10-21-12 to 12-31-12 f
Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216 5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Date Stamp
Cl"Y OF ENCIHITA'
CI����. Page
Statement covers period Date of election if applicable CITY
from 10/21/2012 (Month, Day, Year) 2011 JAN 29 PH 2. 56
through
12/31/2012 I 11/6/2012
1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4
❑ Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
0 State Candidate Election Committee Committee
0 Recall 0 Controlled
(Also Complete Part 5) 0 Sponsored
(Also Complete Part 6)
® General Purpose Committee
0 Sponsored
0 Small Contributor Committee
0 Political Party/Central Committee
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
3 Committee Information I ID NUMBER
1228848
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Encinitas Coalition of Home Owners
STATE
ZIP CODE AREA CODE/PHONE
Oceanside
CA
92054 760-439-5979
MAILING ADDRESS (IF DIFFERENT) NO
AND STREET OR PO BOX
CITY
STATE
ZIP CODE AREA CODE/PHONE
Oceanside
CA
92049
OPTIONAL. FAX/E-MAIL ADDRESS
COVER PAGE
1 of 2
For Official Use Only
2. Type of Statement:
Preelection Statement ❑ Quarterly Statement
❑ Semi-annual Statement ❑ Special Odd-Year Report
❑ Termination Statement ❑ Supplemental Preelection
(Also file a Form 410 Termination) Statement-Attach Form 495
❑ Amendment(Explain below)
Treasurer(s)
NAME OF TREASURER
Mary Azevedo
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
Oceanside CA 92049 760-439-5979
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY
OPTIONAL FAX/E-MAIL ADDRESS
STATE 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.
Executed on 1/28/2013 By f' �. V
Date nature ofTre surer or Assistant Treasurer
Executed on 1/28/2013 By
Date Signature of Corf rolling Pffli eholder Caricillilate,Sta a Measure Proponent or Responsible Officer of Sponsor
Executed on By v
Date Signature of Controlling Officeholder Candidate,State Measure Proponent
Executed on By
Date Signature of Controlling Officeholder Candidate,State Measure Proponent
FPPC Form 460(January/05)
FPPC Toll-Free Helpline 866/ASK-FPPC(866/275-3772)
State of California
Campaign Disclosure Statement
Summary Page
Type or print in ink.
Amounts may be rounded
to whole dollars
Statement covers period
from 10/21/2012
SUMMARY PAGE
SEE INSTRUCTIONS ON REVERSE
000
000
000
through
12/31/2012 Page 2 of 2
NAME OF FILER
000
000
000
000 $
000
Encinitas Coalition of Home Owners
period amounts. If this is
the first report being filed
I.D NUMBER
for this calendar year, only
carry over the amounts
1228848
Contributions Received
any)
Column A
Column B
Calendar Year Summary for Candidates
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
CALENDAR YEAR
TOTAL TO DATE
Running in Both the State Primary and
1 Monetary Contributions
Schedule A.Line 3
$ 000 $
000
General Elections
2 Loans Received
Schedule 8, Line 3
000
0 00
1/1 through 6/30 7/1 to Date
3 SUBTOTAL CASH CONTRIBUTIONS
Add Lines 1 +2
$ 000 $
000
20 Contributions
4 Nonmonetary Contributions
Schedule C Line 3
000
0 00
Received $ $
21 Expenditures
5 TOTAL CONTRIBUTIONS RECEIVED
Add Lines 3+4
$ 000 $
000
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 $
Schedule H,Line 3
Add Lines 6+7 $
Schedule F Line 3
Schedule C,Line 3
Add Lines 8+9+ 10 $
Current Cash Statement
12 Beginning Cash Balance Previous Summary Page,Line 16 $
13 Cash Receipts Column A,Line 3above
14 Miscellaneous Increases to Cash Schedule 1,Line 4
15 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 $
000 $
000
000
000
000 $
000
000
000
000
000
000 $
000
569 18
To calculate Column B,add
000
amounts in Column A to the
corresponding amounts
from Column B of your last
000
000
report. Some amounts in
Column A may be negative
569 18
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)
1 11
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)
'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)