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Form 460 1st Pre-Election 2012Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 01/01/2012 through 09/30/2012 1 Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure I -I State Candidate Election Committee Committee r1 Recall Q Controlled I Hlso Compere Pan 5) (D Sponsored ❑ (Also Compete Peas) ❑ General Purpose Committee I Sponsored ❑ Primarily Formed Candidate/ Small Contributor Committee Officeholder Committee Political Party /Central Committee Also Complete Pan-) 3. Committee Information D NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO CUr Kevin Forrester for Encinitas City Council STREET ADDRESS (NO PO BOX) 4403 Manchester Avenue Suite 205 CITY STATE ZIP CODE AREA CODE /PHONE Encinitas CA 92024 760 944 -1918 MAILING ADDRESS nF DIFFERENT) NO AND STREET OR PO BOX PO Box 448 CITY STATE ZIP CODE AREA CODE /PHONE Oceanside CA 92049 OPTIONAL FAX / E -MAIL ADDRESS CI I Y GE -ryc'i t; 12 U(;C I -5 ii i i 1 l : Date of election if applicable: (Month, Day, Year) 11/06/2012 1 2. Type of Statement: M Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) Mary Azevedo COVER PAGE Page 1 of 15 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement -Attach Form 455 MAILING ADDRESS 1734 S Pacific Street CITY STATE ZIP CODE AREA CODE /PHONE Oceanside CA 92054 760 439 -5979 NAME OF ASSISTANT TREASURER. IF ANY MAILING ADDRESS OPTIONAL FAX / E -MAIL ADDRESS ZIP CODE AREA CODE/PHONE 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. A Executed on 10/04/2012 By Mary Azevedo Date Executed on 10/04/2012 By Kevin Forrester _ -- Executed on By Date Signature or Conimlhng lMfiwM1older, Candidate, State Measure Proponent Executed on By Date 5gnanre o`Convulling OfficeM1Older Candidate, State Measure PropaxM FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866IASK -FPPC (8661275 -3772) Fire Stale of California Type or print in ink. COVERPAGE -PART2 Recipient Committee CALIFORNIA Campaign Statement FORM 4601 Cover Page — Part 2 Page 2 of 15 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Kevin Forrester OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Sought City Council Member City- Encinitas RESIDENTIAUBUSINESS ADDRESS (NO AND STREET) CITY STATE ZIP 4403 Manchester Ave Suite 205 Encinitas CA 92024 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 make expenditures on behalf of your candidacy. NAME NAME u AUUKLJS (NU Y bUA) ❑ YES ❑ NO CITY STATE ZIP CODE AREA CODE /PHONE COMMITTEE NAME ID NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO STREETADDRESS (NO PO CITY STATE ZIP CODE AREA CODE /PHONE Fife BALLOT NO OR LETTER 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 Candidate /Officeholder Committee List names of oHiceholder(s) or candidates) 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 (January/05) FPPC Toll -Free Helpline: e66/ASK -FPPC (866/275 -0772) State of California Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 01/01/2012 SUMMARY PAGE Expenditures Made 6 Payments Made 7 Loans Made 8 SUBTOTAL CASH PAYMENTS 9 Accrued Expenses (Unpaid Bills) 10. Nonmonetary Adjustment 11 TOTAL EXPENDITURES MADE Schedule E Line 4 S 3678.25 Schedule H, Line 3 0.00 through 09/30/2012 Page 3 of 15 SEE INSTRUCTIONS ON REVERSE Schedule Linea 0.00 Add Lines a +9 +10 $ 5313.64 corresponding amounts 14 Miscellaneous Increases to Cash Schedule I Line 4 NAME OF FILER from Column B of your last 15 Cash Payments Column A Line a above 3678,25 report Some amounts In I D NUMBER Kevin Forrester for Encinitas City Council Column A may be negative 16 ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ 5582.75 figures that should be 1349104 subtracted from previous Column A Column B Calendar Year Summary for Candidates Contributions Received TOTr THisaERIOD CA ENDARVEAR Running in Both the State Primary ,FROM ATTACHED o2HEDULESi TOTALTODATE and General Elections 1 Monetary Contributions Schedule Linea $ 4961.00 $ 4961.00 2 Loans Received Schedule e, Line 3 4300.00 4300.00 111 through 6130 711 to Date 3 SUBTOTAL CASH CONTRIBUTIONS Add Lines es l +z $ $ 9261.00 20 Contributions Received $ $ 4 Nonmonetary Contributions Schedule C, Line 0.00 0.00 21 Expenditures 5 TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 +4 $ 9261.00 $ 9261.00 Made $ $ Expenditures Made 6 Payments Made 7 Loans Made 8 SUBTOTAL CASH PAYMENTS 9 Accrued Expenses (Unpaid Bills) 10. Nonmonetary Adjustment 11 TOTAL EXPENDITURES MADE Schedule E Line 4 S 3678.25 Schedule H, Line 3 0.00 Add Lines 6 +7 $ 3678.25 Schedule F, Line 3 1635.39 Schedule Linea 0.00 Add Lines a +9 +10 $ 5313.64 corresponding amounts $ 3678.25 0.00 $ 367825 1635.39 0.00 $ 5313.64 Current Cash Statement 12. Beginning Cash Balance Previous Summary Page Line 16 $ 0.00 To calculate Column B, add 13. Cash Receipts Column A Lme 3 above 9261.00 amounts in Column A to the 00 corresponding amounts 14 Miscellaneous Increases to Cash Schedule I Line 4 from Column B of your last 15 Cash Payments Column A Line a above 3678,25 report Some amounts In Column A may be negative 16 ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ 5582.75 figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero period amounts If this Is 17 LOAN GUARANTEES RECEIVED Schedule 8, Part 2 $ Cash Equivalents and Outstanding Debts 18 Cash Equivalents See instructions on reverse $ 19. Outstanding Debts Add Line 2 +Line 9m Column 6 above $ File 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 5935.39 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' Ix subject to Voluntary ln. e.daure Limn) Date of Election Total to Date (mm /dd /yy) $ 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) ScheduleA Type or print in ink. SCHEDULE Monetary Contributions Received Amounts may rounded Statement covers period to whole dolof lars. CALIFORNIA ' 01/01/2012 from O- • 09/30/2012 4 15 through SEE INSTRUCTIONS ON REVERSE Page of NAME OF FILER i D NUMBER Kevin Forrester for Encinitas City Council 1349104 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED IIF COMMITTEE ALSO ENTEP I D NUMBER) CODE* IF SELF - EMPLOYED, ENTEP NAME PERIOD (JAN 1 DEC 31) (IF REQUIRED) OP nU51NE551 Susan M Cook ®IND retired 09/12/2012 ❑COM n/a 250.00 250 00 011venhain, CA 92024 ❑OTH ❑ PTY []SCC Franz Blrkner BIND Entrepeneur 08/11/2012 1090 Neptune ❑COM FXB Ventures 250.00 250.00 Encinitas, CA 92024 ❑OTH []PTY []SCC John Pettersen ZIND Anthropologist 09/06/2012 ❑COM Impact Assessment, Inc. 150.00 150.00 La Jolla, CA 92037 ❑OTH ❑ PTV ❑ SCC Deal Dun, Inc. dba The Real Estate Office of ❑IND 09/20/2012 Rancho Santa Fe ❑COM 250.00 250.00 OPTH Rancho Santa Fe, CA 92067 ❑SCC Gretchen Mitchell ®IND Realtor 09/18/2012 ❑COM Coldwell Banker 100.00 100.00 Encinitas, CA 92024 ❑OTH ❑ PTY []SCC SUBTOTAL$ 1000.00 Schedule A Summary 1 Amount received this period —itemized monetary contributions. (Include all Schedule A subtotals.) 2. Amount received this period — unitemized monetary 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 ) File TOTAL $ 4300.00 661.00 4961 00 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other to g business entity) PTY —Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONY.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 01/01/2012 460 from 09/30/2012 5 15 through Page of NAME OF FILER I D NUMBER Kevin Forrester for Encinitas City Council 1349104 DATE FULL NAME, STREET 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 RECEIVED (IF COMMITTEE RI-SC ENTER I D NUMBER) CODE* pFSELF- EMPLO� ED, ENTER NnME PERIOD (JAN 1 -DEC 31) (IF REQUIRED) OFBUSINESSI ***TYPE Intermediary * ** ❑IND Pay Pal ❑COM CA E] OTH ❑ PTY ❑ SCC Roger E Forrester IND Retired 09/06/2012 904 Laurel Lane ❑COM n/a 250.00 25000 Murphys, CA 95247 ❑PTY Lj ❑ SCC Keith Forrester FIND E Services Manager 09/18/2012 ❑COM Coca -Cola Refreshments 250.00 250.00 Decatur, GA 30030 ❑OTH ❑PTY ❑ SCC ***TYPE Intermediary * ** E] IND Pay Pal ❑COM CA [:]OTH ❑ PTY ❑ SCC Charles E. Bande ®IND Property Manager 09/10/2012 ❑COM Bande Properties 25000 250.00 San Diego, CA 92106 ❑OTH ❑ PTY []SCC SUBTOTAL$ 750.00 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g business entity) PTY — Political Party SCC —Small Contributor Committee File FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 666 1ASK -FPPC (6661275 -3772) Schedule A (Continuation Sheet) Tvpe or print in ink. SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 01/01/2012 FORM 460 from 09/30/2012 6 15 through page of NAME OF FILER I D NUMBER Kevin Forrester for Encinitas City Council 1349104 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED WCOMMITTEEr SOENTERID NUMBER) CODE + IF LF.EMPLOr ED ENTER N�E PERIOD (JAN t DEC 351 (IF REQUIRED) OFBUSINESS) West Coast Mortgage ❑IND 09/06/2012 MOTH ❑ PTY San Diego, CA 92126 L] SCC Charles F Bande BIND Retired 08/28/2012 n/a 250 00 250.00 Rancho Santa Fe, CA 92067 ❑OTH ❑ PTY ❑ SCC Helen F Schnabel MIND retired 09/10/2012 1 Silver Fox Drive ❑COM n/a 100.00 10000 Greenwood Village, CO 80121 ❑OTH ❑ PTY ❑ SCC Filar Bande MIND retired 08/28/2012 ❑COM n/a 250.00 25000 Rancho Santa Fe CA 92067 ❑OTH ❑ PTY ❑ SCC Beverly Atchley ®IND Rancher 09/10/2012 ❑OTH Georgetown, TX 78626 ❑ PTY ❑scc SUBTOTAL$ 1100.00 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e g business entity) PTY — Political Party SCC — Small Contributor Committee File FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275J772) Schedule A (Continuation Sheet) Monetary Contributions Received Type or print in ink. SCHEDULE A (CONT.) Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 01/01/2012 FORM 460 ' from 'Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g. business entity) PTY — Politlwl Party SCC —Small Contributor Committee File FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC t866/275 -3772) 09/30/2012 7 15 through Page of NAME OF FILER I D NUMBER Kevin Forrester for Encinitas City Council 1349104 DATE FULL NAME, STREET 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 RECEIVED IIFCOMMITTEE NLSOENrERIO NUMBER) CODE 'k IF SELF-EMPLOYED ENTER NAME E PERIOD (JAN 1 DEC 31 ) (IF REQUIRED ) OF Bt151NE55) Bradley Eli MIND Dentist 08/10/2012 ❑CoM Bradley A Eli 100.00 100.00 Carlsbad, CA 92011 ❑OTH ❑ PTY ❑ SCC Jane Gager MIND n/a 09/06/2012 ❑COM ❑OTH Retired 250.00 250.00 Murphys, CA 95247 ❑ PTY ❑ SCC Kerrill Bande MIND Teacher 09/10/2012 ❑COM Point Loma Presbyterian 250.00 250.00 San Diego, CA 92106 ❑OTH ❑ PTY Preschool []SCC Leann S. McStay MIND Teacher 09/10/2012 ❑COM Rialto Unified/Temecula 100.00 100.00 Temecula, CA 92592 OTH ❑❑ PTY Valley Unified ❑ SCC Rhino Art Co., Inc. ❑IND 09/06/2012 ❑COM 250.00 250.00 Encinitas, CA 92024 MOTH ❑ PTY ❑ SCC SUBTOTAL$ 950.00 'Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g. business entity) PTY — Politlwl Party SCC —Small Contributor Committee File FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC t866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period . - ' towholedollars. 01/01/2012 • from 09/30/2012 8 15 through page of ID NUMBER NAME OF FILER Kevin Forrester for Encinitas City Council 1349104 DATE FULL NAME, STREET 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 RECEIVED (IF COMMITTEE, PLSu ENTER I D NUMBER, CODE + ,ir sELF- EO ENTER NAME PERIOD (JAN 1 DEC 31) (IF REOUIREDI or euswESS, OFBUSI _ David Fischbach MIND Anesthesiologist 09/26/2012 ❑COM David P Fischbach MD 25000 250.00 Oceanside, CA 92054 ❑OTH ❑ PTY Inc ❑ SCC TYPE. Intermediary * ** ❑IND Pay Pal [-]COM E] OTH CA Li P PTY ❑SCC Admiral Property Company ❑IND 08/20/2012 ❑ TH E] OTH 25000 250.00 Solana Beach, CA 92014 E] PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑SCC ❑ IND ❑ COM ❑OTH ❑ PTY ❑ SCC *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e g. business entity) PTY - Political Party SCC - Small Contributor Committee File SUBTOTAL$ 500.00, FPPC Fenn 460 (January/05) FPPC Toll -Free Helpline: 866/ASK -FPPC (86612753772) SCHEDULEB -PART1 runt �m rrr rrr�. Schedule B —Part 1 Amounts may ay be rounded Statement covers period • 1 Loans Received to whole dollars. 01/01/2012 �. . from 09/30/2012 9 15 through page of SEE INSTRUCTIONS ON REVERSE - ID NUMBER NAME OF FILER Kevin Forrester for Encinitas City Council 1349104 IbI iq 141 lei pl lgl FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT AMOUNT PAID OUTSTANDING EAT INTEREST ORIGINAL CUMULATIVE CONTRIBUTIONS OF LENDER ,IF SELF- EMPLO', ED ENTER BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN LOSE O CLOSE OF THIS PAID THIS AMOUNT OF LOAN TO DATE_ ECOMMITrEE ALSOENTERID NUMBERI NAMEOFBUSII PERIOD THIS PERIOD' PERIOD _PERIOD Kevin Forrester Attorney ❑ PAID CALEND. R YEAR Attnorney at Law RA -E Encinitas, CA 92024 0.00 $ 100.00 $ 12/31/2012 $ 0 00 08/02/2012 $ Reference :LOAN1 $ DATE DUE tX IND L] COM ❑ OTH I I PTY ❑ SCC W1 DATE INCURRED Kevin Forrester Attorney Y ❑ PAID CALENDARI EAR Attnorney at Law " < -F Encinitas, CA 92024 0.00 3500.00 $ 12/31/2012 $ 0.00 09/28/2012 $ t C COM C OTH C PTV C SCC X IND $ DATE INCURRED $ DATE DUE Kevin Forrester Attorney E] PAID i CALENDARVEAR Attnorney at Law $ FATE Lj FORGIVEN PER ELECTION" Encinitas, CA 92024 $ 0.00 700.00 $ 12/31/2012 $ 0.00 08/11/2012 $ tX IND C COM C OTH C PTY C SCC $ DATE INCURRED DATE DUE SUBTOTALS $ 4300 00 $ 0.00$ 4300.00$ 0.00 Schedule B Summary 1 Loans received this period (Total Column (b) plus unitemized loans of less than $100 ) 2. Loans paid or forgiven this period (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also Itemized on Schedule A ) 3. Net change this period. (Subtract Line 2 from Line 1 ) Enter the net here and on the Summary Page, Column A, Line 2. 'Amounts forgiven or paid by another party also must be reported on Schedule A If required. File SIX .Ie E, Une 3) $ 4300.00 4�1 1 11 NET $ 4300.00 (May be a negative number tContrlbulor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e g. business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK -FPPC (8661275 -3772) Aan Ki^toc TVpe or print in ink. �VV v,vv Statement covers period CALIFORNIA from 01/01/2012 FORM • through 09/30/2012 page 10 -f—L5--- LE) NUMBER NAME OF FILER Kevin Forrester for Encinitas City Council 1349104 FORM /SCHEDULE REFERENCE NUMBER TEXT B1 LOW Loan to Campaign FPPC Toll -Free Helpline: 866iASK -FPPC (866/275 -3772) State of California File Schedule E Payments Made co 1111R1 I!`TIIIAIC r1N RFVFRSF Type or print in ink. Amounts may be rounded to whole dollars. Statement covers pei from 01/01/2012 through 09/30/2012 Page 11 of 15 NAME OF FILER V Kevin Forrester for Encinitas City Council 1349104 CODES: If one of the following codes accurately describes the payment, you may enter the code Otherwise, describe the payment. CtvP campaign paraphernalia /misc MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC PET office expenses petition circulating SAL TEL campaign workers salaries t v or cable airtime and production costs CVC FIL civic donations candidate filing /ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals PO Independent expenditure supporting /opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LEG legal defense PRO professional services (legal accounting) VOT voter registration HT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE IIF COMMITTEE A 30 ENTER I D u IMBERI CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Melson's Pro Graphics 1309 Simpson Way LIT 35000 Suite F Escondido, CA 92029 Mary Azevedo PRO 650.00 Oceanside, CA 92054 Election Digest G2012 ID 1345303 13701 Riverside Drive, Suite 604 PRT 308.50 Sherman Oaks, CA 91423 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1308.50 Schedule E Summary 1 Itemized payments made this period. (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.) File $ 3578.24 TOTAL $ 100.01 0.00 3678.25 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) SCHEDULE E(CONT.) Schedule Type or print in ink. m Stateent covers period �. (Continuation Sheet) Amounts may be rounded Payments Made fro m 2 1 to whole dollars. 01/01/2012 • SEE INSTRUCTIONS ON REVERSE CODE OR DESCRIPTION OF PAY VENT AMOUNT PAID (IF COMMITTEE P SO ENTER 10 NUMBERI 09/30/201 Z through Page 12 of 15 NAME OF FILER FPPC 595 -004 1954 W Carson Street, Suite B I D NUMBER Kevin Forrester for Encinitas City Council 209.50 Torrance, CA 90501 1349104 CODES. If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphernalia /misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD SAL returned contributions campaign workers salaries CTB contribution (explain nonmonetary)' DEC PET office expenses petition circulating TEL t v or cable airtime and production costs CVC civic donations FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals END fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals hD independent expenditure supporting /opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LEG legal defense PRO professional services (legal, accounting) VOT WEB voter registration technology costs (internet, e-mail) I IT Carrinainn htpranire and mnilinas PRT print ads PRO information NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAY VENT AMOUNT PAID (IF COMMITTEE P SO ENTER 10 NUMBERI California Voter Guide FPPC 595 -004 1954 W Carson Street, Suite B PRT 209.50 Torrance, CA 90501 Intuit Bank Supplies 2632 Marine Way OFC 22624 Mountain View, CA 94043 North County Printers 406 South Cleveland Street LIT 197.00 Oceanside, CA 92054 Mary Azevedo 1734 S. Pacific Street PRO 650.00 Oceanside, CA 92054 Direct File Campaign Reporting Services - Sept. 504 Van Ness Ave PRO 85.00 Fresno, CA 93721 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. File SUBTOTAL $ 136774 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275-3772) SCHEDULE E(CONT.) Schedule T Amounts m Type or print in ink. S Statement covers period C CALIFORNIA (Continuation Sheet) A 01/01/2012 • �' Payments Made f to whole dollars. 0 from 09/30/2012 13 o through P Page 1 SEE INSTRUCTIONS ON REVERSE D NUMBER NAME OF FILER 1349104 Kevin Forrester for Encinitas City Council 1 CODES: If one of the following codes accurately describes the payment, you may enter the code O Otherwise, d describe the payment. CW campaign paraphernalia /misc N NW m member communications R RAO r radio airtime and production costs CNS campaign consultants N NTTG m meetings and appearances R RFD r returned contributions CTB contribution (explain nonmonetary)' O OFC o office expenses S TEL t t.v. or cable airtime and production costs CVC civic donations P PHO p phone banks T TRC c candidate travel, lodging, and meals END fundraising events P POT p polling and survey research T TRS s staff /spouse travel, lodging, and meals PD independent expenditure supporting /opposing others (explain)' P POS p postage, delivery and messenger services T LEG legal defense P PRO p professional services (legal, accounting) V VOT v voter registration NAME AND ADDRESS OF PAYEE FORDE TION OF PAYMENT AMOUNT PAID (IT COMMITTEE ALSO ENTER I D NUMBER) Direct File ust Fees - Campaign Reporting 504 Van Ness Ave. 170.00 Fresno, CA 93721 Budget Watchdogs Newsletter 1954 W Carson Street Suite B 732.00 Torrance, CA 90501 ` Payments that are contributions or independent expenditures must also be summarized on Schedule D. File SUBTOTAL $ 902.00 FPPC Fonn460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275-3772) ` Payments that are contributions or independent expenditures must also be summarized on Schedule D. File SUBTOTAL $ 902.00 FPPC Fonn460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275-3772) SCHEDULEF Schedule F Type or print in ink. (b) Statement covers period •' 10411 Accrued Expenses (Unpaid Bills) CODE OR OF PAYMENT Amounts may be rounded to whole dollars. from 01/01/2012 • OF THIS PERIOD 09/3012012 14 15 ±DESCRIPTION Melson's Pro Graphics 0.00 through 9 Page of SEE INSTRUCTIONS ON REVERSE 1309 Simpson Way :::: D NUMBER NAME OF FILER Suite F 1349104 Kevin Forrester for Encinitas City Council Escondido, CA 92029 CODES. If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP campaign paraphernalia /mist MBR member communications HAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD SAL returned contributions campaign workers salaries CTB contribution (explain nonmonetary)' OFC PET office expenses petition circulating TEL t v. or cable airtime and production costs CVC civic donations PHO phone banks TRC candidate travel, lodging, and meals FIL candidate filing /ballot fees POL polling and survey research TRS staff /spouse travel, lodging, and meals END fundraising events PD independent expenditure supporting /opposing others (explain)` POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration technology costs (Internet, e-mail) Torrance, CA 90501 PRT Bunt ads WEB information * Payments that are contributions or independent expenditures must also be SUBTOTALS $ 0.00$ 1771.39E 868.00$ 903.39 summarized on Schedule D. Schedule F Summary 1 Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100 ) 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100 ) 3. Net change this period (Subtract Line 2 from Line 1 Enter the difference here and on the Summary Page, Column A, Line 9.) File INCURRED TOTALS $ 323539 PAID TOTALS $ 1600.00 NET $ 1635.39 May M a negawe number FPPC Form460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (86612753772) (a) (b) (c) (d) NAME AND ADDRESS OF CREDITOR gr COMMITTEE ALSO ENTER nJ NUMBER, CODE OR OF PAYMENT OUTSTANDING BALANCE BEGINNING AMOUNT INCURRED THIS PERIOD AMOUNT PAID THISPERIOD OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD 150 REPORT ON Ei OFTHISPERIOD ±DESCRIPTION Melson's Pro Graphics 0.00 735.39 350.00 385.39 1309 Simpson Way :::: Suite F Escondido, CA 92029 Election Digest G2012 1345303 0.00 617.00 308.50 308.50 13701 Riverside Drive, Suite 604 Sherman Oaks, CA 91423 jPRT California Voter Guide PRT FPPC 595 -004 0.00 419.00 209.50 209.50 1954 W Carson Street, Suite B Torrance, CA 90501 * Payments that are contributions or independent expenditures must also be SUBTOTALS $ 0.00$ 1771.39E 868.00$ 903.39 summarized on Schedule D. Schedule F Summary 1 Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100 ) 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100 ) 3. Net change this period (Subtract Line 2 from Line 1 Enter the difference here and on the Summary Page, Column A, Line 9.) File INCURRED TOTALS $ 323539 PAID TOTALS $ 1600.00 NET $ 1635.39 May M a negawe number FPPC Form460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (86612753772) SUBTOTALS $ 0.00$ 1464.00$ 732.00$ 732.00 FPPC Form460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275-3772) File (a) SCHEDULE F(CONT.) Schedule F Type or print in ink. NAME AND ADDRESS OF CREDITOR CODE OR OF PAYMENT OUTSTANDING BALANCEBEGINNING Amounts may be rounded AMOUNT PAID THISPERIOD Statement covers period CALIFORNIA g , , (Continuation Sheet) towholedollars. OF THIS PERIOD 01/01/2012 FORM Accrued Expenses (Unpaid Bills) OF THIS PERIOD ±DESCRIPTION Budget Watchdogs Newsletter from h 09/30/2012 through Page 15 of 15 1954 W Carson Street Suite B ID NUMBER NAME OF FILER 732.00 732.00 Kevin Forrester for Encinitas City Council 1349104 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalia /mist MBR member communications RAID radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions SAL campaign workers' salaries CTB contribution (explain nonmonetary)' OFC office expenses PET petition circulating TEL t.v. or cable airtime and production costs CVC civic donations RHO phone banks TRC candidate travel, lodging, and meals FIL candidate filing /ballot fees POT polling and survey research TRS staff /spouse travel, lodging, and meals END fundraising events expenditure supporting /opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor IND independent LEG legal defense PRO professional services (legal, accounting) VOT voter registration WEB information technology costs (Internet, e-mail) LIT campaign literature and mailings PRT print ads * Ravmpntc that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 0.00$ 1464.00$ 732.00$ 732.00 FPPC Form460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275-3772) File (a) Ibl Icl (d) NAME AND ADDRESS OF CREDITOR CODE OR OF PAYMENT OUTSTANDING BALANCEBEGINNING AMOUNT INCURRED THISPERIOD AMOUNT PAID THISPERIOD OUTSTANDING BALANCE AT CLOSE Iir comMr -EE ALSO ENTER I D NUNGER, OF THIS PERIOD RLSO REPORT ON E, OF THIS PERIOD ±DESCRIPTION Budget Watchdogs Newsletter FPPC 1345115 1954 W Carson Street Suite B 0.00 1464.00 732.00 732.00 Torrance, CA 90501 SUBTOTALS $ 0.00$ 1464.00$ 732.00$ 732.00 FPPC Form460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275-3772) File