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Home My WebLink AboutAaron Gomez - Form 460 - 07-01-16 to 09-24-16Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE RECEIVED SEP 2 8 20% --SLO CITY CLEkK Statement covers period from 07/01/2016 through 09/24/2016 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee O Recall O Controlled (Also Complete Part 5) O Sponsored (Also Complefe Pad 6) ❑ General Purpose Committee O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also Complete Part 7) 3. Committee InformationI.D. NUMBER 11387144 Aaron Gomez for City Council 2016 STREETADDRESS (NO RO. BOX) CITY STATE ZIP CODE AREACODE/PHONE San Luis Obispo CA 93401 MAILINGADDRESS (IF DIFFERENT) NO. AND STREETOR P.O. BOX Crry STATE ZIP CODE AREACODE/PHONE San Luis Obispo CA 93406 (Same) OPTIONAL: FAX/ E-MAIL ADDRESS Date of election if applicable: (Month, Day, Year) Date Stamp COVER PAGE Page I of For Official Use Only 11/08/16 2. Type of Statement: ❑ Preelection Statement ® Quarterly Statement ❑ Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Tobin Risner MAILING ADDRESS Ci IY STATE ZIP CODE AREA CODE/PHONE San Luis Obispo CA 93401 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/ E-MAILADDRESS 4. Verification have used all 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 Califomia that the foregoing is true and correct. Executed on 09/28/2016 Date Executed on 09/28/2016 Date Executed on Date Executed on Date By By By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of ControfFing Officeholder. Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Aaron Gomez OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council - San Luis Obispo RESIDENTIALIBUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP San Luis Obispo CA 93401 Related Committees Not Included in this Statement: Listany committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME' I I.D. NUMBER NAME OF TREASURERI CONTROLLED COM.'I "_ ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O,BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 2 of 16 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO, OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE 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 List names of officeholder(s) or candidates) for which this committee is 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 if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Aaron Gomez for City Council 2016 Amounts may be rounded to whole dollars. Contributions Received Column A TOTAL THIS PERIOD 12. Beginning Cash Balance ............................ Previous summary Paye. Line 16 6. Payments Made.........:.:.:.:...........................:......:....::....:... (FROM ATTACHED SCHEDULES) 7413 g 7873 10450 1. Monetary Contributions ................ ................................... Schedule A, Line 3 $ $ 2. Loans Received......................................_....................,.... schedule s, Line 3 0 3. SUBTOTAL CASH CONTRIBUTIONS..... ..:..........:.......... Add Lines 1 + 2 $ 10450 $ 4. Nonmonetary Contributions .................. ..........::....:.....:.... Schedule c, Line 3 2580 5. TOTAL CONTRIBUTIONS RECEIVED .......... _................. .......Add Lines 3+4 $ 13,030 $ Statement covers period J from 07/01/2016 through Column B CALENDAR YEAR TOTAL TO DATE 10450 2200 12650 2580 15,230 Expenditures Made 12. Beginning Cash Balance ............................ Previous summary Paye. Line 16 6. Payments Made.........:.:.:.:...........................:......:....::....:... schedule E, Line 4 $ 7413 g 7873 7. Loans Made ................. ......_... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS.... ........................_...._....:... Add Lines 6+7 $ 7413 $ 7873 9. Accrued Expenses (Unpaid Bills) ................ Schedule F Line 3 0 0 10. Nonmonetary Adjustment ......... ........ _..._......_,w._...._.„ .... Schedule C, Line 3 0 0 11. TOTAL EXPENDITURES MADE........................................Add Lines 8+s+10 $ 7413 g 7873 Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Paye. Line 16 $ 1740 13. Cash Receipts .......... Column A, Line 3 above 10450 14. Miscellaneous Increases to Cash ........... ....................... schedule 1, Line 4 0 15. Cash Payments ....................... Column A, Line 8above 7413 16. ENDING CASH BALANCE .. ................Add Lines 12 + 13 + 14, then subtract Line 15 $ 4777 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED.... .......... ................. Schedule e, Part 2 $ 0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents...........:.................................... See instructions on reverse $ 0 19. Outstanding Debts :.:............................ Add Line 2 + Line 9 in Column B above $ 2200 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). SUMMARY PAGE 09/24/2016 Page 3 ofl2 I.D. NUMBER 1387144 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ 21. Expenditures Made $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* Jif 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 "' W110 a doll"'' Statement covers period Monetary Contributions ReceivedCALIFORNIA from 07/01/2016 , ! - through 09/24/2016 Page It f SEE INSTRUCTIONS ON REVERSE of , NAME OF FILER I.D. NUMBER Aaron Gomez for City Council 2016 1387144 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 I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND Stacey Hunt San Luis 7/20/16 El CCOH FCU 100 100 100 Obispo CA 93402 Sesloc ❑ PTY ❑ SCC .. .. ..... ......... . . ......._ ... ® IND 8/15/16 Carlyn Christianson San ❑ COM Coastal Anesthesiology 100 100 Luis Obispo CA 93401 ❑ OTH Medical Association ❑ PTY ❑ SCC ® IND 9/19/16 Sam Sharp San Luis Obispo CA El Com Tennis Warehouse 100 100 100 93405 ❑ OTH ❑ PTY ❑ SCC W] IND Ron Barbieri San Luis Obispo CA ❑Com Self Employed Dentist 7 150 150 150 ❑ PTY ❑ SCC Maureen Barbieri San Luis Obispo IND ❑COM Don Copp DDS, 7/31/16 CA 93401 ❑ OTH 150 Hygienist 150 150 ❑ PTY ❑ SCC SUBTOTAL$ 600 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 $ 8150 2300 10,450 *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) Monetary Contributions Received Amounts may be rounded SCHEDULEA (CONT.) to whole dollars. Statement covers pen-0-tr-1 CALIFORNIA from 07/01/2016 FORM 460 SUBTOTAL$ 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 through 09/24/2016 page Of NAME OF FILER I.D. NUMBER Aaron Gomez for City Council 2016 1387144 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR * IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBE F SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC, 31) (IF REQUIRED) OF BUSINESS) ® IND Cory Johnston st San Luis Obispo ❑ COM Athlon Fitness & 08/29/16 CA 93401 ❑ OTH Performance. 100 100 100 ❑ PTY Occupation: Fitness Man ❑ SCC Dale Stoker San Luis ® IND ❑ CoM Employer: Cal Poly. 9/7/16 Obispo CA 93401 ❑ OTH Occupation: Employer p 100 100 100 I I ❑ PTY Specialist ❑ SCC Danny Castro E] OTH P 9 Occupation: Mixolo ist. 100 100 100 ❑ PTY ❑ SCC 1Y IND Janis Woolpert San Luis ElcoM Employer: Cal Poly/State 09/07/16 Obispo CA 93401 ❑ OTH of CA. Occupation: 100 100 100 ❑ PTY Retired ❑ SCC Jill LeMieux San Luis Obispo ® IND ❑ COM Employer: SLO Chamber 08/31/16 CA 93405 F-1OTHof Commerce. 100 100 100 ❑ PTY Occupation: Director of M ❑ SCC SUBTOTAL$ 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.) Monetary Contributions Received to whole dollars. Statement covers period CALIF• _ NIA from 07/01/2016 FORM through 09/24/2016 Page of / NAME OF FILER LD : "jMc^R Aaron Gomez for City Council 2016 1387144 DATE RECEIVED FULL 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 (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN, 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) IND ®O Kenneth McGavin Los Osos Com Employer: Just Looking 08/23/16 CA 93402100 ❑ OTH Gal leryOccupatio n: 100 100 ❑ PTY Professional ❑ SCC Laura Mullen San Luis Obispo ® IND El Com Unemployed 07/22/16 CA ❑ OTH 100 100 100 ❑ PTY ........... .— ❑ SCC - .................. .... ............. Peter Ayer San Luis ® IND ❑❑ COTH Employer: Moshpit 09/13/16 Obispo CA 93401 Digital. Occupation: 100 100 100 ❑ PTY Creative Director ❑ SCC V IND Ralph Gorton San Luis ElCoM Self Employed, Just 08/23/16 Obispo CA 93401 ❑ OTH Looking Gallery 100 100 100 ❑ PTY ❑ SCC Richard Cambier ® IND Employer: Naughty Dog. 7/30/16 Venice CA 90291 pOH Occupation: Video Game 100 100 100 ❑ PTY Designer. ❑ SCC 1 SUBTOTAL$ 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.) Monetary Contributions Received to whole dollars. Statement covers period. from _—_ 07/01/2016 ' page �_ of through — 09/24/2016 NAME OF FILER ID. NUMBER Aaron Gomez for City Council 2016 1387144 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR COMMITTEE.ALSO ENTER NUMBER) CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF I.D. CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC- 31) (IF REQUIRED) OF BUSINESS) IND ®❑ Rosalyn Carroll San Luis COM Employer: Carroll 07/29/16 Obispo CA 93401 ❑ OTH Building Company. 100 100 100 ❑ PTY Occupation: General Con ❑ SCC — — San Luis Sports Therapy. .............. -...... ... Ryan Miller San Luis Obispo CA ® IND ❑ COM 09/05/16 93401 El OTH Occupation: Business P 100 100 100 ❑ PTY Develpmnt ❑ SCC ® IND ❑ Employer: Adidas. Stephanie Hicks San Luis 09/15/16 Obispo CA 93401 El pOH Occupation: Sales. 100 100 100 ❑ PTY ....... ........ ... — ❑ SCC Scott R Smith ❑ OTH Occupation: Executive 150 150 150 ❑ PTY Director. ❑ SCC Employer: Self. Craig Nunes San Luis Obispo CA ® IND ElCOM 09/13/1693401 El OTH ccuP Oation: Real Estate 200 200 200 ❑ PTY ❑ SCC SUBTOTAL$ 650 '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 Contributions Received to whole dollars. Statement covers period I CALIFORNIA from 07/01/2016 FORM through 09/24/2016 page NAME OF FILER 1.0. NUMBER Aaron Gomez for City Council 2016 1387144 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED F COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN, 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) E] IND Sullivan & Associates R.E. San COTH Sullivan & Associates 8/18/16 Luis Obispo CA 93401 ® R.E. 300 300 300 ❑ PTY ❑ SCC Eric Meyer San Luis Obispo CA ®IND El COM County of SLO - Planning 9/6/16 93401 El OTH Commissioner 300 300 300 ❑ PTY ❑ SCC Adam Hill 100 100 ❑ PTY ❑ SCC El IND � Andi Cummins San Luis ❑COM Self Employed - Winery 08/28/16 Obispo CA 93401 ❑ OTH Owner 100 100 100 ❑ PTY ❑ SCC Bill Mott San Luis Obispo ® IND OpesAdvisors. 09/11/16 CA 93401 OTH Occupation: Banking 100 100 100 ❑ PTY ❑ SCC SUBTOTAL$ 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) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.r-a.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period . from 07/01/2016 f ' page through 09/24/2016 of NAME OF FILER I.D NUMBER Aaron Gomez for City Council 2016 1387144 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR * IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) IND Stephan R. Lamb San Luis COM Employer: Cal Poly - San 08/23/16 Obispo CA 93401 ❑ OTH Luis Obispo. Occupation: 200 200 200 ❑ PTY University Administrator. ❑ SCC Employer: Santa Maria Alexa Owens San Luis ® IND ❑❑ ` 08/02/16 Obispo CA 93401 OTH i Joint Union High School 300 300 fff 300 f ❑ PTY Occupation: Teacher El SCC .......... Brad Williams Los Angeles ® IND El COM Employer: Marmol 08/07/16 CA 90049 El OTH Radziner. Occupation. p 300 300 300 ❑ PTY Designer ❑ SCC Bret Royle Phoenix AZIND ElcoM Employer: The Law 07/23/16 85020 El OTH Office of Bret Role. y 300 300 300 ❑ PTY Occupation: Attorney ❑ SCC John Conner El OTH ccuP Oation: Hotelier 300 300 300 ❑ PTY ❑ SCC SUBTOTAL$ 1400 `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 Contributions Received to whole dollars. Statement covers period CALIFORNIA from 07/01/2016 ■ ' ■ through 09/24/2016 Page 4 1 of _ _ NAME OF FIt ER I D. NUMBER Aaron Gomez for City Council 2016 1387144 DATE RECEIVED FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR ET AD COMMITTEESO ENTER NUMBER) CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF ,ALSO I.D. CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN- 1 - DEC- 31) (IF REQUIRED) OF BUSINESS) ®IND Karilyn Gomez San Luis Obispo El COM Employer: Blue Star 7/23/16 CA 93401 ❑ OTH Brilliance. Occupation: 300 300 300 ❑ PTY I Teacher .................. —_.... ❑SCC ...... ® IND ... _.......... �.. Loren Riehl Manhattan Beach CA El COM Self -Employed. 7/27/16 90266 ❑ OTH ccup Oation: Real Estate 300 300 300 ❑ PTY Developer ❑ SCC Michael Hicks San Luis Obispo IND COM Self. Occupation: Small 8/3/16 CA 93405 ED OTH Business Owner 300 300 300 ❑ PTY ❑ SCC IND Mike Durant ❑ OTH Health. Occupation: 300 300 300 ❑ PTY Courier _f_..7 _............._............. ❑ SCC Patrick David Arnold San Luis ®IND ❑ CoM Employer: Covelop, Inc.- 9/7/16 Obispo CA 93406 ❑ OTH Occupation: Contractor. 300 300 300 ❑ PTY ❑ SCC _...m- SUBTOTAL$ 1500 '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 Contributions Received to whole dollars. Statement covers period I CALIFORNIA 460 from 07/01/2016 FORM Page 1 f through 09/24/2016 of NAME OF FILER I.D. NUMBER Aaron Gomez for City Council 2016 1387144 DATE C FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR : IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN, 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) IND ®❑ Tony Gomez San Luis Obispo COM Retired 8/1/16 CA 93401 0 OTH 300 300 300 ❑ PTY ❑ SCC ® IND COTH Self Employed Dentist Dan Copp San Luis Obispo CA 7/23/16 93405 EI 300 300 300 ❑ PTY ❑ SCC Devin Gomez San Luis ® IND El COM The Gold Concept 7/21/16 Obispo CA 93401 ❑ OTH 300 300 300 ❑ PTY ❑ SCC V IND Eric Veium San Luis Obispo CA ❑ COM Cal Poly SLO 7/20/16 83401 ❑ OTH 300 300 300 ❑ PTY ❑ SCC Dana Copp San Luis Obispo ® IND El COM Kennedy Club Fitness 7/23/16 CA 93405 ❑ OTH 300 300 300 ❑ PTY ❑ SCC SUBTOTAL$ 1500 '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 Contributions Received to whole dollars. Statement covers period CALIFORNIA from 07/01/2016 FORM through 09/24/2016 Page of NAME OF FILER I.D. NUMBER Aaron Gomez for City Council 2016 1387144 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR F COMMITTEE, CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED ALSO ENTER I D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) IND Sarah Dawber Encinitas®❑ COM Employer: SILVR Social 7/22/16 CA 92024 El OTH 300 300 300 ❑ PTY ❑ SCC Employer: Arris Studio Thom Jess San Luis Obispo ®IND ❑ COM 9/16/16 CA 93401 El OTH Architects. Occupation: P 300 300 300 ❑ PTY Architect ........ ._... El SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH j ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 600 -� `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 C Amounts may be rounded owl a_„___ SCHEDULE C Nonmonetary Contributions Received owl to e "o ars Statement covers period p . . 07/01 /2016 FORM from _ 09/24/2016 SEE INSTRUCTIONS ON REVERSE through _........._...._.......2 Page—U of NAME OF FILER I.D. NUMBER Aaron Gomez for City Council 2016 1387144 DATE FULL NAME. STREETADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I D NUMBER) NAME OF BUSINESS) (JAN 1 - DEC 31) (IF REQUIRED) El IND Zaca Mesa El COM bottles of wine 09/10/16 Los Olivos, CA 93441 OTH 300 300 300 ❑ PTY ❑ SCC 7 IND 09/10/16 Barrelhouse ❑ COM Keg of beer 250 Paso Robles, CA 93446 0 OTH 250 250 ❑ PTY ❑ SCC ❑IND 09/10/16 ( Stormy T SLO, CA 93401 ❑ Basket of pickled goods 200 200 200 V OTH ❑ PTY ❑ SCC ❑ IND ...... -...... ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 750 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 $ *Contributor Codes IND— Individual 2500 COM — Recipient Committee (other than PTY or SCC) 80 OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee 2580 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule C Amounts may be rounded SCHEDULE C Nonmonetary Contributions Received " " Statement covers period CALIFORNIA from 07/01/2016 FORM through 09/24/2016 Page 11— of /k SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Aaron Gomez for City Council 2016 1387144 DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I D NUMBER) NAME OF BUSINESS) (JAN 1 - DEC 31) (IF REQUIRED) ' ❑ IND Harmony House , Pismo ❑ COM y g o a 09/10/16 Beach, CA 93448 LZOTH mat/membership 250 250 250 ❑ PTY ❑ SCC ❑ IND ...................... 09/10/16 DRAKE wine Santa El COM bottles of wine 300 Barbara, CA 93101 OTH 300 300 ❑ PTY ❑ SCC I ❑ IND 09/10/16 Laetitia Arroyo ❑ COM bottles of wine 300 Grande, CA 93420 OTH 300 300 ❑ PTY ❑ SCC ❑ IND Chamisal SLO, CA 09/10/16 bottles of wine 93401 W OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 1150 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 $ '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 C Amounts may be rounded a_ SCHEDULE C Nonmonetary Contributions Received o wl.o e uo ars. Statement covers period CALIFORNIA ' k from 07/01/2016 FORM through 09/24/2016 J5— SEE INSTRUCTIONS ON REVERSE Page of NAME OF FILER I.D. NUMBER Aaron Gomez for City Council 2016 1387144 DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I D NUMBER) NAME OF BUSINESS) (JAN 1 - DEC 31) IF REQUIRED ( ) ❑ IND Mint salon SLO, CA ❑ COM mini facial brow 09/10/16 93401 wax 150 150 150 LZ OTH ❑ PTY .._ ❑ SCC El IND The Ritual , SLO, CA El COM classic cut & 09/10/16 93401 W OTH shave 100 100 100 ❑ PTY ❑ SCC ❑ IND 09/10/16 Bladerunner , SLO, CA ❑ COM gift certificate & g 200 83401 OTH Products 200 200 ❑ PTY ❑ SCC El IND 09/10/16 Stephen Patrick Design COTH Products and 150 SLO, CA 93401 [Z candle 150 150 ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 600 Schedule C Summary 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.)...... ........... S ....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 Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc_ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Aaron Gomez for City Council 2016 Amounts may be rounded to whole dollars. Statement covers period from 07/01/2016 through 09/24/2016 SCHEDULE E Page—/ of 16 1387144 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID EVENT INSURANCE - CA 95945 Event Insurance 201 City Of SLID - 919 Palm Street San Luis Obispo, CA 93401 FIL 660 Moshpit Digital Inc. Prefessinal Web Development, Graphic Design, Print 662 Upham St. STE A Ads for Campaign. 6214 SLO, CA 93401 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 7075 ----------------- Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. 7075 2. Unitemized payments made this period of under $100 .............................. 338 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).).............................................. 0 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. ... TOTAL $ 7413 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov