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HomeMy WebLinkAboutForm 460 Mattson 063021Recipient Committee COVER PAGE []ate Stamp e Campaign Statement ' • Cover Page RECEIVED SEE INSTRUCTIONS ON REVERSE Statement covers period from 1/1/2021 through 6/30/202 t 1. Type of Recipient Committee: All Committees -- Complete Parrs t, 2, 3, and 4_ mQfkeholder, Candidate Controlled Committee E-1 Primarily Formed Ballot Measure State Candidate Election Committee ommittee Q Recall Controlled (NN cWP*6 Part 5) Sponsored (AWO C -*815 Part s) ❑ neral Purpose Committee Sponsored ❑ Primarily f=ormed Candidate/ Small Contributor Committee Officeholder Committee Politicai Party/Central Committee PUM C-pble P*17) 3. Committee Information I.D. NUMBER 1431600 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Nic Mattson~ for Atascadero City Council 2020 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODElPHONE Atascadero CA 93422 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P O- BOX CITY STATE ZIP CODE AREACODEIPHONE OPTIONAL: FAX I E-MAIL ADDRESS 4. Verification 11 have used all reasonable diligence in preparing and reviewing this statement and to the best c my certify under penalty of perjury under the laws of the State of California that the foregoing is fru and Executed on 7/21/2020 y B Date n _• Executed on 712112020 Date Executed on Date Executed on Data By_ Date of election if applicable: (Month, Day, Year) 11/03/2020 JUL 2 3 2021 N OF ATASCM" .!TYCLERKSO 2. Type of Statement: ❑ Preelection Statement m Semi-annual Statement ❑ Termination Statement (Also file a Forth 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER MAILING ADDRESS Page of — For Olticlal Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA COOEIPHONE OPTIONAL: FAX ! E-MAIL ADDRESS dge the infonnatio ntai ed herein and in Syne dl Treasurer or AssLstart Treasurer cooboW. CMwictate. State Measlxe Pmpongnt ar Respor By Slgrra[ve of Con[rallurg 011icehokler, Gantlidate, Stale Measure PrppararY BY Slgnalure of ConbVi ng QfM1cehoMr, Candidate, Stale Measure Proponent Schedules is true and complete. I FPPC Form 460 I)an/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE NIC MATTSON OFFICE SOUGHT OR HELD {INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE} CITY COUNCIL, MEMBER, CITY OF ATASCADERO RESIDENTIALIBUSINESS ADDRESS (NO_ANDSTREET) CITY STATE ZIP ATASCADfi CA 93422 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 matte expenditures on behalf of your candidacy. NAME OF TREASURERI CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O_BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMrrTEE NAME I I -D. NUMBER NAME OF TREASURER REST ADDRESS {NO P O. ❑ YES ❑ NO COVER PAGE - PART 2 Page of 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of ofllceholder(s) or candidates) for which this committee is primarily formed NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE ut. r o — � 4— �Iuuc .,nr=., k1UUc1rnUrvc Attach continuation sheets Hnecessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. stall 111sM dsvm pw%d from SUMMARY PAGE FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov through12/31/2021 Page of SEE INSTRUCTIONS ON REVERSE — NAME OF FILERLD. NUMBER NIC MATTSON FOR ATASCADCIT ERO Y COUNCIL 2020 1431600 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTBia PERIOD (FROM ATTACHED aCHEDuMES) CAIFNDAP YFAH TOTAI TO DATE Running In Both the State Primary and General Elections 1. Monetary Contributions ............................. _.................... Srhedde A. Line $ 0 $ 850 0 950 111 through 6130 711 to Date 2 Loans Received ..... .................. .............._...__._.__......... SdnWseQ Lana __.__..__ _._ - - 0 1800 20. ConMbutons 3. SUBTOTAL CASH CONTRIBUTIONS .......... „_._._......... Add Lana f +2 S $ _ Received $ $ 4. Nonmonetary Contributions ............................................ SdmdL*C, Lina 0 0 ._ 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED.__________..........AddLaraa3+4 $ 0 $ 1800 Made $ $ Expenditures Made Expenditure L)mtt Summary for State 6. Payments Made.............. ... „.......... _................................ Sdnaas e, Line $ 0 $ 1402.91 Candidates 7. Loans Made ....................................... SdndUeKL1he3 0 0 0 1402.91 22. Cumulative Expenditures Made' 8. SUBTOTAL CASH PAYMENTS ............ _. ...._..._..._........ Add lana 8+7 S $ pr swy.a to Wiun yE.p.r [Wm Lime 9. Accrued Expenses (Unpaid Bills) ..__——...Sdedule P, Lhe3 0 540 Date of Election Total to Date 10. Nonmonetary Adjustment ....... .... ......... ------------ ... WWI C. Lana 0 0 (mm/ddtyy) 11. TOTAL EXPENDITURES MADE.-------------- _. Add LkW 8+e+10 $ 0 $ 1942.91 — 1 $ $ Current Cash Statement 12. Beginning Cash Balance ........................... Pns iissuSnnmary Page, Line 16 $ 397.09 To Calculate Column B, 13. Cash Receipts ................................ .... ..... Calxtt A, Lan 3 abote 0 add amounts in Column 14. Miscellaneous Increases to Cash ........... _........... ... ..... Sahsdrle I, Lan 4 0 A to the comesponding amounts from Column B 'Amounts in this section may be different from amounts reported in Column B. 15. Cash Payments ..... ............................................ ...... Co4xnnA Lan B above of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE ._..____-...Add Utes 12+19+14, Unn.subtrad Line 15 $ be negative figures that should be subtracted from If this is a termination statement, Line 16 must be tem previous pedod amounts. If this is the first report being 17. LOAN GUARANTEES RECEIVED ................................ Sdndde B. Pad 2 $ 0 filed for this calendar year, orgy carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts 0 any). 18. Cash Equivalents ................................................ see instructions on reverse $ 19. Outstanding Debts. _..L... .................... Add Une 2. Line s in Column a above S 950 -- — FPPC Form 460 (Ilan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER NIC MATTSON FOR ATASCADE.RO CITY COUNCIL 2020 Contributions Received 1. Monetary Contributions................................................... scWideA Line $ 2. Loans Received____._ ...................___.......__..._.......... Srhe"e, Lire 3. SUBTOTAL CASH CONTRIBUTIONS, .......... _... _............ Add Lilies l+2 $ 4. Nonmonetary Contributions ............................... ...... SMeduie C, Lele3 5, TOTAL CONTRIBUTIONS RECEIVED ._... ____.............. Add Lhnes3«o $ Expenditures Made 6. Payments Made................................ _.................... _........ Schedufe F Lines $ 7. Loans Made ................. ......................... ... __ SowulafLLhe3 8. SUBTOTAL CASH PAYMENTS .... _... _..... _...... ........... . Add Laren B+7 $ 9. Accrued Expenses (Unpaid Bills)_--___...Sdredule F Lima 10. Non monetary Adjustment.._ _ _ __......__------- —_.._.. Sdredute C. Line 3 11. TOTAL EXPENDITURES MADE ..______._____—_...Add L1ms8«9+10 $ Amounts may be rounded to whole dollars. SUMMARY PAGE Statement coven period i o„r 1/1/2821 through 6/30/2021 Page of Column A Column B TGTALTHISPERIOD CAI FNOAR YGAR (FRCNATTAC1AEDeC1-W[IU s) TOTAI TO DATF Current Cash Statement 12. Beginning Cash Balance... ......................... Previous summary page, one 16 $ 397.50 13, Cash Receipts..............................._..........__._........ column A, one 3 above 14. Miscellaneous Increases to Cash .......... _................. Sdreduie 1, Ldre4 15, Cash Payments- ...... .__........................................... Cdunn A Line 9 above 16. ENDING CASH BALANCE _.......... . Add Llnaa 12+13+ 14, Oren subbed Line 15 $ If this is a termination statement Line 16 meat be zero. Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ sea Instructions on reverse $ D 19. Outstanding Debts ............. _............ .. Add Lke2+Lbre9It, Colu,,IBabove $ 950 $ 850 950 $ 1800 0 $ 1800 $ 1402.91 0 $ 1402.91 540 0 $ 1942.91 To calculate Column B, add amounts in Column A to 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 Ned for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (1 any). I. U. NUMBER 1431600 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 though 6/30 7/1 to Dat[ 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (If sunleu To vduno" E ,Wttun Umle Date of Election Total to Date (mm/dd/yy) S Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 ()an/2016)) FPPC Advice: adviceia)fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded Monetary Contributions Received to whole dollars. statement covers period from 1/1/2021 SCHFDULE A SEE INSTRUCTIONS ON REVERSE through 5/30/2021 Page of NAME OF FILER ID.NUMBER NIC MATTSON FOR ATASCADERO CITY COUNCIL 2020 1431600 Schedule A Summary 1 _ Amount received this period — itemized monetary Contributions. (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.)......................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 Form 460 ()an/2016)) FPPC Advice: advioe@fppc.ca.gov 1866/275-3772) www.fppc.ca.gcry FULL NAME, STREET ADDRESS 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 (IF GOMMITrEE, ALSO ENTER I.D. NUMRFR) CODE (IF SELF -EMPLOYE. ENTER MAW PERIOD (JAN.1-DEC. 31) (IF REOUIRED) iW1 IND 10/06/2020 ROBERT DAVIS L1 COM OWNER, APS AUTO 250 250 (G20) ❑ OTH ATASCADERO, CA 93422 ❑ PTY ❑ SCC ®IND 10/1/2020 D ROE NELSON ❑COM RETIRED 100 100 (G20) ❑ OTH ATASCADERO, CA 93422 ❑ PTY ❑ SCC ®IND 10/9/2020 ROLFE NELSON ❑ COM RETIRED 250 250 (G20) ❑ OTH ATASCADERO, CA 93422 ❑ PTY ❑ SCC ®IND 10/16/2020 RON KRALL ❑ COM GENERAL MANAGER 250 250 (G20) ❑ OTH MID -STATE SOLID TEMPLETON, CA 93465 ❑ PTY WASTE ❑ SCC ❑ IND ❑ coM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 750 Schedule A Summary 1 _ Amount received this period — itemized monetary Contributions. (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.)......................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 Form 460 ()an/2016)) FPPC Advice: advioe@fppc.ca.gov 1866/275-3772) www.fppc.ca.gcry Schedule B — Part 1 Loans Received Amounts may be rounded to whole dollars. Statement covers period flog,, 1/1/2021 SCHEDULE B - PART 1 (M)y be a negsb. number) •Amounts forgiven or paid by another party also must be reported on Schedule A. If required. FPPC Form 460 (ian/2016)) FPPC Advice: advice0fppc.ca.gov (866/275-3772) www.fppc.ca.gov through 6/30/2021 Page Of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I -D. NUMBER NIC MATTSON FOR ATASCADERO CITY COUNCIL 2020 1431600 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT RECEIVEDTHIS AMOUNT PAID OR FORGIVEN OUTSTANDING BALANCE AT INTEREST PAID THIS ORIGINAL AMOUNTOF CUMULATIVE CONTRIBUTIONS OF LENDER IF COMMIY7EOFLSO ENTER I.D.NUMBER] (IF SELF-EMPLOYED, ENTER BEGINNING THIS PERIOD THIS PERIOD • CLOSE OF THIS PERIOD LOAN TO DATE ( NAME OF BUSINESS) PERIOD PERIOD [] PAID CALENDAR YEAR HAYLEY MATTSON 13 STARS MEDIA f 0 S 950 % s 950 $ ❑ FORGIVEN PER ELECTIOINr CO-FOUNDER RAI E ATASCADERO, CA 93422 PRESIDENT, COO 950 0 10/16/200 s s s 0 s s DATE DUE DATE INCURRED i Wl IND ❑ COM ❑ OTH ❑ PTY ❑ SCG PAID CALENDAR YEAR RATE © FORGIVEN PER ELECTION` DATE DUE DATE IN CURRIED t❑ IND ❑ COM 0 OTH ❑ PTY ❑ SCC Q PAID CALENDAR YEAR f $ % 3 f ❑ FORGIVEN RATE PERELECTIDN- s DATE DUE DATE INCURRED t ❑ IND ❑ COM ❑ OTH © PTY ❑ SCC SUBTOTALS $ 450 $ 0 $ 0 $ 0 (Enter (e) on Schedule E. Line 3) Schedule B Summary 1. Loans received this period ............................. -----$ 0 (Total Column (b) plus unitemized loans of less than $100.) 0 TContributor Codes 2. Loans paid or forgiven this period .... --.....................................................................................•--........$ IND—Individual ('total Column (c) plus loans under $100 paid or forgiven.) COM—Recipient Committee Include loans aid b a third a that are also Itemized on Schedule A. p y p (other than PTY ors 3. Net change this period. (Subtract Line 2 from lane 1.}.............................................................. 1 .) NET $ 0 entity) P Col A Llne 2. Enter the net here and on the Summary age, , PTY — Political Party SCC - Small Contributor Commit) ittee I (M)y be a negsb. number) •Amounts forgiven or paid by another party also must be reported on Schedule A. If required. FPPC Form 460 (ian/2016)) FPPC Advice: advice0fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made Amounts may be rounded to whole dollars. covers ecm 1/112021 ffirosi 6/30/2021 Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER NIC MATTSON FOR ATASCADERO CITY COUNCIL 2020 1431600 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, CMP campaign pamphemaha/misc. MBR member communications RAD CNS campaign consultants MTG meetings and appearances RFD CTB contribution (explain nonmonetary)' OFC office expenses SAL CVC civic donations PET petition circulating TEL FIL candidate filing(ballot fees PHO phone banks TRC END fundraising events POL polling and survey research TRS IND independent expenditure supporfing/opposing others (explain)' POS postage, delivery and messenger services TSF LEG legal defense PRO professional services (legal, accounting) VOT LIT campaign literature and mailings PRT pnnt ads WEB describe the payment radio airtime and production costs returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (Internet, email) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMFXTfEE, QSO ENTER I e NUMBER) Psymerda drat are contributions or independent expenditures must also be summarised on Sd*dtle D. SUBTOTAL $ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)......................................................... _.................................................. $ 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, Lire 6.) ........................... TOTAL $ FPPC Form 460 (Jan/2016)) FPPC Advice: adviceLWfppc.ca.gov (866/275-3772) www.fppc-ca.gw Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NIC MATTSON FOR ATASC.ADERO CrN COUNCIL 2020 Amounts may be rounded to whole dollars. SCHEDULE E (CONT.) Statement coven period e . 1/1/2021 e - hom through 6/30/2021 rp, 1431600 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 WTG meetings and appearances RED returned contributions CTB contribution (explain nonmonetary)• DEC office expenses SAL campaign workers'salanes 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 END fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expendfture supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional wrvicas (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) ' Payments that are contriMAions or independent expenditures moat also be summarized on Schedule D. SUBTOTALS FPPC Form 460 Jan 2016) FPPC Advice: advice@fppc.m.gov (666/275-3772) www.fppc.ca.gov SCHEDULE F Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE CODE OR DESCRIPTION OF PAYMENT Amounts may be rounded to whole dollars. (b) AMOUNT INCURRED THIS PERIOD • _ I • ' from 1/112021 • tllrauph 6/30/2021 �' _— - of — NAME OF FLER I.D.NUMBER NIC MATMON FOR ATASCADERO CITY COUNCM 2020 1431600 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' DEC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filingrballot 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 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 CREDITOR (IF COM1111i Atao F Rm. NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOUNT INCURRED THIS PERIOD (e) AMOUNT PAID THIS PERIOD hyo REPORT d/E) (d) OUTSTANDING BALANCE AT CLOSE OFTHISPERIOD Payments that are ronbEutlMK Or Independent experxahxes collet also be SUBTOTALS S $ $ 0 su rnarlmd 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 $ _.... May W a ne W. number FPPC Form 460 (Jan/2016)) FPPC Advice: advlce@fppc.ca.gov (866/275-3772) www.fppc.ca.gov