Loading...
Form 460 Termination Statement COVERPAGE Recipient Committee Date Stamp Campaign Statement a • 1 Cover Page ,� r , (Government Code Sections 84200-84216.5) ORIG Statement covers period Date of election If applies @y `I"' ! page 1 of 19 10/23/2016 (Month, Day,Year) ), i from For official Use Only SEE INSTRUCTIONS ON REVERSE through 12/31/2016 11/08/2016 1. Type of Recipient Committee: All committees-complete Parts 1,2,3,and 4. 2 Type of Statement: Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ quarterly Statement Q State Candidate Election Committee Committee ❑ Semiannual Statement ❑ Special Odd-Year Report Q Recall Q Controlled ❑x Termination Statement Q Sponsored ❑ Supplemental Preelection w�OCP^pB1e Fad 5) (Also file a Form 410 Termination) Statement-Attach Form 495 d (m c."p s,Fade/ Amendment(Explain below F1 General Purpose Committee ❑ ( p ) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Cmiprefe Part r) 3. Committee Information I.D. NUMBER Treasurer(s) 387663 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Gaspar for Mayor 2016 Nancy Haley Y MAILING ADDRESS Encinitas CA 92024 (760)632-3600 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Encinitas CA 92024 (760)632-3600 Stephanie Sanchez 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 Encinitas CA 92024 (760)632-3600 OPTIONAL: FAX I E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS nhaley®thinkcpa.com 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the be f y knowledge onn ion 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 an Executed on 01/05/2017 B Date y aNreO T u AssistantTreasumr Executed on 01/05/2017 By Dare SigneNeot irg d smre rePraponmt«Rasponsibk Otfwerd Spas« Executed on �re By SgreluredpmbdlinB OiFCehdBer,Candidete,Stare Measure Preporrer�l Executed on Dam By Synatuadcmuoww offlwh 'Candklare,Stare Measure Prororent FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(8661275-3772) www.fppc.ca.gov www.netrile.com COVERPAGE-PART2 Recipient Committee CALIFORNIA Campaign Statement FORM ' • Cover Page—Part 2 Page 2 of 19 S. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Paul Gaspar OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT Mayor: City of Encinitas ❑ OPPOSE RESIDENTIALIBUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Identify the controlling officeholder, candidate, or state measure proponent, If any. 700 Garden View Court, Ste. 103 Encinitas CA 92024 NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT Related Committees Not Included in this Statement: Listanycommittees RICT NO. IF ANY not Included in this statement that are controlled by you or are primarily fa med to receive OFFICE SOUGHT OR HELD DIST contributions or make expenditures on behalf of your candidacy. COMMITTEENAME I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEES 7• Primarily Formed Candidate/Officeholder Committee List names of ofNceho/der(s)or candidate(s)for which this committee Is primarily formed. ❑ YES ❑ NO COMMITTEEADDRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODEIPHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑OPPOSE COMMITTEENAME I.D.NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD El SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEES NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD E] YES [j NO ❑❑ OPPOSE COMMITTEEADDRESS STREET ADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets H necessary FPPC Form 460(Jan/2016) FPPC Advice:advice @fppc.ca.gov(8661275-3772) www.fppc.ca.gov www.netfile.com Campaign Disclosure Statement Ameats y be rounded SUMMARYPAGE Amounts ma Summary Page u whole dollars. Statement covers period e- , • ' from 10/23/2016 •- SEE INSTRUCTIONS ON REVERSE through 12/31/2016 Page 3 of 19 NAME OF FILER I.D. NUMBER Gaspar for Mayor 2016 1387663 Column A Column B Calendar Year Summary for Candidates Contributions Received ToTUT ISPUUOD cu GARY tFROWIAJ7 rreDSCr Ma) ToTACTOw Running in Both the State Primary and General Elections 1. Monetary Contributions ........................................... Schedule A,Lima $ 23,600.00 $ 44,590.99 111 through 6130 7/1 to Ogle 2. Loans Received ...................................................... schedule B,Linea -19,225.00 0.00 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines i+2 $ 4,375.00 $ 441590.99 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 371.01 1,146.01 21 Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 4,746.01 $ 45,737.00 Made E $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Limo $ 20,217.31 $ 46,390.99 Candidates 7. Loans Made............................................................. Schedule H.Linea 0.00 0.00 22.Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ 20,217.31 $ 46,390.99 (asuhpatta vdumry e",,dltry umx) 9. Accrued Expenses (Unpaid Bills)...............................Schedule F Line 3 -676.43 0.00 Date of Election Total to Date 10.Ndnmonetary Adjustment..........................................Schedule C,Linea 371401 1,146.01 (mm/ddtyy) 11.TOTAL EXPENDITURES MADE................................Add Lines 8.9+10 $ 19,911.89 $ 47,537.00 $ Current Cash Statement $ 12. Beginning Cash Balance....................... Previous Summary Page,tine 16 $ 15,842.31 To calculate Column B,add 13.Cash Receipts ................................................... Column A Line 3 above 4,375.00 amounts in Column Atothe corresponding amounts *Amounts in this section may be different from amounts 14.Miscellaneous Increases to Cash........................... Schedule 1,Line 4 0.00 from Column B of your last reported in Column B. 15.Cash Payments.................................................. column A,U 20,217.31 report. Some amounts in neaabova Column A may be negative 16.ENDING CASH BALANCE..........Add Lines 12+13+14,then subtract Line 15 E 0.00 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 B,Part 2 $ 0.00 for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from z,7, ands(f 18. Cash Equivalents........................................ See instructions on reverse $ 0.00 19. Outstanding Debts......................... Add tine 2+Line 9 in Column B above $ 0.00 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppe.ca.gov(866127"772) www.fppc.ca.gov www.netFle.com Schedule A SCHEDULE A Amounts may be rounded Statement covers erlod Monetary Contributions Received to whale dollars. P •- , from 10/23/2016 FORM SEE INSTRUCTIONS ON REVERSE through 12/31/2016 Page 4 of 19 NAME OF FILER I.D. NUMBER Gaspar for Mayor 2016 1387663 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED (IF COMMITTEE.ALSO ENIERI D.NUMBER) CODE t OFSEI£AEIMPLOYED,ENTER ER RECEIVED ERIOD IS (JAN.i-D YEAR REQUIRED) (JAN.t-DEC.31) (IF REQUIRED) OF BUSINESS) 11/01/2016 Latifa E. Ballo MIND Homemaker 250.00 250.00 G2016 $250.00 11411 Valle Vista Road ❑COM N/A Lakeside, CA 92040 ❑OTH ❑PTY ❑SCC 11/01/2016 Mayada S. Ballo MIND Homemaker 250.00 250.00 G2016 $250.00 11411 Valle Vista Road ❑COM N/A Lakeside, CA 92040 ❑OTH ❑PTY ❑SCC 11/01/2016 Yasir Y. Ballo MIND Owner 250.00 250.00 G2016 $250.00 11411 Valle Vista Road ❑COM Cardiff Valero Lakeside, CA 92040 ❑OTH ❑PTY ❑SCC 11/01/2016 Younis E. Ballo MIND Owner 250.00 250.00 G2016 $250.00 11411 Valle Vista Road ❑COM Golden Eagle Liquor Lakeside, CA 92040 ❑OTH ❑PTY []SCC 11/05/2016 Candice Cleary MIND Retire 75.00 250.00 G2016 250.00 5316 Ontario Street N/A Oceanside, CA 92056 ❑OTM ❑OTH ❑PTY []SCC ^SUBTOTALS l,o�s Do ' — Schedule A Summary 'Contributor Codes 1. Amount received this period-itemized monetary contributions. IND-Individual (Include all Schedule Asubtotals.) $ 23,440.00 COM—Recipient Committee ........................................................................................................ (other than PTY or SCC) 2. Amount received this period—unitemized monetary contributions of less than$100 .............................$ lso.oo OTH—Other(e.g.,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 $ 23,600.00 FPPC Form 460(Jan/2016) FPPC Advice:advicWppc.ca.gov(8661275-3772) www.fppc.ca.gov www.netfile.com Schedule A (Continuation Sheet) SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded statement covers period towhoNdollars. 7iRUMER from 10/23/2016 through 12/31/2016 19 NAME OF FILER Gaspar for Mayor 2016 FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE QFCOMMITIEE,ALSOENrEN I.D.NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE QFSEV-EMPWO .EN RNVAE PERIOD (,JAN.1-DEC.31) (IF REQUIRED) OFBUSIt£55) 11 07 2016 Candice Cleary x❑IND Retired -25.00 250.00 G2016 $250.00 5316 Ontario Street ❑COM N/A Oceanside, CA 92056 ❑OTH ❑PTY ❑SCC 10/28/2016 Chaco Clotfelter x]IND Sales 240.00 240.00 G2016 $240.00 P.O. Box 8227 6012 Paseo Delicias ❑QOM Clotfelter Real Estate Rancho Santa Fe, CA 92067 ❑OTH ❑PTY ❑SCC 11/01/2016 Dennis E. Cook ®IND Auto Dealer 125.00 125.00 G2016 $125.00 907 Springwood Lane ❑COM Herman Cook Volkswagen Encinitas, CA 92024 ❑OTH ❑PTY ❑SCC 11/04/2016 Martin Cooper ❑IND Retired 100.00 100.00 G2016 $100.00 1116 Quail Gardens Ct. ❑COM N/A Encinitas, CA 92024 ❑OTH ❑PTY ❑SCC 11 0 016 Charles Felder X❑IND P ysica Therapist 100. 0 100.00 T2-01-67---T1-05-0-0. 2525 Orange Avenue B HCS Consulting Costa Mesa, CA 92627 ❑COM ❑OTH ❑PTY ❑SCC SUBTOTALS 640.00 11100411 x 'Contributor Codes IND—Individual COM—Recipient Committee (other than PTV or SCC) OTH—Other(e.g.,business entity) PTY—Political Party SCC—Small Contributor Committee FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(8661275-3772) w .fppc.ca.gov www.netriile.com Schedule A (Continuation Sheet) SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statementcovers period CALIFORNIA towhotedollars. I , from 10/23/2016 •' 6 through 12/31/2016 page 6 of 19 NAME OF FILER I.D.NUMBER Gaspar for Mayor 2016 1387663 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED (IFCOIMMn E,� EN I.D.NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (If sE1F{MFtoYED,ENIERNMIE PERIOD (JAN.1-DEC.31) (IF REQUIRED) OFOUSINESS) 11 05/2016 John Garner Real Estate Investments 250.00 250.00 G2016 $250.00 1877 Olivchain Road [:]Com Pacific Equity Corporatio Encinitas, CA 92024 ❑OTH ❑PTY ❑SCC 10/25/2016 Martin Garrick MIND President 250.00 250.00 G2016 $250.00 P.O. Box 2582 3346 Cerros Redondos [3Com Admiral Industries Rancho Santa Fe, CA 92067 ❑OTH ❑PTY ❑SCC 12/31/2016 Paul Gaspar ©IND Physical Therapist/Owner 10,000.00 20,000.00 G2016 $20,000.00 74B Lynwood Dr. [-]Com Gaspar Doctors of Physics Encinitas, CA 92024 []OTH Therapy ❑PTY ❑SCC 12/31/2016 Paul Gaspar Physical Therapist/Owner 9,225.00 20,000.00 G2016 $20,000.00 x❑IND 748 Lynwood Dr. Com Gaspar Doctors of Physics Encinitas, CA 92024 ❑[]OTH Therapy ❑PTY ❑SCC 11 _03_F2 016 John Georgeson X❑IND Insurance Bro er 250.00________2_r0.00 G20 6 250.00 129 Five Crowns Way Farmers Agency Encinitas, CA 92024 ❑OTm ❑OTH ❑PTY ❑SCC SUBTOTALS 19,975.00 *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 460(Jan/2016) FPPC Advice:advice @fppe.ca.gov(8661275-3772) ~vJppc.ca.gov www.netrile.com Schedule A (Continuation Sheet) SCHEDULE (CONT.) Monetary Contributions Received Amountsmayberounded Statementcovers period e. I towholedollars. I ' from 10/23/2016 O through 12/31/2016 page 7 of 19 NAME OF FILER I.D.NUMBER Gaspar for Mayor 2016 1387663 FULL NAME,STREET ADDRESS AND LP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DATE (E T ADDRESS SAND 7J I.D.MDE O � OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE pFSE�s.EMxovEO.BMrEBNhIAE PERIOD (JAN.1-DEC.31) (IF REQUIRED) OFIUSINESS) ll oI 2016 Doug Harwood X❑IND Real Estate Broker 250.00 250.00 G2016 $250.00 2775 Via De La Valle #200 ❑COM Harwood Group Del Mar, CA 92014 ❑OTH ❑PTY ❑SCC 11/03/2016 Bruce Hymanson KIND Physical Therapist 100.00 100.00 G2016 $100.00 P.O. Box 5100 11600 Wilshire Blvd # 222 ❑COM Self; Bruce Hymanson, PT Playa Del Rey, CA 90296 ❑OTH ❑PTY ❑SCC 11/01/2016 William L. Johnson ®IND Retired 100.00 100.00 G2016 $100.00 3446 Don Cota Drive ❑COM N/A Carlsbad, CA 92010 ❑OTH ❑PTY ❑SCC. 11/03/2016 Tom Kenney X❑IND Manager 250.00 250.00 G2016 $250.00 3511 Camino Cereza ❑COM Verve Carlsbad, CA 92009 ❑OTH ❑PTY ❑SCC -11/05/2016 Monty Miller X❑IND Presr ent 6 Co-FOUn er 250.00 250.0 2 16 250.00 4020 Tynebourne Circle ❑COM Momentum Billing San Diego, CA 92130 ❑OTH ❑PTY ❑SCC r SUBTOTALS 950.00 '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 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(8661275-3772) www.fppc.ca.gov www.netrile.com Schedule A (Continuation Sheet) SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded statement covers period towhotedollars. a R J • ' from 10/23/2016 •' through 12/31/2016 page 8 of 19 NAME OF FILER I.D.NUMBER Gaspar for Mayor 2016 1387663 �� FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED STREET ADDRESS AND ZI I.D N DE O CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFMIF-EMPLOYED,ENTERNPI.IE PERIOD (JAN.1-DEC.31) (IF REQUIRED) OFEUSINESS) 11 07 2016 Monty Miller X❑IND President 6 Co-Founder -250.00 250.00 G2016 $250.00 4020 Tynebourne Circle ❑COM Momentum Billing San Diego, CA 92130 ❑OTH ❑PTY ❑SCC 11/06/2016 Dean N. Ninteman ❑RIND Retired 100.00 100.00 G2016 $100.00 P.O. Box 767 5851 Via De La Cumbre ❑COM N/A Rancho Santa Fe, CA 92067 ❑OTH ❑PTY ❑SCC 11/07/2016 William O. Owen ®IND Business Owner 100.00 100.00 G2016 $100.00 7458 Via De Fortuna ❑COM DAS, INC. Carlsbad, CA 92009 ❑OTH ❑PTY ❑SCC 10/31/2016 Pleasanton Physical Therapy ❑IND N/A 100.00 100.00 G2016 $100.00 4456 Black Avenue N/A Pleasanton, CA 94566 ❑COM ❑OTH ❑PTY ❑SCC 11 0 2016 Kathleen Porterfield s❑IND Executive Drrector 250.00 250. G201 0.00 1503 Ave La Posta Encinitas Country Day Encinitas, CA 92024 ❑COM School ❑OTH ❑PTY ❑SCC SUBTOTALS 300.00 z r1 Y^ +r „.s 'Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) OTH-Other(e.g.,business entity) PTY-Polifical Party SCC-Small Contributor Committee FPPC Form 460(Jan/2016) FPPC Advice:advice@fppccagov(8661275-3772) www.fppc.ca.gov www.netFle.com Schedule A (Continuation Sheet) SCHEDULEA (CONT.) Monetary Contributions Received Amounts may berounded Statement covers period I RNIA towholedolters. I ' from 10/23/2016 •" through 12/31/2016 Page 9 of 19 NAME OF FILER I.D.NUMBER Gaspar for Mayor 2016 1387663 FULL NAME,STREET ADDRESS AND ZJP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVETO DATE PER ELECTION DAB OF CT ADDRESS S AND 7JP CODE O OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE OFSELF£MFW ,ENTERN E PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) ❑RIND Professor 100.00 100.00 G2016 $100.00 11 03 2016 Chris Powers 2 9 Buccaneer St University of Southern Marina Del Rey, CA 90292 ❑COM California ❑OTH ❑PTY ❑SCC 11/02/2016 Michael Van Gilder ]IND Physical Therapist 200.00 200.00 G2016 $200.00 1115 Oceanic Drive ❑COM Rehab United PT & Sports Encinitas, CA 92024 ❑OTH ❑PTY ❑SCC 10/27/2016 John Wallace ©IND Physical Therapist 100.00 100.00 G2016 $100.00 2120 W Arrow Route 526 ❑CAM EMS Practice Solutions Upland, CA 91786 ❑OTH ❑PTY ❑SCC 11/07/2016 Michael Walsh x❑IND Insurance Broker 100.00 100.00 G2016 $100.00 2254 Vista La Nisa ❑COM Hub International Carlsbad, CA 92009 ❑OTH ❑PTY ❑SCC 11 0 0l Wayne W a en X❑IND C-9— iropractor 100.00 100.00 G2016 100.00 9889 Woodglen Vista Drive ❑COM Self; Whalen Chiropractic Santee, CA 92071 ❑OTH ❑PTY ❑SCC SUBTOTALS 600.00 :� �'� ' ,; **"'Z,�.' 'Contributor Codes IND—individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g.,business entity) PTY—Political Parry SCC—Small Contributor Committee FPPC Form 660(Jan/2016) FPPC Advice:advice@fppc.ca.gm(8661275-3772) wv Jppc.ca.gov www.netfile.com SCHEDULEB-PART1 Schedule B—Part 7 Amounts may be rounded Statement coven period CALIFORNIA Loans Received to whole dollars. from 10/23/2016 FORM 460 SEE INSTRUCTIONS ON REVERSE through 12/31/2016 Page 10 of 19 NAME OF FILER I.D. NUMBER Gaspar for Mayor 2016 1387663 IF AN INDIVIDUAL,ENTER lb) (c) a) (e) (f) Ig) FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT OUTSTANDING INTEREST ORIGINAL CUMULATIVE OCCUPATION AND EMPLOYER BALANCE AMOUNT PAID BALANCEAT OF LENDER QFBFIF-ENPLOVEO,EmEa BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF CONMnTEE.ALSOENrER I.D.NUMeER) NANEOFBU5INESS) PERIOD THIS PERIOD' PERIOD LOAN TO DATE Paul Gaspar Physical Therapist/Owner PAID CALENDAR YEAR 748 Lynwood Dr. Gaspar Doctors of Encinitas, CA 92024 Physical Therapy $ 0.00 $ 0.00 0.00 % $ 91225.00 $ 20,000.00 ®FORGIVEN RATE PER ELECTION' $ 9,225.00 $ 0.00 f 9,225.00 12/31/2016 f 0.00 08/22/2016 $G2016 20.000.00 t® IND D COM D OTH D PTY D SCC DATE WE DATE INCURRED Paul Gaspar Physical Therapist/Owner PAID CALENDARYEAR 748 Lynwood Dr. Gaspar Doctors of Encinitas, CA 92024 Physical Therapy f 0.00 $ a.DO o.00 % $ 10,000.00 $ 20,000600 ©FORGIVEN RATE PER ELECTION" $ 100000.00 $ 0.00 $ 10,000600 12/31/2016 $ 0.00 10113/2016 $02016 20,000600 t® IND D COM D OTH D PTY D SCC DATE DUE DATE INCURRED D PAID CALENDAR YEAR f f % f f []FORGIVEN RATE PER ELECTION" f S f f $ tD IND D COM D OTH D PTY D SCC DATE DUE DATE INCURRED SUBTOTALS $ o.00s 19,225.00§ 0.00$ 0.00 '. -+ (Enler(e)on Schedule B Summary S hR,I.W E,LN63) 1. Loans received this period.................................................................................................................... $ 0.00 (Total Column(b)plus unitemized loans of less than$100.) tcontributor Codes IND—Individual 2. Loans paid or forgiven this period .................................................................................6....................... $ 19,225.00 COM-Recipient committee (Total Column(c)plus loans under$100 paid or forgiven.) (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH-Other(e.g., business entity) PTY—Political Party 3. Net change this period. Subtract Line 2 from Line 1. -19,225.00 SCC—Small Contributor Committee . . . . . ................................................... NET $ Enter the et 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. FPPC Form 160(Jan/2016) FPPC Advice:advice@fppc.ca.gov(8661275-3772) www.fppc.ca.gov www.netfile.com Schedule Ci Amounts may be rounded SCHEDULE C Nonmonetary ContributionsReceived towholedollam. Statement covers period CALIFORNIA from 10/23/2016 FORM . 1 SEE INSTRUCTIONS ON REVERSE through 12/31/2016 Page 11 of 19 NAME OF FILER I.D.NUMBER Gaspar for Mayor 2016 1387663 IFAN INDIVIDUAL,ENTER AMOUNT/ CUMULATIVE TO PER ELECTION FULL NAME,STREET ADDRESS AND CONTRIBUTOR DESCRIPTION OF DATE DATE a OCCUPATION AND EMPLOYER FAIR MARKET TO DATE RECEIVED ZIP CODE OF CONTRIBUTOR CODE (IF SELF-EMPLOYED,ENTER GOODS OR SERVICES VALUE CALENDAR YEAR OF COMMITTEE.ALSO ENTER I.D.NUMBER) NAMEOF BUSINESS) (JAN 1-DEC 31) (IF REQUIRED) 10/28/2016 Deputy Sheriffs' Association of San ❑IND N/A Signs 249.98 249.98 G20 16 $249.98 Diego County (ID# 862122) N/A 330 Encinitas Blvd Suite 101 I�COM Encinitas, CA 92024 ❑OTH ❑PTY ❑SCC 12/31/2016 Scott E Cronin, LLP ❑IND N/A PRO 121.03 121.03 2016 $121.03 330 Encinitas Blvd Suite 101 N/A Encinitas, CA 92024 ❑Com GOTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑CUM ❑OTH ❑PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ 371.01 Schedule C Summary 'Contributor Codes 1. Amount received this period-itemized nonmonetary contributions. IND-Individual (Include all Schedule C subtotals.).....................................................................................................................$ 371.01 COM-Recipient committee (other than PTY or SCC) 2. Amount received this period-unitemized nonmonetary contributions of less than$100 ....................................$ 0.00 OTH-Other(e.g., business entity) PTY-Political Party 3. Total nonmonetary contributions received this period. SCC-Small Contributor committee Add Lines 1 and 2. Enter here and on the Summary Page,Column A, Lines 4 and 10. TOTAL $ 371.01 FPPC Form 460(Jan/2016) FPPC Advice:advice&ppc.ca.gov(8661275-3772) www.netFle.com www.fppc.ca.gov SCHEDULE E Schedule E Statement covers period Amounts may be rounded 71,D.,NUMBER Payments Made to whole dollars. 10/23/2016 from SEE INSTRUCTIONS ON REVERSE through 12/31/2016 19 NAME OF FILER Gaspar for Mayor 2016 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CLOP campaign paraphemalialmisc. MW 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 tv.or cable airtime and production costs FIL candidate filing/ballot fees Pi phone banks TRC candidate travel,lodging,and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals PD 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, e-mail) NAME AND ADDRESS OF PAYEE OF COMMITTEE,PLSO ENTER I D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID eFundraising Connections OFC 49.75 2831 G Street Suite 120 Sacramento, CA 95616 eFundraising Connections OFC 63.75 2831 G Street Suite 120 Sacramento, CA 95816 eFundraising Connections OFC 11.75 2831 G Street Suite 120 Sacramento, CA 95816 " Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTALS 125.25 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. 20,217.31 2. Unitemized payments made this period of under$100 .......................................................................................................................................... $ o.00 3. Total interest paid this period on loans. Enter amount from Schedule B,Part 1,Column (e).) 4. Total payments made this period. Add Lines 1,2, and 3. Enter here and on the Summary Page,Column A, Line 6. TOTAL $ 20,217.31 FPPC Form 460(Jan/2016) FPPC Toll-Free Helpline:SSGIASK-FPPC(86612763772) www.fppc.ca.gov www.#7eirtle.com Schedule E SCHEDULE E(CONT) (Continuation Sheet) Amounts may be rounded Statement covers period e _ Payments Made wwholedollars. from 10/23/2016 • - N SEE INSTRUCTIONS ON REVERSE through 12/31/2016 Page 13 p( 4 NAME OF FILER I.D.NUMBER Gaspar for Mayor 2016 1387663 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign pamphemalia/misc. NBR 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 cMc donations PEr petition circulating TEL tv, or cable airtime and production costs FTL 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 W 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 LIr campaign literature and mailings PRT print ads WEB information technology costs(internal,e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE.ALSO ENTER I.D.NUMBER) eFundraising Connections OFC 16.30 2831 G Street Suite 120 Sacramento, CA 95616 eFundraising Connections OFC 5.00 2831 G Street Suite 120 Sacramento, CA 95816 eFundraising Connections OFC 50.75 2831 G Street Suite 120 Sacramento, CA 95816 eFundraising Connections OFC 10.50 2831 G Street Suite 120 Sacramento, CA 95816 eFundraising Connections OFC 60.08 2831 G Street Suite 120 Sacramento, CA 95816 'Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTALS 192.63 FPPC Form 460(Jan/2016) FPPC Toll-Free Helpline:866/ASK.FPPC(866/275-3772) www.netlle.com www.fppc.ca.gov Schedule E SCHEDULE E(CONT.) (Continuation Sheet) Amounts maybe rounded Statement covers period 0 CALIFORNIA , ' to whob dollars. •' Payments Made from to/z3/zols SEE INSTRUCTIONS ON REVERSE through 12/31/2016 Page 14 of 19 NAME OF FILER I.D.NUMBER Gaspar for Mayor 2016 1387663 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign parephemalialmisc. IVW 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 PHD phone banks TRC candidate travel,lodging,and meals FPD fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals I D 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, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE,/ALSO ENTER I.D.NUMBER) Encompas Network Inc. PCs 3,103.44 2907 Shelter Island Dr., #105-271 San Diego, CA 92106 Revolvis Consulting Inc. PRT See Schedule G 575.00 7185 Navajo Road Suite P San Diego, CA 92119 Revolvis Consulting Inc. LIT See Schedule G 5,068.64 7185 Navajo Road Suite P San Diego, CA 92119 Revolvis Consulting Inc. WEB See Schedule G 1,447.64 7185 Navajo Road Suite P San Diego, CA 92119 Revolvis Consulting Inc. WEB 401.43 7185 Navajo Road Suite P San Diego, CA 92119 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS 10,596.15 FPPC Form 460(Jan12016) FPPC Toll-Free Helpline:8661ASK-FPPC(8661276. 772) www.netrrfe.com www.fppc.ca.gov SCHEDULE E(CONT.) Schedule E statemerdeoverspMed (Continuation Sheet) Amounts may be rounded CALIFORNIA , Payments Made towholedollars. from 10/23/2016 •" SEE INSTRUCTIONS ON REVERSE through 12/31/2016 Page is of 19 NAME OF FILER I.D.NUMBER Gaspar for Mayor 2016 1387663 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphemalia/misc. IMBR member communications RAID radio airtime and production costs CNS campaign consultants IVATG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL tv. or cable airtime and production costs FL candidate filing/ballot fees PHO phone banks TRC candidate travel,lodging,and meals FFD 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(intemet,e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMn7EE.N O ENTER I.O.NUMBER) Revolvis Consulting Inc. LIT See Schedule G 4,544.21 7185 Navajo Road Suite P San Diego, CA 92119 Revolvis Consulting Inc. WEB See Schedule G 3,000.00 7185 Navajo Road Suite P San Diego, CA 92119 Revolvis Consulting Inc. WEB 500.00 7185 Navajo Road Suite P San Diego, CA 92119 Revolvis Consulting Inc. CNS 266.67 7185 Navajo Road Suite P San Diego, CA 92119 Revolvis Consulting Inc. PRO 244.68 7185 Navajo Road Suite P San Diego, CA 92119 Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTALS 8,555.56 FPPC Form 460(Jan12016) FPPC Toll-Free Helpllne:866/ASK-FPPC(866/2753772) www.nettiile.com www.fpPC.M.gov Schedule E SCHEDULE E(CONT) (Continuation Sheet) Amounts may be rounded Statement covers period 0 CALIFORNIA Payments Made to whoN dollars. tram 10/23/2016 FORM 61 SEE INSTRUCTIONS ON REVERSE through 12/31/2016 Page 16 of 19 NAME OF FILER I.D.NUMBER Gaspar for Mayor 2016 1387663 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. OoP campaign paraphemalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTE contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PEr petition circulating TEL t.v.or cable airtime and production costs FIL candidate filinglballot fees PHD phone banks TRC candidate travel,lodging,and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals I D 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 Lrr campaign literature and mailings PITT print ads V1£B information technology costs(internet e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE,RL50 ENTER I.D.NUMBER) Scott & Cronin, LLP PRO 225.00 330 Encinitas Blvd Suite 101 Encinitas, CA 92024 Scott & Cronin, LLP PRO 275.00 330 Encinitas Blvd Suite 101 Encinitas, CA 92024 Scott & Cronin, LLP PRO 297.72 330 Encinitas Blvd Suite 101 Encinitas, CA 92024 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 797.72 FPPC Form 460(Jan/2016) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) www.netflle.com www.fppc.ca.gov SCHEDULEF Schedule F Amounts may be rounded sbbmanteoversperiotl CALIFORNIA I Accrued Expenses (Unpaid Bills) towholedollars. from 10/23/2016 •' through 12/31/2016 17 19 SEE INSTRUCTIONS ON REVERSE Page of NAME OF FILER I.D.NUMBER Gaspar for Mayor 2016 1387663 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign pamphemalia/misc. 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 Lv.or cable airtime and production costs FTL 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, accounfing) VOT voter registration LIT campaign literature and mailings PRT prim ads WEB information technology costs(intemel, e-mail) (a) (b) (c) (d) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING OF COMMITTEE.ALSO ENTER I.D.NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THISPERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Scott 6 Cronin, LLP PRO 275.00 0.00 275.00 0.00 330 Encinitas Blvd Suite 101 Encinitas, CA 92024 Revolvis Consulting Inc. WEB 401.43 0.00 401.43 0.00 7185 Navajo Road Suite P San Diego, CA 92119 •Payments that am contributions or Independent expenditures must also be SUBTOTALS$ 676.43= 0.005 676.43$ 0.00 summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b)subtotals for accrued expenses of$100 or more, plus total unitemized accrued expenses under$100.)............................................ INCURRED TOTALS$ 0.00 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of$100 or more, plus total unitemized payments on accrued expenses under$100.) .................................PAID TOTALS$ 676.43 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.) ................................................................................................................................................ NET$ -676.43 May be a mgewe numb FPPC Form 460(Jan2016) FPPC Toll-Free Helplins:866/ASK-FPPC(866275-3772) www.netfile.com www.fppc.ca.gov Schedule G SCHEDULE G Payments Made by an Agent or Independent Amounts may be rounded statement covers period . - Contractor(onBehalf of This Committee) to whole dollars. from 10/23/2016 e- • SEE INSTRUCTIONS ON REVERSE through 12/31/2016 Page 18 of 19 NAME OF FILER I.D.NUMBER Gaspar for Mayor 2016 1387663 NAME OF AGENT OR INDEPENDENT CONTRACTOR Revolvis Consulting Inc. CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment CIVP campaign paraphemalia/misc. NER member communications RAE) 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 P ID phone banks TRC candidate travel,lodging,and meals FPD fundraising events POL polling and survey research "FIRS staff/spouse travel, lodging, and meals II D 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 PZT print ads WEB information technology costs(Internet, e-mail) 'Payments thatare contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID IF COMMITTEE,PLW ExrEn In NUMBER) Dawn Dais Designs LIT Graphic Design 750.00 101 Saddle Rock Ct. Roseville, CA 95747 Encompas Network Inc. POs 3,350.31 2907 Shelter Island Dr., #105-271 San Diego, CA 92106 Encompas Network Inc. LIT 1,057.20 2907 Shelter Island Dr., #105-271 San Diego, CA 92106 Encompas Network Inc. LIT 2,741.69 2907 Shelter Island Dr., #105-271 San Diego, CA 92106 Attach additional information on appropriately labeled continuation sheets. TOTAL- $ 7,899.20 '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(Jan/2016) FPPC Advice:advice@fppc.ca.gov(86612753772) www.rietile.com www.fppc.ca.gov Schedule G(Continuation Sheet) SCHEDULE G(CONT.) Payments Made by an Agent or Independent Amounts may be rounded Ststement°overs period CALIFORNIA Contractor(on Behalf of This Committee) towholedollars. from 10/23/2016 •- SEE INSTRUCTIONS ON REVERSE through 12/31/2016 Page 1_ of 19 NAME OF FILER I.D.NUMBER Gaspar for Mayor 2016 1387663 NAME OF AGENT OR INDEPENDENT CONTRACTOR Revolvis Consulting Inc. CODES: tf one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMIF campaign paraphemalialmisc. MM 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 Fit- candidate tilinglballot fees PHD phone banks TRC candidate travel,lodging,and meals FFD fundraising events POI- polling and survey research TRS stag/spouse travel, lodging, and meals I D 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 V" information technology costs (Internet, e-mail) *Payments thatare contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMnTEE,, 60 ENTER I.D.NUMBER) Facebook, Inc. WEB 1,095.14 1 Hacker Way Menlo Park, CA 94025 Facebook, Inc. WEB 2,550.00 1 Hacker Way Menlo Park, CA 94025 Seaside Courier PAT 500.00 140 Encinitas Blvd., #301 Encinitas, CA 92024 Attach additional information on appropriately labeled continuation sheets. TOTAL• $ 4,145,14 *Do not translar 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(Janl2016) FPPC Advice:advice@fppc.ca.gov(86612753772) www.netrile.com wwwAppc.ca.gov