Form 460 Termination Recipient Committee - > > COVER PAGE
Campaign Statement CITY OF �+,tt ` •, � � gate Stamp �.
CITY �1_z_�'�c�. CITY CI+ �rw(�t(�'il"f�J � • �
Cover Page C11 Y CLERK �
❑11(1 a t p n '�• I•.
ZU I J r ` i Statement covers period Date of election if a p= " —4 P IN 3: 4 5 Page 1 of 9
from
.10/21/2018, (Month,Day,Year) For Official Use Only
SEE INSTRUCTIONS ON REVERSE through 12/31/2018 11/06/2018
1. Type of Recipient Committee: All Committeos—Complete Parts 1,2,3,and 4. 2. Type of Statement:
91 Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Quarterly Statement
O State Candidate Election Committee Committee ❑ .Special Odd-Year Report
t� Recall O Controlled Termination Statement
(AlsaCompletePan5) O Sponsored ermination)
(Also Complete Part 6)
El General Purpose Committee ❑ Amendment(Explain below)
0 Sponsored ❑ Primarily.Formed Candidate/
0 Small Contributor Committee Officeholder Committee
0 Political Party/Central Committee (Also Complete Part 7)
3. Committee Information 71409435 MBER Treasurer(s)
COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
Tony Brandenburg for Encinitas City Council 2018 Kevin K. Forrester
MAILING ADDRESS
Encinitas CA 92024 760-932-0999
CITY STATE ZIP CODE AREACODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY
Encinitas CA 92024 760-032-0999
MAILINGADDRESS(IF DIFFERENT)NO.AND STREET OR RO,BOX MAILING ADDRESS
CITY STATE ZIP CODE AREACODE/PHONE CITY STATE ZIP CODE AREACODE/PHONE
OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS
kevin@forresti)rtrust.co
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge th in rm tion Cb tained 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 12/31/2018 By .
Date ignatur r or Assistant Treasurer
Executed on 12/31/2018 By
Dale Signature of Cdr4r icehcflder,Canditifty0f9rMeasure Proponent or Responsible Officer of Sponsor
Executed on By
Date Signature of Controlling Officeholder,Candidate,State Measure Proponent
Executed on By
Date Signature of Controlling Officeholder,Candidate,State Measure Proponent
FPOC Form 460(Jan/2016)
FPOC Advice:advice @fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Recipient Committee COVER PAGE-PART 2
Campaign Statement FO CALIFORNIA 4 • 0
Cover Page — Part 2
Page 2 of .9
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 JURISDICTION ❑ SUPPORT
City Council Member/00 ❑ OPPOSE
RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP
Identify the controlling officeholder,candidate,or state measure proponent,If any.
648 Lomas de Oro Ct Encinitas, CA 92024
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 fanned to receive OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D.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 STREET ADDRESS (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
❑YES ❑ NO ❑ SUPPORT
❑ OPPOSE
COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX)
i
CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets!f necessary
FPPC Form 460(Jan/2016)
FPOC Advice:advice @fppc.ca.gov(866/275-3772)
www.fopc.ca.gov
Campaign Disclosure Statement Amounts may be rounded - SUMMARY PAGE
Summary Page to whole dollars. Statement covers period • . kq ,
from
10/21/'2018 • - •
SEE INSTRUCTIONS ON REVERSE
through 12/31/2018 Page 3 of 9
NAME OF FILER I.D.NUMBER
Tony Brandenburg for Encinitas City Council 2018 1409485
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTAL THIS PERIOD CALENDAR YEAR
(FROM ATTACHED SCHEDULES) TOTAL TO BATE Running in Both the State Primary and
Monetary Contributions A,Line 3 $ $2,198.00 5,812.00 General Elections
2. Loans Received ..........................:....................... schedule
B,Line 3
2,818.94 27,$18.94 1/1 through 613Q 7/1 to Date
5,016.94 33 530.94 20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS.:........ Received $ $
4. Nonmonetary Contributions............................................ schedule c,Line 3 0.00 93.74 21. Expenditures
01694 $
5. TOTAL CONTRIBUTIONS RECEIVED....................................Add Lines 9+4 $ 5, $ 33,124.68 Made $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made........................................:....................... schedule E Line 4 $ 8.538.$5 $ 33,$73.69 Candidates
7. Loans Made...............................................:....................... schedule N,Line 3 0.00 0.00
8,538.85 33,873.69 22. Cumulative Expenditures Made"
8. SUBTOTAL CASH PAYMENTS.............:............................ Add Lines 6+ $ $ (If Subject to Voluntary Expenditure Limit)
9. Accfued Expenses(Unpaid Bills)..........................................schedule F Line 3 0.00 0.00 Date of Election Total to Date
10.Nonmonetary Adjustment.........................................................schedule C,Line 3 0.00 .93.74 (mm/dd/yy)
11. TOTAL EXPENDITURES MADE........................................Add Lines e+9+10 $ 8,538.85 $ 33,567.43 $
Current Cash Statement
12. Beginning Cash balance........................:... Previous Summary Page,Line 16 $ 3,521.91
To calculate Column B,
13.Cash Receipts..........................................:................ Column A,Line 3 above 5,016.94 add amounts in Column
0.00 A to the corresponding *Amounts in this section may be different from amounts
14.Miscellaneous Increases to Cash.................................. Schedule/,Line 4 amounts from Column B reported in Column B.
15.Cash Payments.......................................
............... Column A,Line 8 above 8,538.$5 of your last report. Some
amounts in Column A may
16.ENDING CASH BALANCE ..................Add Lines 12+13+14,then subtract Line 15 $ 0.�0 be negative figures that
should be subtracted from
If this is a termination statement Line 16 must be zero. previous period amounts. If
this is the first report being
17. LOAN GUARANTEES RECEIVED.......:........................ schedule B,Pan 2 $ 0.00 filed for this calendar year,
only carry over tht'amounts
Cash Equivalents and Outstanding [debts from Lines 2,7,and 9(if
3 0.00 any)
18. Cash Equivalents.............:........................ See instructions on reverse $
19. Outstanding Debts...........:.................. Add Line 2+Line 9 in Columh B above $ 27,818.94 FPOC Form 460(Jan/2016)
FPOC Advice:advice @fppd.ca.gov(866/275-3772)
www.fopc.ca.gov
Schedule A Amounts may be rounded SCHEDULE A
to whole dollars. Statement covers period
Monetary Contributions Received CALIFORNIA ,
from 10/21/2018 FORM
SEE INSTRUCTIONS ON REVERSE
through 12/31/2018 Page 4 of 9
NAME OF FILER I.D.NUMBER
Tony Brandenburg for Encinitas City Council 2018 1409435
DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR [FAN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED CODE
(IF StLF•EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED)
OF BUSINESS)
❑IND
Walsh Financial Services
10/25/18 ❑COM 250.00 250.00 250.00
2665 Ariane Dr Ste 206 ®OTH
San Diego CA 92117-3460 ❑PTY
❑SCC
m IND
10/25/18 Gina Aven El CoM VP Corporate Internal 100.00 100.00 100.00
4030 Manchester Ave ❑OTH Audit- RGP
Encinitas CA 92024 ❑PTY
❑SCC
V IND
Ralph Borrelli 1:1 COM Retired
10/30/18 135 Via Del Cerrito El OTH None 100.00 100.00 100.00
Encinitas CA 92024 ❑PTY
❑SCC
Kirstin Lee 0IND
10/30/18 448 Cole Ranch Rd ❑COM Physician 200.00 200.00 200.00
Encinitas CA 92024 E]OTH Kirstin Lee MD
❑PTY
❑SCC
Alice Liu 171 IND
11/1/18 3376 Lone Hill Lane ❑CoM Dermatologist 250.00 250.00 250.00
Encinitas CA 92024
E]OTH Dermatologist Medical
❑PTY Group
❑SCC
SUBTOTAL$ 900.00
Schedule A Summary "Contributor Codes
1. Amount received this period-itemized monetary contributions. IND-Individual
(Include all Schedule A subtotals.)...............:.............................................................. .................:........$ 1,900.00 COM-Recipient Committee
(other than PTY or SCC)
2. Amount received this period—unitemized monetary contributions of less than$100..................:........$ 298.00 OTH-Other(e.g.,business entity)
PTY-Political Party
3. Total monetary Contributions received this period. sec-Small Contributor committee
(Add Lines 1 and 2. Enter here and on the Summa , Column A, Line 1. 2,198.00
Summary Page,9 )........:.............TOTAL $ .
FOPC 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 SCHEDULEA (CONY.)
Monetary Contributions Received to whole dollars. Statement covers period ,
from 10/21/2018 • :4 IVA I L owl
through 12/31/2018 Page 5 of 9
NAME OF FILER I.D.NUMBER
Tony Brandenburg for Encinitas City Council 2018 1409435
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 PERIOD (JAN.1-DEC.31) (IF REQUIRED)
OF BUSINESS)
Robert Booker ®IND General Contractor
11/11/18 2240 Encinitas Blvd Ste D ❑ 250.00 250.00 250.06
E]O OTH TH R.A. hooker Builders, Inc.
Encinitas CA 92024 ❑PTY
❑scC
Paula Booker ®El COM IND Interior Designer
11/1/18 2240 Encinitas Blvd Ste D El OTH Clairvoyant Interiors 250.00 250.00 250.06
Encinitas CA 92024 ❑PTY
❑SCC
Joseph K. McCrink ®IND Retired
11/2/18 1529 Calle Narcisos ❑OTH None 100.00 100.00 100.00
❑OTH
Encinitas CA 92024 ❑PTY
❑sCC
Twink Bumenn 0 IND Self-employed, no
11/2/18 3666 Bumann Rd El COM separate business name 100.00 200.00 200.06
El Encinitas CA 92024 ❑PTY
❑SCC
Colin Winfield ®IND Retired
11/4/18 225 Winterhawk Ln El COM None 200.00 200.06 200.06
❑OTH
Encinitas CA 92024 ❑PTY
❑SCC
SUBTOTAL.$ 900.00
'Contributor Codes
IND—Ihdividual
COM—Recipient Committee
(other than PTY or SCC)
OTH—Other(e.g.,business entity)
PTY—Oolitical Party
SCC—Small Contributor Committee FP�C Form 460(Jan/2016)
FPPC Advice:advice @fppd.ca.gov(866/275-3772)
www.fOpc.ca.gov
Schedule A(Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars. Statement covers period a.
from 10/21/2018 •
� . 1
through 12/31/2018 11D. 6 of 9
NAME OF FILER UMBER
Tony Brandenburg for Encinitas City Council 2018 1409435
DATE FULL NAME,STREET ADDRESS AND ZIP ODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
l
RECEIVED (IF COMMITTEE,ALSO ENTER I.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
Bob Nortm�n ® Retired
11/22/18 Bb G t ❑CoM 100.00 150.00 150.00
❑OTH None
Olivenhain CA 92024 ❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
SUBTOTAL$ 100.00 ; ;
*Contributor Codes
IND—Individual
COM Recipient Committee
(other than PTY or SCC)
OTH—Other(e.g.,business entity)
PTY—Political Party Fl)k Form 460(Jan/2016)
SCC—Small Contributor Committee FPk Advice:advice @fppcl.ca.gov(866/275-3772)
www.fppc.ca.gov
Amounts may be rounded SCHEDULE B-PART 1
Schedule B — Part 1 to whole dollars. Statement covers period
Worn 4 1.101:4 t
W'A �
Loans Received from 10/21/ 018
SEE INSTRUCTIONS ON REVERSE through 12/31/2018 page 7 of 9
NAME OF FILER I.D.NUMBER
Tony Brandenburg for Encinitas City Council 2018 1409435
FULL NAME,STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL,ENTER OUTSTANDING AMOUNT ( OUTSTANDING INTEREST ORIGINAL J CUMULATIVE
OCCUPATION AND EMPLOYEE AMOUNT PAID
OF LENDER BALANCE RECEIVED THIS BALANCE PAID THIS AMOUNT OF CONTRIBUTIONS
(IF COMMITTEE,ALSO ENTER I.b.NUMBER). (IF SELF-EMPLOYED,ENTER BEGINNING THIS OR FORGIVEN* CLOSE OF THIS
NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD PERIOD PERIOD LOAN TO DATE
Anthony J. Brandenburg None la PAID CALENDAR YEAR
648 Lomas de Oro Ct Retired $ 1571.06 $27818.94 0.00 ,, $ 25,000 $ 29,390
Encinitas, CA 92024 ❑FORGIVEN RATE PER ELECTION"
$ 25,000 $ 4,390 $ 0.00 $ $
%Z IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
❑PAID CALENDARYEAR
$ $ % $ $
El FORGIVEN FORGIVEN PERELECTION*t`
t❑ IND El COM F-1 OTH El PTY [:1 SCC $ $ $ $ $
DATE DUE DATE INCURRED
❑PAID CALENDARYEAR
$ $ % $ $
❑FORGIVEN
RATE PER ELECTION**
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ $ DATE DUE $ DATE INCURRED $
SUBTOTALS $ $ $ $
(Enter(e)on
Schedule B Summary Schedule E,Line 3)
1. Loans received this period......................................................................................... ..........................$ 41-300 nn
(Total Column (b)plus Unitemized loans of less than$100.) tContributor Codes
2. Loans paid or forgiven this period.........................................................................................................$ 5�' IND-Individual i na COM-Recipient Committee
(Total Column (c)plus loans under$100 paid or forgiven.) (othdr 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.)..............................................................NET $ 2,818 Ga SCC-Small Contributor Committee
Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number)
*Amounts forgiven or paid by another party also must be reported on Sbhedule A. FPOC Form 460(Jan/2016)
**If reluired. FPPC Advice:advice @fppc.ca.gov(866/275-3772)
www.fopc.ca.gov
Schedule C Amounts may be rounded SCHEDULE C
Nonmonetary Contl-ibutions Received to whole dollars. _ I
Statement covers period
from
10/21/2018 e ' • ,
SEE INSTRUCTIONS ON REVERSE
through 12/$1/2018 page 8 of 9
NAME OF FILER I.D.NUMBER
Tony Brandenburg for Eli cinitas City Council 2018 1409435
DATE FULL NAME,STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL,ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO PER ELECTION DATE
RECEIVED ZIP CODE OF CONTRIBUTOR CODE* OCCUPATION AND EMPLOYER GOODS OR SERVICES FAIR MARKET TO DATE
(IF SELF-EMPLOYED,ENTER VALUE CALENDAR YEAR IF REQUIRED
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) (JAN 1-DEC 31) ( )
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
[]IN
❑COM
❑OTH
❑PTY
❑SCC
❑IN
❑COM
❑OTH
❑PTY
❑SCC
Attach additional information on appropriately labeled continuation sheets. SUEtTOTAL$ 0.00 r
Schedule C Summary *Contributor Codes
1. Amount received this period-itemized nonmonetary contributions. IND-Individual
(Include all Schedule C subtotals.) .................... .............................. .......................................$ 0,00 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)
Add Lines 1 and 2. Enter here and on the Summa Page, Coldmn A Lines 4 and 10. .....................TOTAL $ 0;00 PTY-Politidal Party Committee
3. Total nonmoneta contributions received this period. SCC-Small Contributor C
( Summary 9 � )
FPOC Form 460(Jan/2016)
FPOC Advice:advice @fppd.ca.gov(866/275-3772)
www.fopc.ca.gov
Schedule E Amounts may be rounded SCHEDULE E
. Statement covers period • . �
Payments o whole dollars
ents Made 10/2'1/2018 • ' Ul
from
SEE INSTRUCTIONS ON REVERSE,
through 12/31/2018 page 9 of 9
NAME OF FILER I.D.NUMBER
Tony Brandenburg for Encinitas City Council 2018 1409435
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
CTS 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,lodgingi 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,e-mail)
NAME AND ADDRESS OF PAYEE
(IF cOMMITTEE,ALSO ENTER I.O.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
JCA Corn Inc. Graphics, printing, mailing, campaign signs
3755 Avocado BI#145 LIT 8,397.02
La Mesa, CA 91941
"Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 8,397.02
Schedule E Summary
1. Itemized payments mad
p Y e this period. (Include all Schedule E subtotals.).................................................................................:...........................$
8,397.02
2. Unitemized payments made this period of under$100................................... $ 141.83
3. Total interest paid this period on lochs. (Enter amount from Schedule B, Part 1, ColtJmn (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 $
8,538.85
FPhC Form 460(Jan/2016)
FOC Advice:advice @fppd.ca.gov(866/275-3772)
www.fppc.ca.gov