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Home My WebLink AboutForm 460 Citizens in Support of Measure D20 092420ARecipient 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. ❑ eiceholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure State Candidate Election Committee O Recall ommittee Controlled (Ah", Compble Pel 5)CCCJJJ Sponsored (Aho Complete Pel 6) ❑ gneral Purpose Committee Sponsored ❑ Primarily Formed Candidate/ Small Contributor Committee Officeholder Committee Political Party/Central Committee (Aho rwaprim Per r) 3. Committee Information Committee in Support of Measure D-20 STREET ADDRESS (NO P.O. BOX) 8380 Morro Rd CITY STATE ZIP CODE AREACODE/PHONE Atascadero CA 93422 805-461-5903 MAILING ADDRESS (IF DIFFERENT) NO.AND STREET OR P.O. BOX 8380 Morro Rd CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAILADDRESS Date of election if applicable: (Month, Day, Year) 11/03/2020 2. Type of Statement: COVER PAGE Date Stamp - Central • - Reception Page of r r 4 2020 For Official Use Only r City of ❑ Preelection Statement ❑ Quarterly Statement ❑ Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) l� Amendment (Explain below) Amend Schedule A.0 and F Treasurer(s) NAME OF TREASURER Joseph Modica Jr. MAILING ADDRESS 8380 Morro Rd CITY STATE ZIP CODE AREA CODE/PHONE Atascadero CA 93422 805-461-5903 NAME OF ASSISTANT TREASURER, IF ANY CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of rtry 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 foregoing is true and correct. - A r n 61— Executed on 010/14/20 ate Executed on Executed on Executed on By By Signature of Controlling Officeholder,Candidate , lata Measure Proponent or Responsible Officer of Sibansor By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statement covers period from 08/22/20 SEE INSTRUCTIONS ON REVERSE $ 6. Payments Made................................................................ schedule E, Line 4 7. Loans Made....................................................................... through 09/19/20 Page of NAME OF FILER 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Linea 10. Nonmonetary Adjustment......................................................... schedule C, Line 3 11. TOTAL EXPENDITURES MADE .................................... I.D. NUMBER Committee In Support of Measure D-20 be negative figures that should be subtracted from 1430938 Contributions Received this is the first report being TOTAL A THIS PERIOD fled for this calendar year, Column B Calendar Year Summary for Candidates from Lines 2, 7, and 9 (if (FROM ATTACHED SCHEDULES) any). GALE N DAR YEAR TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions................................................... schedule A, Line 3 $ 3603.00 $ 3603.00 1/1 through 6/30 7/1 t0 Date 2. Loans Received................................................................ Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 «2 $ 3603.00 $ 3603.00 20. Contributions 3765.03Received $ $ 4. Nonmonetary Contributions ............................................ schedule c, Line 3 162.03 162.03 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ............................... AddLines 3«4 $ 3765.03 $ 3765.03 15.75 Made $ $ Expenditures Made $ 6. Payments Made................................................................ schedule E, Line 4 7. Loans Made....................................................................... schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 5+7 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Linea 10. Nonmonetary Adjustment......................................................... schedule C, Line 3 11. TOTAL EXPENDITURES MADE .................................... Add Lines 8+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 Lines 12 « 13 « 14, men subtract Line 15 If this is a termination statement, Line 16 must be zero. Expenditure Limit Summary for State $ 15.75 $ 465.25 Candidates $ 15.75 $ 465.25 $173.89 $173.89 $ 15.75 3603 15.75 $ 3587.25 17. LOAN GUARANTEES RECEIVED ................................ schedule e, Pane $ I Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ see instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2« tine 9 in Column 6 above $ 173.89 22. Cumulative Expenditures Made' (x Subject to voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) $ 15.75 $ To calculate Column B, add amounts in Column A to the corresponding Amounts in 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 fled for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if 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 SCHEDULE A Monetary Contributions Received `o""""".0 ars Statement covers period CALIF.- NIA • t os/zz/zo 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 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION CONTRIBUTOR CONTRIBUTOR * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELFEMPLOYED, ENTER NAME PERIOD (JAN.1-DEC. 31) (IF REQUIRED) ® IND 08/26/20 Robert M Jones ❑ COM Retired 1000 1000 7805 Santa Cruz Rd ❑ OTH Atascadero, CA 93422 ❑ PTY ❑ SCC ❑IND 09/11/20 Pro Tow ❑COM Michael McGrath 500 500 PO Box 1321 ® OTH Atascadero, CA 93423 ❑ PTY ❑ SCC ®IND 09/14/20 Kellye Netz ❑ COM Police Sergeant 200 200 3655 Maricopa Rd ❑ OTH City of Atascadero Atascadero, CA 93423 ❑ PTY ❑ SCC ®IND 09/18/20 Charles Bourbeau ❑ COM City Council Member 300 300 2725 Ardilla Rd ❑ OTH City of Atascadero Atascadero, CA 93422 ❑ PTY ❑ SCC Z IND 09/20/20 Chris Hall ❑ COM Police Corporal 150 159 1030 Fair Oaks Ave ❑ OTH City of Atascadero Arroyo Grande, CA 93420 ❑ PTY ❑ SCC SUBTOTAL $ 2150 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.) ............... 3250 $— $ 353 TOTAL $ 3603 `Contributor Codes IND — Individual COM — Recipient Committee (other than PTV or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ra.gov (866/275-3772) wvrIM.fppc.ca.gov Schedule C Amounts may be rounded ,, ,,,It 1It 11 � SCHEDULE C Nonmonetary Contributions Received 0 Do 0 a Statement covers dod _ 11 from 08/22/20 a e- ' • ' SEE INSTRUCTIONS ON REVERSE through 09/19/20 e of 71430938 NAME OF FILER UMBER Committee In Support of Measure D-20 DATE FULL NAME, STREETADDRESSAND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE AL CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF REQUIRED) NAME OF BUSINESS) (JAN 1 -DEC 31) ❑ IND 08/22/20 Atascadero Police Association ❑ COM Campaign Website 49.00 49.00 PO Box 911 ® OTH Atascadero, CA 93423 ❑ PTY ❑ SCC ® IND 8/27/20 Robert M. Jones ❑ COM Retired Shipping 51.58 51.58 7805 Santa Cruz Rd ❑ OTH Atascadero, CA 93422 ❑ PTY ❑ SCC ® IND 8/28/20 Robert M. Jones ❑ COM Retired Publication of 60.00 60.00 7805 Santa Cruz Rd ❑ OTH non -fictitious Atascadero, CA 93422 ❑ PTY business name ❑ see ❑ IND 9/5/20 Atascadero Police Association ❑ COM Campaign website 1.45 1.45 PO Box 911 ® 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. 162.03 (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 Committe FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) wvunMAppc.ca.gov Schedule F Accrued Expenses (Unpaid Bills) Amounts may be rounded to whole dollars. Statement covers period from 8/22/20 SCHEDULEF SEE INSTRUCTIONS ON REVERSE (al (b) through 9/19/20 Page of NAME OF FILER CODEOR OUTSTANDING AMOUNT INCURRED AMOUNT PAID I.D. NUMBER Citizens In Support of Measure D-20 DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD I 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 nonmonelary)' 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) • Payments that ere contributions or independent expenditures must also be SUBTOTALS $ 0.0 $ 173.89 $ 0.0 $ 173.89 summarized on Schedule D. Schedule F Summary 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 on the Summary Page, Column A. Line 9.)................................................................................ NET $ 173.89 May be a regative number FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov (al (b) Icl (d) NAME AND ADDRESS OF CREDITOR CODEOR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD I BALANCE AT CLOSE OF THIS PERIOD (ALSOREPORTONE) OF THIS PERIOD Ron Overacker Social Media $0.0 $98.64 $0.0 $98.64 PO Box 3349, Paso Robles, CA 93422 p Advertising a Atascadero Police Association Social Media 0.0 $75.25 $0.0 $75.25 PO Box 911, Atascadero, CA 93422 p Advertising p • Payments that ere contributions or independent expenditures must also be SUBTOTALS $ 0.0 $ 173.89 $ 0.0 $ 173.89 summarized on Schedule D. Schedule F Summary 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 on the Summary Page, Column A. Line 9.)................................................................................ NET $ 173.89 May be a regative number FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov