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Home My WebLink AboutForm 460 Moreno 063019Recipient Committee Date Stamp COVER PAGE Campaign Statement RECEIVE® 1 Cover Page from Statement covers periodI Date of election if applicable 01/01/19 (Month, Day, Year) JUL I Z 2019 Page 1 of 5 I For Off oal Use Only TY OF ATASCADERO SEE INSTRUCTIONS ON REVERSE through 06/30/19 It'll' CLERKS OFFICE 1. Type of Recipient Committee. All committees - complete Parts 1, 2, 3, and 4. 2. Type of Statement: 0 Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement 0 State Candidate Election Committee Committee Semi-annual Statement ❑ Special Odd -Year Report O Recall O Controlled ❑ Termination Statement (Aisoca"te Parts) 0 Sponsored (Also file a Form 410 Termination) (Also Complete Part 6) F]General Purpose Committee ❑ Amendment (Explain below) O Sponsored ❑ Primarily Formed Candidate/ • Small Contributor Committee Officeholder Committee • Political Party/Central Committee (ArsocorroateParr) 3. Committee Information I I D. NUMBER Treasurer(s) 1400944 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Friends of Heather Moreno for Atascadero Mayor 2018 Scott R, Hayner MAILING ADDRESS STREETADDRESS (NO P.O_ BOX) CIN STATE ZIP CODE AREA CODEIPHONE Atascadero CA 93422 CITY STATE ZIP CODE AREA CODEIPHONE NAME OF ASSISTANT TREASURER, IF ANY Atascadero CA 93422 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREACODEIPHONE OPTIONAL', FAX 1 E-MAIL ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX I E-MAIL ADDRESS 4. Verification II I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the inft�/mation 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 07/08/19 Date Executed on 07/08/19 Date Executed on Date Executed on Date By or By or By Signature of Controlling Officeholder, Candidate. State Measure Proponent By SEgnature of Controlling Officeholder. Canditlate, 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 IF APPLICABLE) Mayor, City of Atascadero RESIDENTIALJBUSINESS ADDRESS (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 I I_D. NUMBER NAME OF TREASURERI CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME LD, NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COVER PAGE - PART 2 Page 2 of 5 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 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 Summary Page Amounts may be rounded to whole dollars. SUMMARY PAGE Statement coven period from 01/01/19 through 06/30/19 I Page 3 of 5 NAME OF FILER I.D. NUMBER Friends of Heather Moreno for Atascadero Mayor 2016 1400944 Expenditures Made Column A Schedule E, Limo Column B Calendar Year Summary for Candidates Contributions Received Add Lines 6+7 TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) Linea CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and 11, TOTAL EXPENDITURES MADE ........................................ Add Lines 8+9+10 General Elections 100.00 100.00 1. Monetary Contributions................................................... Schedule A, Line 3 $ $ 0 0 1/1 through 6/30 7/1 to Date 2. Loans Received................................................................ Schedule s. Line 3 100.00 100.00 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines i+2 $ $ Received $ $ 0 0 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 21, Expenditures 100.00 100.00 Made $ $ 5. TOTAL CONTRIBUTIONS RECEIVED ...... ............................. Add Lines 3+4 $ $ Expenditures Made 6. Payments Made................................................................ Schedule E, Limo 7. Loans Made....................................................................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+7 9. Accrued Expenses (Unpaid Bills)..........................................ScheduleF 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 .................................. Schedule 1, Lim 4 15. Cash Payments......................................................... Column A, Line 9 above 16. ENDING CASH BALANCE ..................Add Lines 12+ 13 + 14, then subtract Line 15 Itthis is a termination statement, Line 16 must be zero. $ 1,866.00 $ 1,866.00 $ 1,866.00 $ 1,866.00 0 0 $ 1,866.00 $ 1,866.00 $ 19,805.54 100.00 26.74 1,866.00 $ 18,066.28 17. LOAN GUARANTEES RECEIVED ............. ... .._... ........ Schedule s, Pal $ 0 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 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' In Subject to Voluntary Expenditure Limit) Dale of Election Total to Dale (mm/ddlyy) If $ ;7 A to the corresponding Amounts in this section may be different from amounts amounts from Column B reported in 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 fled for this calendar year, only Carry over the amounts from Lines 2, 7, and 9 (if any). 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 zo wnole ooaars. Statement covers period • . I 01/01/19 from • 06/30/19 4 5 through Page of 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 FF coMMI rEE, ALSO ENTER C NDE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) DF BLISFNESS} � IND 3/07/19 R Ra Johnson ❑ COM retired 100.00 100.00 ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS 100m 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 $ 100.00 100.00 "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 ON REVERSE Friends of Heather Moreno for Atascadero Mayor 2018 Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period CALIF• _ NIA 460 from 01/01/19 FORM through 06130/19 Page 5 of 5 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 paraphernalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD retumed 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 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 (IF rOMMITrEE, ALSO ENTER i D NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID RISE CVC Atascadero Kiwanis P.O. Box 370, Atascadero, CA 93423 CVC The UPS Store .O. 1,000,00 600.00 216.00 t Payments that are contributions or independent expenditures must also be summarized an Schedule D. SUBTOTAL $ 1,816.00 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. $ 1,816.00 2. Unitemized payments made this period of under $100 .................... $ 50.00 3. Total interest pard 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 $ 1,866.00 FPPC Form 460 (Jan/2016] FPPC Advice: advice@fppc.ca.gov (666/275-3772) www.fppc.ca.gov