Form 460 Final Statement Recipient Committee COVER PAGE
Campaign Statement Type or print in ink Date Stamp 4
CITY' n rr t • 1
Cover Page r `" "'
(Government Code Sections 84200-84216.5) rt 110"! f;
Statement covers period Date of election if applicable: 2U 1 A [3 171 'Lam 1 of 6
from 10/23/2016 (Month,Day,Year) GP 1��--
For Official Use Only
Through 11/23/2016
SEE INSTRUCTIONS ON REVERSE
1. Type of Recipient Committee: All Committees-Complete Para t,2,3,and 2. Type of Statement:
® Officaholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement
❑State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report
❑Recall ❑ Controlled ® Termination Statement
❑ Sponsored ❑ Amendment(Explain below)
❑ General Purpose Committee taro Connipefe Pert in
❑Sponsored ❑ Primarily Formed Candidate/
❑Small Contributor Committee Officeholder Committee
❑Political Pad /Central Committee
I.D.Number
3. Committee Information 1389864 Treasurer(s)
COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
Kevin K. Forrester
Tony Brandenburg for Encinitas City Council 2016
Encinitas CA 92024 7609441918
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY
Encinitas CA 92024 7609441918
MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL:FAX I EMAIL ADDRESS OPTIONAL'.FAX/EMAIL ADDRESS
kforrester @psmkr.us
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the infonnati nl ad hr and in the attached schedules is true and
comolete.I cenifv under oenalty of Deriury under the leafs of the State of California that the foreaoina is true and correct.
Executed on // -Z� b By
(/ 9leG re of Tre6surer or Assistant Tleesuler
Executed on I Z�/r s y By ff Oete Spnatureol CaMrollln r,CeMkale,Stele Measure Proponent or Responsible oMCer of Sponsor
Executed on By
Data 5gnelure of Controlllna Offlexholdet Cardinale,Slate Measure Proponent
Executed on By FPPC Form 460(Jan12018)
Date Sgnature of contrnnlrg otncehodea candwele,State Measure Proponent FPPC Advice:
achrostillfppc.ca.gov
668/276-3772
Recipient Committee COVER PAGE
Campaign Statement Type or print in ink CALIFORNIA
2001102 460
Cover Page-Part 2 FORM
Page 2 of 6
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
Anthony J. Brandenburg
OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO OR LETTER URISDICTION ❑ SUPPORT
City Council Member/00 ❑ OPPOSE
RESIDENTIALIBUSINESS ADDRESS(N0.AND STREET) CITY STATE ZIP
648 Lomas de Oro Ct Encinitas CA 92024 Identity the controlling Officeholder,candidate,or stale measure proponent,
NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT
Related Committees Not Included in this Statement: Listen
committees not included in this statement that are controlled buy you or am
pnmadly formed m receive contributions or make expenditures on behalf of OFFICE SOUGHT OR HELD [STRICT NO IF ANY
COMMITTEE NAME I.D.NUMBER
7. Primarily Formed Committee List names ofolAceholder)a)or
candidate/s)for which this commidee is primarily formed
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS(NO P.O.BOX) NAME OF OFFICEHOLDER OR OFFICE SOUGHT OR HELD ❑ SUPPORT
❑ OPPOSE
STATE ZIP CODE AREA CODEIPHONE
CITY NAME OF OFFICEHOLDER OR OFFICE SOUGHT OR HELD ❑
SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR OFFICE SOUGHT OR HELD ❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR OFFICE SOUGHT OR HELD ❑ SUPPORT
❑ OPPOSE
Attach continuation sheets if necessary
• FPPC Porn 460(Jan=ili)
FPPC Advice:advlce@fppc.u.gov 86 6/276-3772
www.fppc.ca.gov
Campaign Disclosure Statement COVERPAGE
Summary Page Type or print in ink. Statement covers period CALIFORNIA
Amounts may be rounded FORM 460
to whole dollars. from 10123/2016
through 11/23/2016 g
SEE INSTRUCTIONS ON REVERSE Page_ of_6
NAME OF FILER Tony Brandenburg for Encinitas City Council 2016 I.D.NUMBER
1389864
Contributions Received COIM..A Columns Calendar Year Summary for Candidates
TOiu T.I.PERIOD CALENDAR YEAR
(FROM ATTRCREO TOTAL TO DATE
Running in Both the State Primary and
1. Monetary Contributions $ 749.00 $ 6,417.00 General Elections
1/1 through 8130 7/1 to Date
2. Loans Received (11.58) 91063.42
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS $ 737.42 $ 15,480042 Received $ 0.00 $ 6,405.42
4. Nonmonetary Contributions 0.00 0.00 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED $ 737.42 $ 15,480.42 Made $ 0.00 $ 15,480.42
Expenditures Made Expenditure Limit Summary for State
Candidates
6. Payments Made $ 1,132.00 $ 15,480.42
7. Loans Made 0.00 0.00 22. Cumulative Expenditures Made'
(If subject to Voluntary Expenditure Lim It)
8. SUBTOTAL CASH PAYMENTS $ 1,132.00 $ 15,480.42
9. Accrued Expenses(Unpaid Bills) 0.00 0.00 Date of Election Total to Date
10. Nonmonetary Adjustment 0.00 0.00 (mm/ddyy)
11. TOTAL EXPENDITURES MADE $ 1,132.00 $ 15,480.42 1110812016 $ 1,132.00
Current Cash Statement $
12. Beginning Cash Balance $ 394.58 To Calculate Column B, $
13. Cash Receipts 737.42 add amounts in
14. Miscellaneous Increases to Cash 0.00 Column to the
corresponn ding $
15. Cash Payments 1,132.00 amounts from Column
16. ENDING CASH BALANCE $ 0.00 B of your last report. $
If this is a termination statement,Line 16 must be zero. Some amounts in
Column A may be $
17. LOAN GUARANTEES RECEIVED $ 0.00 negative figures that
should be subtracted 'Since January 1,2001. Amounts in this section
from previous period may be different from amounts reported in Column
Cash Equivalents and Outstanding Debts amounts. If this is the o
0.00 first report being filed FPPC Form 4160(Jan12016)
18.Cash Equivalents $ for this Calendar year, FPPC AMlce:advicemfppc.ca.gov BSW275-3772
19.Outstanding Debts $ 9,063.42 w Jppcca.gov
Schedule A Type or print in Ink. SCHEDULE A
Monetary Contributions Received Amounts may be statement covers perio CALIFORNIA
rounded from 1012312016 FORM 4 • 0
through 11123/2016 Page--±— of 6
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER Tony Brandenburg for Encinitas City Council 2016 In NLmRFR
1389864
OATS FULL NAME,STREET ADDRESS AND ZIP CODE CONTRIBUTOR IF AN INDIVIDUAL.ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED OF CONTRIBUTOR CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO GATE
w coxurtTEE.Aim ENTER 10 NUUEOO LIP SELFEUPLOYED.ENTER PERIOD (JAN.1 DEC.31) (IF REQUIRED)
David W Hutchinson ® IND None
1221 Summit Ave 0 coM None $250.00 $250.00 $250.00 G-16
10/25/2016 E3 OTH
Cardiff By The Sea,CA 92007 ❑ PTY
❑ 800
Dennis Cook ® INC) Owner
907 Spnngwood Ln 13 CO Herman Cook Volkswagen $150.00 $150.00 $150.00 G-16
10/26/2016 Encinitas,CA 92024 ❑ PTY
❑ FCC
Dr.Kirstin Lee ® IND Physician $100.00 G-16
448 Cole Ranch Rd CoM Scripps Health $100.00 $100.00
10/26/2016 13 OTH
Encinitas,CA 92024 ❑ PTY
El SCC
Richard Talmo ® INC) Director
1336 Duck Walk Road COM Palomar College $100.00 $100.00 $100.00 G-16
10/27/2016 San Marcos,CA 92069 p pry Foundation
❑ scC
D dribs codes
Schedule A Summary IN ND-Individ dual
1. Amount received this period-contributions of$100 or more. COM-Recipient Committee
Include all Schedule A subtotals. $ 600.00
( � (other than PTV or SCC)
................................................................................................. $ 149.00 OTH-Other
2. Amount received this period-unitemized contributions of less than$100.... .......................... PTY-Political Party
TOTAL $ 749.00 FPPC Form 460(Jan/2016)
3. Total monetary contributions received this period. FPPC Advice:advic6WPPc.ca.9ov
Schedule B -Part 1 Type or print In ink. SCHEDULE B-PART 1
Amounts may be
Loans Received rounded Statement covers perio FPage W5Of---�-10/23/2016 from 11/23/2016 through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I n NNMRFR
Tony Brandenburg for Encinitas City Council 2016 1389864
bl el 19 w� L n NI
FULL NAME,STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL.ENTER OUTSTANDING RECEIVED AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE
OFLENOER OCCUPATION AND EMPLOYER BEGINNING RECPERIOlH15 OR FORGIVEN `LANCE AT PERIOD PAID THIS AMOUNT OF CONTRIBUTIONS
Orcwuinee.¢m[xr[nm xuustq III SELF E"vLOVEe.ENTER BEGINNING THIS PERIOD THIS PERIOD OF THIS PERIOD pERIW LOAN TO DATE
Anthony J.Brandenburg None CIPAID CALENDARYEAR
648 Lomas de Oro Ct Retired $5,000.00 0.000 5,000.00 $5,000.00
Encinitas,CA 92024 $0.00 PER ELECTION-
Encinitas, $0.00 "ATE
❑FORGIVEN
$0.00
$0.00 09/06/2016 $1,575.00 G-16
T®IND CICOM 130TH CIPTY ❑SCC DATE DUE DATE INCURRED
Anthony J.Brandenburg None ®PAID CALENDARYEAR
648 Lomas de Oro Ct Retired $4,063.42 0.000 4,075.00 $9,075.00
Encinitas,CA 92024 $11.56 PER ELECTION"
$4,075.00 $0.00 RATE
❑FORGIVEN
$0.00
$0.00 10/21/2016 $1,575.00 G-16
T®INO 13COM CLOTH CIPTY E:ISCC DATE DUE DATE INCURRED
SUBTOTALS $0.00 $11.58 $9,063.42 $0.00
IE1.W-
Schedule B Summary ..W.E�'1
$0.00 t Contributor Codes
1. Loans received this period IND(Total Column(b)plus unitemized loans of less than$100.) CO-Individual
Recipient COM-Redpienl Commidee
$11.58 (Other than PTY or SCC)
2. Loans paid or forgiven this period -- -- - - - OTH-Other
(Total Column(c)plus loans under$100 paid or forgiven.) PTY-Political Party
(Include loans paid by a third party that are also itemized on Schedule A.)
($11.58)
3. Net change this period.(Subtract Line 2 from Line 1.) NET "°r"°°"I°mm�.°
FPPC Form 480(Jan/3018)
Amounts forgiven or paid by another party must also be reported on Schedule A. FPPC Advice:advice@fppcca.gov 8881378-0772
It required vm vcfppaca.gov
Schedule E Type or print in Ink' SCHEDULE E
Amounts may be
Payments Made rounded Statement coversperio CALIFORNIA
from 10/23/2016 FORM •
11/23/2016
SEE INSTRUCTIONS ON REVERSE through Page 6 of 6
NAME OF FILER I .NUMBER
Tony Brandenburg for Encinitas City Council 2016 1389864
CODES: If one of the following codes accurately describes the payment,you may enter the code. Otherwise,describe the payment.
CMP campaign paraphemalialmisc. MBR member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
CTB contribution(explain nonmonetary)• DEC office expensese SAL campaigns workers'salades
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
END fundraising events ROL 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 PET print ads WEB information technology costs(internet,e-mail)
NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
„F ccuumEE.r CNl R 1.NUMMR)
Seaside Courier:
140 Encinitas Blvd#301 PRT $720.00
Encinitas,CA 92024
Aristotle International,Inc. : Campaign Manager
205 Pennsylvania Ave SE WEB $250.00
Washington,DC 20003
Postal Comer: Color Flyers
2240 Encinitas Blvd Ste D LIT $162.00
Encinitas,CA 92024
Payments Nat am contributions or Independent expenditures must also be summadzed on Schedule D. SUBTOTAL$ $1,132.00
Schedule E Summary
1. Payments made this period of$100 or more. (Include all Schedule E subtotals) $1,132.00
2. Unitemized payments made this period of under$100 $0.00
3. Total Interest paid this period on loans.(Enter amount from Schedule B,Part 1,Column(e).) $0.00
4. Total payments made this period. (Add Lines 1,2,and 3. Enter here and on the Summary Page,Column A,Line 6.) TOTAL$ $1,132.00
FPPC Form 460(Jan/2018)
FPPC Advlca:advlce@fppc.co.gov 868/275-3772
www.fppc.cs.gov