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Home My WebLink AboutForm 460 Moreno 102518Recipient Committee Date Stamp COVER PAGE Campaign Statement' Cover Page I;EC�E�IVU�� SEE INSTRUCTIONS ON REVERSE Statement covers period from 9/23/18 through 10/20/18 1. Type of Recipient Committee: All Committees _ Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Cumpiete Part 5) 0 Sponsored (Also Complete pad s) ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 3. Committee Information COMMITTEE NAME ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) ID.NUMBER 1400944 Friends of Heather Moreno for Atascadero Mayor 2018 CITY STATE ZIP CODE Atascadero CA 93422 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR PO_ BOX CITY STATE ZIP CODE AREA COOEIPHONE OPTIONAL. FAX/ E-MAIL ADDRESS Date of election if applicable: (Month, Day, Year) Page 1 of 7 OCT 215 2018 For Official Use Only t 11 /06/18I ell Y OF ATASCADIG Rp CI LY CLERKS OFFICf 2. Type of Statement: EZ 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 ZIP CODE Atascadero CA 93422 NAME OF ASSISTANT TREASURER. IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONF 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the i certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on 10/23/18 Date Executed on 10/23/18 Executed on Oate Executed on Date By By FAX I E-MAIL. ADDRESS contained herein and in the attached schedules is true and complete. I or By Signature of Controlling Officeholder Candidate. State Measure Proponent By Signature of Controlling Officeholder Candidate. Slate Measure Proponent FPPC Form 460 (Jan/Z416) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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 RESIDENTIAL/BUSINESSADDRLSS (NO. AND STREET) 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 1 I.D. NUMBER NAME OF TREASURERI CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMM ITTE E ADDRESS STREETADDRESS (NO P.O. BOX) 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. iFANY 7. Primarily Formed CandidatelOfficeholder 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 CITY STATE ZIP CODE AREA CODE/PHONE Attach Continuation sheets if necessary FPPC Form 460 Oan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE Summary Page to whole dollars. Statement covers periodCALIFORNIA, from 9/23/18 • - • SEE INSTRUCTIONS ON REVERSE through 10/20/18 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 s, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED..... ... ............... .... .......Add Lines 3+4 Expenditures Made 6. Payments Made...._ ........................ 7. Loans Made ..................................... 8. SUBTOTAL CASH PAYMENTS... 9. Accrued Expenses (Unpaid Bills) 10. Nonmonetary Adjustment ............... 11. TOTAL EXPENDITURES MADE. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) $ 529.00 $ 0 $ 529.00 $ 350.00 $ 879.00 $ Column B CALENDARYEAR TOTALTO DATE 16,765.00 0 16,765.00 850.00 17,615.00 Schedule E, Line 4 $ 2.099.56 $ 11,670.49 Schedule H. Line 3 0 0 .. Add Lines 6 + 7 $ 2,099.56 $ 11,670.49 ... Schedule F, Line 3 W V .. Schedule O Line 3 0 0 Add Lines 8+9+10 $ 2,099.56 $ 11,670.49 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 I, 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. $ 23,179.76 529.00 0 2,099.56 $ 21,609.20 17. LOAN GUARANTEES RECEIVED ................................ Schedule e, Part 2 $ Dl Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 0 19. Outstanding Debts .............................. Add line 2 + Line 9 in Column B above $ 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 carry over the amounts from Lines 2, 7, and 9 (if any). Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6130 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (if Subject to voluntary Expenditure Limn) Date of Election Total to Date (mm/dd/yy) 3 3 '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 Monetary Contributions Received to whole dollars. Statement covers period _ 9/23/18 from � page 4 of 7 through 10/20/18 SEE INSTRUCTIONS ON REVERSE 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 COMMITTFF.A�30 ENTER I D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE IIF SELF-FnnPLOVFo, ENTER NAME PERIOD (,IAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) ij] IND 10/3/18ElCOM Albert Almodova Manager, Carquest Auto 100.00 100.00 ❑ OTH Parts ❑ PTY ❑ SCC m IND 10/5/18 R Ra Johnson ❑ COM retired 100.00 100.00 ❑ OTH ❑ PTY ❑ SCC 21 IND Caroline Trahan ❑COM retired 10/13/18 El OTH 200.00 200.00 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ sCG ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 400.00 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.)....... $ 400.00 $ 129.00 TOTAL $ 529.00 "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 C Amounts may be rounded SCHEDI.A.1= r; Nonmonetary Contributions Received statement covers period i CALIFORNIA from 9/23/18 FORM SEE INSTRUCTIONS ON REVERSE through 10/20/18 Page 5 of 7 NAME OF FILER I.D. NUMBER Friends of Heather Moreno for Atascadero Mayor 2018 1400944 DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF COMMITTEE. ALSO ENTER I D. NUMBER) NAME OF BUSINESS)IF (JAN 1 DECDfC 31) REQUIRED) 10/11/18 Bob Wilkins COM retired Meet & greet ❑ OTH hosted at home 350.00 350.00 ❑ PTY with appetizers ❑ SCC and beverages ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 350 00 Schedule C Summary Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.).................................................... 2. Amount received this period — unitemized nonmonetary contributions of less than $100 . 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.). I .........................$ 350.00 TOTAL $ 350.00 "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 ()an/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D SCHEDULE D zournmary OT tX enuitures Amounts may t>e rounaea covers period to whole dollars. to Supporting/Opposing Other , _ ' • Candidates, Measures and Committees from 9/23/18 through 10/20/18 Page 6 of 7 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Friends of Heather Moreno for Atascadero Mayor 2018 1400944 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, ORCUMULATIVE TYPE OF PAYMENT DESCRIPTION AMOUNT THIS TO DATE CALENDAR YEAR PER ELECTION TO GATE MEASURE NUMBER OR LETTER AND JURISDICTION, {IF REQUIRED} PERIOD (JAN 1 -DEC- 31) (IF REQUIRED) OR COMMITTEE Committee for Heather Newsom for ❑ Monetary LIT, PRT 10/12/18 Contribution 633.52 633.52 ❑ Nonmonetary FPPC# 1403414 Contribution m Independent m Support ❑ Oppose Expenditure Mark Dariz Committee to Elect for ❑ Monetary LIT, PRT 10/12/18 Contribution Atascadero Cit Council 2018 633.52 633.52 E] Nonmonetary Contribution FPPC# 1407272 Independent 0 Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ support ❑ Oppose Expenditure SUBTOTAL $ 1,267.04 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) 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.) . FPPC Advice $ 1,267.04 TOTAL.. $ 1.267.04 FPPC Form 460 (Jan/2016) advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Friends of Heather Moreno for Atascadero Mayor 2018 Amounts may be rounded to whole dol lars. Statement covers period from 9/23/18 through 10/20/18 SCHEDULE E Page 7 of 7 ID 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 nonmonefary)' QFC 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 staffispouse travel, lodging, and meals IND independent expenditure supportinglopposing 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 NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID The UPS Store fprinting LIT 250.56 Atascadero News newspaper advertisting PRT 1,650.00 Greyhound Foundation hole sponsor for golf tournament fundraiser CVC 100.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2,000.56 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. $ 2,000.56 2. Unitemized payments made this period of under $100 .............. .. $ 99'00 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. I=nter here and on the Summary Page, Column A, Line 6. . TOTAL $ 2.099.56 FPPC Form 460 jJan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov