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Home My WebLink AboutForm 460 Heather Moreno for Atascadero City Council 2014 013114Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print in ink, Statement covers period from 1-1-13 SEE INSTRUCTIONS ON REVERSE I through 12-31-13 1. Type of Recipient Commlttee; All Committees - Complete Parts 1, 2,3, and 4. Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee 0 Recall (Also Comptere Pirr 5) [J General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Centra[Commiftee 3. Committee Information F] Ballot Measure Committee 0 Primarily Formed 0 Controlled 0 Sponsored (Also Complete Part6) El Primarily Formed Candidate/ Officeholder Committee (Atso Complete Part 7) 1111111111111IMEM 111111RUIR M, ,UMEW I I.& -t: NAML {Uh! UANDIDAI h'6 NAME IF NO COMMITTEE) Friends of Heather Moreno for Atascadero City Council 2014 STREET ADDRESS (NO P.O. BOX) CITY Atascadero CA 93422 AND STREET OR P.O. BOX Atascadero CA 93422 OPTIONAL: FAX I E-MAIL ADDRESS Date Stamp CEIVED Date of election if applicable (Month, Day, Year) 5hK 13 2014 11-4-14 —11—bF-ATASCADER0 2. Type of Statement: [] Preelection Statement Semi-annual Statement Termination Statement F] Amendment (Explain below) Treasurer(s) NAME OF TREASURER Scott R, Hayner Atascadero MAILING ADDRESS COVER PAGE Page __I_ of 7 For Official Use Only F-1 Quarterly Statement Special Odd -Year Report Supplemental Preelection Statement - Attach Form 495 TATE ZIP CODE CA 93422 CITY STATE 71P CODE AREA roDElpHoNE 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 true and correct. Executed on 1-13-14 By tLAyK'&r Date Signature ofTreasurerorAssi'stq:,It-Trea5,2-rer ! -- s-3- H Executed on. Date BY Signature - re of Controling Officeholder, Candidate; State Measc+se Proponent orRespon.sible Executed on Date BY Executed on By Date FPPC Form 460 (June/04) FPPC Toll -Free Helpline: $66[ASK-FPPC State of California Type Recipient Committee Campaign Statement C ORNIA, Cover Page Part 2 5: Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Heather Moreno OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council of Atascadero RE$IDENTIAIJBUSINESS ADDRESS (NO. AND STREET) CITY STATE ,ZIP Ataseadero, CA 93422 Related Committees Not Included in this Statement: List anycommittees 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_ L:L3MM1 I i 1::E NAME NAME OF TREASURER ADDRESS I.D. NUMBER [j YES ]l NO STREET ADDRESS (NO RO. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEENAME W. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES NO COMMITTEE ADDRESS STREETADDRESS (NO PO. SOX) CITY STATE ZIP CODE AREA CODEIPHONE Page of 7 6, Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO, OR LETTER JURISDICTION [] SUPPORT 1[] OPPOSE Identify the controlling officeholder, candidate, or state treasure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT ME DISTRICT NO. IF ANY 7. Primarily Formed Committee List names of offlcehol der(s,) oreandidatels) for which this committee is primarily formed NAME OF OFFICEHOLDER OR CANDDATE OFFICE SOUGHT OR HELD SUPPORT f OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR FIELD ❑ SUPPORT 171 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD Q SUPPORT 0 OPPOSE Attach continuation sheets if necessary FPPC Form 460 (Juno/01) FPPC Tall -Free Helpline. 8661ASK•FPPC State of California Summary Page SEE INSTRUCTIONS ON RE NAME OF FILER Friends of Heather Moreno for Atascaderci City Council 2014 1; Monetary Contributions ....... ............ ........... ........... Schedule A,Linea ZLoans Received .........- ....... ......... Schedule 8, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS- .... Add Lines l+2 4. Nonmonetary Contributions-_.- ......... __............ Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED- ---- ... , Add lines 3 + 4 Expenditures Made * Payments Made ......_.. ... .... Schedule E, Line 4 * Loans Made ..... __ ... ....... Schedule HLine 3 8. SUBTOTAL CASH PAYMENTS _ ...... Add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) ... ..._.,schedule F Linea 10, Nonmonetary Adjustment ...... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE............. .... Add Lines 8+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__ .... ___ ...... __ Schedule1Line4 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 termination statement, Line 16 must be zero, Type or print In ink. Amounts may be rounded to whole dollars. Column TOTALTHISPERIOD (FROM ATTACKED SCHEDULES) $ 8,341.00 0.00 $ 8,341.00 350.00 $ 8,691.00 $ 74.64 0.00 $ 74.64 0.00 350.00 $ 424.64 $ 0.00 8,341.00 0.00 74,64 $ 8,266:36 17. LOAN GUARANTEES RECEIVED Schedule 8, parte $ 0 00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents., ...... __ See instructions on reverse $ 0.00 19, Outstanding Debts Ad Line 2 + Line9in Column 8 above S 0.00 Statement covers period from 1-1-13 through 12-31-13 1 Page Column B CALENDAR YEAR TOTALTO DATE $ 8,341.00 0.00 8,341.00 350.00 $ 8,691.00 $ 74.64 0.00 $ 74,64 0.00 350:00 $ 424Z4 To calculate Column B, add amounts in Column A to the corresponding amounts from Column 6 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). I.D. NUMBER 1361547 SUMMARY PAGE of _Z ana General Elections 1/1 through 6!30 711 to Date 20. Contributions 8,691 �00 8,691.00 Received $ 21 . MadExpen$ e ditures 424.64 424.64 - $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (if Subject to Voluntary Expenditure Limit) Date of Election Total to Dale (mm/dd/yy) *Since January 1, 2001. Amounts, in this section may be different from amounts reported in Column B, FPPC Form 460 (June/01) FPPC Toll -Free Helplino* 866/ASK-FPPC Schedule SEE INSTRUCTIONS ON REVERSE I� Friends of Heather Moreno for Atas adero City Council 2014 Type or print in ink. SCHEDULE A Amounts may be rounded Statement cover's period to whole dollars,11 from 1=1-13URI R, e through 12-31-13 Page 4 _ of LD, NUMBER 1361 fi47 DATE FUEL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRI6UTOR IF AN INDIVIDUAL, ENTER AMOUNT GUMULATNETO DATE PER ELECTION RECEIVED (IF CaMMt'rTEE.ALSO ENTER l.p:virMBEfz) CODE * OCOUPATfC}NAhiDEfS�PLOYER RECEIVED THIS CALENDAR YEAR TC3DATE (IFSELF-EMPioYED;ENTERmAME C1FBUSINESS) PERIOD (JAN. 1 -DEC: 31) (IF REQUIRED) 11122113 Pe L. Little jIND Ecom dice President 5,000.00 5,000,00 GOTH Paranetics Technology [PTY Inc F-] SCC I 10/12//13 JeffreyJohnson �C]INp [3Com Private Equity 11000.00 1,000.00 � DOTH Pacific Life F] PTY [3SS,CC 1015/13 Roberta Fo zi R)IND Gom Realtor 250.00 250:00 E]OTH Century 21 [] PTY 0 SGC 10/4/13 Madal n McDaniel k-JINC3 [loom retired 200,00 200,00 O OTH [] PTY 0 SCG 12130913 Greg Miller RJIND ocom Technical Sales Rep 200.00 ., 2000 00 [rJOTH Nichino America 0 PTY IISCC SUBTOTAL$ 6,650.{}0 Schedule A Summary 1. Amount received this period -contributions of $100 or more. (Include all Schedule A subtotals.) 5,050.00 2, Amount received this period—unitemized contributions of less than $100. ..... ...:..::. 1,301;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 $ __ 8,341.00 IND — Individual COM - Recipient Committee (other than PTY or SCC) OTH — Other PTY — Political Party SCC - Small Contributor Committee FPM; Form 460 (June/01) FPPC Toll -Free Helpfine: 66/ASK-FPPC Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded to whole dollars, NAME Friends of Heather Moreno for Atascadero City Council 2014 from 1-1-13 through 12-31-13 7— of 7 `7. , f - - z 1361547 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRI13UTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULA7 NE TO DATE U PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I,D� NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR YEAR TO DATE - IF SELF-EMP40YED, ENTER NAME OPSUVNESS) PERIOD (JW I -DEC, 31) (IF REQUIRED) 10/5/13 Jan Wolff BIND ConsultantConsultant 100.00 1 00,00 DOTH Jan Wolff, Vocational & El PTY Rehabilitation Consulting []SCC 12/28/13 Linda Bareis XJIND c3com Homemaker 100.00 100.00 [30TH Ej PTY 7SCC _IND 12/30/13 Ray Johnson [Dcom Refired 100.00 100.00 1 E]OTH El PTY SCC IND 000M 70TH El PTY [:]SCC _jjIND [ICOM []OTH [] PTY DISCC SUBTOTAL$ 30U0 —_ *ContributorCodes IND—individual COM —Recipient Committee (other than PTY or SCC) OTH — Other PTY — Political Party SGC — Small Contributor Committee FJPPC Form 460 (June/01) FPPC Toll -Free Helpline: 8661ASK-FIPIPC Schedule C Type or print in ink. k1.•.— ,..--& , �.. M_ _ _ `- -_ _. Amounts may be rounded SCHEDULE C I'vV41111VAIrawry+..raa11L11w9.tL1Ut15mecelvea towholedollars, Statement covers period�QWFO»NIA ��yl from 1-1-13 SEE INSTRUCTIONS ON REVERSE through 12-31-13 Page 6 of 7 NAME OF FILER I.C1: NUMBER�� Friends of Heather Moreno for Atascaderd City Council 2014 1361547 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRt$UTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ FAIR MARKET CUMULATIVE To DATE PER ELECTION RECEIVED (3F COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF.EMPLOYED, ENTER OOODSORSERVICES VALUE CALENDAR YEAR TO DATE NAME OF BUSINESS) (JAN'I - DEC 31) (IF REQUIRED) 11117113 Meridian Pacific Inc ❑INca RICOM Design of Logo 925 University Ave CA 95325 [:10TH350.00350.00Sacramento, [PTY [-SCG 17Irtrr -- M OCOM []OTH PTY R SCC DIND _. M [CIM DOTH Q PTY LSCC DCOM DOTH a EIPTY ❑ SCC Attach additional information on appropriatoly labeled continuation sheets. SUBTOTAL $ 35t7,t3G Schedule C Summary 1. Amount received this period -- nonmonetary contributions of $100 or more. (include all Schedule C subtotals:);......_ .......... ............. ..E: .,........... ..... :,.,, 2. Amount received this period — unitemized nonmonetary contributions of less than 100 .....: ....::.. . . Total nonmonetary contributions received this period. (Add Lines I and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) .::>:........ :.... .. TOTAL. $ *Contributor Codes IND—Individual 350.00 CUM—Recipient Committee (other than Pit' or SCG) 0.00 OTH — Other PTY—Political Party SCC - Small Contributor Committee 350,00 FPPC Form 460 (June]01) FPPC Toil -Free Helpline. 866tA K-FPPC Schedule E kj kgw SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Friends of Heather Moreno for Atascadero City Council 2014 Statement covers period from 1-1-13 through 12-31-13 Page 7 of — 7 I.D. NUMBER - 1361547 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. WIP CNS campaign paraphernalia/misc. campaign consultants MBR member communications PAD radio airtime and production costs CTB contribution (explain nonmonetary)* MTG OFC meetings and appearances office expenses RFD SAL returned contributions CVC FIL civic donations PET petition circulating TEL campaign workers' salaries t,v, or cable airtime and production costs FND candidate filing/ballot fees fundraising events PHO phone banks TRC candidate travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POE POS polling and survey research postage, delivery and messenger services TRS TSF staff/spouse travel, lodging, and meals transfer between committees of the same candidatefsponsor LEG LIT legal defense campaign literature and mailings PRO professional services (legal, accounting) VCT voter registration PRT print ads M8 information technology costs (internet, e-mail) t-ayments triat are contributions or independent expenditures must also be summarized on Schedule 0. SUBTOTAL$ Schedule E Summary 1. Payments made this period of $100 or more. (include all Schedule E subtotals.) ... ........ ....... $ OM 2. Unitemized payments made this period of under $100 ......... ...... ....... _ ....... $, 74.64 I 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 $ MM 74:64 FPPC Form 460 (June/01) FPPC Toll -Free Helpfine: 8661ASK-FPPC