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Home My WebLink AboutForm 460 Citizens in Support of Measure D20 102220Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 08/22/20 through 09/19/20 1. Type of Recipient Committee: All committees - complete Parts 1, 2, 3, and 4. ❑ eceholder, Candidate Controlled Committee m Primarily Formed Ballot Measure (� State Candidate Election Committee 0 Recall committee Controlled (Also (Also Complete Parts) Sponsored (Afso Complete Part 6) ❑ gneral Purpose Committee Sponsored ❑ Primarily Formed Candidatel Small Contributor Committee Officeholder Committee Political Party/Central Committee (Also Complete Pad 7) 3. Committee Information I.D. NUMBER 1430938 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Committee in Support of Measure D-20 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODElPHONE Atascadero CA 93422 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODElPHONE OPTIONAL: FAX/ E-MAIL ADDRESS Date of election if applicable: (Month, Day, Year) 11/03/2020 2. Type of Statement: Date Stamp RECEIVED OC f 12 2020 ITY OF ATAS( ITY CLERK'S ❑ Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) m Amendment (Explain below) Amend Schedule A,C,D and F Treasu rli NAME OF TREASURER Joseph Modica Jr. MAILING ADDRESS COVER PAGE Page of — For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report CITY STATE ZIP CODE AREA CODEIPHONE Atascadero CA 93422 NAME OF ASSISTANT TREASURER, IF ANY Ron Overacker Atascadero OPTIONAL: FAX ! E-MAIL ADDRESS CA 93422 4. Verification I have used ail 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 foregqk% is trff-trlW correct. Executed on Date Executed on ate Executed on Date Executed on Date By or By Signature of Controlling Offloeholder, andidate, State Measure Proponent or Responsible Officer of Sponsor By ignature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder. Candidate, State Measure Proponent FPPC Form 460 (Jan/2016)) li Advice: advice@fppc.ca.gov (866/275-3772) wwwJppc.ca.gov Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. PAGE Statement covers period from 08/22/20 SEE INSTRUCTIONS ON REVERSE through 09/19/20 Page of NAME OF FILER I.D. NUMBER Committee In Support of Measure D-20 1430938 Contributions Received 1. Monetary Contributions................................................... schedule A, Line 3 2. Loans Received................................................................ schedule e, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Addunes1+2 4. Nonmonetary Contributions ............................................ schedule C. Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ............................... .Add Unes3+4 Expenditures Made Expenditure Limit Summary for State 6. Payments Made................................................................ Schedule E, Line 4 7. Loans Made....................................................................... schedule H. Line 3 S. 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 .................................... Addunese+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 9 above 16. ENDING CASH BALANCE ..................Add Lures 12+ 13 + 14, then Subtract Line 15 Mthis is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED........... Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) $ 2278 $ 2278 162.03 $ 2440.03 $ 6.93 $ 6.93 $173.89 $ 180.82 $ 0 2278 6.93 $ 2271.07 Schedule 8, Part2 $ Cash Equivalents and Outstanding Debts 16. Cash Equivalents ................................................ See instructions on reverse 19. Outstanding Debts .............................. Add Line 2+Lure g in Column a above $ 173.89 Column B CALENDAR YEAR TOTAL TO DATE $ 2278 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 2278 20. Contributions $ Received $ $ 162.03 21. Expenditures $ 2440.03 Made $ $ Expenditure Limit Summary for State $ 6.93 Candidates Cumulative Expenditures Made` 6.9322. $ (6Sublectto Voluntary Expenditure Llmin $173.89 Date of Election Total to Date (mrnlddtyy) $ 180.82 To calculate Column B, add amounts in Column Ato the corresponding *Amountsin this section may be different from amounts amounts from Column B reported in 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 (9 any). FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded ...L�I� J�11�- SCHEDULE A 4V W1.0 a uo arS' Monetary Contributions ReceivedCALIFORNIA Statement covers period from 08/22/20 FORM SEE INSTRUCTIONS ON REVERSE through 09/19/20 Page of NAME OF FILER I.D. NUMBER Committee In Support of Measure D-20 1430938 DATE FULL NAME, 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, NLIMEIER) (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) ® IND 08/26/20 Robert M Jones ❑ COM Retired 1000 1000 ❑ OTH Atascadero, CA 93422 ❑ PTY ❑ SCC ❑ IND 09/11/20 Pro Tow ❑ COM Business 500 500 G% OTH Atascadero, CA 93423 ❑ PTY ❑ SCC ®IND 09/14/20 Kellye Netz ❑ COM Police Sergeant 200 200 ❑ OTH City of Atascadero Atascadero, CA 93423 ❑ PTY ❑ SCC ® IND 09/18/20 Charles Bourbeau El COM City Ci Council Member 300 300 ❑ OTH City of Atascadero Atascadero, CA 93422 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 2000 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.) .............. 2000 $ 278 ..TOTAL $ 2278 "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 464 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule C Amounts may be rounded . .... aSCHEDULE C Nonmonetary Contributions Received u Statement covers period _ • 08/22/20 from � SEE INSTRUCTIONS ON REVERSE through 09/19/20 Page of NAME OF FILER I.D. NUMBER Committee In Support of Measure D-20 1430938 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR r IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT! MARKET CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE (IF F SELF-EMPLOYED, ENTER GOODS OR SERVICES VALUE CALENDAR YEAR {IF REQUIRED} NAME OF BUSINESS) (JAN 1 - DEC 31) ❑ IND 08/22/20 Atascadero Police Association ❑ COM Campaign Website 49.00 49.00 Z OTH Atascadero, CA 93423 ❑ PTY ❑ SCC El IND 8/27120 Robert M. Jones ❑COM Retired Shipping Pp g 51.58 51.58 ❑ OTH Atascadero, CA 93422 ❑ PTY ❑ SCC ® IND 8128120 Robert M. Jones ❑ COM Retired Publication of 60.00 60.00 ❑ OTH non -fictitious Atascadero, CA 93422 ❑ PTY business name ❑ SCC ❑ IND 915/20 Atascadero Police Association El COM Campaign website 1.45 1.45 — m OTH Atascadero, CA 93422 ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 162.03 0 Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.)......................................................................................................................$ 2. Amount received this period — unitemized nonmonetary contributions of less than $100 ..................................$ 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 $ 162.03 0 162.03 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SGC) OTH — Other (e.g., business entity) PTY — Political Parry SCC — Small Contributor Committee FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D SCHEDULED ' Umfi IQry VI CA_e11ulLureb nmounrs may no rounaea Statement covers Period to whole dollars. Supporting/Opposing Other • ' � • � Candidates, Measures and Committees from os/zz/zo e - through 09/19/20 SEE INSTRUCTIONS ON REVERSE Page Of NAME OF FILER I.D. NUMBER Committee In Support of Measure D-20 1430938 NAME OF CANDIDATE, OFFICE,AND DISTRICT, OR CUMULATIVE TO DATE PER ELECTION DATE MEASURE NUMBER OR LETTERAND JURISDICTION, TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CALENDAR YEAR TO DATE OR COMMITTEE (IF REQUIRED) PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) ® Monetary Contribution ❑ Nonmonetary Contribution ❑ independent Su ortO ose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Su ort 1771 opposeopposel Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.)....................................................... $ 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.. $ FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE F Schedule F Amounts may be rounded to whole dollars. Statement covers perlod • ' , ' Accrued Expenses (Unpaid Bills) from 8122120 SEE INSTRUCTIONS ON REVERSE CODE OR (a) OUTSTANDING through 9119120 page Of NAME OF FILER (IF COMMITTEE ,ALSO ENTER Lo.NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING PERIOD I.D. NUMBER Citizens In Support of Measure 1)-20 OF THIS PERIOD 1430938 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. 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 supportinglopposing others (explain)" POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor 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 CREDITOR CODE OR (a) OUTSTANDING (6) AMOUNTINCURREDTHIS (c) AMOUNT PAID (d) OUTSTANDING (IF COMMITTEE ,ALSO ENTER Lo.NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD SALso REPORT ON E> OF THIS PERIOD Ron Overacker Social Media $0.0 $98.64 $0.0 $98.64 Paso Robles, CA 93422 p Advertising p Atascadero Police Association Social Media 0.0 $75.25 $0.0 $75.25 Atascadero, CA 93422 p Advertising p Payments that are contnbutions or independent expenditures must also be SUBTOTALS $ 0.0 $ 173.89 a 0.0 $ 173.89 summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for 173.89 accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on 0.0 accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) .................................. PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.)................................................................................................................................................................................... NET $ 173.89 May be a negative number FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) wwwJppc.ca.gov