The URL can be used to link to this page

Home My WebLink AboutForm 460 Citizens in Support of Measure D20 092420A2Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 08/22/20 through 09/19/20 i. Type of Recipient Committee: All Committees — complete Parts 1, 2, 3, and 4. ❑ Qfficeholder, Candidate Controlled Committee m Primarily Formed Ballot Measure U State Candidate Election Committee 0 Recall committee C!I Controlled (A)a C-Pisla Part sJ U Sponsored (Also C-Ote Pori 6) ❑ gneral Purpose Committee Sponsored ❑ Primarily Formed Candidate/ Small Contributor Committee Officeholder Committee Political Party/Central Committee {AJs C01 plete Parr 7J 3. Committee Information I.D. NUMBER 1430938 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Committee in Support of Measure D-20 STREET ADDRESS (NO P.O. BOX} CITY STATE ZIP CODE AREACODEIPHONE Atascadero CA 93422 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODElPHONE OPTIONAL: FAX/ E-MAIL ADDRESS Date of election if applicable: (Month, Day, Year) 11/03/2020 2. Type of Statement: Date Stamp Centra I Reception Page x<:, 7 S E 202, City of ❑ Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) m Amendment (Explain below) Amend Summary, Sched C, E tascadero COVER PAGE Of For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report Treasurer(s) Executed on NAME OF TREASURER Date Joseph Modica Jr. MAILING ADDRESS Executed on Date Executed on CITY STATE ZIP CODE AREACODE/PHONE Atascadero CA 93422 NAME OF ASSISTANT TREASURER, IF ANY Ron Overacker MAILING ADDRESS CITY STATE ZIP CODE ARFACODEIPHONE Atascadero CA 93422 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 of the State of California that the foregoing is_kue and correct. 11/18/2020 Executed on Date Executed on Date Executed on Date Executed on Date By or By Signature of Controlling Officeholder, Ca idate, State Measure Proponent or Responsible Officer of Sponsor By Signature of Controlling Ofteholder, Candidate, State Measure Proponent By Signature of Controlling Ofteholder, Ganddiste, SWe Measure Proponent FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE to whole dollars. Statement covens periodCALIFORNIA Summary Page from 08/22/20 FORM ' • NAME OF FILER Committee In Support of Measure D-20 Contributions Received l olumn w TOTAL THIS PERIOD $ 0 13. Cash Receipts........................................................... Column A, Line 3above (FROM ATTACHED SCHEDULES) 1. Monetary Contributions................................................... schedule A, Line 3 $ 2278 2. Loans Received................................................................ Schedule e, Line 3 16. ENDING CASH BALANCE Add Lines 12+ 13+ 14, then subtract Line 15 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ 2278 4. Nonmonetary Contributions ............................................ schedule C, Line 3 212.03 5. TOTAL CONTRIBUTIONS RECEIVED ............................... Add Lines 3 + 4 $ 2440.03 Expenditures Made 6. Payments Made................................................................ schedule E, Line 4 $ 18_93 7. Loans Made....................................................................... schedule H, Line 3 8. SUBTOTALCASH PAYMENTS ....................................... Add Lines 6+7 $ 18_93 I-olumn rs CALENDAR YEAR TOTAL TO DATE $ 2278 09/19/20 Page of 1 1430938 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6/30 7/1 to Date 2278 20. Contributions $ Received $ $ 212.03 21. Expenditures $ 2440.03 Made $ $ $ 18.93 $ 18.93 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Lim3 $173.89 $173.89 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 212.03 212.03 11. TOTAL EXPENDITURES MADE ................... ................ Add Lines 8+9+f0 $ 404.85 $ 404.85 Current Gash Statement 12. Beginning Cash Balance ............................ Previous Summary Pape, Line 16 $ 0 13. Cash Receipts........................................................... Column A, Line 3above 2278 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 15. Cash Payments......................................................... Column A, Line 8above 18.93 16. ENDING CASH BALANCE Add Lines 12+ 13+ 14, then subtract Line 15 $ 2259.07 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........ -- ................... Schedule e, Part2 $ I Cash Equivalents and 18. Cash Equivalents ................ 19. Outstanding Debts .............. .............. See instructions on reverse $ Add Line 2 + Line 9 in Column a above $ 173.89 To calculate Column B, add amounts in Column Ato the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (e Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mmlddtyy) Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ce.gov (866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers period from 08/22/20 SCHEDULE A SEE INSTRUCTIONS ON REVERSE through 09/19/20 Page of NAME OF FILER I.D. NUMBER Committee In Support of Measure D-20 1430938 Schedule A Summary 1. Amount received this period — itemized monetary contributions. 2000 (Include all Schedule A subtotals.).........................................................................................................$ 2. Amount received this period — unitemized monetary contributions of less than $100 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)... .....................$ 278 ........TOTAL $ 2278 '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 (866/275-3772) www.fppc.ca.gov FULL NAME, STREETADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE * (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN, 1 - DEC. 31) (IF REQUIRED) 0IND 08/26/20 Robert M Jones ❑ COM Retired 1000 1000 ❑ OTH Atascadero, CA 93422 ❑ PTY ❑ SCC ❑IND 09/11/20 Pro Tow ❑ COM Business 500 500 ® OTH Atasca ero, CA 93423 ❑ PTY ❑ SCC ® IND 09/14/20 Kellye Netz ❑ COM Police Sergeant 200 200 ❑ OTH City of Atascadero Atascadero, CA 93423 ❑ PTY ❑ SCC ® INDEl 09/18/20 Charles Bourbeau COM City Council Member 300 300 ❑ OTH City of Atascadero Atascadero, CA 93422 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 2000 Schedule A Summary 1. Amount received this period — itemized monetary contributions. 2000 (Include all Schedule A subtotals.).........................................................................................................$ 2. Amount received this period — unitemized monetary contributions of less than $100 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)... .....................$ 278 ........TOTAL $ 2278 '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 (866/275-3772) www.fppc.ca.gov Schedule C Amounts may be rounded SCHEDULE C Nonmonetary Contributions Received LV We1w1C UViiag*. Statement covers period from 08/22/20 , - • SEE INSTRUCTIONS ON REVERSE through 09/19/20 page of NAME OF FILER I.D. NUMBER Committee In Support of Measure D-20 1430938 DATE FULL NAME, STREETADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP GODS OF CONTRIBUTOR (IF COMMITTEE,ALSO ENTER I.D. NUMBER) * CODE ((F SELF.EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF REQUIRED) NAME OF BUSINESS) (JAN 1 - DEC 31) IND 08/26/20 Robert M Jones ❑ COM Retired FPPC Filing Fee 50.00 50.00 ❑ OTH Atascadero, CA 93422 ❑ PTY ❑ SCC ®IND 8/27/20 Robert M. Jones ❑ COM Retired Shipping ($50 51.58 101.58 ❑ OTH FPPC Filing Fee in Atascadero, CA 93422 ❑ PTY unitemized) ❑ SCC Z IND 8/28/20 Robert M. Jones ❑ COM Retired Publication of 60.00 161.58 ❑ OTH non -fictitious Atascadero, CA 93422 ❑ PTY business name ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 161.58 Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. 161.58 (Include all Schedule C subtotals.)......................................................................................................................$ 2. Amount received this period — unitemized nonmonetary contributions of less than $100 ................................. $ 50.45 3. Total nonmonetary contributions received this period. 212.03 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.).....................TOTAL $ 'Contributor Codes IND -- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party XC - Small Contributor Committee FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee In Support of Measure D-20 Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period from 08/22/20 through 09/19/20 Page of I.D. NUMBER 1430938 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MSR 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 fiilingiballot fees PHO phone banks TRC candidate travel, lodging, and meals END 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 candidatelsponsor 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_D_ NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Stripe PRO Credit Card Processing Fee 6.93 San Francisco, CA 94103 13 Chase Bank Atascadero, CA 93422 Bank Set-up Fee 12.00 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 18.93 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals) ............................................................................................................. $ 18.93 2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 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 $ 18.93 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE F Schedule F Amounts may be rounded to whole dollars. Statement covers period , Accrued Expenses (Unpaid Bills) from 8/22/20 • " through 9/19120 SEE INSTRUCTIONS ON REVERSE Page of NAME OF FILER I.D. NUMBER Citizens In Support of Measure D-20 1430938 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalialmisc. M8R 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 supportinglopposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads VVEB information technology costs (internet. e-mail) Payments that are contributions or independent expenditures must also be SUBTOTALS $ 0.0 $ 173.89 $ 0.O $ 173.89 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 $ 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 $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.)................................................................................................................................................................................... NET $ 173.89 0.0 173.89 May be a negative number FPPC Form 460 (Jan/2016)? FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov (a) () b (c) (d) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF coMMITTEE.ALSO ENTER ID. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E} OF THIS PER10D Ron Overacker Social Media $0.0 $98.64 $0.0 $98.64 , Paso Robles, CA 93422 M Advertising p Atascadero Police Association Social Media 0.0 $75.25 $0.0 $75.25 - Atascadero, CA 93422 p Advertising Payments that are contributions or independent expenditures must also be SUBTOTALS $ 0.0 $ 173.89 $ 0.O $ 173.89 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 $ 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 $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.)................................................................................................................................................................................... NET $ 173.89 0.0 173.89 May be a negative number FPPC Form 460 (Jan/2016)? FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov