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Home My WebLink AboutForm 460 Moreno 092718Recipient Committee Campaign Statement Cover Page MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODEIPHONE OPTIONAL: FAX l E-MAILADDRESS Date of election if applicable: SEP 2 7 201 Page 1 (Month, Day, Year) I I ForOi COVER PAGE of 7 11/06/18 CRY OF ATASCAOEE CIT( CLERKS OFFI E 2. Type of Statement: Preelection Statement ❑ Quarterly Statement ❑ Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also Tile a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Scott R. Hayner MAII INC AnnRFRR Atascadero CA 93422 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this s6t8lTtent 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. Executed on 9/27/18 Date Executed on 9/27/18 Executed on Date Executed on Date By By By Signature of controlling Officeholder. Candidate, State Measure Proponent By Signature of Controlling Officeholder. Candidate, Slate Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement covers period from 7/1118 SEE INSTRUCTIONS ON REVERSE through 9/22/18 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. 0 Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Com pletePart 5) 0 Sponsored .% '' EldAeral Purpose Committee (Also Complete Part 6) 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Al- complatoPart 7) 3. Committee Information I.D. NUMBER 1400944 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Friends of Heather Moreno for Atascadero Mayor 2018 CITY STATE ZIP CODE AREACODElPHONE Atascadero CA 93422 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODEIPHONE OPTIONAL: FAX l E-MAILADDRESS Date of election if applicable: SEP 2 7 201 Page 1 (Month, Day, Year) I I ForOi COVER PAGE of 7 11/06/18 CRY OF ATASCAOEE CIT( CLERKS OFFI E 2. Type of Statement: Preelection Statement ❑ Quarterly Statement ❑ Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also Tile a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Scott R. Hayner MAII INC AnnRFRR Atascadero CA 93422 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this s6t8lTtent 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. Executed on 9/27/18 Date Executed on 9/27/18 Executed on Date Executed on Date By By By Signature of controlling Officeholder. Candidate, State Measure Proponent By Signature of Controlling Officeholder. Candidate, Slate Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Date Stamp 0 COVtRPAGE Campaign Statement� ` R� 6 1 Cover Page SEE INSTRUCTIONS ON REVERSE from Statement covers period Date of election if applicable: Page of - 711 /18 1 (Month, Day, Year) For OfSdat use only through 9122/18 1. Type of Recipient Committee: All Committees–Complete parts 1, 2, 3, and 4. Officeholder. Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O Stale Candidate Flection Committee Committee O Recall O Controlled WWC0rPWePa4N O Sponsored ❑ General Purpose Committee (Also QursypWo Pad O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/CentralCommittee tanoW*A?Pad7) 3. Committee Information I.U. NUMBER Friends of Heather Moreno for Atascadero Mayor 2018 CITY - STATE ZIP CODE Atascadero CA 93422 M UNGADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIPCOOE AREACODE/PHONE OPTIONAL• FAXJE-MAILAODRESS 19/06118 1 2. Type of Statement: !� Preelection Statement ❑ Seml-annual Statement ❑ Termination Statement (Also fire a Form 410 Termination) ❑ Amendment (Explain below) Treasurers) ❑ Quarterly Statement ❑ Special Odd -Year Report NAME OF TREASURER Scott R. Hayner MAILING ADDRESS CITY STATE ZIPCODE AREACOOEWHONE Atascadero CA. 93422 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL FAX IE-MAILADDRESS 4. Verification I have.used all reasonable diligence in preparing and reviewing [his statement and to the best of my knowledge the informationco�tained herein and in the attached schedules is true and complete. 1 cert'dy under penalty of perjury underthe laws of the State of Car'Ifomia that the foregoing is true and correct. Executed on 9/27/18 Date Exeautedan 9/27/98 Date Executed on Date 6ecuted on Date By S gnamre of Cantmling Offwbalder, Candidate, State Measum Proponent or Responsible GMoeret5ponsor By Slanature of CantmlGng officeholder. Canmaate, Srate Meawn: Ptopaaeni SlgnaWm of Cantmlting Offcebo de , Candidata, State Measure I�mponent FPPC Form 460 (tart/2016) FPPC Advice: advice@fppcta.gov 1865/275-3772) . wwwfppc.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 IF APPLICABLE) Mayor, City of Atascadero 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. I.D. NUMBER ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURERI CONTROLLED COMMITTEE? ❑ YES ❑ NO CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 2 of 7 6. Primarliv Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, it 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 Amounts may be rounded Summary Page to whole dollars. REVERSE from Statement covers period m 7/1/18 SUMMARYPAGE through 9/22/18 Page 3 of 7 NAME OF FILER I.D. NUMBER Friends of Heather Moreno for Atascadero Mayor 2018 1400944 Contributions Received 1. Monetary Contributions................................................... Schedule A, Line 3 2. Loans Received................................................................ Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines t+2 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ................................... .AddLines 3+4 Expenditures Made 6. Payments Made................................................................ Schedule E, Line 7. Loans Made....................................................................... Schedule tl, Line 3 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+7 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F, Line 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ........................................ Add Lines e + 9 + 10 Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) $ 420.00 Column B CALENDARYEAR TOTAL TO DATE $ 16,236.00 0 420.00 $ 500.00 0 16,236.00 500.00 $ 920.00 $ 16,736 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State $ 5,864.04 $ 9,570.93 Candidates 0 0 5,864.04 9,570.93 22• Cumulative Expenditures Made' $ $ (it Subject to voluntary Expenditure Limit) 0 0 Date of Election Total to Date 0 0 (mm/dd/yy) $ 5,864.04 $ 9,570.93 1 It $ Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 28,623.80 13. Cash Receipts........................................................... Column A, Line 3 above 420.00 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 0 15. Cash Payments......................................................... Column A, Line a above 5,864.04 16. ENDING CASH BALANCE Add Lines 12+ 13+ 14, than subtract Line 15 $ 23,179.76 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part2 $ 0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 0 19. Outstanding Debts .............................. Add Line 2+Line 9in Column Babove $ 0 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 may 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: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A cv whole dwars. Monetary Contributions Received Statement covers period 7/1/18 - from 9/22118 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 (IF COMMITTEE. ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN.1-DEC. 31) (]F REQUIRED) OF BUSINESS) ❑ IND 9/15118 Sempra Energy ❑ COM 250.00 250.00 El OTH ❑ PTY ❑ SCC ❑ IND Home Builders Association of the Central Coast ❑ COM 9117/18 ® OTH 100.00 100.00 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 350.00 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 fess 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 $ 350.00 70.00 420.00 *Contributor Codes IND — Individual COM -- Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC -- Smal I Contributor Committee FPPC Form 460 (Jan/2016) FPPCAdvice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule C Amounts may be rounded SCHEDULE C Nonmonetary Contributions Received IV -IV V VVasa. Statement covers period CALIFORNIA from 7/1/18 FORM SEE INSTRUCTIONS ON REVERSE through 9/22/18 Page 5 of 7 NAME OF FILER J.D. NUMBER Friends of Heather Moreno for Atascadero Mayor 2018 1400944 DATE FULL NAME, STREETADDRESSAND CONTRIBUTOR /FAN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER tIFSELF-EMPLOYEO,ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF GOMMITTEE,ALSOENTER I.D.NUMBER) NAME OF BUSINESS) (JAN 1 - DEC 31) ()F REQUIRED) ❑ IND 9/8/18 Porto El COM Venue, event 500.00 500.00 J20TH planning, set up ❑ PTY and clean up, ❑ SCC food, drinks, etc. ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 500.00 Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.)......................................................................................................................$ 2. Amount received this period — unitemized nonmonetary contributions of less than $100 ..................................$ 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.).....................TOTAL $ 500.00 9 500.00 '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 D SCHEDULED summa or Cx enaitures Amounts may be rounaea Statement covers period to whole dollars. Supporting/Opposing Other _ I ' CALIFORNIA Candidates, Measures and Committees from 7/1/18 SEE INSTRUCTIONS ON REVERSE through 9/22/18 Page 6 of 7 NAME OF FILER I.D. NUMBER Friends of Heather Moreno for Atascadero Mayor 2018 1400944 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTIONAMOUNT THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE MEASURE NUMBER OR LETTERAND JURISDICTION, (IF REQUIRED) PERIOD (JAN.1-DEC. 31) (IF REQUIRED) OR COMMITTEE Justin Fareed for Congress (CA -24) 0 Monetary 8/29/18 Contribution 1,000.00 1,000.00 ❑ Nonmonetary Contribution ❑ Independent Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent , ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 11000.00 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.)....................................................... $ 1.000.00 2. Unitemized contributions and independent expenditures made this period of under $100.................................................................................... $ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.).......... TOTAL.. $ 1.000.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) wwwSppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Friends of Heather Moreno for Atascadero Mayor 2018 SCHEDULE Amounts may be rounded Statement covers period to whole dollars. OF, IMI: from 711/18 through 9/22/18 I Page 7 of 7 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 1400944 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)* OFC office expenses SAL campaign workers'salaries CVC civic donations PET petition circulating TEL t.v, or cable airtime and production costs FIL candidate filinglballot 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 EWERIA NUMEERt All Signs & Graphics Atascadero News City of Atascadero CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID campaign signs CMP 3,086.49 newspaper advertisting PRT 1,100.00 filing fee FIL 575.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 4,761.49 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. 5,761.49 2. Unitemized payments made this period of under $100 ............... $ 102.55 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 $ 5,864.04 FPPC Form 460 ()an/2016) FPPC Advice. advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule ESCHEDULE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Justin Fareed for Congress CA -24 E (CONT.) (Continuation Sheet) Amounts may be rounded to whole dollars. period Statement covers p • - , Payments Made from 7/1/18 . SEE INSTRUCTIONS ON REVERSE throughPage 9122/18 of 7 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 paraphemalialmisc. 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 tees 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 supportinglopposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor 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 (JF COMMITTEE, ALSO ENTER CO. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Justin Fareed for Congress CA -24 CTB campaign contribution 1,000.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1,000.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov