HomeMy WebLinkAboutForm 460 Moreno 073118Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from 01/01/2018
through
06/30/2018
1. Type of Recipient Committee: All committees - complete Parts 1, 2, a, and 4.
[� Officeholder, Candidate Controlled Committee
O State Candidate Election Committee
O Recall
(Also Complete Part 5)
❑ General Purpose Committee
O Sponsored
0 Small Contributor-Committee
O Political Party/Central Committee
❑ Primarily Formed Ballot Measure
Committee
O Controlled
O Sponsored
(Also Complete Pert fi)
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Pert 7J
3. Committee Information I.D. NUMBER
1400941
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Friends of Heather Moreno for Atascadero Mayor 2018
4.
CITY STATE ZIP CODE AREACODE/PHONE
Atascadero CA 93422
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREACODEIPHONE
OPTIONAL: FAX /E -MAIL ADDRESS
Date of election if applicable:
(Month, Day, Year)
11/06/2018
RMEIVED
JUL 2 7 2418
CITY OF ATASt
cliff CLERWS
2. Type of Statement:
❑ Preelection Statement
EZ Semi - annual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Scoff R. Hayner
MAILING ADDRESS
COVER PAGE
CALIFORNIA .1
FORM
Page 1 of 7
For Official Use Only
❑ Quarterly Statement
❑ Special Odd -Year Report
CITY STATE ZIP CODE AREA CODE/PHONE
Atascadero CA 93422
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREACODE/PHONE
OPTIONAL: FAX / E- MAILADDRESS
Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the
certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on 7-2,7,—/9_ By
Date Si
Executed on —7 —,?3 1 By YlLk:�>,
Date Signature dfWjnn1Alinn Officehnldar
contained herein and in the attached schedules is true and complete.
or
Executed on By
Date Signature of Controlling Officeholder, Candidate, Slate Measure Proponent
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (Jan /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
Heather Moreno
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IFAPPLICABLE)
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.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE /PHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
[:]YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODElPHONE
COVER PAGE - PART 2
Page 2 of 7
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 Listnames 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.gav
Campaign Disclosure Statement Amounts may be rounded
to whole dollars.
Summary Page -
Statement covers period
from 01/01/2018
SUMMARY PAGE
Expenditures Made
6. Payments Made ................... .......... ..........
Schedule E, Line 4 $
06/30/2018
3 7
SEE INSTRUCTIONS ON REVERSE
0
8. SUBTOTAL CASH PAYMENTS ........... ...............................
Add Lines 6 + r $
through
9. Accrued Expenses (Unpaid Bills) ........... ...............................
Page of
0
NAME OF FILER
Schedule C. Line 3
0
11. TOTAL EXPENDITURES MADE ............................ ............
Add Lines 8 +s +10 $
I.D. NUMBER
Friends of Heather Moreno for Atascadero Mayor
2018
1400944
Contributions Received
To olum a oD
CLoluDmmn B
Calendar Year Summary for Candidates
(FROM ATTACHED SCHEDULES)
TOTAL TO DATE
Running in Both the State Primary and
General Elections
1. Monetary Contributions .................... ...............................
Schedule A, Line 3
15,816.00
$ $
15,816.00
D
0
111 through 6130 7!1 to Date
2. Loans Received ................................. ...............................
Schedule s, Line 3
15,816.00
15,816.00
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2
$ $
Received $ $
4. Nonmonetary Contributions ............. ...............................
Schedule C, Line 3
0
0
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ........ ............................Add
Lines 3 +4
$ 15,816.00 $
15,816.00
Made $ $
Expenditures Made
6. Payments Made ................... .......... ..........
Schedule E, Line 4 $
3,706.89
7. Loans Made ........................................ ...............................
Schedule H, Line 3
0
8. SUBTOTAL CASH PAYMENTS ........... ...............................
Add Lines 6 + r $
3,706.89
9. Accrued Expenses (Unpaid Bills) ........... ...............................
Schedule F Line 3
0
10. Nonmonetary Adjustment... .................. .............................
Schedule C. Line 3
0
11. TOTAL EXPENDITURES MADE ............................ ............
Add Lines 8 +s +10 $
3,706.89
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 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.
16,514.69
15,816.00
0
3,706.89
28, 623.80
17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part 2 $ 0
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................. ............................... See instructions on reverse $ 0
19. Outstanding Debts .............................. Add Line 2 + Line s in Column B above $ 0
$ 3,706.89
0
$ _ 3,706.89
0
0
$ 3,706.89
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"
(It Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mnVddlyy)
— 1 1 $
"Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (!an /2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Schedule A Amounts may be rounded SCHEDULE A
Monetary Contributions Received to vowie uonars.
Statement covers period
CALIFORNIA
01/01/2018
from
, ,
6
• "
06/30/2018
4 7
SEE INSTRUCTIONS ON REVERSE
through
page of
NAME OF FILER
I.D. NUMBER
Friends of Heather Moreno for Atascadero Mayor 2018
1400944
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(1F COMMITTEE, ALSO ENTER LD. NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
� IND
1/8/2018
Peggy Lance Little
0OTOH
14,000
14,000
Cayucos, CA 93430
retired
❑ PTY
❑ SCC
IZJ IND
1/16/18
Ma ie Vander on
El COM
retired
100.00
100.00
Atascadero, CA 93422
El OTH
❑ PTY
❑ SCC
® IND
1/17/18
Suzie Anderson
tascadero, CA 93422
El coM
E] OTH
real estate
Acadame Real Estate
200.00
200.00
❑ PTY
❑ SCC
1/21/18
Vicki Morse
tascadero, CA 93422
W1 IND
❑COM
❑ OTH
retired
100.00
100.00
❑ PTY
❑ SCC
Madalyn McDaniel
JZI IND
❑ COM
retired
2/25/18
tas., CA 93422
❑ OTH
100.00
100.00
❑ PTY
❑ SCC
SUBTOTAL $ 14,500
r
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 $
15,300.00
516.00
15,816.00
*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)
FPPCAdvice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.)
Monetary Contributions Received to whole dollars.
Statement covers period
from 01/01/2018
• -
through 06/30/2018
page 5 of 7
NAME OF FILER
I.D. NUMBER
Friends of Heather Moreno for Atascadero Mayor 2018
1400944
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
*
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF.EMPLOYED. ENTER NAME
PERIOD
(JAN.1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
Joel Clay
p CON!
Golf Course Management
2/28/18
Atascadero, CA 93422
❑ OTH
Golden State Golf
100.00
100.00
❑ PTY
Company
❑ SCC
Edward Veek
® IND
El COM
retired
4/7/18
Atascadero, CA 93422
200.00
200.00
❑ OTH
❑ PTY
❑ SCC
Kellie Avila
® IND
❑ COM
owner
4/12/18
Atascadero, CA 93423
❑ OTH
Avila Wireless
400.00
400.00
❑ PTY
Construction
❑ SCC
LO IND
Jeanette Heinz
El COM
retired
4/12/18
Atas., CA 93422
❑ OTH
100.00
100.00
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL $ 800.00
*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
Payments Made
SEE INSTRUCTIONS
Friends of Heather Moreno for Atascadero Mayor 2018
Amounts may be rounded
to whole dollars.
�YN7t•�1�Ig�o
Statement covers period CALIFORNIA
from 01/01/2018 FORM
through 06/30/2018 Page 6 of 7
I.D. NUMBER
1400944
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
campaign paraphernalia /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
FIND
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
SW Martin & Associates Also small amount of work on "LIT."
Paso Robles, CA 93446 WEB 1,200.00
The UP tore
POS 241.00
Atascadero, CA 93422
Atascadero Kiwanis
Atascadero, CA 93423 CVC 600.00
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2,041.00
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals .) ....................... $ 3,656.14
2. Unitemized payments made this period of under $100 ................. $ 50.75
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) .............. ....... $ 0
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........................... TOTAL $ 3,706.89
FPPC Form 460 (Jan /2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc,ca.gov
Schedule E
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
RISE
SCHEDULE E (CONT.)
(Continuation Sheet)
Amounts
may be rounded
to whole dollars.
Statement covers period
•- A N
1,000.00
San Luis Obispo, CA 93401
,
Payments Made
from
01/01/2018
• -
455.14
CASA
through
06/30/2018
%
SEE INSTRUCTIONS ON REVERSE
160.00
Page of
NAME OF FILER
I.D. NUMBER
Friends of Heather Moreno for Atascadero Mayor 2018
1400944
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign paraphernalia /misc.
MBR
member communications
RAID
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
Lv. 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 A E OF PAYEE
{IF COMMITTEE, ALSO LSO ENTER I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
RISE
CVC
1,000.00
San Luis Obispo, CA 93401
Wilkins Action Graphics
tascadero, CA 93422
LIT
455.14
CASA
PRT
160.00
San Luis Obispo, CA 93401
" Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1,615.14
FPPC Form 460 (Jan /2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov