Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) J_ul.:;..y_1_,_2_0_1_0 Date of election if applicable: (Month, Day, Year) Date Stamp r-----.-------.lreceived SEE INSTRUCTIONS ON REVERSE through S_e_p_t_3_0_,_2_0_10 Nov 2,2010 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. Ii2l Officeholder, Candidate Controlled Committee o State Candidate Election Committee o Recall (Also Complele Palf 6) o General Purpose Committee Sponsored Small Contributor Committee o Political Party/Central Committee 3. Committee Information COMMIITEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) o Primarily Formed Ballot Measure Committee o Controlled o Sponsored (Also Complele PBlf 6) o Primarily Formed Candidate/ Officeholder Committee (Also Complele Palf 7) 1.0. NUMBER STREET ADDRESS (NO PO. BOX) 4597 Big Sur St CITY Oceanside STATE CA MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR PO PO Box 720 CITY San Luis Rey STATE CA ZIP CODE 92057 BOX ZIP CODE 92068 AREA CODEJPHONE 760.439.4960 2. Type of Statement: 1ll" Preelection Statement semi-annual Statement Ii2l o Termination Statement (Also file a Form 410 Termination) o Amendment (Explain below) Treasurer(s) NAME OF TREASURER Blake Kern MAILING ADDRESS 4597 Big Sur St CITY Oceanside NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS 05 20m CEANSIDE CITY CLERK STATE CA For Official Use Only o Quarterly Statement o Special Odd-Year Report o Supplemental Preelection Statement - Attach Form 495 ZIP CODE 92057 COVER PAGE AREA CODE/PHONE 760.439.4960 AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE 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 my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws ofthe State of California that the foregoing is true and corre Executed on Executed on 10.5.2010 Date 10,5.2010 Date By By Executed on Dele By Signature of Controlling Officeholder. Candidate, Slate Measure Proponem Executed on Dete By Signatureo! Controlling Officeholder, Candidate, state Measure Proponem FPPC TolI Free Helpline: 866/ASK FPPC (866/275-3772) State of C21lifomla
Recipient Committee Campaign Statement Cover Page - Part 2 COVER PAGE PART2 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE Jerome "Jerry" Kern OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Oceanside City Council RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 4597 Big Sur St Oceanside CA 92057 NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION SUPPORT o OPPOSE 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 contributions or make expenditures on behalf of your candidacy. OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY COMMITTEE NAME 10 NUMBER NAME OF TREASURER COMMITTEE ADDRESS CITY COMMITTEE NAME NAME OF TREASURER COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE STREET ADDRESS (NO P.O. BOX) CONTROLLED COM MITTEE? DYES 0 NO ID. NUMBER AREA CODEJPHONE CONTROLLED COMMITTEE? o YES 0 NO 7. Primarily Formed Candidate/Officeholder Committee List names of offlceholder(s) or candldate(s) for which this committee Is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT o OPPOSE CITY STATE ZIP CODE AREA CODEJPHONE Attach continuation sheets if necessary FPPC Form 460 (Januaryf05) FPPC TolI Free Helpline: 866/ASK FPPC (866/275-3772) State of California
Campaign Disclosure Statement Summary Page J_uḷo..Y_1_,_2_0_1_0 4l:: n SUMMARYPAGE 0\.1 SEE INSTRUCTIONS ON REVERSE through S_e..;.p_t_3_0_,2_0_1_0 Page _3-=- of LD. NUMBER 283408 Contributions Received 1. Monetary Contributions... Schedule A. Line 3 2. Loans Received '" Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 + 2 4. Nonmonetary Contributions... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 + 4 ColumnA TOTALTHIS PERIOD (FROMATTACHEDSCHED.JLES) 5557.00 5557.00 5557.00 CoIumnB CALENDAR YOAR TOTALTO DATE 11,593,00 11,593.00 11,593.00 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions 1/1 through 6130 7/1 to Date Received 6036.00 5557,00 21. Expenditures Made 14,114.31 12475.81 Expenditures Made 6. Payments Made Schedule E, Line 4 7. Loans Made ScheduleH, Line 3 8. SUBTOTAL CASH PAYMENTS Add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) ScheduleF, Line 3 10. Nonmonetary Adjustment Schedule C, Line 3 11. TOTAL EXPENDITURES MADE Add Lines 8 + 9 + 10 12,475.81 12,475.81 12,475.81 26,590.12 0,00 26,590.12 0,00 26,590.12 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made" (Ir subject to Voluntary Expendnure Lim n) Date of Election (mmldd/yy) Total to Date ----- Current Cash Statement 12. Beginning Cash Balance Previous Summary Page, Line 16 13. Cash Receipts Column A, Line 3 above 14. Miscellaneous Increases to Cash.. Schedule I, Line 4 15. Cash Payments... Column A, Line 8 above 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 If this Is a termln atlon statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents See instrucuons on reverse 19. Outstanding Debts AddUne2 + Line 9 in Column B above 25,102.34 5557.00 12,475.81 18,183.53 To calculate Column B, add amounts In Column A to the corresponding amounts Column B of your last report. Some arnoun1s in Column A may be negative figures that should be subtracted previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts Lines 2, 7, and 9 (if any). ------1---.1 "Amounts in this section may be different amounts reported in Column B. FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A Monetary Contributions Received J_ul.::..y_1..;..'_2_01_0 SCHEDULE A SEE INSTRUCTIONS ON REVERSE through S_e...:p_t_3_0_,_2_0_10 1.0. NUMBER DtlTE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMmEE, ALSO ENTER 1.0. NUMBER) CONTRIBUTOR CODE '" IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YE'.AR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 7.1.10 David Shore 323 N Coast Hwy ~IND o COM Lawyer Self-employed ;t.oo.oo 7.8,10 7.14.10 Sterling Development 27422 Portola Parkway#300 Foothill Ranch, CA 92610 Billie V~illips 1080 Turnstone way Oceanside, CA 92057 DIND f2jcom f2jind DOOM 10 10 8.6,10 James Kottke 4541 Coronado Dr Oceanside, CA 92057 ~IND DCOM 10 8.15.10 Larry & Colleen O'Harra 766 Grey Hawk Ct Oceanside, CA 92057 ~IND ocom Self -employed attorney 25 SUBTOTAL Schedule A Summary 1. Amount received this period - itemized monetary contributions. (I nclude all Schedule A subtotals.) 2. Amount received this period - unitemized monetary contributions of less than 1 00 _ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL '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 TolI Free Helpline: 866/ASK FPPC (866/275-3772)
Schedule A (Continuation Sheet) Monetary Contributions Received July 1, 2010 ~ _ SCHEDULE A (CaNT.) through S_e-,-p_t_3_0_,2_0_1_0 ID NUMBER DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER J.D. NUMBER) CONTRIBUTOR CODE '" r21ind Gigi Gleason DOOM 9.3.2010 280 Borrego Ct Oceanside, CA 92057 opty i2jind Ralph Beattie 9.10.2010 DOOM 3753 Via Baldona opty Clifford Kaiser 9.10.2010 1800 Thibodo Rd #220 Vista, CA 92081 9.14.2010 9.19.2010 i2jind DOOM opty olnd Oceanside Transporatation Services DOOM 624 Camelot Dr izloth opty olnd Cambria Holdings DOOM 401 N Cleveland st I2jOTH opty IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPl.OYED. ENTER NAME OF BUSINESS) IT Consultant Kaiser & Assoc AMOUNT RECEIVED THIS PERIOD 20 10 10 25 20 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC 31) PER ELECTION TO DATE (IF REQUIRED) SUBTOTAL 'Contributor CDdes IND-Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party sec - Small Contributor Committee FPPC Toll-Free Hi:lpline: 866/ASK-FPPC (866/276-3772)
Schedule A (Continuation Sheet) Monetary Contributions Received J_u...:.ly_1-:.,_2_0_1_0 through S_e...:.p_t_3_0_,_2_0_1o SCHEDULE A (CaNT.) 4 Q A UU page~of /..1 10. NUMBER DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 DEC 31) PER ELECTION TO DATE (IF REQUIRED) i2jind Sally Baldridge o COM 9,17,2010 1211 California St COO Jazzercise Inc ~IND DCOM Sharon Sheafe 9,17.2010 202 S Pacific Sf Homemaker ~IND DCOM Debora Zernik 9,19.2010 322 S Ditmar St i2jind Carl Hilliard 9,19,2010 o COM 1050 Camin9 Del Mar Del Mar, CA 92014 li"lind DCOM David Soanes 9,19.2010 6378 Paseo Potrero Carlsbad, CA 92009 Dsec Program Manager Holoeye Systems Councilmember City of Del Mar Architect Self employed SUBTOTAL 50 1 Uii r>. /...i. i l '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 (January/05) FPPC Toll-Free Helpline: 866/ASK FPPC (866/275-3772)
Schedule A (Continuation Sheet) Monetary Contributions Received J_u...:.ly_1_,_2_0_1_0 SCHEDULE A (CaNT.) 4CA \IV through S_e,...:p_t_3_0_,_2_0_10 page1j7ofk 1.0. NUMBER DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IFCOMMITIEE,ALSO ENTER LD.NUMBER) CODE * IF AN INDNIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVETODATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 9,19,2010 DIND Hass Realty Team DcoM 2131 Ocean View Rd 12l0TH Oceanside, CA 92056 150,00 ~IND Larry Anderson 9,19.2010 o COM 4002 Vista Wy Oceanside, CA 92056 DpTY CEO Tri City Medical Center 200,00 9,19,2010 I2lIND Bruce and Ann Mortland o COM 2297 Dunstan Rd OIND Days Inn Oceanside 9,19.2010 DCOM 1501 Carmelo Dr i2'!oth 15 i2'!ind Michael & Diane Bagby 9,19,2010 o COM 5539 Papagallo Dr Oceanside, CA 92057 DpTY SUBTOTAL 700,00 'Contributor Codes IND-Individual COM - Recipient Committee (other than PTY or sec) OTH - Other (e.g" business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Toll-Free Helpline: 866/ASK-FPPC (866/276-3772)
Schedule A (Continuation Sheet) Monetary Contributions Received J_u-=.ly_1_,_2_0_1_0 SCHEDU LE A (CaNT.) 4Q t'\ Uti through S_e...:.p_t_3_0_,_2_01_0 Page1IlSfof 13 1.0. NUMBER DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE. ALSO ENTER J.D. NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 9.21.2010 i2]ind Ollie Speraw OCOM 519 Citrus Way Oceanside, CA 92058 20 OIND Mikhail Bros Inc 9.21.2010 OCOM 650 Douglas Dr #113-120 ~OTH 75 IZIIND Mary Matava 9.24.2010 o COM 2017 MacKinnon Ave Cardiff, CA 92007 OSCC Agronomist Agri Services 25 IZIIND David Shore OCOM 9.22.2010 323 N Coast Hwy #E Attorney Self-employed 10 IZIIND Robert Schroeder OCOM 9.24.2010 3403 Dunes Place 10 SUBTOTAL 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 Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Monetary Contributions Received Statementcovers period J_u...:.'y_1_,_2_0_1_0 SCHEDULE A (CaNT.) 460 through S_e...:.p_t_3_0.:...,_20_1_0 page~of /3 I.D. NUMBER Dt>.TE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITIEE,ALSO ENTER 1.0. NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 9.24.2010 Sudberry Properties 5465 Morehouse Dr # 260 San Diego, CA 92121 DIND DcoM ii"ioth 50 15W.C)O 9.28.2010 Kim Dillon 1011 S Pacific SI ii"ilnd o COM Housewife 25 DIND DCOM DIND o COM DIND DCOM OSCC SUBTOTAL Contributor Codes IND -Individual COM - RecipientCommittee (other than PTY or SCC) OTH - Other (e.g.. business entity) PTY - Political Party sec - Small ContributorCommittee FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE J_u...;.'Y_1_,_2_0_1_0 Sept30,2010 through 4C n SCHEDULEE Page'ItC> of I> LD. NUMBER UU 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, lodging, and meals INO 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 professionai services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads \,1\, 8 information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMfTTEE. ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Republican Club of San Diego County Membership 5703 Oberlin Dr #1 07 25 San Diego, CA 92121 North County Printers 406 S Cleveland St LIT 711.88 Williamson Insurance Co 1405 EI Camino Real #109A PRO 691.25 Oceanside. CA 92054 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL 1,653.13 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals) 2. Unitemized payments made this period of under 1 00 " 3. Total interest paid this period on loans. (Enter amount Schedule S, 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 FPPC Form 460 (January/Oo) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule E (Continuation Sheet) Payments Made July 1,2010 -=--:..- _ SCHEDULE E (CaNT.) SEE INSTRUCTIONS ON REVERSE through _S_e-"p_t_3_0_,2_0_1_0_ 1.0. NUMBER 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 CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries cve civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees A-lO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meais 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) VaT 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 (IF COMMITTEE, ALSO ENTER LD. NUMBER) City of Oceanside 330 N Coast Hwy FIL 740,00 Smart & Final 1737 Oceanside Blvd FND 232,15 Colby Poster Printing 1332 W 12th PI CMP 1245,66 Los Angeles, CA 90015 Veterans Assoc of North County PO Box 3046 evc 170,00 Oceanside, CA 92051 Brad Henson 28525 Broadway Ave #29 WEB 1249,88 San Diego, CA 92102 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL 3,637.69 FPPC Form 460 (January/Oo) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/270-3772)
Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE J_u~ly_1_,_2_0_10 through _S_e...;.p_t_3_0_,2_0_1_0_ SCHEDULE E (CaNT.) 4C B UU page~~ ID.NUMBER 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 FEr petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRe 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)' FOS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VaT Yoter registration LIT campaign literature and mailings PRT print ads WES information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITIEE. ALSO ENTER J.D. NUMBER) Stop Taxing Us 7040 Ave Encinas #104 7 MTG 125.00 Carlsbad, CA 92011 Voter Information Guide 13701 Riverside Dr #604 LIT 935.00 Sherman Oaks, CA 91423 Political Data Inc 825 So Victory Blvd LIT 641."14 Burbank, CA 91502 NTLC Newsletter 30011 Ivy Glen Dr # 223 LIT 25 Laguna Niguel, CA 92677 California Public Safety Voter Guide 30011 Ivy Glen Dr # 223 LIT 25 Laguna Niguel, CA 92677 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL 2,201.74 FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE J_u..;..ly_1_,_2_0_1_0 through _S_e...;,p_t_3_0_,2_0_1_0_ 4C n SCHEDULE E (CONT.) Page "(ll3o fr ID NUMBER UU 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 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, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) San Diego County RLVG 30011 Ivy Glen Dr # 223 LIT 250,00 Laguna Niguel, CA 92677 Save Prop 13 30011 Ivy Glen Dr # 223 LIT 25 Laguna Niguel, CA 92677 Republican Woman's Voice 30011 Ivy Glen Dr # 223 LIT 25 Laguna Niguel, CA 92677 SBAC Newsletter 30011 Ivy Glen Dr # 223 LIT 25 Laguna Niguel, CA 92677 North County Printers 406 S Cleveland St LIT 3,381.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL 4,- 381.00 FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)