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Home My WebLink AboutForm 460 Tori Keen 092420Recipient Committee Campaign Statement Cover Page SEE INSTRUC t i ;'15 ON REVERSE Statement covers period from 0-iol '020 --- through 09/19!21120 1. Type of Recipient Committee: All Committees- Complete Parts 1.Z3.and 4, m Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Electien Committee Committee Q Recall Controlled Sponsored /A$W Ccu *+* ?aT 67 ❑ Freral Pufpose Committee (� SprnSrrLd Small Contributor Committee PohlicA Raely/Centra! Committee 3. Committee Information COMLI17TEE NAME 101? CANDIOATE-S NAME Keen for'-Ozindt 2026 ox1 CF-11T� Atascadero MAILINGADL�RESS&FIDNIFERENTjtVO.AND cr -, Atascadero OPTIONAL: FAX I E-MAIL ADDRESS ❑ Primarily Formr-c: Candidatm+ Offiothofd• r Ccmimiv :e x W C., rp.a I.U. NUMBER 1425685 IF NO CA 934805 CA 93423 COVER PAGE Uaie Stamp 0 - RECEIVED - Date of election if applicable:o Page of (hx4ntt,,Day. Year) '�tF 2k 2020 For Official Use 11.103/2020 ITY OF ATASCADE;R ITY CLERKS OFFIC 2. Type of Statement: W1 Preelection Statement ❑ Quarterly Statement ❑ Semi-annual Statement ❑ Special Odd -Year Report ❑ Terminafion Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TRCASURER Rachel McElhinnev MAILING ADDRESS Atascadero CA 93.123 NAME OF ASSISTANT TREASURER. IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODEfPHONE OPTIONAL: FAX I E-MAIL ADDRESS 4. Verification ...__ I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge 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 for ego: apd correct. Executed on 9-� , I t) )z gy = ICf 2�•/� �/t no roasu ercr srna"I rrasu or Executed on _ �_ ` SI -10 zt) B ✓t Dale ",_..". 4,00x„10 nl fmrrNimn ner..w.u.r r-- c,..re vs,....,.. n ................. o..........._.., nrr..,,.... c.... Executed on ale Executed on By ;nature traluV iZm"hcicer, Canddlate, Staie Measure Pmponeim By rgnarure IrpLr�j OM�cencvCe�. data. is .cesure mporore FPPC Form 496 (Feb/2019) FPPC Advice: adviceL@fppc.ca.gov (866/275-3772) vrww.fppc.ca.gov Recipient Committee Campaign Statement Cover Page -- Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Victoria Keen OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Atascadero City Council RESIDENTIALIBUSINESS 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 primarlly formed to receive contributions or make expenditures on behalf of your candidacy. ITTEE NAME I.D. NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMM ET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE 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 COVER PAGE - PART 2 Page I/ of W 6. Pwimarily 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 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.ea.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE S1aWrant cov«s period CALIF 46T to whole dollars. Summary Page from 7/1/2020 FOORNIA RM 3 10 through 9/19/2020 Page or SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Rachel McElhinny 1428685 Contributions Received Column A TOTAL THIS PERIOD Column B CALENDAR YEAR 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, Lina 3 $ $6,790.84 $ $6,790.84 0 0 1/1 through 6/30 711 lO Date 2. Loans Received................................................................ schedule B. Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines f . 2 $ $6 84 790. $ $6,. 84 20. Contributions790 Received $ $ 4. Nonmonetary Contributions............................................ schedule C, Line 3 $250.00 $250.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED................ ............ .... AddLines3+4 $ $7,050.84 $ $7,040.84 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made................................................................ schedule E, Linea $ $2,138.82 $ $2,138.82 Candidates 7. Loans Made....................................................................... Schedule H, Line 3 0 0 $2,138.82 22. Cumulative Expenditures Made• 8. SUBTOTAL CASH PAYMENTS ......... _............................ Add Lines e+r$2,138.82 $ $ (M Subject h, Voluntary EiPeAdeure Llma) 9. Accrued Expenses (Unpaid Bills) ......... _...............................schedule F Lim 3 0 0 Date of Election Total to Date 10. Nonmonetary Adjustment ......................... _.............................. Schedule C,line 3 $250.00 $250.00 (mnvdd/yy) 11. TOTAL EXPENDITURES MADE ....... _........................... AddLines e+ a+10 $ $2.428.05 $ $2,428.05 _Jam- $ $ Current Cash Statement 12. Beginning Cash Balance ............................ PAWASus summary Page, Line 16 $ 0 To calculate Column B, 13. Cash Receipts........................................................... Column A, Line 3 above $6,790.84 add amounts in Column 0 A to the corresponding *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash.................................. Schedule 1, Line 4 amounts from Column B reported in Column B. 15. Cash Payments......................................................... Column A, Line a above $2,138.82 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE .._.._..._.....Add Lines 12.13+ 14, then subtract Une 15 $ $4652.02 be negative figures that should be subtracted from ff this is a termination statement, Line 16 must be zero. previous period amounts. If this is the first report being 17. LOAN GUARANTEES RECEIVED. ............................... schedule B, Pad 2 $ 0 filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts 0 any)' 18. Cash Equivalents................................................ see instructions on diverse $ 19. Outstanding Debts .............................. Add Line 2+Lim gin Column B above $ 0 FPPC Form 496 (Feb/2019) FPPC Advice: advice Dfppc.ca.gov (866/275-3772) wvnv.fppc.ca.gov, Schedule A Amounts may be rounded SCHEDULE A t h I d 11 o w o e o ars. Monetary Contributions Received Statement covers period from 7/1/2020 SEE INSTRUCTIONS ON REVERSE; through 9/19/2020 Page LA of NAME OF FILER I.D. NUMBER Keen for Council 1428685 DATE FULL NAME, STREET ADDRESS AND ZfP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN.1-DEC. 31) (IF REQUIRED) ® IND 7/8/2020 Victoria Keen El COM Paralegal $ $11050 $110.50 ❑ OTH Law Offices of William Atascadero, CA 93422 ❑ PTY Ausman ❑ SCC ®IND 7/18/2020 Iris Martin ❑COM Unemployed $100.00 $100.00 ❑ OTH Atascadero, CA 93422 ❑ PTY ❑ SGC ® IND 7/22/2020 Anthony Graves ❑ COM Unemployed $100.00 $100.00 ❑ OTH Atascadero, CA 93422 ❑ PTY ❑ SCC ® IND 7/29/2020 Anthony Wilson El COM Software Engineer S $115.69 $115.69 ❑ OTH Amazon Atascadero, CA 93422 ❑ PTY ❑ SCC ® IND 7/31/2020 Mariam Shah El COM City Council Member $100.00 $100.00 ❑ OTH City of Grover Beach Grover Beach, CA 93433 ❑ PTY ❑ SCC SUBTOTAL $ 526.19 Schedule A Summary Amount received this period — itemized monetary contributions. (Include all Schedule Asubtotals.).........................................................................................................$ 5,630.34 2. Amount received this period -- unitemized monetary contributions of less than $100 .............. ........$ 1,160.50 Total monetary contributions received this period. Add Lines 1 and 2. Enter here and on the Summa Pa e, Column A, Line 1. ....TOTAL $ 6,790.84 `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 496 (Feb/2019) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded to whole dollars. statement covers from 7/1/2020 through 9/19/2020 SCHEDULE A (CONT.) Page 5, of NAME OF FILER SUBTOTAL $ 1754.15 "Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — PoMical Party, SCC — Small Contributor Committee FPPC Form 496 (Feb/2019) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov I.D. N Keen for Council 2020 1428685 FULL NAME, STREETADDRESS ANDZIP CODE OF rF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR CONTRIBUTOR * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE OF COMMITTEE, ALSO ENTER IA, NUMBER) (IF SELF-EMPLOYED, ENTER NAME) PERIOD (JAN,1-DEC. 31) (IF REQUIRED) ® IND 7/31/2020 Mary Katherine Corey, ❑ COM Teacher $1,000.00 $1,000.00 ❑ OTH Atasca&ro Unified School Atascadero, CA 93422: 0 PTY District O El SCC ®IND 8/10/2020 Dan Daniels El COM Captain Ca of Indust P Industry $100.00 $100.00 ❑ OTH WarRoom Cellars ants argarita, CA 93453 ❑ PTY ❑ SCC 8/12/2020 Ray & Barbara Weymann Z Ct M unemployed $100.00 $100.00 ❑ OTH Atascadero, CA 93422 ❑ PTY ❑ SCC ® IND 8/21/2020 Vy Pierce El COM unemployed $204.15 $204.15 ❑ OTH Atascadero, CA 93422 ❑ PTY ❑ SCC ®IND 8/23/2020 Susan Funk El Com Consultant $350.00 $350.00 ❑ OTH Susan Funk Atascadero, CA 93422: ❑ PTY SUBTOTAL $ 1754.15 "Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — PoMical Party, SCC — Small Contributor Committee FPPC Form 496 (Feb/2019) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.) Monetary Contributions Received to whole dollars. Statement covers period • . from 7/1/2020 • ' through 9/19/2020 Page W of NAME OF FILER I.D. NUMBER Keen for Council 2020 1428685 DATE FULLNAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED CONTRIBUTOR CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF£MPLOY'ED, ENTER NAME) PERIOD (JAN.1-DEC. 31) (IF REQUIRED) ❑IND 8/24/2020 Atascadero Democratic Club ❑COM $500.00 $500.00 — ® OTH Atascadero, CA 93423 ❑ PTY ❑ SCC ® IND 8/29/2020 Helen Jernigan El COM Retired $100.00 $100.00 ❑ OTH Atascadero, CA 93422 ❑ PTY ❑ SCG ®IND 9/5/2020 Gail Gresham ❑ COM Property Manager $250.00 $250.00 ❑ OTH Gail Gresham Atascadero, CA 93422 ❑ PTY ❑ SCC ®IND 9/13/2020 Jan Maitzen El COM unemployed $100.00 $100.00 ❑ OTH Atascadero, CA 93422 ❑ PTY ❑ SCC ®IND 9/14/2020 Dona Hare Price El COM unem to ed P Y $200.00 $200.00 ❑ OTH San Luis Obispo, CA 93401 ❑ PTY SCC SUBTOTAL $ 1150.00 "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 Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.) Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA from 7/1/2020 FORM through 9/19/2020 Page of NAME OF FILER I.D. NUMBER Keen for Council 2020 1428685 FULL NAME, STREETADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR RECEIVED CONTRIBUTOR * CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I.U. NUMBER) (IF SELF-EMPLOYED, ENTER NAME) PERIOD (JAN.1-DEC. 31) (IF REQUIRED) ®INDEl 9/19/2020 Howard Gillingham COM Retired $200.00 $200.00 ❑ OTH Atascadero, CA 93422 ❑ PTY ❑ SCG ❑IND 9/19/2020 Democrats of San Luis Obispo ❑ COM $150.00 $150.00 ® OTH San Luis Obispo, CA 93401 PTY ❑ SCC 9/19/2020 Ellen Beraud for Supervisor 2020, ID # 1415 985 ® COM $1,850.00 $1,850.00 ❑ OTH Sacramento, CA 95841 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY SCC SUBTOTAL $ 2200.00 '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 Schedule C Amounts may be rounded SCHEDULE C Nonmonetary Contributions Received ' Statement covers period CALIFORNIA 460 from 7/1/2020 FORM 9/19/2020 Page SEE INSTRUCTIONS ON REVERSE through of ffA-M U W FILER I,p. NUMBER Keen for Council 2020 1428685 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR r WAN INDEVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT' FAIR MARKET CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IFSELF-EMPLOYED,GOODS NAME OF BUSINESS] OR SERVICES VALUE CALENDAR YEAR (JAN 1 - DEC 31) (IF REQUIRED) ®IND 8/15/202 Margaret Mortenson ❑ COM Customer Support Campaign T -Shirts $250.00 $250.00 0 ❑ OTH Staples Marietta, GA 30064 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY Cl SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ -1 Schedule C Summary Amount received this period - itemized nonmonetary contributions. (Include all Schedule C subtotals.)......................................................................................................................$ 250.00 0 2. Amount received this period - unitemized nonmonetary contributions of less than $100 ..................................$ — 3. Total nonmonetary contributions received this period. 250.00 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.).....................TOTAL $ '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 496(Feb/2019) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www,fppc.ca.gov Schedule E Payments Made 311:4 M 11611:11109 1010 Keen for Council 2020 Amounts may be rounded to whole dollars. CODES: If one of the following codes accurately describes the payment, you may enter the code CMP campaign paraphemalialmisc_ MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary)" OFC office expenses CVC civic donations PET petition circulating FIL candidate filing/ballot fees PHO phone banks FND fundraising events POL polling and survey research IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) LIT campaign literature and mailings PRT print ads covers from 7/1/2020 through 9/19/2020 Otherwise, describe the payment Page _�L of 1428685 ULE E RAD radio airtime and production costs RFD retumed contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) VistaPrint, A Cimpress Company Signs On the Cheap Customink Postcards, Stickers, Large Signs 1 930.71 Yard Signs 1 515.19 Shirts 1 186.65 ` Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL_ $ 1632.55 Schedule E Summary 2070.92 1. Itemized payments made this period. (Include all Schedule E subtotals.).............................................:............................................................... $ 2. Uniternized payments made this period of under $100 ....... .................................................................. :........................... ........................... :........ $ 67.90 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)........................................ :.................................... $ fl 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summa Page, Column A, Line 6. ............ TOTAL $ 2138.82 p Y p { ry 9 )............... FlI Form 496 (Feb/2019) FPPC Advice: advice@fppc.ca.gov (866/275.3772) www.fppc.ca.gov Schedule E (Continuation Sheet Payments Made Amounts may be rounded o woe oars. thldollars. Statement lovers period 7/1/2020 from SCHEDULE E (CONT.) , • • - Page -0— of SEE INSTRUCTIONS ON REVERSE through 9/19/2020 NAME OF FILER 213.60 USPS I D NUMBER Keen for Council 2020 104.00 1428685 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 filinglballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflspouse 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 LDNUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID PapPal Card Processing Fees 120.77 Wix.com WEB 213.60 USPS Postage and Post Office Box Fee 104.00 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 438.37 FPPC Form 496 Feb 2019 FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov