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From 460 10-19-14 to 12-31-14 Recipient Committee COVER PAGE p Type or print in ink. Date Stamp �- Campaign Statement 1 Cover Page CI `' 0s °,.;;'1' FORM(Government Code Sections 84200-84216.5) C! Statement covers period Date of election if applicable: Page 1 of 7 10/19/14 (Month, Day,Year) r �n _ CC �. from L,I t Fill 2 P;'{ 3 For Official Use Only SEE INSTRUCTIONS ON REVERSE through 12/31/14 11/04/2014 1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. 2. Type of Statement: ® Officeholder,Candidate Controlled Committee ❑ Ballot Measure Committee ❑ Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Q Primarily Formed ❑ Semi-annual Statement Q Recall Q Controlled ❑ Special Odd-Year Report (Also ecaletePart S) ® Termination Statement ❑ Supplemental Preelection Q Sponsored ❑ Amendment(Explain below) Statement-Attach Form 495 ❑ General Purpose Committee (Also Complete Part 6) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER Treasurer(s) 1367502 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Graboi for Council 2014 Julie Graboi MAILING ADDRESS STREET ADDRESS(NO P0. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Encinitas CA 92024 760-436-7818 CITY STATE ZIP CODE AREA CODEIPHONE NAME OF ASSISTANT TREASURER, IF ANY Encinitas CA 92024 760-436-7818 N/A CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE Encinitas CA 92024 760-436-7818 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 rrry knowledge the informatiorj contained herein and in the attached schedules is true and complete. I certify under penalty of r' under the laws of the State of California that the foregoing is true a d correct. Executed 2ol� By Date Sgnature ofTrea Assist Treasurer Executed on ��� " - By Date 7991 ature of Contrdling Officeholder Candidate,State Meagure Piroponent or Respons tis Officer of Sponsor Executed on By Dale Signature of Controlling Officeholder Carx9date,State Measure Proponent Executed on By FPPC Form 460(June/01) Date Signature of ControllingOifceholder Canddate,Slate Measure Proponent FPPC Toll-Free Helpline:8661ASK-FPPC State of California Type or print in ink. COVER PAGE-PART 2 Recipient Committee CALIFORNIA Campaign Statement .. ' • Cover Page— Part 2 Page 2 of 6. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Julie Graboi OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO OR LETTER JURISDICTION ❑ SUPPORT Encinitas City Council ❑ OPPOSE RESIDENTIAUBUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP 2240 Encinitas Blvd , Ste D #441 Encinitas, CA 92024 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 SOUGHT OR HELD DISTRICT NO IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME LD NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s)or candidate(s)for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEENAME I.D. NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD E] SUPPORT ❑ YES ❑ NO ❑ OPPOSE COMMITTEE ADDRESS STREET ADDRESS (NORO BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(January/05) FPPC Toll-Free Helpline:8661ASK-FPPC(8661275-3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Summary Page Amounts may dollars.rounded Statement covers period CALIFORNIA o • ' from 10/19/14 •- SEE INSTRUCTIONS ON REVERSE through 12/31/14 Page 3 of 7 NAME OF FILER I.D. NUMBER Graboi for Council 2014 1367502 Contributions Received TOTAL ColumnA Column Calendar Year Summary for Candidates ATTACHED PERIOD CALENDAR YEAR Running in Both the State Primary and (FROM TTACTACNEDSGIEDULES) TOTAL TO DATE 9 Y 1 Monetary Contributions Schedule A,Linea $ 1950 $ 9106 General Elections 2. Loans Received schedule e,Line 3 0 3500 111 through 6/30 7/1 to Date 3 SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 1950 $ 560 20. Contributions Received $ $ 4 Nonmonetary Contributions schedule C,Line 3 21 Expenditures 5 TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 1950 $ 13,606 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ 2378 $ 13905 Candidates 7 Loans Made Schedule H,Line 3 0 0 8 SUBTOTAL CASH PAYMENTS Add Lines 6+7 22. Cumulative Expenditures Made* $ 2378 $ 13906 (If SubJactto Voluntary Expand nuroLlms) 9 Accrued Expenses (Unpaid Bills) Schedule F,Line 3 0 0 Date of Election Total to Date 10. Nonmonetary Adjustment Schedule C,Line 3 0 0 (mm/dd/yy) 11 TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 2,378 $ 13,905 J $ Current Cash Statement /—J $ 12. Beginning Cash Balance Previous Summary Page,Line 16 $ 531 To calculate Column B,add $ 13.Cash Receipts Column A,Line 3 above 1950 amounts in Column A to the corresponding amounts 14 Miscellaneous Increases to Cash Schedule 1,Line 4 103 from Column B of your last /-J $ 15.Cash Payments Column A,Line 8 above 2378 report. Some amounts in Column A may be negative J $ 16. ENDINGCASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 0 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 8, Pan 2 $ for this calendar year, only carry over the amounts *Since January 1,2001 Amounts in this section may be Cash Equivalents and Outstanding Debts arom Lines 2,7,and 9(if different from amounts reported in Column B. Y) 18. Cash Equivalents See instructions on reverse $ 19. Outstanding Debts Add Line 2+Line 9 in Column 8 above $ FPPC Form 460(June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A Type or print in ink. SCHEDULE A Monetary Contributions Received Amounts may be rounded Statement co s period - I to whole dollars. from 101 2014 - SEE 12/31/2014 page 4 of 7 EE INSTRUCTIONS ON REVERSE NAME OF FILER I.D NUMBER Julie Graboi for Council 2014 1367502 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMIDRE ADDRESS ZIP D NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1-DEC.31) (IF REQUIRED) OF BUSINESS) ®IND 10/20/2014 Elizabeth Ehlers ❑COM Homemaker 250 27-) 934 Olive Crest Dr ❑OTH Encinitas, CA 92024 ❑PTY ❑SCC JZIND Beth Klein ❑COM Attorney 10/20/2014 2484 Walters Drive ❑OTH 200 ,2UG Erie, Colorado 89516 ❑PTY Klein and Frank ❑SCC Lloyd Green ®IND 10/20/14 948 Olive Crest Drive �oTH Retired 100 /100 Encinitas, CA 92024 ❑PTY ❑SCC Alex& Erika van Taub (Husband &Wife) ®IND 10/21/14 ❑ 1554 Camino Del Mar COM Waiter/Jakes Del Mar 500 ❑OTH Realtor/Self Del Mar, CA 92014 ❑PTY Erika van Taub ❑SCC Philip Petachenko D C ❑IND 10/25/2014 660 2nd Street ❑COM Chiropractor 150 Encinitas, CA 92024 ®0TH Practice Self-Employed ❑PTY []SCC SUBTOTALS 1,200 Schedule A Summary "Contributor Codes 1 Amount received this period-itemized monetary contributions. IND-Individual (Include all Schedule A subtotals.) $ COM—Recipient Committee (other than PTY or SCC) 2 Amount received this period-unitemized monetary contributions of less than$100 $ OTH—Other l Par business entity) p ry PTY—Political Party 3 Total monetary contributions received this period. SCC-Small Contributor committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1 ) TOTAL $ 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 to whole dollars. 10//2014 •CALIFORNIA ' from through 12/31/2014 page 5 of z NAME OF FILER LID NUMBER Julie Graboi for Council 2014 1367502 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMITfEE,ALSOENTERID NUMBER) CODE * OCCUPATIONANDEMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1-DEC 31) (IF REQUIRED) OF BUSINESS) Cardiff Classics Incorporated ❑COM Thomas Billick 11/3/14 1049 S Coast HWY 101 Encinitas, CA 92024 ®OTH Business Owner 250 2 0 ❑PTY ❑SCC COPE of PFF AFT Local 6161,I1D#1244978 ❑IOM Teacher's Union Palomar 11/3/14 370 Mulberry Drive Suite E San Marcos, CA VICO Community College 250 25V 92069 ❑PTY ❑SCC AFT Guild, Local 1031-COPE ID#901908 DOOM Teacher's Union 250 11/3!14 San Diego &Grossmont-Cuyamaca CC'S ❑OTH San Diego,Grossmont- ❑PTY Cuyamaca CC's ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ 750 *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 C( 66/275 3772) FPPC Toll-Free Helpline:8661ASK-FPPC(8661275-3772) Type or print in ink. SCHEDULE B-PART 1 Schedule B—Part 1 Amounts may be rounded Statement covers period CALIFORNIA Loans Received to whole dollars. • ' from © •RM SEE INSTRUCTIONS ON REVERSE through ZZ131 Page 6 of 7 NAME OF FILER I.D. NUMBER Tu 11 e Gm bo t °',�'"� 2�1 r 3 6 IF AN INDIVIDUAL, ENTER ° (b) °) ) • 9) FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER OCCUPATION SE�FMP ODEMPLOYER E BEGINN NG THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE.ALSO ENTER ID.NUMBER) NAMEOFBUSINESS) PERIOD PERIOD THIS PERIOD" PERIOD PERIOD LOAN TO DATE Julie Graboi Teacher ®PAID CALENDARYEAR 1314 Desert Rose Way Gross mo nt-Cu amaca $ 1,802 $ 0 0 % $ 4,100 $ 4,100 Encinitas, CA 92024 CC )f FORGIVEN RATE PERELECTION** $ 4,100 $ 0 $ 2,298 12/31/2014 $ 0 10/06/2014 $ 4,100 t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATEINCURRED ❑PAID CALENDARYEAR ❑FORGIVEN RATE PERELECTION** S 5 $ $ $ t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATEINCURRED ❑PAID CALENDARYEAR E]FORGIVEN RATE PERELECTION- S $ S S $ t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATEDUE DATEINCURRED SUBTOTALS $ $ 4,100 $ $ (Enter(e)an Schedule B Summary Schedule E,Line 3) ° 1 Loans received this period .- $ *Amounts forgiven or paid by (Total Column(b)plus unitem¢ed loans less than$100) another party also must be 2. Loans paid or forgiven this period $ 4,100 reported on Schedule A. (Total Column(c)plus loans under$100 paid or forgiven ) **If required (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 ). NET $ -4,100 Enter the net here and on the Summary Page,Column A,Line 2. (May be a negative number) t Contributor Codes IND—individual COM—Recipient Committee(other than PTY or SCC) OTH—Other PTY—Political Party SCC—Small Contributor Committee FPPC Form 460 FPPC Toll-Free Helpllne: 866/ASK-FPPC Schedule E SCHEDULE E(CONT.) Type or print in ink. Statement covers period (Continuation Sheet) Amounts may be rounded A601 Payments Made to whole dollars. from 10/2014 FORM SEE INSTRUCTIONS ON REVERSE through 12/31/2014 Page 7 of / NAME OF FILER I.D.NUMBER Julie Graboi for Council 2014 1367502 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMF` campaign paraphernalia/misc. MBR member communications RAID 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 PET petition circulating TEL t.v. or cable airtime and production costs FIL 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 IND 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, a-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Julie Graboi Partial Return of Loan 1314 Desert Rose Way RFD /80212 Encinitas, CA 92024 Coast News Newspaper Ad 315 S Coast Highway 101, Suite W Encinitas, CA 92024 PRT 300 Postal Corner Handouts and Flyers 2240 Encinitas Boulevard, LIT 276 Encinitas, CA 92024 'Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ '1378.22 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)