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Home My WebLink AboutForm 460 Heather Moreno Jan 2015COVER PAGE Recipient Committee Campaign Statement Cover Page Type or print in ink. Date Stamp CALIFORNIA 460 2001/02 (Government Code Sections 84200-84216.5) Statement covers period from 10-19-14 SEE INSTRUCTIONS ON REVERSE through 12-31-14 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. IX] Officeholder, Candidate Controlled Committee O State Candidate Election Committee D Ballot Measure Committee O Primarily Formed 0 Recall (Also Complete Part 5) D General Purpose Committee 0 Sponsored 0 •Small Contributor Committee 0 Political Party/Central Committee 3. Committee Information O Controlled 0 Sponsored (Also Complete Part 6) D Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) l.D. NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Friends of Heather Moreno for Atascadero City Council STREET ADDRESS (NO P.O. BOX) CITY Atascadero STATE CA ZIP GODE 93422 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY Atascadero OPTIONAL: FAX I E-MAIL ADDRESS 4. Verification STATE ZIP' GODE CA 93422 AREA GODE/PHONE AREA CODE/PHONE Date of election if applicable: (Month, Day, Year) 11-4-14 2. Type of Statement: D Preelection Statement [XJ Semi-annual Statement D Termination Statement D Amendment (Explain below) Treasurer(s) NAME OF TREASURER Scott R. Hayner MAILING ADDRESS CITY Atascadero NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY OPTIONAL: FAX I E-MAIL ADDRESS FORM Page __ _ of 6 For Official Use Only D Quarterly Statement D Special Odd-Year Report D Supplemental Preelection Statement -Attach Form 495 STATE ZIP GODE AREA GODE/PHONE CA 93422 STATE ZIP CODE AREA GODE/PHONE 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. certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. 1-26-14 Executed on Date Executed on I -L.tD-1 '-i Date Executed on Date Executed on Date By SUJ-H-R ~ne-r By By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate. State Measure Proponent FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC State of California Page of COVER PAGE - PART 2CALIFORNIAFORMRecipient CommitteeCampaign StatementCover Page — Part 2Type or print in ink.4605. Officeholder or Candidate Controlled CommitteeNAME OF OFFICEHOLDER OR CANDIDATERelated Committees Not Included in this Statement: List any committeesnot included in this statement that are controlled by you or are primarily formed to receivecontributions or make expenditures on behalf of your candidacy.NAME OF TREASURERCOMMITTEE NAME YES NOI.D. NUMBERCONTROLLED COMMITTEE?COMMITTEE ADDRESSSTREET ADDRESS (NO P.O. BOX)CITY STATEZIP CODE AREA CODE/PHONEOFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET)CITY STATE ZIPNAME OF TREASURERCOMMITTEE NAME YES NOI.D. NUMBERCONTROLLED COMMITTEE?COMMITTEE ADDRESSSTREET ADDRESS (NO P.O. BOX)CITY STATEZIP CODE AREA CODE/PHONE6. Ballot Measure CommitteeNAME OF BALLOT MEASUREDISTRICT NO. IF ANYIdentify the controlling officeholder, candidate, or state measure proponent, if any.NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENTOFFICE SOUGHT OR HELDJURISDICTION SUPPORT OPPOSEBALLOT NO. OR LETTER7. Primarily Formed Committee List names of officeholder(s) or candidate(s) forwhich this committee is primarily formed.NAME OF OFFICEHOLDER OR CANDIDATENAME OF OFFICEHOLDER OR CANDIDATEOFFICE SOUGHT OR HELDOFFICE SOUGHT OR HELD SUPPORT OPPOSE SUPPORT OPPOSENAME OF OFFICEHOLDER OR CANDIDATEOFFICE SOUGHT OR HELD SUPPORT OPPOSEAttach continuation sheets if necessaryNAME OF OFFICEHOLDER OR CANDIDATEOFFICE SOUGHT OR HELD SUPPORT OPPOSEFPPC Form 460 (June/01)FPPC Toll-Free Helpline: 866/ASK-FPPCState of California26Heather MorenoCity Council of Atascadero5550 Dolores Ave, Atascadero, CA 93422 SEE INSTRUCTIONS ON REVERSENAME OF FILERCampaign Disclosure StatementSummary PagePage of Type or print in ink.Amounts may be roundedto whole dollars.I.D. NUMBERCurrent Cash Statement12. Beginning Cash Balance....................... Previous Summary Page, Line 16$13. Cash Receipts................................................... Column A, Line 3 above14. Miscellaneous Increases to Cash........................... Schedule I, Line 415. Cash Payments.................................................. Column A, Line 8 above16.ENDING CASH BALANCE..........Add Lines 12 + 13 + 14, then subtract Line 15$If this is a termination statement, Line 16 must be zero.CALIFORNIAFORMSUMMARY PAGEExpenditures Made6. Payments Made....................................................... Schedule E, Line 4$$7. Loans Made............................................................. Schedule H, Line 38. SUBTOTAL CASH PAYMENTS.................................... Add Lines 6 + 7$$9. Accrued Expenses (Unpaid Bills) ...............................Schedule F, Line 310. Nonmonetary Adjustment..........................................Schedule C, Line 311. TOTAL EXPENDITURES MADE................................Add Lines 8 + 9 + 10$$17. LOAN GUARANTEES RECEIVED........................... Schedule B, Part 2$Cash Equivalents and Outstanding Debts18. Cash Equivalents........................................ See instructions on reverse$19. Outstanding Debts......................... Add Line 2 + Line 9 in Column B above$Contributions Received1. Monetary Contributions ........................................... Schedule A, Line 3$$2. Loans Received...................................................... Schedule B, Line 33. SUBTOTAL CASH CONTRIBUTIONS......................... Add Lines 1 + 2$$4. Nonmonetary Contributions.................................... Schedule C, Line 35. TOTAL CONTRIBUTIONS RECEIVED...........................Add Lines 3 + 4$$460Statement covers periodfrom through Column BCALENDAR YEARTOTAL TO DATEColumn ATOTAL THIS PERIOD(FROM ATTACHED SCHEDULES)Calendar Year Summary for CandidatesRunning in Both the State Primary andGeneral Elections1/1 through 6/307/1 to Date20. ContributionsReceived $ $ 21. ExpendituresMade $ $ Expenditure Limit Summary for StateCandidates*Since January 1, 2001. Amounts in this section may bedifferent from amounts reported in Column B.Date of Election(mm/dd/yy)Total to Date22. Cumulative Expenditures Made*(If Subject to Voluntary Expenditure Limit)FPPC Form 460 (June/01)FPPC Toll-Free Helpline: 866/ASK-FPPCTo calculate Column B, addamounts in Column A to thecorresponding amountsfrom Column B of your lastreport. Some amounts inColumn A may be negativefigures that should besubtracted from previousperiod amounts. If this isthe first report being filedfor this calendar year, onlycarry over the amountsfrom Lines 2, 7, and 9 (ifany).////////////$ $ $ $ $ $ 10-19-1412-31-1436Friends of Heather Moreno for Atascadero City Council1361547868.000.00868.000.00868.001,159.050.001,159.050.000.001,159.051,741.81868.000.001,159.051,450.760.000.000.0010,099.990.0010,099.99816.9410,916.9316,915.590.0016,915.590.00816.9417,732.533,150.347,766.591,607.8416,124.69 Schedule AMonetary Contributions ReceivedPage of Type or print in ink.Amounts may be roundedto whole dollars.PER ELECTIONTO DATE(IF REQUIRED)CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)AMOUNTRECEIVED THISPERIODIF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)DATERECEIVEDSEE INSTRUCTIONS ON REVERSENAME OF FILERI.D. NUMBERSCHEDULE ASUBTOTAL $CALIFORNIAFORMStatement covers periodfrom through Schedule A Summary1. Amount received this period – contributions of $100 or more.(Include all Schedule A subtotals.)........................................................................................................ $ 2. Amount received this period – unitemized 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 $ FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)CONTRIBUTORCODE**Contributor CodesIND – IndividualCOM – Recipient Committee(other than PTY or SCC)OTH – OtherPTY – Political PartySCC – Small Contributor Committee IND COM OTH PTY SCC460 IND COM OTH PTY SCC IND COM OTH PTY SCC IND COM OTH PTY SCC IND COM OTH PTY SCCFPPC Form 460 (June/01)FPPC Toll-Free Helpline: 866/ASK-FPPC10-19-1412-31-1446Friends of Heather Moreno for Atascadero City Council136154710-30-14Kenny Dahlen900 Venice RdTempleton, CA 934658Firefighter/City of Fresno250.00250.0010-31-14Randall Jordan6415 Hog Canyon RdSan Miguel, CA 934518Self Employed/Palomar Homes250.00250.00550.00550.00318.00868.0011-3-14Don RitterAtascadero, CA 93422Self-employedconsultant x50.00100.00 SEE INSTRUCTIONS ON REVERSENAME OF FILERSchedule EPayments MadePage of CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.CODE ORDESCRIPTION OF PAYMENTAMOUNT PAIDSUBTOTAL $Type or print in ink.Amounts may be roundedto whole dollars.I.D. NUMBERStatement covers periodfrom through SCHEDULE ERAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print adsSchedule E Summary1. Payments made this period of $100 or more. (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, Line 6.) .............................TOTAL $CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailingsNAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)CALIFORNIAFORM460*Payments that are contributions or independent expenditures must also be summarized on Schedule D.FPPC Form 460 (June/01)FPPC Toll-Free Helpline: 866/ASK-FPPC10-19-1412-31-1456Friends of Heather Moreno for Atascadero City Council1361547Atascadero News4401 El Camino Real, Suite GAtascadero, CA 93422PRTAdvertisement435.00Wilkins Action Graphics6405 El Camino RealAtascadero, CA 93422CMPPosters/Brochures, Postage and envelopes421.21Facebook1601 Willow RdMenlo Park, CA 93422WEBPost Boosting150.841,007.051,107.0552.000.001,159.05 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAIDSUBTOTAL $Statement covers periodfrom through SCHEDULE E (CONT.)Type or print in ink.Amounts may be roundedto whole dollars.Schedule E(Continuation Sheet)Payments MadeSEE INSTRUCTIONS ON REVERSEPage of I.D. NUMBERNAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)CALIFORNIAFORM460CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.* Payments that are contributions or independent expenditures must also be summarized on Schedule D.RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print adsCMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailingsFPPC Form 460 (June/01)FPPC Toll-Free Helpline: 866/ASK-FPPCNAME OF FILER10-19-1412-31-1466Friends of Heather Moreno for Atascadero City Council1361547Blades on Ice6420 El Camino RealAtascadero, CA 93422CTBSponsor for Low Income Families100.00100.00