Form 460 10-21-12 to 12-31-12 Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
Type or print in ink.
Statement covers period Date of election if appli
10/21/2012 (Month, Day, Year)
from
SEE INSTRUCTIONS ON REVERSE
through 12/31/2012
1. Type of Recipient Committee: All Committees-complete Parts 1,2,3,and 4.
Officeholder,Candidate Controlled Committee ❑
Primarily Formed Ballot Measure
Q State Candidate Election Committee
Committee
Q Recall
0 Controlled
(Also Complete Part 5)
O Sponsored
❑ General Purpose Committee
(Also Complete Pan 6)
Q Sponsored ❑
Primarily Formed Candidate/
Q Small Contributor Committee
Officeholder Committee
Q Political Party/Central Committee
(Also Complete Part 7)
3. Committee Information LD NUMBER
1349104
COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE)
Kevin Forrester for Encinitas City Council
STREET ADDRESS(NO P O BOX)
4403 Manchester Avenue Suite 205
CITY STATE
ZIP CODE AREA CODE/PHONE
Encinitas CA
92024 760 944-1918
MAILING ADDRESS(IF DIFFERENT)NO AND STREET OR PO BOX
P O Box 448
CITY STATE
ZIP CODE AREA CODE/PHONE
Oceanside CA
92049
OPTIONAL. FAX/E-MAIL ADDRESS
C I T 0 r EW,t'TP.IY t' :.
CITY PC 1 X11 It
11/5/2012 1
2. Type of Statement:
❑ Preelection Statement
62 Semi-annual Statement
Termination Statement
(Also file a Form 410 Termination)
❑ Amendment(Explain below)
Page 1 of
For Official Use Only
❑ Quarterly Statement
❑ Special Odd-Year Report
❑ Supplemental Preelection
Statement-Attach Form 495
PAGE
Treasurer(s)
NAME OF TREASURER
Mary Azevedo
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
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 1 - 51-13 B
Y )��, C
16 n ignatur Tree or AssistantT surer
Executed on Q BY
Data Sr Offidgiolder,Candidate,State Measure Proponent or Responsible Officer of Sponsor
If I
Executed on
Data
By
Signature of Controlling Officeholder,Candidate,State Measure Proponent
Executed on By
Date Signature of Controlling Officeholder,Candidate,State Measure Proponent
FPPC Form 460(January/06)
FPPC Toll-Free Helpline:866 1ASK-FPPC(8661275-3772)
State of California
Recipient Committee Type or print in ink. COVER PAGE-PART 2
Campaign Statement CALIFORNIA
Cover Page—Part 2 FORM 61
S. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Kevin Forrester for Encinitas City Council
OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
City Council-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 make expenditures on behalf of your candidacy.
COMMITTEE NAME LD NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO PO.BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO RO BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Page 2 of 10
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO OR LETTER - I JURISDICTION ❑ 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
officeho/der(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(January/05)
FPPC Toll-Free Helpline:866 1ASK-FPPC(866/275-3772)
State of California
Campaign Disclosure Statement Type or print in ink.
SummaPa Amounts may be rounded
Summary 9 a to whole dollars.
SEE INSTRUCTIONS ON REVERSE
SUMMARY
Statement covers period CALIFORNIA
from 10/21/2012 0
12/31/2012 3 10
through Page of
NAME OF FILER
21385.00
6. Payments Made
Schedule E,Line 4 $
7 Loans Made
Schedule H,Line 3
Kevin Forrester for Encinitas City Council
Add Lines 6+7 $
9 Accrued Expenses (Unpaid Bills)
Schedule F,Line 3
10 Nonmonetary Adjustment
I.D NUMBER
11 TOTAL EXPENDITURES MADE
Add Lines 8+9+10 $
1349104
Contributions Received
Column A
Column B
Calendar Year Summary for Candidates
TOTALTHIS PERIOD
(FROMATTACHED SCHEDULES)
CALENDAR YEAR
TOTALTODATE
Running in Both the State Primary and
1 Monetary Contributions
Schedule A,Line 3
1527500 $
$
21385.00
General Elections
2. Loans Received
Schedule 8,Line 3
-1430000
0.00
1/1 through 6130 7/1 to Date
3 SUBTOTAL CASH CONTRIBUTIONS
Add Lines 1+2
$ 975.00 $
21385.00
20. Contributions
4 Nonmonetary Contributions
schedule c,Line 3
0 00
0.00
Received $ $
5 TOTAL CONTRIBUTIONS RECEIVED
Add Lines 3+4
975 00 $
$
21385.00
21 Expenditures
Made $ $
Expenditures Made
21385.00
6. Payments Made
Schedule E,Line 4 $
7 Loans Made
Schedule H,Line 3
8. SUBTOTALCASH 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 $
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 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 $
1112144 $
21385.00
0.00
000
1112144 $
21385.00
0.00
0.00
0.00
000
1112144 $
21385.00
10146.44
975.00
M
1112144
000
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)
r $
To calculate Column B,add
amounts in Column A to the
corresponding amounts ;Amounts in this section may be different from amounts
from Column B of your last reported in Column B.
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
cant'over the amounts
from Lines 2,7,and 9(if
any)
0.00 I I FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
Schedule A Type or print in ink. SCHEDULE A
Amounts ma b d d
Monetary Contnbutions Received y e roun a
to whole dollars.
Statement covers period
10/21/2012
CALIFORNIA 4 6
from
FORM
SEE INSTRUCTIONS ON REVERSE
12/31/2012
through
4 10
Page of
I
NAME OF FILER
Kevin Forrester for Encinitas City Council
]
I.D NUMBER
1349104
DATE
FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL,ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
OF COMMITTEE,ALSO ENTER I.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED,ENTER NAME
OF BUSINESS)
PERIOD
(JAN.1-DEC.31)
(IF REQUIRED)
Gregory S. Day
JaIND
10/24/2012
120 Birmingham Drive, Suite 200
❑COM
Attorney
y
Law Offices of Gregory
250.00
250 00
Cardiff, CA 92007
❑OTH
❑PTY
S Day
❑SCc
San Diego Headache& Facial Pain Center
❑IND
10/30/2012
4400 Manchester Avenue, Suite 101
❑CoM
150.00
150.00
Encinitas, CA 92024
00TH
❑PTY
❑SCC
California Real Estate Political Action Comm
❑IND
10/23/2012
525 S Virgil Avenue
OcoM
ID#890106
250.00
25000
Los Angeles, CA 90020
❑OTH
❑PTY
❑SCC
Andrew Cesare
J2IND
Attorney
10/22/2012
603 N. Highway 101, Ste. F
❑COM
Law Offices of Andrew J
100.00
100.00
Solana Beach, CA 92075
❑OTH
❑PTY
Cesare
❑SCC
Gloria Tsu
6dIND
Pharmaceutical Tech
11/6/2012
10368 Wateridge Circle,#328
❑COM
UCSD
100.00
100.00
San Diego, CA 92121
❑0TH
❑PTY
[]SCC
SUBTOTAL$ 850 00
Schedule A Summary 'Contributor Codes
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 )
1515000
125.00
TOTAL $ 15275.00
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)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULER (CONY)
■�■v■■�ap■y %#W"&111jYW11V11J (%CGCIVCU mmuunts may oe rounaeo
Statement cove rs peflOd
to whole dollars.
10/21/2012
CALIFORNIA
4
from
FORM
12/31/2012
5 10
through
Page of
NAME OF FILER
Kevin Forrester for Encinitas City Council
LD NUM NUM
I. NUMBER
1349104
DATE
FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL,ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE,ALSO ENTER I D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED,ENTER NAME
OF BUSINESS)
PERIOD
(JAN. 1-DEC.31)
(IF REQUIRED)
TYPE Intermediary- Pay Pal
❑IND
2211 North First Street
❑COM
San Jose, CA 95131
❑OTH
❑PTY
❑SCC
Kevin Forrester
OIND
Attorney
12/31/2012
4403 Manchester Ave, Suite 205
❑COM
Kevin F Forrester,
14300.00
Encinitas, CA 92024
[]OTH
Attorney at Law*Sch. B
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
FIND
❑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
SUBTOTAL$ 14300.00
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
Rrhnrinln R—0�"4 Type or print in ink. SCHEDULEB-PART 1
— ' `"'` ' Amounts may be rounded
Loans Received to whole dollars.
Statement covers period
from 10/21/2012
CALIFORNIA
FORM 460
SEE INSTRUCTIONS ON REVERSE
th 12/31/2012 rough
Page l3 of 10
NAME OF FILER
Kevin Forrester for Encinitas City Council
LD NUMBER
1349104
FULL NAME,STREET ADDRESS AND ZIP CODE
OF LENDER
(IF COMMITTEE,ALSO ENTERI D.NUMBER)
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED,ENTER
NAME OF BUSINESS)
OUTSTANDING
BALANCE
BEGINNING THIS
ERIOD
(b)
AMOUNT
RECEIVED THIS
PERIOD
(0)
AMOUNTPAID
OR FORGIVEN
THIS PERIOD*
( )
OUTSTANDING
BALANCEAT
CLOSE OF THIS
(e
INTEREST
PAID THIS
PERIOD
ORIGINAL
AMOUNT OF
LOAN
(9
CUMULATIVE
CONTRIBUTIONS
TO DATE
Kevin Forrester
4403 Manchester Ave, Suite 205
Encinitas, CA 92024
t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
Attorney
Kevin F Forrester,
Attorney at Law
700.00
$
0.00
$
❑PAID
$
0 00
$
12/31/12
0.00
%
RATE
0.00
$
$ 700.00
8/11/12
CALENDARYEAR
14300.00
$
FORGIVEN
700.00
$
PER ELECTION*'
DATE DUE
DATE INCURRED
$
Kevin Forrester
4403 Manchester Ave., Suite 205
Encinitas, CA 92024
t IND ❑COM El OTH C] PTY ❑ SCC
Attorney
Kevin F Forrester,
Attorney at Law
$ 3500.00
$ 000
❑PAID
$
$ 0.00
0.00
RATE
$ 0.00
3500.00
$
9/28/12
CALENDARYEAR
14300.00
$
OGIVEN
0 FR
$ 350000
12/31/12
PER ELECTION**
$
DATEDUE
DATE INCURRED
Kevin Forrester
4403 Manchester Ave., Suite 205
Encinitas, CA 92024
t 0 IND El COM El ❑ PTY ❑ SCC
Attorney
Kevin F Forrester,
Attorney at Law
100.00
$
000
$
❑PAID
$
$ 000
000
RATE
$ 000
$ 100.00
8/2/12
CALENDARYEAR
14300.00
$
FORGIVEN
a
12/31/12
PER ELECTION"'*
DATE DUE
DATE INCURRED
$
SUBTOTALS $ 0 00$ 4300.00 $ 0.00 $ 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.
(EMer(e)on
Schedule E,Une 3)
$ 0.00
tContributor Codes
14300.00
NET $ -14300.00
(Maybe a negative number)
IND–individual
COM–Recipient Committee
(other than PTY or SCC)
OTH–Other(e.g.,business entity)
PTY–Political Party
SCC–Small Contributor Committee
*Amounts forgiven or paid by another party also must be reported on Schedule A.
*'If required. FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
Crhorinln Q 0�.4 A Type or print in ink. SCHEDULEB-PART1
vvVNN�V 116.—r c.1., . Amounts may be rounded
Loans Received
Statement covers period
CALIFORNIA
to whole dollars.
10/21/2012
4 •
from
O
SEE INSTRUCTIONS ON REVERSE
12/31/2012
through
7 10
Page Of
NAME OF FILER
I.D NUMBER
Kevin Forrester for Encinitas City Council
1349104
FULL NAME,STREET ADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
OUTSTANDING
(b)
AMOUNT
(o)
(
OUTSTANDING
(e)
G)
OF LENDER
(IF COMMITTEE,ALSO ENTER I.D.NUMBER)
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED,ENTER
BALANCE
BEGINNING THIS
RECEIVED THIS
AMOUNTPAID
OR FORGIVEN
EAJ
CLOSE OFT IS
INTEREST
PAID THIS
ORIGINAL
AMOUNTOF
CUMULATIVE
CONTRIBUTIONS
NAMEOFBUSINESS)
ERIOD
PERIOD
THIS PERIOD
PERIOD
PERIOD
LOAN
TO DATE
Kevin Forrester
Attorney
4403 Manchester Ave, Suite 205
Kevin F Forrester,
❑PAID
CALENDARYEAR
Encinitas, CA 92024
Attorney at Law
$
$ 0 00
0.00
%
$ 10000.0
1430000
$
FORGIVEN
PER ELECTION'"'
RATE
$ 10000.00
$ 000
$ 10000.0
12/31/12
0 00
000
10/2/12
%2 IND ❑COM El OTH E] PTY E] SCC
DATEDUE
DATE INCURRED
$
❑PAID
CALENDARYEAR
E]FORGIVEN FORGIVEN
PER ELECTION**
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
$
s
$
$
DATE DUE
DATE INCURRED
$
❑PAID
CALENDARYEAR
E]FORGIVEN FORGIVEN
PER ELECTION"*
tEl IND ❑ COM ❑OTH ❑ PTY ❑ SCC
$
$
g
$
DATEDUE
DATE INCURRED
$
SUBTOTALS $ 0.00$ 10000 00 $ 000 $ 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.
NET $
(May be a negative number)
(Enter(e)on
Schedule E,Une 3)
tContributor 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 1ASK-FPPC(866/275-3772)
Schedule E Type or print in ink. Statement covers period
Payments Made Amounts may be rounded
to whole dollars. 10/21/2012
from
SEE INSTRUCTIONS ON REVERSE through 12/31/2012 Page 8 of 10
NAME OF FILER
Kevin Forrester for Encinitas City Council I.D. NUMBER 1349104
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
CNS
campaign paraphernalialmisc.
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
FIL
civic donations
candidate filing/ballot fees
PET
petition circulating
SAL
TEL
campaign workers' salaries
t.v.or cable airtime and production costs
FND
fundraising events
PHO
POL
phone banks
polling and survey research
TRC
candidate travel,lodging,and meals
IND
LEG
independent expenditure supporting/opposing others (explain)`
legal defense
POS
postage, delivery and messenger services
TRS
TSF
staff/spouse travel, lodging, and meals
transfer between committees of the same candidate/sponsor
UT
campaign literature and mailings
PRO
PRT
professional services (legal, accounting)
print ads
VOT
voter registration
WEB
information technology costs(internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE,ALSO ENTER LD NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID
North County Printers
406 South Cleveland Street
Oceanside, CA 92054 LIT 1541.00
Mary Azevedo CNS-$975, Reimb $13.13
1734 S. Pacific Street
Oceanside, CA 92054 988.13
Action Mail
230 North Market Place LIT
Escondido, CA 92029 1 199746
" Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 4526.59
Schedule E Summary
1 Itemized payments made this period.(Include all Schedule E subtotals.) $ 10918.79
2. Unitemized payments made this period of under$100 $ 202.65
3. Total interest paid this period on loans.(Enter amount from Schedule B,Part 1,Column(e)) $ 0.00
4 Total payments made this period. (Add Lines 1,2,and 3. Enter here and on the Summary Page,Column A, Line 6) TOTAL $ 1112144
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
Schedule E
(Continuation Sheet)
Type or print in ink.
Amounts
Statement covers r'
SCHEDULE E CONT.
( )
may be rounded
period
Payments Made
to whole dollars.
10/21/2012
- • 1
from
.
SEE INSTRUCTIONS ON REVERSE
12/31/2012
through
9 10
Page Of
NAME OF FILER
I.D.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.
CW campaign paraphernalia/misc.
CNS campaign consultants
NM
member communications
RAD radio airtime and production costs
CTB contribution (explain nonmonetary)*
MTG
OFC
meetings and appearances
office expenses
RFD returned contributions
CVC civic donations
FIL candidate filing/ballot fees
PET
petition circulating
SAL campaign workers' salaries
TEL t.v. or cable airtime and production costs
FND fundraising events
PHD
POL
phone banks
polling and survey research
TRC candidate travel,lodging,and meals
IND independent expenditure supporting/opposing others (explain)*
POS
postage, delivery and messenger services
TRS staff/spouse travel, lodging, and meals
TSF
LEG legal defense
PRO
professional services (legal, accounting)
transfer between committees of the same candidate/sponsor
VOT
LIT campaign literature and mailings
PRT
print ads
voter registration
WEB information technology costs(intemet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE,ALSO ENTER I.D.NUMBER)
CODE OR
DESCRIPTION OF PAYMENT
AMOUNT PAID
North County Printers
406 S. Cleveland Street
Oceanside, CA 92054
LIT
990.00
Action Mail
230 North Market Place _F
Escondido,CA 92029 LIT 1132.80
North County Printers
406 S Cleveland Street
Oceanside,CA 92054 LIT 259900
Lhota Ink
405 Arjuna Court
Encinitas,CA 92024 LIT 265.00
Action Mail
230 North Market Place
Escondido, CA 92029 LIT 1405 40
*Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 6392.20
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
Schedule G
Payments Made by an Agent or Independent
Type or print in ink.
Amounts
Statement
SCHEDULE I
CALIFORNIA i '
may be rounded
Contractor(on Behalf of This Committee) to whole dollars.
covers period
10/21/2012
from
O
SEE INSTRUCTIONS ON REVERSE
through 12/31/2012
Page 10 of 10
NAME OF FILER
I.D NUMBER
Kevin Forrester for Encinitas City Council
1349104
NAME OF AGENT OR INDEPENDENT CONTRACTOR
Action Mail
CODES: If one of the following codes accurately describes the
payment, you may enter the code
Otherwise, describe the payment.
CWP campaign paraphemalia/misc.
CNS campaign consultants
NBR
member communications
RAD radio airtime and production costs
CTB contribution (explain nonmonetary)*
WG
OFC
meetings and appearances
office expenses
RFD returned contributions
CVC civic donations
FIL candidate filing/ballot fees
PEr
petition circulating
SAL campaign workers' salaries
TEL t.v.or cable airtime and production costs
FND fundraising events
PHO
POL
phone banks
polling and survey research
TRC candidate travel,lodging,and meals
IND independent expenditure supporting/opposing others (explain)*
LEG legal defense
POS
postage, delivery and messenger services
TRS staff/spouse travel, lodging, and meals
TSF transfer between committees of the same candidate/sponsor
LIT campaign literature and mailings
PRO
PRT
professional services (legal, accounting)
VOT voter registration
"
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
(IF COMMITTEE,ALSO ENTER 1.0 NUMBER)
CODE OR
DESCRIPTION OF PAYMENT
AMOUNT PAID
U S Postmaster
1770 E. Valley Parkway
Escondido, CA 92027
POS
1153.80
U S. Postmaster
1770 E. Valley Parkway
Escondido, CA 92027 POS 168973
U S. Postmaster
1770 E. Valley Parkway POS
Escondido,CA 92027 907.80
Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 3751.33
*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. FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)