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Home My WebLink AboutForm 460 Heather Moreno 063020Recipient Committee COVER PAGE Campaign Statement CITY Date Stam Cover Page Atascadero CA RECEIVED MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX Statement covers period Date of election if applicable: Page 1 of 5 STATE ZIP CODE AREACODEIPHONF from 01/01/2020 (Month, Day, Year) JUL 2 3 2020 For Official Use Only OPTIONAL: FAX/E-MAIL ADDRESS SEE INSTRUCTIONS ON REVERSEthrough 06/30/2020 11/3/2020 ITY OF ATASCADER FFIC 1. Type of Recipient Committee: All committees— Complete Parts f, z, 3, and 4. 2. Type of Statement: Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement 0 State Candidate Election Committee 0 Recall Committee 0 Controlled Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (kso Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) F-1General Purpose Committee (Also Complete Part fi) ❑ Amendment (Explain below) 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1400944 Friends of Heather Moreno for Atascadero Mayor 2020 STREETADDRESS (NO PO, BOX) CITY STATE ZIP CODE AREACODEIPHONE Atascadero CA 93422 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODEIPHONF OPTIONAL: FAX/E-MAIL ADDRESS Treasurer(s) NAME OF TREASURER Scott R. Hayner MAILING ADDRESS CITY STATE ZIP CODE AREACODEIPHONE Atascadero CA 93422 NAME Or ASSISTANT TREASURER, IF ANY MAILINGADDRESS CITY STATE ZIP CODE AREA GOO EIPHONE OPTIONAL FAX I E-MAIL ADDRESS 4. Verification have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowlede the information 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 7-9-7-0 Date Executed an ~ «— ZvZ� Date Executed on Date Executed on By By or By Signature of Controlling Officeholder, Candidate. State Measure Proponent By Signature of Controlling Officeholder, Candidata, Stale 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 LOCATIONAND DISTRICT NUMBER IF APPLICABLE) Mayor, City of Atascadero RESIDENTIAL/BUSINESS 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 NAME OF TREASURER I.D. NUMBER ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURERI CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) 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 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 1.1 IT J IAI r Llr UUVC MmCC UUIJMf MLJINC 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 Summary Page to whole dollars. stittemerd coven period e. I from 01/01/2020 • • • SEE INSTRUCTIONS ON REVERSE through 06/30/2020 Page 3 of 5 NAME OF FILER I.D. NUMBER Friends of Heather Moreno for Atascadero Mayor 2020 1400944 Contributions Received Column A TOTAL THIS PERIOD Column B Calendar Year Summary for Candidates Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .......................................... (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and 10. Nonmonetary Adjustment......................................................... schedule C, Line 3 11. TOTAL EXPENDITURES MADE ........................................ Add Lines e + 9 + 10 General Elections 1248.00 1. Monetary Contributions................................................... Schedule A, Line 3 $ , $ 0 111 through 6130 711 to Date 2. Loans Received................................................................ Schedule B, Line 3 1, 00 20. Contributions248. 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines i+z $ $ Received $ $ 0 4. Nonmonetary Contributions ............................................ schedule C,Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........... ......................... Add Lines 3+4 $ 1,248.00 $ Made $ $ Expenditures Made 6. Payments Made................................................................ schedule E, Line 4 7. Loans Made....................................................................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+7 9. Accrued Expenses (Unpaid Bills) .......................................... schedule F Linea 10. Nonmonetary Adjustment......................................................... schedule C, Line 3 11. TOTAL EXPENDITURES MADE ........................................ Add Lines e + 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, Line 15. Cash Payments......................................................... Column A, Line a 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. $ 1.890.00 $ 0 $ 1,890.00 $ 0 $ 1.890.00 $ $ 18,907.96 1,248.00 0 1,890.00 $ 18,265.96 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Pane $ 18. Cash Equivalents ................................................ See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2+ Line 9 In Column 6 above $ I 0 I 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). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' Iv Subject to Voluntary Expenditure Linin Date of Election Total to Date (mmidd/yy) '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 wwrwleuoNars. Statement covers Period CALIFORNIA 01/01/2020 from FORM • through 06/30/2020 page 4 of 5 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Friends of Heather Moreno for Atascadero Mayor 2020 1400944 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (Ir coMMITTEE.ALSO ENTER I.D. NUMBER) CODE * OCCUPATIONAND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN, t -DEC. 31) QF REQUIRED) I1 IND 1/21/2020 Kellie Avila El COM Owner - Avila Traffic $500.00 500.00 Atas., CA 93422 ❑ OTH Safety ❑ PTY ❑ SCC m IND 2/4/2020 Ed Veek Atascadero, CA 93422 ❑ COM D OTH retired $200.00 $200.00 ❑ PTY ❑ SCC W IND 3/17/2020 Donn Clickard ED COM retired $100.00 $100.00 Atascadero, CA 93422 DOTH ❑ PTY ❑ SCC ❑ IND Sem ra Ener 6/12/2020COM San Diego, CA 92101-7123 ❑ OTH $250.00 $250.00 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 1,050.00 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.)......................TOTAL $ 1,050.00 198.00 1,248.00 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCG — 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 2020 Amounts may be rounded to whole dollars. SCHEDULE F Statement covers period from 01/01/2020 through 06/30/2020 I page 5 of 5 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 filingiballot 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 pF COMMITTEE. ALSO ENTER 1.1), NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID RISE CVC $1,000.00 San Luis Obispo, CA 93401 Atascadero Kiwanis P.O. Box 370, Atascadero, CA 93423 CVC $600.00 The UPS Store POS $240.00 Atascadero, CA 93422 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ Schedule E Summary 1. Itemized payments made this period. (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.)..... 1,840.00 50.00 ............................... $ 0 .................. TOTAL $ 1,890.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov