Form 460 10/1/2012 - 10/20/2012 Rey 'ientCommittee COVERPAGE
Type or print in ink. Date Stamp
Ca..ipaig n Statement • '
Cover Page '
(Government Cade Sections 84200-84216 5) Page 1 of 2
Statement covers period Date of election if applicable:
from 10/1/2012 (Month, Day, Year) ZUI t I- G4 For Official Use Only
SEE INSTRUCTIONS ON REVERSE through 10/20/2012 11/6/2012 LU
1 Type of Recipient Committee: All Committees-complete Parts 1,2,3,and 4. 2. Type of Statement:
❑ Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ® Preelection Statement ❑ Quarterly Statement
Q State Candidate Election Committee Committee Semi-annual Statement
Q Recall Controlled ❑ ❑ Special Odd-Year Report
❑ Termination Statement ❑ Supplemental Preelection
(Also Complete Part5) Q Sponsored (Also file a Form 410 Termination) Statement-Attach Form 495
(Also Complete Part 6)
® General Purpose Committee ❑ Amendment(Explain below)
Q Sponsored ❑ Primarily Formed Candidate/
Q Small Contributor Committee Officeholder Committee
Q Political Party/Central Committee (Also Complete Part])
3. Committee Information ID NUMBER 1228848 Treasurer(s)
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
Encinitas Coalition of Home Owners Mary Azevedo
MAILING ADDRESS
P O Box 448
STREET ADDRESS (NO PO BOX) CITY STATE ZIP CODE AREA CODE/PHONE
1734 South Pacific St. Oceanside CA 92049 760-439-5979
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY
Oceanside CA 92054 760-439-5979
MAILING ADDRESS (IF DIFFERENT) NO AND STREET OR PO BOX MAILING ADDRESS
P O Box 448
CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
Oceanside CA 92049
OPTIONAL FAX/E-MAIL ADDRESS 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 10/5/2012 By
Date ignature of urer or Assistant Treasurer
Executed on 10/5/2012 By
Dale Signature of Controlli gOm-cehcl ,Cantlibat ate Measure Proponentor Responsible Officerof Sponsor
Executed on By
Dale Signature of Controlling Officeholder Cantlitlale,State Measure Proponent
Executed on By
Date Signature of Controlling Officeholder,Candidate,State Measure Proponent
FPPC Form 460(January/06)
FPPC Toll-Free Helptine:866/ASK-FPPC(8661275-3772)
State of California
Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE
Amounts may be rounded Statement covers period -
Summary Page to whole dollars. '
from 10/1/2012 •
SEE INSTRUCTIONS ON REVERSE through 1 0/2 012 01 2 Page 2 of 2
NAME OF FILER ID NUMBER
Encinitas Coalition of Home Owners 1228848
Contributions Received TOTAL D D R olumnA Column B Calendar Year Summary for Candidates
(FROM ATTACHED SCHEDULES) TOTALTO DATE Running in Both the State Primary and
1 Monetary Contributions Schedule A.Line $ 0.00 $ 0.00
General Elections
2 Loans Received Schedule e,Line 3
0.00 0.00 1/1 through 6/30 7/1 to Date
3 SUBTOTAL CASH CONTRIBUTIONS Add Lines l+2 $ 000 $ 0.00
20 Contributions
Received $ $
4 Nonmonetary Contributions Schedule a Line 3 0.00 0.00 21 Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 0.00 $ 0.00 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made Schedule E, Line 4 $ 0.00 $ 0.00 Candidates
7 Loans Made Schedule H,Line 3 0.00 0.00
22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ 0.00 $ 0.00 Of Subject to voluntary Expenditure Limit)
9. Accrued Expenses (Unpaid Bills) Schedule F Line 3 0.00 0.00 Date of Election Total to Date
10. Nonmonetary Adjustment Schedule C,Line 3 0.00 0.00 (mmlddlyy)
11 TOTAL EXPENDITURES MADE AddLmes8+9+10 $ 0.00 $ 0.00 $
Current Cash Statement $
12. Beginning Cash Balance Previous Summary Page,Line 16 $ 569 18 To calculate Column B,add
13. Cash Receipts Column A,Line 3 above 000 amounts In Column A to the
000 corresponding amounts *Amounts In this section may be different from amounts
14 Miscellaneous Increases to Cash Schedule 1, Line 4 from Column B of your last reported In Column B
15. Cash Payments Column A,Line 8above 000 report Some amounts In
Column A may be negative
16. ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 569 18 figures that should be
subtracted from previous
If this is a termination statement, Line 16 must be zero period amounts If this Is
the first report being filed
17 LOAN GUARANTEES RECEIVED Schedule B, Pane $ 0.00 for this calendar year, only
carry over the amounts
Equivalents and Outstanding Debts from Lines 2, 7 and 9(If
Cash E
q g 0.00 any)
18. Cash Equivalents See instructions on reverse $
19. Outstanding Debts Add Line 2+Line 9 in Column B above $ 0.00 FPPC Form 460(January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC(8661275-3772)