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Form 460 2nd Pre-Election 2012 Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216 5) Type or print in ink. Statement covers period Date of election if applicab4Y1 from 10101/2012 (Month, Day, Year) LL UU SEE INSTRUCTIONS ON REVERSE Preelection Statement I through 10/20/2012 1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. q Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ri State Candidate Election Committee -I Committee Recall fJ Controlled Wlsocevptete Farts, (D Sponsored ❑ General Purpose Committee Also COmNere Parcel _ Sponsored ❑ Primarily Formed Candidate/ -1 Small Contributor Committee Officeholder Committee �_, Political Party/Central Committee IAtso Coeppene Pan•, 3. Committee Information I I D NUMBER Kevin Forrester for Encinitas City Council STREET ADDRESS (NO PO BOX, Preelection Statement ❑ 4403 Manchester Avenue Suite 205 ❑ Termination Statement CITY STATE ZIP CODE AREA CODE/PHONE Encinitas CA 92024 760 944-1918 MAILING ADDRESS OF DIFFERENT, NO AND STREET OR PO BOX Date PO Box 448 SignatureoYenLOlhng,'S-ro ate State Mea>ure Proponent or Responsbie ORCerotsponwr Executed on CITY STATE ZIP CODE AREA CODErPHONE Oceanside CA 92049 OPTIONAL FAX/E-MAIL ADDRESS Executed on 11/06/2012 2. Type of Statement: Date Stamp i I i 24 Page 1 of 14 For Official Use Only [] Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement By (Also file a Form 410 Termination) ❑ Amendment(Explain below) Treasurer(s) NAME OF TREASURER Mary Azevedo 1734 S. Pacific Street ❑ Quarterly Statement ❑ Special Odd-Year Report ❑ Supplemental Preelection Statement Attach Form 495 CITY STATE ZIP CODE AREA CODE/PHONE Oceanside CA 92054 760 439-5979 NAME OF ASSISTANT TREASURER, IF ANY CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL FAX t 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 /7 Executed on 10/25/2012 Mary Azevedo Date By Executed on 10/25/2012 Si r o r surer sistant Treasurer Kevin Forrester Date BY SignatureoYenLOlhng,'S-ro ate State Mea>ure Proponent or Responsbie ORCerotsponwr Executed on BY Date S,ynaNro of,,,,,...... Oltler C and,tlate State Meawre Proponent Executed on RY D to �iynatureof Controlling O'SCeM1Older CaWitlate Slate Measure Proponent FPPC Form 460(January/05) Fire FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) State of California Recipient Committee Type or print in ink. COVERPAGE-PART2 Campaign Statement . - Cover Page—Part 2 FORM 'A460 I Page 2 of 74 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BT E Kevin Forrester ALLO MEASURE OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLEI Sought City Council Member City- Encinitas ncaiv�ry i iAUbU51NESS ADDRESS INO AND STREET) CITY STATE Zip 4403 Manchester Ave Suite 205 Encinitas CA 92024 bALLUT NO OR LETTER ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT 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 OFFICE contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME ID NUMBER NAME OF ADDRESS BOXi DISTRICT NO IF ANY TNTROLLEDCOMMITTEEI 7 Primarily Formed Candidate/Officeholder Committee Listnames of YES El ofhceholder(s)or candidate(s)for which this committee is primarily formed. ❑ CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME D NUMBER NAME ❑ YES ❑ NO STREETADDRESS (NO PO BOX) CITY STATE ZIP CODE AREA CODE/PHONE Fire 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 OE OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460(January/05( FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-1772( State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Kevin Forrester for Encinitas City Council Contributions Received 1 Monetary Contributions Scheduled Linea 2 Loans Received Schedule B, Line 3 3 SUBTOTAL CASH CONTRIBUTIONS add Lines i+2 4 Nonmonetary Contributions Schedule c Line 3 5 TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 Expenditures Made 6 Payments Made Schedule Line 7 Loans Made Schedule H,Line 3 8 SUBTOTAL CASH PAYMENTS Add Lines 6+7 9. Accrued Expenses (Unpaid Bills) Schedule Linea 10. Nonmonetary Adjustment Schedules Linea 11 TOTAL EXPENDITURES MADE add Lines a+9+10 Current 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/ Line 4 15.Cash Payments Column Line banned 16 ENDING CASH BALANCE Add Lines 12+13+14 then subtract Line 15 If this is a termination statement, Line 16 must be zero Type or print in ink. Amounts may be founded to whole dollars. Column A T"TF THS PERIOD i FROM aTTICHED SCHEDULESi $ 1149.00 10000.00 $ 11149.00 0 00 $ 1114900 $ 6585.31 0.00 $ 6585.31 -163539 $ 4949.92 $ 5582.75 11149.00 000 658531 $ 10146.44 17 LOAN GUARANTEES RECEIVED Schedule 8,Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18 Cash Equivalents See mstrucbons on reoerse 19 Outstanding Debts add Line 2+Line 9 in Column a above File $ 0.00 s 14300.00 Statement covers period 10/01/2012 from through Column B CALENDAR'EAR TOTALTn DkT $ 6110.00 1430000 $ 2041000 0.00 $ 20410.00 $ 1026356 0.00 $ 10263.56 0.00 0.00 $ 10263.56 To calculate Column B,add amounts in Column A to the corresponding amounts from Column B of your last report Some amounts In Column A may be negative figures that should be subtracted from previous period amounts If this Is the first report being filed for this calendar year, only tarty over the amounts from Lines 2. 7 and 9(if any) 10/20/2012 Page 3 of 14 ID NUMBER 1349104 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6130 7/1 to Date 20. Contributions Received $ $ 21 Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (If Subject to voluntary Extaind"m limit) 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 Tolk!'ree Helpline 866/ASK-FPPC(866/275-3772) Rrhprinlp A Type or print in ink. SCHEDULE A —"'—"-'- - Amounts may be roundea Monetary Contributions Received to whole dollars. Statement covers period ' ' 10/01/2012 • � from 10/20/2012 4 14 through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER to NUMBER Kevin Forrester for Encinitas City Council 1349104 DATE FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR TADDeES�SANDZIio ODEO, CONTRIBUTOR IF AN INDIVIDUAL,ENTER OGCU RATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED dr CODE * ,,r SEUF EMPLOYED ENTER NAME PERIOD IJAN 1 DEC 31) tlF REQUIRED) OFBUNNESS, Albert Betti ®IND Retired 10/17/2012 1732 Knoll Fied Way ❑❑CO N/a 10000 100.00 Encinitas, CA 92024 ❑PTY ❑SCC ***TYPE. Intermediary `** ❑IND Pay Pal ❑COM 2211 North First Street ❑OTH ❑PTY San Jose, CA 95131 ❑scc Colleen Harvey 2IND CFO 10/16/2012 3219 Circa de Tierra ❑COM Karl Strauss Brewing 250.00 250.00 Encinitas, CA 92024 ❑OTH Company ❑PTY ❑SCC Jonathan Harvey ®IND Sr Vice President, 10/16/2012 3219 Circa de Tierra ❑COM Regional Mgr 250.00 250 00 Encinitas, CA 92024 ❑❑PTY Torrey Pines Bank ❑SCC Carol Stone ®IND Landscape Architect 10/17/2012 2223 Ruddy Duck Court ❑COM Ralph Stone &Associates 100.00 100.00 Cardiff, CA 92007 ❑OTH []PTY ❑SCC SUBTOTAL$ 700.00 Schedule A Summary 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 $ •11 11 249.00 1149.00 '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 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 10/01/2012 FORM 460 from 10/20/2012 5 14 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 1iFCOMMIrEE A OJENTERIO NUMBER) CODE * JIFSELF-EMPLOYED ENTERw.ME PERIOD (JAN 1 DEC 31) (IF REQUIRED) JF EUSINESS1 Don Hansen MIND Owner 10/02/2012 1105S Coast Hwy 101 ❑COM Hansen's 100.00 100.00 Encinitas, CA 92024 L]OTH ❑PTY ❑SCC Renate Engert MIND Retired 10/17/2012 1054 La Sombra ❑COM N/a 100.00 100.00 ❑OTH San Marcos, CA 92078 ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTV El SCC SUBTOTAL$ 200 00 `Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other leg business entity) PTV—Political Party SCC—Small Contributor Committee File FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) Schedule B—Part 1 Loans Received Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 10/01/2012 from SCHEDULEB-PART1 SUBTOTALS $ 1000000$ 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$100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3 Net change this period. (Subtract Line 2 from Line 1 ) Enter the net here and on the Summary Page, Column A, Line 2. 'Amounts forgiven or paid by another party also must be reported on Schedule A If required File 0,00$ 14200.00$ 0.01 Enter leim SU URE Dne3i $ 10000.00 $ 1 11 NET $ 10000.00 ,May be a negallre number tComnbutor 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(866/275-3772) 10/20/2012 6 14 through Page of SEE INSTRUCTIONS ON REVERSE - - ID NUMBER NAME OF FILER Kevin Forrester for Encinitas City Council 1349104 Ibl Icl Idl lei IN On FULL NAME STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL. ENTER OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING BALANCEAT INTEREST ORIGINAL CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER ilFSEir-BMPLOVED ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS TO DATE (IF COMMITTBB ALSO PETER 10 NUMaERI NAMEOFBU$INESSI PERIOD PERIOD THIS OD` _ PERIOD_ PERIOD LOAN Kevin Forrester _ Attorney ❑PAID CALENDAR YEAR Ave Kevin F Forrester, $ 700.00 0.00,, 700.00 $ 143130.00 4403 Manchester s $ FORGIVEN PERELECTION" Suite 205 Attnorney at Law -ITT Encinitas, CA 92024 700 00 $ 0.00 $ 12/31/2012 000 08/11/2012 $ TX IND ❑ COM ❑ OTH —1 PTY F1 SCC D $ DATE DUE Kevin Forrester Attorney ❑PAID (eLLENDAR�E,P 4403 M anchester Ave Kevin F Forrester $ $ 350000 =DATEINCIJRRED 0 $ 14300.00 FORGIVEN PER ELEC-ION" Suite 205 Attnorney at Law Encinitas, CA 92024 3500 00 0.00 $ 12/31/2012 12 s TX IND ❑ COM I] OTH I PTY Ll SCC , D DATE DUE Kevin Forrester Attorney ❑Pao LhLENDAP�EAP 4403 Manchester Ave Kevin F Forrester, $ 10000 00 0.00 $10000.00_ $ 14300.00 Suite 205 Attnorney at Law $ F`°TF ❑FORGIVEN PER ELECTION" Encinitas, CA 92024 0.00 10000.00 12/31/2012 $ 0.00 10/02/2012 $ tZ IND ❑ COM ❑ OTH ❑ PTV ❑ SCC $ $ DATE INCURRED $ DATE DUE SUBTOTALS $ 1000000$ 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$100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3 Net change this period. (Subtract Line 2 from Line 1 ) Enter the net here and on the Summary Page, Column A, Line 2. 'Amounts forgiven or paid by another party also must be reported on Schedule A If required File 0,00$ 14200.00$ 0.01 Enter leim SU URE Dne3i $ 10000.00 $ 1 11 NET $ 10000.00 ,May be a negallre number tComnbutor 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(866/275-3772) Qlke 14 1_ C n_. A Tyne or orint in ink. SCHFnIII FR RAPT1 Amounts may be rounded Loans Received to whole dollars. Statement covers period from _ 10/01/2012 CALIFORNIA •FORM SEE INSTRUCTIONS ON REVERSE through 10/20/2012 Page 7 Of 14 NAME OF FILER Kevin Forrester for Encinitas City Council D NUMBER 1349104 FULL NAME STREET ADDRESS AND ZIP CODE OFLENDER IFrOMMITTEE,�SOErrEPlD rvumaERl IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER IF SELF-EMPLOYED,ENTER NAMEOFBUSINES' ' OUTSTANDING BALANCE BEGINNI NG THIS PERIOD_ Inl gMOUNi RECEIVED THIS PERIOD I<I AMOUNT PAID OR FORGIVEN THIS PERIOD* 141 OUTSTANDING LOSE O E THIS CLOSE OF THIS PERIOD lei IN PAID THIS PERIOD Ifl ORIGINAL AMOUNTOF LOAN 191 CUMULATIVE CONTRIBUTIONS TO DATE Kevin Forrester 4403 Manchester Ave Suite 205 Attorney Kevin F Forrester Attnorney at Law �P ID E 100.00 0.00 - , E 100.00 CALENDARYEAR a 14300 00 ❑FORGIVEN PER ELECT IoN" Encinitas, CA 92024 F.TE ReferenceLOAN1 fX IND ❑ COM ❑ OTH Fj PTY L] SCC E 100.00 E 0.00 E LL12/31/2012 E 0.0� 08/02/2012 DATEINCURRED E DUE g L�P-ID CALENDARYELR 8 E $ 8 FORGIVEN PER ELECTION" tIJ IND [� COM ❑ OTH El ❑ SCC $ E E E DATE DUE DATEINCURRED E ❑PAID CALENDAR YEAR 8 E . E E Ej FORGIVEN EN PER ELECTION" °fir ❑ COM tEl IND ❑ OTH ❑ PTV ❑ SCC _ _ $ $ E E I -ATE DATE DUE E SUBTOTALS $ 0.00$ 0 00$ 100.00$ 0.00 xneuule is 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 $ 10000.00 $ 000 NET $ 10000.00 I May be a-9Wa enumber, i Leic I'Contrlbutor Codes IND—Individual COM—Recipient Committee (other than PTV or SCC) OTH—Other(e.g business entity) PTY—Political Party SCC—Small Contributor Committee FPPC Form 460(January/05) File FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) 460 Notes Type or print in ink. FPPC Form 460(January 05) FPPC Toll-Free Helplme:866/ASK-FPPC(8661275-3772) State of Cahfornla File Schedule E Payments Made Type or print in ink. Amounts may be rounded Statement covers period SCHEDULE to whole dollars. . - 10/01/2012 from FORM SEE INSTRUCTIONS ON REVERSE 10/20/2012 NAME OF FILER through h 9 9 Page 14 of Kevin Forrester for Encinitas City Council In NUMBER 1349104 CODES. If one of the following codes accurately describes the payment, CW campaign paraphernalia/mist you may enter the code. Otherwise, describe the payment. CNS campaign consultants CTB contribution (explain nonmonetary)` MEIR WG member ings and r communications and appearances mice RFD radio airtime and [IOn costs RFD CVC civic donations 0FC OFC office expenses ex returned ions SAL FIL candidate filing/ballot fees PET petlhon circulating PLO campaign workers' salaries workers' salaries TEL t v, or cable airtime and production END fundraising events hD independent expenditure phone banks POE polling and survey research costs TRC candidate travel,lodging, and meals TRS su ortin /o pp g pposmg others (explain)` LEG legal defense POS postage, delivery and messenger services staff/spouse travel, lodging, and meals TSF LIT campaign literature and mailings PRO professional services (legal, accounting) 9) transfer between committees of the same candidate VOT voter registration /sponsor PRT print ads VVEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE IFCOMMITEE PL6 EN'ERIG NUMBERS CODE OR Paradise Press DESCRIPTION OF PAYMENT AMOUNT PAID 356 State Place Escondido CA 92029 LIT 770.00 Election Digest G2012 _ 13701 Riverside Drive, Suite 604 ID 1345303 Sherman Oaks, CA 91423 PRT 308.50 Continuing the Republican Revolution Slate ID598041 1300 Bristol Street North Ste. 100 Slate Mailer Newport Beach, CA 92660 150.00 Payments that are contributions or independent expenditures must also be — summarized on Schedule D. SUBTOTAL$ 122850 Schedule E Summary 1 Itemized payments made this period. (Include all Schedule E subtotals.) 2 Unitemized payments made this period of under$100 $ 6461.86 3 Total interest paid this period on loans (Enter amount from Schedule B Part 1 Column (e).) $ 12345 4 Total payments made this period. (Add Lines 1 2, and 3. Enter here and on the Summary Page, Column $ A, Line 0.00 6.) TOTAL $ 6585.31 FPPC Form 460(January/05) File FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Budget Watchdogs Newsletter SCHEDULE E(CONT) 1954 W Carson Street Suite B Type or print in ink. Torrance, CA 90501 (Continuation Sheet) Amounts may be rounded Melson's Pro Graphics Statement ent covers eriod p CALIFORNIA Payments Made 1309 Simpson Way to whole dollars. 10/01/2012 ' . • 385.39 Escondido CA 92029 from SEE INSTRUCTIONS ON REVERSE California Voter Guide FPPC 595-004 through 10/20/2012 Page 10 of 14 NAME OF FILER Torrance, CA 90501 Kevin Forrester for Encinitas City Council 209.50 COGS South Signs ID NUMBER 3304 S. Main Street LIT 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 RAO radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)` OFC office expenses SAL campaign workers' salaries CVC civic donations FIL PET petition circulating TEL t v.or cable airtime and production costs candidate filing/ballot fees END fundraising events CHO phone banks TRC candidate travel, lodging,and meals IPD independent expenditure supporting/opposing others (explain* ROL POS polling and survey research postage, delivery and messenger services TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings FRT print ads VVEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE AFSO ENTEP I n NUMBERi CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Budget Watchdogs Newsletter FPPC 1345115 1954 W Carson Street Suite B PRT Torrance, CA 90501 732.00 Melson's Pro Graphics 1309 Simpson Way LIT Suite F 385.39 Escondido CA 92029 California Voter Guide FPPC 595-004 1954 W Carson Street, Suite B PRT Torrance, CA 90501 209.50 COGS South Signs 3304 S. Main Street LIT Santa Ana, CA 92707 804.21 Action Mail Agent Bill Payment 230 North Market Place Escondido, CA 92029 1246.11 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ - FPPC Form 460(January/05) File FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule E SCHEDULEE(CONT) Type or print in ink. (Continuation Sheet) Amounts may be rounded Statement covers period CALIFORNIA Payments Made to whole dollars. 10/01/2012 460 from SEE INSTRUCTIONS ON REVERSE through 10/20/2012 11 14 Page of NAME OF FILER Kevin Forrester for Encinitas City Council D NUMBER 1349104 CODES. If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNR CNS campaign paraphernalia/misc MBR member communications BAD radio airtime and production costs CTB campaign consultants contribution (explain nonmonetary)' MTG OFC meetings and appearances office expenses RFD returned contributions CVC FIL civic donations PEi petition circulating SAL TEL campaign workers salaries t.v. or cable airtime and production costs END candidate filing/ballot fees fundraising vents 0 PHO phone banks TRC candidate travel, lodging,and meals 9� PD LEG independent expenditure supporting/opposing others (explain)' legal POL POS polling and survey research postage, delivery and messenger services TRS TSF l staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor Lrr defense campaign literature and mailings PRO professional services (legal, accounting) VOT voter registration PRT print ads WEB information technologv costs Onternet a-maill NAME AND ADDRESS OF PAYEE (IF comwr-TEE nLS, ENTER ID NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Mary Azevedo 1734 S. Pacific Street Oceanside, CA 92054 CNS-850.00, OFC-6 15 856.15 The Republican Party of San Diego County 16935 West Bernardo Drive San Diego, CA 92127 PRT 100000 rayments that are contributions or independent expenditures must also be summarized on Schedule D. File SUBTOTAL$ 1856.15 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) NAME AND ADDRESS ER CREDITOR ocmmi-EE ALSO ENTER iir is rvumeerel CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING (b) AMOUNT INCURRED (c) AMOUNT PAID (d) OUTSTANDING SCHEDULEF Schedule F BALANCE BEGINNING Type or print in ink. THIS PERIOD BALANCE AT CLOSE Accrued Expenses (Unpaid Bills) Amounts may be rounded OF THIS PERIOD Budget Watchdogs Newsletter Statement covers period • ' , to whole dollars. 1954 W Carson Street Suite B from 10/01/2012 732.00 0.00 732.00 000 Torrance, CA 90501 through 10/20/2012 12 14 SEE INSTRUCTIONS ON REVERSE California Voter Guide PRT FPPC 595-004 Page Of NAME OF FILER 1954 W Carson Street, Suite B 209.50 0.00 209.50 Kevin Forrester for Encinitas City Council Torrance, CA 90501 ID NUMBER Election Digest G2012 PRT ID 1345303 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 IvER member communications RAID radio airtime and production costs CNS campaign consultants IMTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL Lv or cable airtime and production costs FIL candidate filing/ballot fees RHO phone banks TRC candidate travel,lodging, and meals END fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals W 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 LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS ER CREDITOR ocmmi-EE ALSO ENTER iir is rvumeerel CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING (b) AMOUNT INCURRED (c) AMOUNT PAID (d) OUTSTANDING BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON El OF THIS PERIOD Budget Watchdogs Newsletter PRT FPPC 1345115 1954 W Carson Street Suite B 732.00 0.00 732.00 000 Torrance, CA 90501 California Voter Guide PRT FPPC 595-004 1954 W Carson Street, Suite B 209.50 0.00 209.50 000 Torrance, CA 90501 Election Digest G2012 PRT ID 1345303 13701 Riverside Drive, Suite 604 308.50 000 308.50 0.00 Sherman Oaks, CA 91423 Payments that are contributions or independent expenditures must also be SUBTOTALS$ summarized on Schedule D. 1250.00$ 0.00$ 1250.00$ 0.00 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 ) INCURRED TOTALS $ PAID TOTALS $ M 1635.39 NET $ -1635.39 May be a negahve number FPPC Form460(January/05) File FPPC Toll-Free Helpline:866 1ASK-FPPC(866/2753772) Schedule F CODE OR DESCRIPTION OF PAYMENT Type or print in ink. (b) AMOUNT INCURRED THISPERIOD (U AMOUNTPAID THISPERIOD (d) OUTSTANDING BALANCE AT CLOSE SCHEDULEF(CONT) Statement covers period CALIFORNIA 460 (Continuation Sheet) Amounts may be rounded to dollars. Accrued Expenses (Unpaid Bills) Melson's Pro Graphics whole from 10/01/2012 • - 1309 Simpson Way Suite F 385.39 0.00 38539 10/20/2012 Escondido, CA 92029 through 13 14 Page of NAME OF FILER ID NUMBER 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/misc Ml member communications RAID radio airtime and production costs CNS campaign consultants MI meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)` OFC office expenses SAL campaign workers salaries CVC civic donations PET petition circulating TEL t v. or cable airtime and production costs FIL candidate filing/ballot fees RHO phone banks TRC candidate travel, lodging,and meals END fundraising events POE polling and survey research TRS staff/spouse travel, lodging, and meals W 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 LIT campaign literature and mailings PRT print ads WEB Information technology costs (Internet, e-mail) *Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF CREDITOR IF COMMI -EE ALSO EN-ER io NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING (b) AMOUNT INCURRED THISPERIOD (U AMOUNTPAID THISPERIOD (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD IALSO REPOR-ONE, OF THIS PERIOD Melson's Pro Graphics LIT 1309 Simpson Way Suite F 385.39 0.00 38539 000 Escondido, CA 92029 SUBTOTALS $ 385.398 0.00$ 385.39E 0.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275J772) File Schedule G Payments Made by an Agent or Independent Contractor(on Behalf of This Committee) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Kevin Forrester for Encinitas City Council Type or print in ink. Amounts may be rounded to whole dollars. from through t covers perir 10/01/2012 10/20/2012 Page 14 of 14 ID NUMBER 1349104 NAME OF AGENT OR INDEPENDENT CONTRACTOR Action Mail CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID US Postmaster 517 Seagaze Street Oceanside, CA 92054 POS CODES. If one of the following codes accurately describes the payment, you may enter the code Otherwise, describe the payment. CW campaign paraphernalia/misc CNS campaign consultants MBR member communications RAID radio airtime and production costs CTB contribution (explain nonmonetary)' MTG OFC meetings and appearances office expenses RFD returned contributions CVC civic donations FIL PET petition circulating SAL TEL campaign workers salaries tv or cable airtime and production costs ,and candidate filing/ballot fees END fundraising events RHO phone banks TRC candidate travel,lodging, meals IND Independent expenditure supporting/opposing others (explain)' POL POS polling and survey research postage, delivery and messenger services TRS TSF staff/spouse travel, lodging, and meals l LEG legal defense PRO professional services (legal, accounting) VOT transfer between committees of the same candidate/sponsor voter registration LIT campaign literature and mailings DIRT print ads WEB Information technology costs (Internet, e-mail) 'Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR I IF COMMITTEE AFSO ENTER I D NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID US Postmaster 517 Seagaze Street Oceanside, CA 92054 POS 1009.35 Attach auu/rlonal lntormahon on appropriately labeled continuation sheets. 'Do not transfer to any other schedule or to the Summary Page This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E File TOTAL* $ 1009.35 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(86612753772)