-Small Contributor Committee FPPC Form 460(JUNE/01) FPPC Toll-Free Helpline:866/ASK-FPPC Schedule C Type or print in ink. SCHEDULE C onmonetary Contributions Received r+nwunLs rna oe rounaea to whole dollars. Statement co rs period CALIFORNIA 460 from FORM 14/ 3010 SEE INSTRUCTIONS ON REVERSE through 1 22/27 NAME OF FILER I.D. Number Alice Jacobson for City Council 1268244 DATE FULL NAME,STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL,ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ FAIR MARKET CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE* (IF SELF-EMPLOYED,ENTER GOODS OR SERVICES VALUE CALENDAR YEAR TO DATE (IF REQUIRED) NAME OF BUSINESS) (JAN 1 -DEC 31) �i/04/D2t004 El Camino Printing El IND ❑COM 2500 Remit Envelope 250.00 250.00 250.00 G04 6074 Corte Del Cedro ®OTH Carlsbad CA 92009-1514 ❑PTY ID: ❑SCC Attach additional information on appropriately labeled continuation sheets. Schedule C Summary 1. Amount received this period - nonmonetary contributions of$100 or more. (Include all Schedule C subtotals.)................................................................................... 2. Amount received this period - unitemized nonmonetary contributions of less than $100 .............. 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ............... SUBTOTAL$ ................... $ ................... $ ...... TOTAL $ 250.00 250.00 96.98 346.98 *Contributor Codes IND -Individual COM-Recipient Committee -(other than PTY or SCC) OTH-Other PTY -Political Party SCC-Small Contributor Committee FPPC Form 460(JUNE/01) FPPC Toll-Free Helpline:866/ASK-FPPC CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaign consultants "TB contribution (explain nonmonetary)* ,VC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense LIT campaign literature and mailinqs MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage,delivery and messenger services PRO professional services(legal,accounting) PRT print ads RAID radio airtime and production costs RFD returned contributions SAL campaign workers'salaries TEL t.v.or cable airtime and production costs TRC candidate travel,lodging,and meals TRS staff/spouse travel,lodging,and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WFR infnrm�+inn fonh nnlnnv nnc+c G..+e....,+ .,711 NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Anne W. Kearns ID: PRO 450.00 7701 Knightwing Circle Fort Myers F1 33912-73ql California Voters Guide ID: LIT 850.00 20705 S Western Avenue Suite 200 Torrance CA 90,501-JR45 Complete Campaigns ID: CNS 300.00 610 Gateway Center Way Suite K Sin Q'PUn CA 92102-4548 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Payments made this period of$100 or more. (Include all Schedule E subtotals.) ................................................... 2. Unitemized payments made this period of under$100. ........................................................................................ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) .............. 4. Total payments made this period. (Add lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........................................ $ 6919.17 $ 6.00 $ 0.00 .......................... TOTAL$ 6925.17 FPPC Form 460(June/01) FPPC Toll-Free Helpline:866/ASK-FPPC Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Alice Jacobson for City Council Type or print in ink. Amounts may be rounded to whole dollars. Statement c vers period a�". from ( � '- through log 24/27 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaign consultants ,TB contribution(explain nonmonetary)* .VC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others(explain)* LEG legal defense LIT campaign literature and mailings MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage,deliverer and messenger services PRO professional services(legal,accounting) PRT nrint ads I.D.NUMBER 1268244 RAD radio airtime and production costs RFD returned contributions SAL campaign workers'salaries TEL t.v.or cable airtime and production costs TRC candidate travel,lodging,and meals TRS staff/spouse travel,lodging,and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WFR info .+inn+erknn1—+,1;d+__+ NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Michael's Printing Company ID: OFC 926.65 6760 University Avenue Suite 110 San Diego CA q21 1.5-5827 The Gemini Group ID: POS 592.00 110 W C Street Suite 1325 COGS South ID: CMP 1125.99 3309 S Main Street * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Payments made this period of$100 or more. (Include all Schedule E subtotals.) ........................................................................................... $ 2. Unitemized payments made this period of under$100. ................................................................................................................................ $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ...................................................... $ 4. Total payments made this period. (Add lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.).......................... TOTAL $ FPPC Form 460(June/01) FPPC Toll-Free Helpline:866/ASK-FPPC Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Alice Jacobson for City Council Type or print in ink. Amounts may be rounded to whole dollars. Staterne t c vers period from ` D"1 through �6/01 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaign consultants TB contribution (explain nonmonetary)* PVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others(explain)* LEG legal defense LIT campaign literature and mailings MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage,delivery and messenger services PRO professional services(legal,accounting) PRT nrint ark 25/27 I.D.NUMBER 1268244 RAD radio airtime and production costs RFD returned contributions SAL campaign workers'salaries TEL t.v.or cable airtime and production costs TRC candidate travel,lodging,and meals TRS staff/spouse travel,lodging,and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WFR nfn n+i. +—k—l.. ....+..r...+,. ,.+ .,:n NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Michael's Printing Company ID: CMP 199.34 6760 University Avenue Suite 110 San D'P[ln QA 92115-5827 POST International U.B.O. ID: CMP 582.50 31441 Santa Margarita Parkway Suite A Rancho Santa Margarita CA 92688-1835 The Gemini Group ID: OFC 40.35 110 W C Street Suite 1325 Ran Diego QA 92101-3900 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Payments made this period of$100 or more. (Include all Schedule E subtotals.) ........................................................................................... $ 2. Unitemized payments made this period of under$100. ................................................................................................................................ $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ...................................................... $ 4. Total payments made this period. (Add lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.).......................... TOTAL $ FPPC Form 460(June/01) FPPC Toll-Free Helpline:866/ASK-FPPC Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Alice Jacobson for City Council Type or print in ink. Amounts may be rounded to whole dollars. Statement co ers period from (IF COMMITTEE,ALSO ENTER I.D.NUMBER) through ` 130 10 26/27 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaign consultants ,TB contribution (explain nonmonetary)* ,VC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense LIT campaign literature and mailinqs MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage,delivery and messenger services PRO professional services(legal,accounting) PRT print ads I.D.NUMBER 1268244 RAD radio airtime and production costs RFD returned contributions SAL campaign workers'salaries TEL t.v.or cable airtime and production costs TRC candidate travel,lodging,and meals TRS staff/spouse travel, lodging,and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WFR inf--tinn NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Anne W. Kearns ID: PRO 525.00 7701 Knightwing Circle Fort Myers F1 339112-7321 The Gemini Group ID: OFC 30.13 110 W C Street Suite 1325 Ran Diego CA 92101-qqnn Complete Campaigns ID: OFC 105.00 610 Gateway Center Way Suite K San Diego CA 92102-4-S48 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Payments made this period of$100 or more. (Include all Schedule E subtotals.) ........................................................................................... $ 2. Unitemized payments made this period of under$100. ................................................................................................................................ $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) $ 4. Total payments made this period. (Add lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.).......................... TOTAL$ FPPC Form 460(June/01) FPPC Toll-Free Helpline:866/ASK-FPPC El CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaign consultants 7TB contribution(explain nonmonetary)* .,VC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others(explain)* LEG legal defense LIT campaign literature and mailings MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage,delivery and messenger services PRO professional services(legal,accounting) PRT Drint ads RAD radio airtime and production costs RFD returned contributions SAL campaign workers'salaries TEL t.v.or cable airtime and production costs TRC candidate travel,lodging,and meals TRS staff/spouse travel,lodging,and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WFR nfn +;i NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Delta ID: CMP 543.06 132 N El Camino Real #362 Fnr'n't,q,q CA 92024-2801 The Gemini Group ID: CMP 515.59 110 WC Street Suite 1325 , an Ditago CA 92101-2900 Western Financial Planning Corp ID: OFC 133.56 5186 Carroll Canyon Road Suite 100 Ran Diego CA 92121-172P * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 6919.17 Schedule E Summary 1. Payments made this period of$100 or more. (Include all Schedule E subtotals.) ........................................................................................... $ 2. Unitemized payments made this period of under$100. ................................................................................................................................ $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) $ 4. Total payments made this period. (Add lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.).......................... TOTAL$ FPPC Form 460(June/01) FPPC Toll-Free Helpline:866/ASK-FPPC