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HomeMy WebLinkAboutForm 460 Heather Moreno 092420Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 7/1/2020 through 9/19/2020 1. Type of Recipient Committee: An committees -complete Parts 1, 2, s, and 4. Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (aso Cont We Pal 5) 0 Sponsored (Also Complete Pad 6) ❑ General Purpose Committee 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee Political PaRylCentrai Committee (Also Corrwlere Part 7) 3. Committee Information LO. NUMBER 1400944 'S NAME IF NO COMMITTEE) Friends of Heather Moreno for Atascadero Mayor 2020 STREETADDRESS (NO RO- BOX) CITY STATE ZIP CODE AREA CODFIP HONE Atascadero CA 93422 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODEIPHONE OPTIONAL: FAX I E-MAIL ADORESS Date of election if applicable: (Month, Day, Year) Date Stamp RECEIVED ap kN M-2020 11/3/2020 CITY OF ATAS( CITY CLEROCS 2. Type of Statement: ❑ Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Scott R. Hayner MAILING ADDRESS COVER PAGE Page 1 of 15 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report CITY STATE ZIP CODE AREACODEIPHONE Atascadero CA 93422 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREACODEIPHONE OPTIONAL FAX 1 E-MAIL ADDRESS 4. Verification have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the i ormation contained herein and in the attached schedules is true and complete. I certify under penalty of perjuryunder the laws of the State of California that the foregoing is true and correct. CJ Executed on (� ` 7-/ —;t -c) By �{ Date S atureesofTreasurer orAssistant Treasurer Executed on / Z�oI�LJ By— Date Signature of Con oilin o r. Candidate. State Measure Proponent or RaSDOnSICIe Officer or Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, Stale Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (1an/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 S. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Heather Moreno OFFICE SOUGHT OR HELD (INCLUDE LOCATIONAND DISTRICT NUMBER IFAPPLICA8LE) Mayor, City Of Atascadero RESIDENTIALJBUSINESSADDRESS (NO.ANDSTREET) 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 behaff of your candidacy. COMMITTEE NAME I.Q. NUMBER NAME OFTRFASURFiR CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET 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 STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 2 of 15 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION T-E1-11OPPOSE SUPPORT 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 1s 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 ifnecessary FPPC Form 460 (Jan/2016) FPPC Advice: advice @fp pc.ca,gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. Statement covers period 7/1/2020 from Expenditures Made 6. Payments Made................................................................ schedule E, Lire 4 7. Loans Made....................................................................... Schedule H. Line 3 9/19/2020 3 15 SEE INSTRUCTIONS ON REVERSE Schedule F Linea 10. NonmonetaryAdjustment......................................................... schedule C, Line 3 11. TOTAL EXPENDITURES MADE ........................................ through Page of NAME OF FILER _ I.D. NUMBER Friends of Heather Moreno for Atascadero Mayor 2020 1400944 Contributions Received Column A TOTAL Column B Calendar Year Summary for Candidates THIS PERIOD (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions................................................... Schedule A, Line 3 $ 15,317.00 $ 16,565.00 0 0 1/1 through 6130 711 to Date 2. Loans Received................................................................ Schedule s, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .....:........................ Add Lines i «z $ 15,317.00 $ 16,565.00 20. Contributions Received $ g 4. Nonmoneta Contributions ............................................ rY schedule c, Line 3 180.00 180.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3+4 $ 15,497.00 $ 16,745.00 Made $ $ Expenditures Made 6. Payments Made................................................................ schedule E, Lire 4 7. Loans Made....................................................................... Schedule H. Line 3 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines a+7 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Linea 10. NonmonetaryAdjustment......................................................... schedule C, Line 3 11. TOTAL EXPENDITURES MADE ........................................ Add Lines a + s + fo $ 5.183.01 $ 7,073.01 0 0 $ 5,183.01 $ 7,073.01 0 0 0 0 $ 5,183.01 $ 7,073.01 Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Page, Line 16 $ 18,265.96 13. Cash Receipts........................................................... Column A, Line 3 above 15,317.00 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 0 15. Cash Payments......................................................... Column A, Line a above 5,183.01 16. ENDING CASH BALANCE Add Lima 12+ 13+ 14, then subtract Line 15 $ 28,399.95 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule S, Part 2 $ 0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ D 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). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made - (if Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/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 statement covers period 7/1/2020 CALIFORNIA from FORM page 4 of 15 SEE INSTRUCTIONS ON REVERSE through 9/19/2020 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 (IF COMMITTEE. ALSO ENTER ID- NUMBER) CODE * OCCUPATIONAND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 7/16/2020 Mike JacksonIND ❑ COM self-employed, real $100.00 $100.00 ❑ OTH estate ❑ PTY ❑ SCC ;a IND 7/20/2020 Don Idler L1 COM Owner, Idler's Home $500.00 $500.00 ❑ OTH ❑ PTY ❑ 5CC 1Z IND 7/21/2020 George Galvan ❑coM San Luis Obsipo County $200.00 $200.00 ❑ OTH Board of Education, ❑ PTY Trustee ❑ SCC Jeanette Heinz W) IND El COM retired 7/21/2020 ❑ OTH $100.00 $100.00 ❑ PTY ❑ SCC Marcia Tor erson ® IND ❑ coM retired 8/3/2020 $100.00 $100.00 ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 1,000.00 Schedule A Summary 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 $ 14,700 617 15,317 "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 A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) monetary ontrinuvons Keceivea to wnoie aouars• Statement covers period CALIFORNIA from 7/1/2020 FORM through 9/19/2020 Page 5 of 15 NAME OF FILER I.D. NUMBER Friends of Heather Moreno for Atascadero Mayor 2020 1400944 DATE D FULL NAME, STREETADDRESS AND ZIP CODE qF CONTRIBUTOR CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED ESS ENTER I.D. NUMBER) (FF COMMI CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ®IND Robert Jones COM retired 8/7/2020 ❑ OTH $1,000 $1,000 ❑ PTY ❑ SCC Barbara Flahert ® IND El COM retired 8/8/2020 $100 $100 ❑ OTH ❑ PTY ❑ SCC ® IND 8/12/2020 oe El COM Chalk Mountain Golf $200 $200 ❑ OTH Course - Golf Course ❑ PTY Management ❑ SCC Za IND 8/17/2020 William S omer ❑COM ❑ DTH retired $100 $100 ❑ PTY ❑ SGC Am Collins ® IND ❑ COM self-employed 8/21/2020 E] OTH event designer $100 $100 ❑ PTY ❑ SCC SUBTOTAL $ 1,500.00 '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 A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) monetary Lontributlons Keceived to wnwe aouars. Statement covers period 0 CALIFORNIA from 7/1/2020 FORM page 6 of 15 through 9/19/2020 NAME OF FILER I.R. NUMBER Friends of Heather Moreno for Atascadero Mayor 2020 1400944 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR COMMETEE,ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE ff (IF SELF-EMPLOYED, E=NTER NAME PERIOD (JAN. 1 -DEC. 31 I IF REQUIRED OF BUSINESS) ® IND Suzie Anderson ❑COM Realtor, Academe Real $12212020 ❑ OTH Estate $300 $300 ❑ PTY ❑ SCC Law Offices of William Ausman ❑ IND ❑ coM 8123/2020 0 OTH $200 $200 ❑ PTY ❑ SCC Kellie Avila IO IND ❑COM Owner - Avila Traffic 8/28/2020 El OTH Safety $1,000 $1,500 ❑ PTY ❑ SCC IND Sue Walters ❑ coM retired 8/28/2020 ❑ DTH $200 $200 ❑ PTY ❑ SCC Debbie Arnold for Supervisor ❑ IND 0 COM 8/28/2020 ID# 1342399 ❑ OTH $500 $500 ❑ PTY ❑ SCC SUBTOTAL $ 2,200 *Contributor Codes IND — Individual CONI — 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) FP PC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) Monetary Contributions Received to wnoie cionars. Statement covers period from 7/1/2020 • - through 9/19/2020 page 7 of15 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 COMMITTEE, CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED {IF ALSO ENTER I.D. NUMBER) CODE IIF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 3 ) {IF REQUIRED) OF BUSINESS) Lisa Caldwell -Meeks OM ElCD Private Mortgage Banker 8/30/2020 E] OTH Wells Fargo $1,000 $1,000 ❑ PTY ❑ 5cc Jamie Jones ® IND ❑coM Owner, Kirk Consulting 8/31/2020 $1,000 $1,000 ❑ OTH ❑ PTY ❑ SCC Lincoln Club of San Luis Obsipo County ❑ IND V COM 8/31/2020 #983218 ❑ OTH $2,500 $2,500 ❑ PTY ❑ SGC lv?l IND Kim Croft ❑ COM Realtor, Compass 9/3/2020 ❑ OTH $500 $500 ❑ PTY ❑ SCC Maria Alamat ® IND LlcoM retired 9/3/2020 $500 $500 ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 5,500 '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 A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) IYlonetary VontributlonS Keceived to wnoie douars. Statement covers period from 7/1/2020 • ' through 9/19/2020 Page 8 of 15 NAME OF FILER I.D. NUMBER Friends of Heather Moreno for Atascadero Mayor 2020 1400944 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I D. NUMBER) CONTRIBUTOR CODE* IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF SELF-EMPLOYED, ENTER NAME OF: BUSINESS) PERIOD (JAN. 1 - DEC. 31 ) IIF REQUIRED} ® IND Stan & Mar Sherwin ❑ COM retired 9/3/2020 ❑ OTH $300 $300 ❑ PTY ❑ SCG Ted Jacobsen ® IND El COM Insurance Agent 9/3/2020 Ll OTH California Meridian $100 $100 ❑ PTY ❑ SCC Atascadero 76 ❑ IND 9/3/2020 ❑ COM $250 $250 ® OTH ❑ PTY ❑ SCC Roberta Fonzi Ld IND ElcoM Realtor 9/8/2020 F1 OTH Century 21 Hometown $250 $250 ❑ PTY Realty ❑ SCC Alfred Fonzi ® IND El COM retired 9/8/2020 ❑ OTH $250 $250 ❑ PTY ❑ SCC SUBTOTAL$ $1,150 'Contributor Codes IND - Individual CDM - 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 A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) IYlonetary uontriDutionS Kecelvea rownoleaouars. Statement covers perI109-- CALIFORNIA 460 from 7/1/2020 FORM through 9/19/2020 Page 9 m of 15 NAME OF FILER I,D, NUMBER Friends of Heather Moreno for Atascadero Mayor 2020 1400944 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * WAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. Y - DEC. 31) (IF REQUIRED) IND Ron Johansen ❑ Property Manager 9/05/2020 Ll OTH Z Villages $� 00 $100 ❑ PTY ❑ SCC Heather Newsom ® IND ❑ COM Owner 911112020 Ll OTH Grand Business $200 $200 ❑ PTY Solutions ❑ SCC Cind Athan ® IND ❑ CoM 9/11/2020 ❑ OTH retired $100 $100 ❑ PTY ❑ SCC California Real Estate Political Action ❑ IND 9/11/2020 Committee #890106pCoM ❑ OTH $1,000 $1,000 ❑ PTY ❑ SCC Mission Fields LLC ❑ IND ❑ CoM 9/14/2020 lZ OTH $500 see next pg ❑ PTY ❑ SCC SUBTOTAL $ 1,900 `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) FP PC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDU!_EA (CONT.) Monetary Contributions Received to whole dollars. Statement covers period from 7/1/2020 • ' page 10 of15 through 9/19/2020 NAME OF FILER I.D. NUMBER Friends of Heather Moreno for Atascadero Mayor 2020 1400944 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR COMlAiTTEE SS A ENTER C CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (OF NUMBER) (!F SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REOUIRED) OF BUSINESS) ❑ IND Trust Automation Inc El COM 9/14/2020 ® OTH $500 see below ❑ PTY ❑ SCC Ty Sefrano (controlling Mission Fields LLC and ® IND ❑Com see above 9/14/2020 Trust Automation) ❑ OTH see above $1,000 ❑ PTY ❑ SCC Ray Buban ® IND [_1 Com EA, self-employed 9/15/2020 $250 $250 ❑ OTH ❑ PTY ❑ SCC IND Edward Veek ❑ COM retired 9/16/2020 ❑ OTH $100 $300 ❑ PTY ❑ SCC Brenda Bullard ® IND L1 Com ordained minister, 9/16/2020 E-]OTHself-employed $200 $200 ❑ PTY ❑ SCC SUBTOTAL $ 1,050 *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 A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) monetary ontridutions Keceived to wnoie aouars. Statement covers period •� � 1 from 7/1/2020 • - . through 9/19/2020 Page 11 of 15 NAME OF FILER I.D. NUMBER Friends of Heather Moreno for Atascadero Mayor 2020 1400944 DATEFULL RECEIVED NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR COMMITTEE, ALSO CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF ENTER I.D. NUMBER) CODE QF SELF-EMFLOYEO, ENTER NAME PERIOD (JAN. 1 - DEO. 31 ) (IF REQUIRED ) OF BUSINESS) IND ®❑ Dyann Shepard Co CPA, self-employed 9/18/2020 ❑ $200 $200 ❑ PTY ❑ SCC Jani W 1 ® IND El Com retired 8/25/2020 $200 $200 ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 400 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCG) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FP PC Form 460 (Jan/2016) FP PC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule C Amounts may be rounded to whole dollars SCHEDULE C onmonetary Contributions Received Statement covers period CALIFORNIA ' from 7/1/2020 • - SEE INSTRUCTIONS ON REVERSE through 9/19/2020 page 12 of 15 NAM I.D. NUMBER Friends of Heather Moreno for Atascadero Mayor 2020 1400944 DATE SAND FULLNAME,COD CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR OF CO TRIBUT IF GOMMITfEE. ALSO ENIERLD. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF NAMEOFBUSNES TER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE QF REQUIRED) (JAN 1 - DEC 31) El IND 8/30/2020 All Signs & Graphics ❑ COM signs $180 $180 2732 EI Camino Real [;I OTH Atascadero, CA 93422 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ l %p , pU Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.)......................................................................................................................$ 180.00 2. Amount received this period — unitemized nonmonetary contributions of less than $100 ..................................$ 0 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 $ 180.00 Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Parry SCC — Small Contributor Committee FPPC Form 460 ()an/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D SCHEDULED , ....... a. y �. �nF. "U"ul ca Statement covers period Supporting/Opposing Other to whole dollars. CALIFORNIA 460 Candidates, Measures and Committees from 7/1/2020 SEE INSTRUCTIONS ON REVERSE through 9/19/2020 Page 13 of 15 NAME OF FILER I.D. NUMBER Friends of Heather Moreno for Atascadero Mayor 2020 1400944 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE OR COMMITTEE (IF REQUIRED) PERIOD (JAN. i - DEC. 31) (IF REQUIRED) Vicki Nohrden for Senate 2020 0 Monetary campaign event, 8/06/2020 FPPC# 1419393 Contribution 8/15/2020 $200.00 $200.00 ❑ Nonmonetary Contribution ❑ Independent 0 Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ $200.00 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.)....................................................... $ 200.00 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.. $ 200.00 FPPC Form 460 (Jan/2016) FPPCAdvice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made Friends of Heather Moreno for Atascadero Mayor 2020 Amounts may be rounded to whole dollars. statement covers period from 7/1/2020 through 9/19/2020 Page 14 of 15 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 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 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 ANDADDRESS OF PAYEE IIF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID City of Atascadero FIL $585.00 Vicki Nohrden for Senate 2020 FPPC# 1419393 CTB $200.00 Atascadero Greyhound Foundation CVC $100.00 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS 885.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 5,066.59 2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 116.42 3. Total interest pard this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)............................................................................. $ n/a 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........................... TOTAL $ 5,1B3.01 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/27S-3772) www.fppc.ca.gov Schedule E Amounts may be rounded Statement COwra period Sheet) to whole dollars. Payments Made from 7/1/2020 SEE INSTRUCTIONS ON REVERSE through 9/19/2020 SCHEDULE E (CONT.) Page 15 of 15 Friends of Heather Moreno for Atascadero Mayor 2020 11400944 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 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 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 IIF COMMRTEE,K ENTER LO. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID SW Martin & Associates 1015 Samantha Way, Paso Robles, CA 93446 WEB $375 All Signs & Graphics 2732 EI Camino Real CMP $1,033.99 Atascadero, CA 93422 KPRL P.O. Box 7 RAD $2,664 Paso Robles, CA 93447 Paypal credit card fees charged on donations $108.60 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS 4,181.59 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) vmnv-fppc.ca.gov