Form 460 2nd Pre-election Statement COVER PAGE
Recipient Committee Date Stamp CALIFORNIA t
Campaign Statement �,; FORM
Cover Page
Statement covers period Date of election If applicable T•,, Page 1 of 7
from
9/25/16 (Month,Day,Year) I "- < i�I, n For Official use only
SEE INSTRUCTIONS ON REVERSE through 10/22/16 11/8/16
1. Type of Recipient Committee: Alt Committees–COMPlete Part t,z 3,end 4. 2. Type of Statement:
❑ Officeholder,Candidate Controlled Committee 0 Primarily Formed Ballot Measure la Preelection Statement ❑ Quarterly Statement
0 State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report
0 Recall 0 Controlled ❑ Termination Statement
(Aso Csmple Pars) O Sponsored (Also file a Fonn 410 Termination)
(Aan Cemp.Ye Prr6)
❑ General Purpose Committee ❑ Amendment(Explain below)
• Sponsored ❑ Primarily Formed Candidate/
• Small Contributor Committee Officeholder Committee
• Political Party/Central Committee (ASO COmpsa PW 1/
3. Committee Information I.D.NUMBER Treasurers)
# 1389886
COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
Committee Opposed To Encinitas Measure T Bruce Ehlers
Encinitas CA 92024 760-944-9482
CITY STATE ZIP CODE AREACODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY
Encinitas CA 92024 760-946-6668 Elizabeth Ehlers
MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX
CITY STATE ZIP CODE AREA CODEIPHONE CITY STATE ZIP CODE AREACODE/PHONE
Encinitas CA 92024 760-946-6668 Encinitas CA 92024 760-944-9482
OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL'. FAX E-MAIL ADDRESS
Info @EncinitasSaveOurCity.com email @ehlers-online.com
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 and corre�
Executed on 10/27/2016 By
Date igneture W Treasurer or Assistant Treasurer
Executed on 10/27/2016 By T
Date —3B^sure al Dote ling ce Wtler, anal ate,State easumwwonent or Responsible car^ Sponsor
Executed on ate BY
ignmure of ConVollin 5111eeholder,Candidate,Sw0easur.Pmponent
Executed on pate By Signature of Conlrolling OMCaholtler,Candidate,State Measure Proponent
FPPC Form 460(Jan/2016)
FPPC Advice:advice @fppc.ca.gov(866/2753772)
Ww Jppc.ca.gov
COVER PAGE-PART 2
Recipient Committee CALIFORNIA ,
Campaign Statement FORM
Cover Page — Part 2
Page 2 of
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
Measure T
OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IFAPPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT
T I City of Encinitas 0 OPPOSE
RESIDENTIAL/BUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP
Identify the controlling officeholder,candidate,or state measure proponent,if any.
NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT
Related Committees Not Included in this Statement: Listanycommittees
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 ormake expenditures on behalf of your candidacy.
COMMITTEE NAME I.D.NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE? 7• Primarily Formed Candidate/Officeholder Committee ust names of
officeholder(s)or candidatels)for which this committee Is primarily formed.
[I 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
COMMITTEE NAME 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
El YES ❑ NO ❑ OPPOSE
❑
COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX)
CITY STATE ZIP CODE AREACODE/PHONE Affach continuation sheets if Necessary
FPPC Form 460(Jan/2016)
FPPC Advice:advice @fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE
to whole dollars.
Statement covers period CALIFORNIA
Summary Page from 9/25/16 FORM 460
throe h 10/22/16 Page 3 of 7
SEE INSTRUCTIONS ON REVERSE 9
NAME OF FILER I.D.NUMBER
Committee Opposed To Encinitas Measure T # 1389886
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTAL THIS PERIOD CALENDAR YEAR
(FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and
2,705.00 9,923.00
General Elections
1. Monetary Contributions................................................... schedule A,Line $ 0 $ 0 ill through e/30 7/1 to Date
2, Loans Received................................................................ Schedule s,Line 3 20. Contributions 2,705.00 9,923.00
3. SUBTOTAL CASH CONTRIBUTIONS.............................. Add Lined+2 $ S Received $ N/A $ N/A
4. Nonmonetary Contributions............................................ Schedule C,Linea D 0 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED....................................Add Lines 3+4 $ 2,705.00 $ 9,923.00 Made $ N/A S N/A
Expenditures Made Expenditure Limit Summary for State
6. Payments Made................................................................ Schedule E.Line 4 $ 2,099.77 $ 6,524.61 Candidates
7. Loans Made....................................................................... Schedule H.Line 3 0 0
2,099.77 6,524.61 22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS......... ................................ Add Lines s+7 $ $ (H aMDpot to Veluntrry Expenditure Limit)
9. Accrued Expenses(Unpaid Bills)..........................................Schedule F,Line 3 0 0 Date of Election Total to Date
10, Nonmonetary Adjustment...........................111...1.....................Schedule a Linea 0 0 (mm/ddtyy)
11. TOTAL EXPENDITURES MADE........................................Add Lines 8+9+10 $ 2,099.77 $ 6,524.61 _ 1 1 $ N/A
Current Cash Statement $ N/A
12, Beginning Cash Balance............................ Previous Summary Page,Line 16 $ 2,793.16 To calculate Column B,
13. Cash Receipts........................................................... Column A,Line3above 2,705.00 add amounts in Column
A to the corresponding *Amounts in this section may be different from amounts
14. Miscellaneous Increases to Cash.................................. Schedule 1,Line 4 0 amounts from Column B reported in Column B.
77 of your last report. Some 099,
15. Cash Payments......................................................... Column A,Line Eabove 2,099,77 in Column Amay
16. ENDING CASH BALANCE ..................Add Lines 12+13+14,then subtract Line 15 $ 3,398.39 be negative figures that
should be subtracted from
If this is a temrnafion statement,Line 16 must be zero. previous period amounts. If
this is the first report being
17. LOAN GUARANTEES RECEIVED................................ Schedule s,Part 2 $ 0 filed for this calendar year,
only carry over the amounts
Cash Equivalents and Outstanding Debts any) Lines 2,7,and 9(if,
18. Cash Equivalents................................................ See instructions on reverse $ 0
19. Outstanding Debts.............................. Add Line 2+Line g in Column a above $ 0 FPPC Form 460(Jan/2016)
FPPC Advice:advice @fppc.ca.gov(866/275-3772)
www.fppc.ca.gov,
Schedule A Amounts may be rounded SCHEDULE A
Monetary Contributions Received to whole dollars. Statement covers period a ,
from
9/25/16 e • •
through 10/22/16 Page 4 of 7
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D.NUMBER
Committee Opposed To Encinitas Measure T # 1389886
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.o.NUMBER) CODE ' OCCUPATION AND EMPLOYER RECEIVEDTHIS CALENDAR YEAR TO DATE
IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN,1-DEC.31) (IF REQUIRED)
OF BUSINESS)
Mary Fleener-Therrio 000M Writer/Illustrator,
9/2512016 309 Ocean View Ave $200.00 $200.00
El FantagraphicBooks, lnc.
Encinitas, CA 92024 ❑PTY
❑SCC
IND
Thomas L. Basacchi O
9/28/2016 ❑COM Retired $100.00 $100.00
2542 Manchester Ave. ❑oTH
Cardiff by the Sea, CA 92007 ❑PTY
❑SCC
01ND
Jean-Bernard Minster COM 9128/2016 1202 Melba Rd ❑OTH Professor, UCSD $250.00 $250.00
Encinitas, CA 92024 ❑PTY
❑SCC
IND
Rachel Workinger B
9/30/2016 216713th St ❑COM Homemaker/Caregiver $250.00 $250.00
❑OTH
Encinitas, CA 92024 ❑PTY
❑SCC
Lisa Chestnut OIND
10/1/2016 553 Neptune ❑COM Project Director, Burton❑OTH Studio $100.00 $100.00
Encinitas, CA 92024 ❑PTY
❑SCC
SUBTOTALS 900.00
Schedule A Summary 'Contributor Codes
1. Amount received this period-itemized monetary contributions. IND-Individual
(Include all Schedule A subtotals.) $ 2,500.00 COM-Recipient committee
......................................................................................................... (other than PTY or SCC)
2. Amount received this period-unitemized monetary contributions of less than $100 ...........................$ 205.00 orH-other(e.g.,business entity)
p ry PTY—Political Parry
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 $ 2,705.00
FPPC Form 460(Jan/2016)
FPPC Advice:advice @fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA 4601
from 9/25/16 FORM
through 10122116 Page 5 of 7
NAME OF FILER I.D.NUMBER
Committee Opposed To Encinitas Measure T # 1389886
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED REETA D COMMITTEE, ND ZIPCNDEOF CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
(IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN,I-DEC.31) (IF REQUIRED)
OF BUSINESS)
IND
Ralph Borrelli JO Retired
10/1/2016 135 Via Del Cerrito El OTH $100.00 $100.00
Encinitas, CA 92024 ❑PTY
❑SCC
Kenneth Selzer Ia IND Physician,Accretive
10/1/2016 481 Hillcrest Dr ❑COM Health
Encinitas,CA 92024 $250.00 $250.00
El
El
❑ScC
Dan Graboi BIND Owner/Scientist
10/1/2016 1314 Desert Rose Way opTH Engineer, Carlsbad $250.00 $250.00
Encinitas,CA 92024 ❑PTY Scientific
❑SCC
Chris Brumfield RIND Homemaker
10/142016 375 Fulvia St ❑COM $250.00 $250.00
❑OTH
Encinitas,CA 92024 ❑PTY
❑SCC
III IND
Brian Stearns ElCO VP, Inception Sciences
10/14/2016 157 Beechtree Dr ❑OTH $250.00 $250.00
❑OTH
Encinitas, CA 92024 [1 PITY
❑SCC
SUBTOTAL$ 1,100.00
'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 466(Jan/2016)
FPPC Advice:advice@fppc.w.gov(866/275-3772)
www.fppc.ca.gov
Schedule A(Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA
from
9/25/16 FORM • ,
through 10/22/16 Page 6 of 7
NAME OF FILER I.D.NUMBER
Committee Opposed To Encinitas Measure T # 1389886
DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED OF ETDCOMMITTEE ALSO ENTER C NUMBER)DE OF CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
(IF SELF-EMPLOYED.ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED)
OF BUSINESS)
JZ IND
Kevin Mulvey ❑COM Director of Recruiting,
10/1212016 624 Hymettus Ave ❑OTH Mulvey International $250.00 $250.00
Encinitas, CA 92024 ❑PTY
p SCc
Linda Durham OIND Retired
10/20/2016 850 Summerhill Ct ❑COM $250.00 $500.00
❑OTH
Encinitas, CA 92024 ❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
SUBTOTAL$ 500.00
'Contributor Codes
IND—Individual
COM—Recipient Committee
(other than PTY or SCC)
OTH—Other(e.g.,business entity)
PTY—Political Party FPPC Form 460(Jan/2016)
SCC—Small Contributor Committee
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Schedule E Amounts may be rounded Statement covers period SCHEDULE E
to whole dollars. • I ,
Payments Made from 9/25116 FORM
SEE INSTRUCTIONS ON REVERSE through 10/22/16 Page 7 of 7
NAME OF FILER I.D.NUMBER
Committee Opposed To Encinitas Measure T # 1389886
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign paraphernalia/misa MBR member communications RAD 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
FIND 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 candidatelsponsor
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 OF PAYEE
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
VPG
2240 Encinitas Blvd, Ste F LIT $540.00
Encinitas, CA 92024
The Coast News
315 S Coast Hwy 101,#W PRT $800.00
Encinitas,CA 92024
Airgas Helium gas for demonstration event balloons, tank
1415 Grand Ave rental and deposit(deposit to be returned) $605.19
San Marcos, CA 92078
Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ $1,945.19
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $
$1,945.19
2. Unitemized payments made this period of under$100................................................................................ $154.56
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)............................................................................. $ 0
4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. TOTAL $ $2,099.77
FPPC Form 460(Jan/2016)
FPPC Advice:advice @fppc.ca.gov(866/275-3772)
www.fppc.ca.gov