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Home My WebLink AboutForm 460 Moreno 063021Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 01/01/2021 06/30/2021 through Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee O Recall O Controlled (Also Gorrplete Part 5) O Sponsored (Also Carqtiete Part 6) ❑ General Purpose Committee O Sponsored d Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also Comple(e Pad 7) 3. Committee InformationI.D. NUMBER 1 1400944 COMMITTEE NAME (OR CANDIOATE'S NAME tF NO COMMITTEE) Friends of Heather Moreno for Atascadero Mayor 2020 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODEIPHONE Atascadero CA 93422 MAILING ADDRESS (IF DIFFERENT) N0. AND STREET OR P.O. SOX CITY STATE ZIP CODE AREA CCDElPHONE OPTIONAL: FAX IE -MAIL ADDRESS COVER PAGE Date Stamp CALIFORNIA 46 RECEIVED FORM Date of election if applicable: Page 1 of 6 (Month, Day, Year) JUL r% 7 x/]'.0021 For Official Use Only CITY OF ATASCADER CITY CLEWS OFFIC 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement Semi-annual Statement (] Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Scott R. Hayner MAILING ADDRESS CITY STATE 71P CODE AREACODE/PHONE Atascadero CA 93422 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA COD EIPHONE OPTIONAL: FAX/ E-MAILADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledg� the certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.`` , Executed on I Date t Executed on Date Executed on Executed on Date By or By herein and in the attached schedules is true and complete. I or By Signature of Controlling Otfceholder, Candidate, State Measure Proponent By Signature of Controlling ptficehokder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (666/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Heather Moreno OFFICE SOUGHT OR HELD (INCLUDE LOCATIONAND DISTRICT NUMBER IF APPLICABLE) Mayor, City of Atascadero RESIDENTIAUBUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP Atascadero, 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 make expenditures on behalf of your candidacy. COMMITTEE NAME I I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE7PHONE COMMITTEE NAME I I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRES5 STREET ADDRESS (NO RO- BOX) CITY STATE ZIP CODE AREA CODEJPHONE COVER PAGE - PART 2 Page 2 of 6 6. Primarilv Formed Ballot Measure Committee NAME CF 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 officeholder(s) or candidate(s) 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 Attach continuation sheets if necessary 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. Statement wvem period 01/01/2021 SUMMARY PAGE SEE INSTRUCTIONS ON REVERSE through 06/30/2021 Page 3 of 6 NAME OF FILER I.O. NUMBER Friends of Heather Moreno for Atascadero Mayor 2020 1400944 Expenditures Made Column A Schedule E, Line 4 Column B Calendar Year Summary for Candidates Contributions Received Add Unes s+7 TOTAL THIS PERIOD _ ..... _........... Schedule F,line 3 CALEblom AR _........... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ........................................ Add Lines e + 9 + 10 (FROM ATTACHED SCHEDULES) TOTU To DATE Running in Both the State Primary and General Elections 20000 200.00 1. Monetary Contributions................................................... schedule A, Line 3 $ . $ 0 0 1/1 through 6/30 7/1 to Ohre 2. Loans Received................................................................ schedule B,Lift 3 200.00 200.00 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lined+2 $ $ Received $ $ 0 0 4. Nonmonetary Contributions ............................................ schedule C, Line 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3+4 $ 200.00 $ 200.00 Made $ $ Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 7. Loans Made....................................................................... Schedule n, Line 3 8. SUBTOTAL CASH PAYMENTS .......................................... Add Unes s+7 9. Accrued Expenses (Unpaid Bills) ... _................ _ ..... _........... Schedule F,line 3 10. Nonmonetary Adjustment ............ ........... .................... _........... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ........................................ Add Lines e + 9 + 10 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 1, Line 4 15. Cash Payments......................................................... Column A, Line a above 16. ENDING CASH BALANCE ..................ACV Lines 12+ 13+14, then subtract Lim l5 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED Expenditure Limit Summary for State $ 1,440.00 $ 1,440.00 Candidates 0 0 1,440.00 1,440.00 22. Cumulative Expenditures Made' $ $ In subject to vommar, E.peodhure Lima) 0 0 Date of Election Total to Date 0 0 (mnVdd/yy) $ 1,440.00 $ 1,440.00 IF $ $ 6,768.74 200.00 134.96 1,440.00 $ 5,663.70 Schedule B, Pad 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 19. Outstanding Debts.... ....................... .. Add Line2+Lme9in Column Babove $ 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 filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). $ 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: adviceCDfppc.ca.gov (866/275-3772) www.fppc.ca.gov Sr_heduIt-- A Amounts may be rounded SCHEDULE A Monetary Contributions Received to whole aohars. Statement covers period CALIFORNIA , 60 01101/2021 from • 06/30/2021 4 6 through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Friends of Heather Moreno for Atascadero Mayor 2020 1400944 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OC C UPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIDD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) P1 IND5/2512021 l y Madal n McDaniel CA 93422 ❑ CDM ❑ OTH retired 200.00 200.00 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SGC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 200.00 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 $ 200.00 V 200.00 `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 E Amounts may be rounded Statement covers period Payments Made to whole dollars. y from 01/01/2021 through 06/30/2021 I Page 5 of 6 Friends of Heather Moreno for Atascadero Mayor 2020 11400944 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment CMP campaign paraphemalia/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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Atascaderi Kiwanis CVC UPS Store Lincoln Club of SLO ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)...... 2. Unitemized payments made this period of under $100........ mailbox rental 1,000.00 240.00 membership 150.00 SUBTOTAL $ 1,390.00 1,390.00 50.00 ............................................................................... $ 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.) ............ $ 0 TOTAL $ 1,440.00 FPPC Form 460 ()an/2016) FPPC Advice: mMm@fppc m.gov (866/275-3772) www.fppc.ca.gov E Sr.hedule I SCHEDULEI Miscellaneous Increases to Cash to whole dollars. Statement covers period e. ' from 01/01/2021 •' through 06/30/2021 Page 6 of 6 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Friends of Heather Moreno for Atascadero Mayor 2020 1400944 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE EE, ALSO (IF COMMRTEWER I.O. NUMBED DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH City of Atascadero refund of filing fee overpayment 3/26/2021 6500 Palma 134.96 Atascadero, CA 93422 Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 134.96 Schedule I Summary 1. Itemized increases to cash this period .................................. 2. Unitemized increases to cash of under $100 this period....... ................................................... $ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) .......................................$ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.)............................................................................................................................. TOTAL $ 134.96 0 0 134.96 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov