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