Date of Election if applicable 11/06/2012. (Month, Day, Year) Treasurer(s) NAME OF TREASURER C. April Boling, C.P.A. STREET ADDRESS CITY.
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1 Recipient Committee Campaign Statement Cover Page Date of Election if applicable 11/06/2012 (Month, Day, Year) DateStartik, 1 CLE'eS 12 OCT Jo C COVER PAGE CALIFORNIA FORM ff-t A 60 Page 1 of 17 y e For Official Use Only 1. Type of Recipient Committee D Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall n General Purpose Committee II Primarily Formed Ballot Measure Committee O Controlled Sponsored 2. Type of Statement 11 Pre-election Statement [I] Semi-Annual Statement U Termination Statement 0 Amendment L Quarterly Statement D Special Odd-Year Statement D Supplemental Pre-election Statement - Attach Form 495 Sponsored O Small Contributor Committee O Political Party/Central Committee Primarily Formed Candidate/ Officeholder Committee 3. Committee information COMMITTTEE NAME I.D. Number San Diego Restaurant and Beverage Political Action Committee, sponsored by the California Treasurer(s) NAME OF TREASURER C. April Boling, C.P.A. STREET ADDRESS STREET ADDRESS (NO PO BOX) CITY San Diego MAILING ADDRESS (IF DIFFERENT) CITY San Diego STATE ZIP AREA /PHONE NAME OF ASSISTANT TREASURER, IF ANY CA STREET ADDRESS STATE ZIP AREA /PHONE CA CITY STATE ZIP C I T Y STATE ZIP AREA GODE/PHONE OPTIONAL: FAX/ ADDRESS O P T I O N A L : FAX / 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 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 10/04/2012 B y ( ) / - 7 SIGNATURE OF TREASURER OR ASSISTA TREASURER Executed on B y Executed on B y Executed on B y SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDI, STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDI, STATE MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDI, STATE MEASURE PROPONENT FPPC Form 460- January/05 Slate of California/SI
2 Recipient Committee Campaign Statement Cover Page - Part 2 COVER PAGE PART 2 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDI N A M E OF BALLOT MEASURE OFFICE SOUGHT OR HELD ( INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) B A L L O T NO. OR LETTER JURISDICTION SUPPORT OPPOSE RESIDENTIAL/BUSINESS ADDRESS) NO. AND STREET) C I T Y S T A T E ZIP Identify the controlling officeholder, candidate, or state measure proponent, if any, NAME OF OFFICEHOLDEk OR CANDI 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. COMMITTEE NAME I D. NUMBER OFFICE SOUGHT OR HELD D I S T R I C T NO. IF ANY NAME OF TREASURER COMMITTEE STREET ADDRESS ( NO P.O. BOX) CONTROLLED COMMITTEE? YES E l NO 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s)orcandidate(s) for which this committee is primarioy formed NAME OF OFFICEHOLDER OR CANDI OFFICE SOUGHT OR HELD D SUPPORT 0 OPPOSE CITY S T A T E ZIP AREA /PHONE! NAME OF OFFICEHOLDER OR CANDI OFFICE SOUGHT OR HELD 1 COMMITTEE NAME I D. NUMBER I 0 SUPPORT. D OPPOSE i NAME OF TREASURER T C O N T E R O L L E D COMMFT N? A M E OF i OFFICEHOLDER OR CANDI OFFICE SOUGHT OR HELD YES 0 NO i D SUPPORT 1 COMMITTEE STREET ADDRESS ( NO P.O. BOX) i E l OPPOSE CITY S T A T E ZIP AREA /PHONE NAME OF OFFICEHOLDER OR CANDI OFFICE SOUGHT OR HELD SUPPORT OPPOSE WPC Form January/05 Stale of California/SI
3 Campaign Disclosure Statement Summary Page SUMMARY PAGE Page 3 of 17 NAME OF FILER San Diego Restaurant and Beverage Political Action Committee, sponsored by the California I.D. NUMBER Column A C o l u m n B Contributions Received TOTAL THIS PERIOD C A L E N D A R YEAR Calendar Year Summary for Candidates (FROM ATTAChED SCHEDULES) T O T A L TO Running in Both the State Primary and 1. Monetary Contributions S c h e d u l e A, Line 3 $ 28, $ 1 5 0,, General Elections Loans Received S c h e d u l e B, Line Contributions 3. SUBTOTAL CASH CONTRIBUTIONS A d d Lines 1+ 2 $ 28, $ ) Received $ 4. Nonmonetary Contributions S c h e d u l e C, Line 3 0,00! TOTAL CONTRIBUTIONS A d d Lines $ 28, $ 150,! Expenditures Made 6. Payments Made S c h e d u l e E, Line 4 7. Loans Made S c h e d u l e d, Line 3 21 Expenditures Made $ $ 1/1 6,30 7 / 1 to Date 5, , Expenditure Limit Summary for State Candidates SUBTOTAL CASH PAYMENTS A d d Lines $ 5, , Cumulative Expenditures Made* ( If Subject to Voluntary Expenditure Limits) 9. Accrued Expenses (Unpaid Bills) S c h e d u l e F, Line I Nonmonetary Adjustment S c h e d u l e C. Line TOTAL EXPENDITURES MADE A d d Lines , , Current Cash Statement 12. Beginning Cash Balance P r e v i o u s Summary Page. Line 16 2, Cash Receipts C o l u m n A. Line 3 above 28, " Amounts in this Section may be different amounts 14. Miscellaneous Increases to Cash Schedt,!el, Line reported in Column B. 15. Cash Payments C O N I I M A Line 8 above 5, ENDING CASH BALANCE Add Lines , then subtract Line 75 31, LOAN GUARANTEES S c h e d u l e B, Part Cash Equivalents and Outstanding Debts 18. Cash Equivalents Outstanding Debts A d d Lines 2 Lin 0.00 FPPC Form January/05 State or California/SI
4 l M U L l i e 1 Monetary Contributions Received CALIFORNIA 460 FORM Page 4 of 17 NAMEOFFILER San Diego Restaurant and Beverage Political Action Committee, sponsored by the California, ID NUMBER FULLNAMB,STREETADDRESSANDZIPOFOF OFCOMMFTEEALSOBNTERLUNINSFR) CODS IF AN OBSELF-EMPLOYED,ENTERNAMEOFBUSINESS) CUMULATIVETO WAN.1-DEC.3 PEE ELECTION TO (I-l'Anthony's 09/25/2012 Seafood Group OTR , Chula Vista, CA (I-1 08/30/2012 Barone. Valley Ranch Resort & Casino OTH (I-1 09/07/2012 Lakeside, CA Bertrand at Mister, OTB , (I-1 07/03/2012 San Diego, CA Bread 6. Cie I n c. OTH 1, , /14/2012 San Diego, CA Brigantine Restaurant Corp OTH 8, , San Diego, CA SUBTOTAL $ 9, Schedule A Summary 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page Column A Line 1) TOTAL$ 28, tt Contributor Codes IND - Individual 1. Amount received this period - itemized contributions COM - Recipient Committee (other than P'N or SCC) (Includes all Schedule A subtotals ) 28, Amount received this period - unitemized OTH - Other Pry- Political Party SCC - Small Contributor Committee FPPC Form 460(Jant05) FPPC Toll-Free Helpline: 066/AS K-FPPC
5 w m a Monetary Contributions Received CALIFORNIA FORM NAMEOFFilER San Diego Restaurant and Beverage Political Action Committee, sponsored by the Calif o iris, Page 5 of 17 ID tumber (1_1) )8/02/2012 FULL NAME, STREET ADDRESS A ND ZIP OF OF (IF COMMITTEE, ALSO ENTER I D, NUMBER) Busalacchi s Restaurants IF AN INDIVIDUAL, ENTER ' (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) UMULAT VETO (JAN. 1 - DEC, 31) OTH , TO San Diego, CA (I..1) )7/03/2012. carnitas Snack Shack 0T San Diego, CA Intermediary listed at the end of ScheduleA ( 1 ) )9/0G/2012 Cohn Restaurant Group Inc. OTH A , San Diego, CA 92106, Intermediary listed at the end of schedule A Hs. Sharon C Considine. ISO Real Estate Consultant Rancho Santa Fe, CA Self - Sharon Considine Intermediary listed at the end of Schedule,. (I-1) 9/06/2012 Cowboy Star Restaurant & Butcher Shop OTH , San Diego, CA Intermediary listed at the end of Schedule,. SUBTOTAL $ 1, Contributor Codes: IND - Individual COM- Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee
6 ...,...",...1,1,, r Monetary Contributions Received CALIFORNIA FORM Page G of 17 NAMEOFFILER San Diego Restaurant and Beverage Political Action Committee, sponsored by the California I D. NUMBER (i_l) )9/0E/2012 FULL NAME, STREET ADDRESS A ND ZIP OF OF (IF COMMITTEE, ALSO ENTER I D NUMBER) Croce' s Inc. O T H IF AN INDIVIDUAL, ENTER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) CUMULATIVE TO (JAN.1- DEC. 31) , TO Sau Disgo, Lia (IL] )9/0E/2012 Eat Drink and Sleep O T E , San Diego, CA 5 ( ) 19/18/2012 Fish Market Restaurants I n c. O T H ,300,00 San Diego, CA (T-4) 9/12/2012 Flagship Cruises & Events O T H San Diego, CA (I-1) 9/14/2012 George's at the Cove O T H La Jolla, CA S UBTOTAL $ 1, Contributor Codes: IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY Political Party SCC - Small Contributor Committee
7 6... r.".. IV.; P it. %N...WA III I Lit-01 I, Monetary Contributions Received CALIFORNIA A a n FORM n' Page 7 of 17 NAMEOFFILER San Diego Restaurant and Beverage Political Action Committee, sponsored by the California 1D NUMBER )7/02/2012 FULLNAME,STREETADDRESSANDZIPOFOF (IFCOMMITTEE,ALSOENTERLD NUMBER) Frederick Glick INC IF AN INDIVIDUAL, ENTER OFSELF-EMPLOYED,ENTERNAMEOFBUSMESS) Vice President CUMULATIVE TO (JAN. 1 - DEC. 31) TO Oceanside, CA Phil's SEQ )8/02/2012 Frederick Glick IN)) Vice President 30.0) 150. Oceanside, CA Phil's BOO 19/02/2012 Frederick Glick D Vice President Phil's SEQ Oceanside, CA (11) 7/19/2012 Hamilton Meat and Provision OTII San Diego, CA /1G/2012 Harbor Rouse OTH 2, , San Diego, CA SUBTOTk. $ 2, **Contributor Codes: INC - Individual COM - Recipient Committee (other than PTY or SCC) OTH -Other PTV - Political Party SCC - Small Contributor Committee
8 al,, Monetary Contributions Received Statement covers period CALIFORNIA FORM Page 8 of 17 NAMEOFFILER San Diego Restaurant and Beverage Political Action Committee, sponsored by the California I DLNUMBER F IFAN INDIVIDUAL, ENTER BF COMMITTEE, ALSO ENTER la NUMBER) (IF SELF-EMPLOYED ENTER NAME OF BUSINESS) TO (I-1) Harbor House OTH , )9/18/2012 San Diego, CA (iel) Humphrey's by the Bay/Partell Hotels OTH )9/07/2012 I ) San Diego, CA (I-1) I:Abbey Inc OTH )9/17/2012 San Diego, CA I (1_1) Oliva Goddard W Wright CPAs OTH , /21/2012 San Diego, CA Intermediary listed at the end or Schedule A (I-1) Pacifica Del Mar LLC OTH , /28/2012 Del Mar, CA SUBTOTAL $ 1, Contributor Codes: IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY Political Party SCC Small Contributor Committee
9 wc01,11 Monetary Contributions Received Statement covers period CALIFORNIA FORM Page 9 of 17 NAMEOFFILER San Diego Restaurant and Beverage Political Action Committee, sponsored by the California LD NUMBER (i..1) )7/19/2012 FULL N (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Phil's BED Point Coma Inc.!FAN INDIVIDUAL, ENTER (IF SELF-EMPLOYED, ENTER NAME OF BUSN ESS) CUMULATIVE TO (JAN. 1 - DEC, 31) OTH , TO San Diego, CA 92ilu (1_1) 19/03/2012 Phil's ESQ Point Coma Inc. OTH , San Diego, CA /17/2012 Powers Diane & Affiliated Entities OTH , San Diego, CA /17/2012 Powers Diane & Affiliated Entities OTH , San Diego, CA /17/2012 Powers Diane & Affilisted Entities OTH , San Diego, CA SUBTOTAL $ 1, **Contributor Codes: IND Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY Political Party SCC - Small Contributor Committee
10 OL,1 leulaiv /A 1 1Vionetary Contributions Received Statement covers period CALIFORNIA FORM " A Page 1 0 of 17 NAME OF FILER San Diego Restaurant and Beverage Political Action Committee, sponsored by the California I D NUMBER FULL NAME. STREET ADDRESS A ND ZIP OF OF (IF COMMITTEE, ALSO ENTER IN, NUMBER) IF AN INDIVIDUAL, ENTER 1 (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) CUMULATIVE TO (JAN. 1- DEC. 31) TO (I-1) )9/14/2012 Ed Powers IND Area Director Chilli ' s Grill and Bar Escondido, CA (1) )9/07/2012 Cesar Prado IND Regional Manager Merchants Building Maintenance San Diego, CA Intermediary listed at the end of Schedule 131) )9/25/2012 Prudential Overall Supply OT (1_1).9/14/2012 Chula Vista, CA Ruth' s Chris Steak House - Del Mar OTH /20/2012 Del Mar, CA Seaworld Parks & Ent. Inc. ote 4, , San Diego, CA SUBTOTAL $ 5, Contributor Codes: NO - individual COM - Recipient Committee (other than PTY or SCC) OTH -Other PTY - Political Party SCC - Small Contributor Committee
11 -.,..ar.m.,, I s o w l itt ILAICALIWI I %di l'ull/ Monetary Contributions Received CALIFORNIA A n n FORM - Page 1 1 of 17 NAMEOFFHER San Diego Restaurant and Beverage Political Action Committee, sponsored by the California ID NUMBER (I-1) )7/23/2012 FULLNAMEREETADDMSAND7POFOFOON OE COMMITTEE, ALSO ENTER I D NUMBER) SignOnSanDiego.com IFANINDIVIDDALENTER BF SELF-EMPLOYED, ENTER NAME OF BUSINESS) CUMULATIVETO (JAN.1-DEC.31) OTH, TO san Diego, CA )7/02/2012 Studio Diner Corporation OTH , San Diego, CA /02/2012 Studio Diner Corporation OTH , San Diego, CA /02/2012 Studio Diner Corporation OTH , San Diego, CA (1_1) 8/21/2012 Studio Diner Corporation OTH , San Diego, CA SUBTOTAL $ "" Contributor Codes: INS - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee
12 ,., -, -. s.a.641%, Monetary Contributions Received CALIFORNIA -FORIVI 460 NAMEOFFFLER San Diego Restaurant and Beverage Political Action Committee, Sponsored by the California Page 12 of 17 ID,NUMSER 19/27/2012 FULL NAME, STREET ADDRESS A ND ZIP COOE OF OF (IF COMMITTEE. ALSO ENTER ID, NUMBER) Susan Baumann and affiliated entities Shelter Island Inc. Bali Hai and Tom Ham's Lighthouse OTII IFANINDIVIDUALENIER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) CUMULATIVE TO (JAN. 1- DEC. 31) 2, , TO San Diego, LA 321u0 (I-1) )9/27/2012 Susan Baumann and affiliated entities Shelter Island Inc. Bali Hai and Tom Ham's 1 _. San Diego, CA OTH , IT-1) 9/06/2012. Terra American Bistro sr Catering OTH , (I-1) 9/14/2012 San Diego, CA The Brigantine Restaurant Corp OTH , San Diego, CA (1_4) 7/31/2012 The Brigantine Restaurant Corp OTR 1, , San Diego, CA Intermediary listed al the end of Schedule A SUBTOTAL $ 3, "Contributor Codes: IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH -Other PTY Political Party SCC - Small Contributor Committee
13 Vionetary Contributions Received CALIFORNIA FORM IkAE OF FILER San Diego Restaurant and Beverage Political Action Committee, sponsored by the California Page 1 3 of 17 I.D NUMBER FULL NAME. STREET ADDRESS A ND ZIP OF OF (IF COMMITTEE, ALSO ENTER ID, NUMBER) (11) California Restaurant Assn CONTR33UTOR OTH IF AN INDIVIDUAL, ENTER ' (IE SELF-EMPLOYED, ENTER NAME OF BUSINESS) CUMULATIVE TO (JAN, 1- DEC. 31) TO Sacramento, CA Intermediary f or IT -1) contribu o n ( s). SUBTOTAL $ 0 0 ' Contributor Codes: INO - Individual COM - Recipient Committee (other than Ply or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee
14 okoi ieuuie %- Nonmonetary Contributions Received SCHEDULE C CALIFORNIA FORM /3 0/2 012 Page 1 4 of 17 NAME OF FILER San Diego Restaurant and Beverage Political Action Committee, sponsored by the California I.D. NUMBER 07/3/420 TO FULL NAME, STREET ADDRESS AND ZIP OF OF California Restaurant Assn OTH OCCUPATION 8, EMPLOYER OR COMMITTEE ID NO DESCRIPTOR OF GOODS OR SERVICES $700 Accoun ing services / FAIR MARKET VALUE CUMULATIVE TO (JAN. 1 - DEC. 31) TO Schedule C Summary SUBTOTAL $ 0 00 Contributor Codes ND- Individual 1. Amount received this period - itemized contributions COM - Recipient Committee (other than PTY or SCC) (Includes all Schedule C subtotals ) 0 00 OTH - Other PTY- Political Party SCC - Small Contributor Committee 2. Amount received this period - unitemized Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page. Column A Lines 4 and 10.) TOTAL $ 0.00 FPPC Ferro 460(Jan/05) FPPC Toll-Free Heiptine: 856/ASK-FPPC
15 %,---,...- -, Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SCHEDULE D CALIFORNIA FORM Page 1 5 of 17 NAME OF FILER San Diego Restaurant and Beverage Political Action Committee, sponsored by the California I.D. NUMBER NAME OF CANDI, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE TYPE OF PAYMENT DESCRIPTION THIS PERIOD CUMULATIVE TO (JAN 1 - DEC 31) TO OF REQUIRED) 08/27/2012 Republican Party of San Diego County Monetary Contribution 5, , M Contribution 111 SUPPORT OPPOSE El independent 1 Expenditure SUBTOTAL 5, Schedule D Summary 1. Itemized contributions and independent expenditures made this period. ( Include all Schedule D subtotals. ) 2. Unitemized contributions and independent expenditures made this period of under MO. 3. Total contributions and indpendent expenditures made this period (Add Lines 1 and 2. Do not enter on the Summary Page.) TOTAL 5, , FPPC Form 460(January /05-51)
16 Schedule E Payments Made 0 7 / 0 1 / SCHEDULE E P a g e 1 6 of 17 NAMEOFFUR San Diego Restaurant and Beverage Political Action Committee 1.0, NUMBER S: If one of the following accurately describes CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary) CVC civic donations Ell_ candidate filing I ballot fees FND fundraising expenses IND independent expenditures supporting/opposing others LEG legal defense LIT campaign literature and mailings the payment, you may enter the code. MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO poressional services (legal, accounting) PRT print acts Otherwise, describe the payment. RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL Tv. or cable production costs TRC candidate travel, lodging and meals TRS staff/spouse travel, lodging and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, ) NAME AND ADDRESS OF PAYEE or DESCRIPTION 0 PAYMENT PAID American Mxpress OFC Pnoen x, AZ I OFC Calabasas, CA Innovative Merchant Solutions orc Calabasas, CA SUBTOTAL Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) 2. Unitemized payments made this period of under $ Total interest paid this period on loans. (Enter amount Schedule B, Part 1, Column (e). ) 4. Total payments made this period. (Add Line 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6) T O T A L $ 5, , FPPC Form 460(January /05-SI)
17 Schedule E (Continuation Sheet) Payments Made 07/0 Page 1 7 of 17 SCHEDULE E NAMEOFFILER San Diego Restaurant and Beverage Political Action Committee, sponsored by the California 1.0, NUMBER S: if one of the following accurately describes the payment, you may enter the code. CMP campaign paraphernalia/misc. MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary) OFC office expenses CVC civic donations PET petition circulating FL candidate filing / ballot fees PHO phone banks FND fundraising expenses POL polling and survey research ND independent expenditures supporting/opposing others POS postage, delivery and messenger services LEG legal defense PRO poressional services (legal, accounting) LIT campaign literature and mailings PRT print ads Otherwise,describethepayment RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL tv. or cable production costs TRC candidate travel, lodging and meals TRS staff/spouse travel, lodging and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, ) NAME AND ADDRESS OF PAYEE or DESCRIPTION OF PAYMENT PAD Innovative Merchant Solutions CRC Calabasas, CA 9_LJu.4 Republican Party of San Diego County CTB 5, San Diego, ID No, SUBTOTAL$ 5, FPPC Form 460(January /05-S1)
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