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Home My WebLink AboutForm 460 Mark Dariz 102220Recipient Committee Campaign Statement Cover Page from Statement covers period( Date of election if applicable: 9/20120 (Month, Day, Year) SEE INSTRUCTIONS ON REVERSE I through 1017120 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. W1 Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee O Recall O Controlled {A1saComplete Pad 5) Q Sponsored (Also Compete Part 6l ❑ General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee Q Political Party/Central Committee €,Vso Complete Part Il 3. Committee Information ID NUMBER 1407272 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Mark Dariz Committee to Elect for Atascadero City Council 2020 CITY STATE ZIP CODE AREA CODEIPHONE Atascadero CA 93422 MAIL€NG ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL FAX I E-MAIL ADDRESS November 3, 2020 Date Stamp :4go7: I►,Yl : 1811 OCT 2 2 2020 ITY OF ATASCADERO ITY CLERK'S OFFICE 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 Sue Dariz MAILING ADDRESS COVER PAGE Page 1 of 4 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report Atascadero CA 93422 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS OPTIONAL: FAX 1 E-MAIL ADDRESS STATE ZIP CODE AREA CODEIPHONE 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge th'� iV;ntamed 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. 1 Executed on 10/22/20 By Date ure of r or Assistant Treasurer Executed on 10/2220 go Date lure or Conlrolling liceholder, Candi te, RAeasu pons, eor Rsspons'We Or`wr o4 Sponsor Executed on By Date Signature of Controlling Officeholder. Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder. Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www fnnr rn onv Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Mark Dariz Contributions Received 1. Monetary Contributions................................................... Schedule A, Line 3 $ 2. Loans Received................................................................ Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ............... Add Lines 3+4 $ 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 Line 3 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ........................................ Add Lines 6 + 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 4 15. Cash Payments......................................................... Column A, Line a above 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, Men subtract Line 15 If this is a termination statement, Line 16 must be zero. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 345 345 SUMMARY PAGE Statement covers period CALIFORNIA from 9/20/20 FORM ' • 1 through 10/17/20 Page 2 of 4 I.D. NUMBER 1407272 Column 8 CALENDAR YEAR TOTAL TO DATE $ 1,833 $ 1,833 345 $ 1,833 $ 200 $ 200 $ 200 $ 200 $ 200 $ 200 $ 1488 345 $ 1,633 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 -Line 9 in Column B above $ LE 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). Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 711 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (e Subject to Voluntary ExpenNture Limit) Date of Election (mm/dd/yy) Total to Date `Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ra.gov (866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received to wnoie sonars. Statement covers period CALIFORNIA 9/20/20 from � • 10/17/20 3 4 SEE INSTRUCTIONS ON REVERSE through page of NAME OF FILER I.D. NUMBER Mark Dariz 1407272 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE. ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE {IF SELF-EMPE_OYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) JZI IND 10/1220 Tom O'Malle ❑ conn Owner 100 100 L-1 OTH Portola Inn Atascadero, CA 93422 ❑ PTY 6650 Portola Road ❑ Scc ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 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 $ 100 245 345 'Contributor Codes I 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 ()an/Z016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statement covers period from 9/20/20 through 10/17/20 Page 4 NAME OF FILER I.D. NUMBER Mark Dariz 1407272 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULE E Of 4 CMP campaign paraphernalia/mist. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmone€ary)' 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 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 tIF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID and Graphics Car door magnets CMP 90 Atascadero, CA 93423 All Si ns and Gra hits Car door magnets CMP 110 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 tines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........................... TOTAL $ 110 90 200 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov