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Home My WebLink AboutAaron Gomez - Form 460 - 10-23-16 to 12-31-16 Semi-annualRepient Committee Date Stamp COVER PAGE ci Campaign Statement ' Cover Page �tFCEivcf� SEE INSTRUCTIONS ON REVERSE Statement covers period from 10/23/2016 through 12/31/2016 1. Type of Recipient Committee: All committees — complete Parts 1, 2, 3, and 4. FA Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee 0 Recall (Also Complete Part 5) ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME Aaron Gomez for City Council 2016 ❑ Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) I.D. NUMBER STREET ADDRESS (NO P.O. BOX) ❑ Preelection Statement V ❑ Termination Statement CITY STATE ZIP CODE AREA CODE/PHONE San Luis Obispo CA MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE San Luis Obispo CA (Same) OPTIONAL: FAX/ E-MAIL ADDRESS Date of election if appli (Month. Day, Year) JAN 27 2017 11/08/16 _T_�__� 2. Type of Statement: ❑ Preelection Statement V Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Page I of -I- I For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report Treasurer(s) NAME OF TREASURER Tobin Risner MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE San Luis Obispo CA NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY OPTIONAL: FAX/ E-MAIL ADDRESS STATE ZIP CODE AREA CODE/PHONE 4. Verification I 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 California that the By Signature of Controlling Officeholder, Candidate, Stale 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 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 RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP San Luis Obispo CA 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 behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE COVER PAGE - PART 2 Page 2 of 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 Listnames of officeholder(s) or candidate(s) 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. fro Statement covers period m 10/23/2016 through 12/31/2016 Contributions ReceivedColumn 6535 A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) Column CALENDAR YEAR TOTAL TO DATE 1. Monetary Contributions .... ................... --- .................. Schedule A, Line 3 $ 4479 $ 18363 2. Loans Received ....................................... ......................... Schedule 8, Line 3 -2200 0 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ 2279 $ 18363 4. Nonmonetary Contributions ................ ............................ Schedule C, Line 3 0 2580 5. TOTAL CONTRIBUTIONS RECEIVED ....... ................... . ...... Add Lines 3+4 $ 2279 $ 20943 Expenditures Made 6. Payments Made........................................:........:........:._. Schedule E, Line 4 $ 6535 7. Loans Made ..................:......................:. .......... Schedule H, Line 3 0 8. SUBTOTAL CASH PAYMENTS......:.........::.::..:.. .... AddLines6+7 $ 6535 9. Accrued Expenses (Unpaid Bills) .......:.....:— .......................: Schedule F Line 3 0 10. Nonmonetary Adjustment...........................:............:.:.........:i. Schedule C, Line 3 0 11. TOTAL EXPENDITURES MADE ............... ... :.................... Add Lines 6 + 9 + 10 $ 6535 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, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 4256 2279 0 6535 0 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, 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 8 above $ 0 $ 17903 0 $ 17903 0 I $ 17903 To calculate Column B, add amounts in Column Ato 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 Page 3 of I.D. NUMBER 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' (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 Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF RLER Aaron Gomez for City Council 2016 DATE RECEIVED 11/07/2016 11/4/2016 10/31/16 10/25/16 10/25/16 Amounts may be rounded to whole dollars. FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF IF AN INDIVIDUAL, ENTER (IF COMMITTEE, ALSO ENTER I D NUMBER) CODE * AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Jennifer Melton San Luis Obispo iZI IND El COM Roost Co -Working; Self CA ❑ OTH Employeed ❑ PTY _ ❑ SCC John Belsher San Luis Obispo P is IND El COM Self Employed Attorney CA ❑ OTH ❑ PTY ❑ SCC James Patterson D IND ❑ COM Retired Atascadero CA ❑ OTH ❑ PTY ❑ ScC Jeremy Christensen San Luis W1 IND ❑ COM Sidecar Restaurant: Obispo CA ❑ OTH Owner ❑ PTY ❑ SCC Josh Christensen San Luis W1 IND ❑ coM Sidecar Restaurant: Obispo CA ❑ OTH Owner ❑ 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 $ statement covers period from 10/23/2016 through 12/31/2016 SCHEDULE A Page 4 of I.D. NUMBER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 200 200 200 99 1 99 99 75 300 300 974 4327 152 300 300 '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 FILER Aaron Gomez for Citv Council 2016 Amounts may be rounded to whole dollars. DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER RECEIVED (IF COMMITTEE, ALSO ENTER I D. NUMBER)CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) California Real Estate PAC 11/3/16 Los Angeles, CA Homebuilders Accociate of the Central Coast 10/25/16 PAC SLO, CA ❑ IND ® COM ❑ OTH ❑ PTY ❑ SCC ❑ IND 0 COM ❑ OTH ❑ PTY ❑ SCC Annie Shanks SLO, CA ® IND Medallian Planning 10/25/16 El COM Financial Planner statement covers period from 10/23/2016 through 12/31/2016 SCHEDULE A (CONT.) Page of AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 300 1 300 300 ❑ OTH ❑ PTY ❑ SCC � - Doug Shaw SLO, CA IND ❑COM The Sanctuary Tobacco 10/25/16 300 El OTH Shop, Owner 11/1/2017 ❑ PTY ❑ SCC Aaron Gomez ® IND Gold Concept Inc. 0 CO Owner p SLO, CA ❑ PTY ❑ SCC 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 300 300 2153 2153 SUBTOTAL$ 3353 300 300 300 300 2153 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule B — Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Aaron Gomez for City Council 2016 Amounts may be rounded to whole dollars. Statement covers period from.. 10/23/2016 through 12/31/2016 SCHEDULE B - PART 1 Page of I.D. NUMBER FULL NAME, STREETADDRESS AND ZIP CODE WAN INDIVIDUAL, ENTER OUTSTANDING AMOUNT (c) (u) OUTSTANDING (e) tit y OF LENDER OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS AMOUNT PAID BALANCE AT INTEREST ORIGINAL CUMULATIVE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER BEGINNING THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS NAME OF BUSINESS) PERIOD PERIOD :, THIS PERIOD PERIOD PERIOD LOAN TO DATE Aaron Gomez Gold Concept Inc PAID CALENDAR YEAR s 47.29 s 0 2200 $ 0 SLO, CA % RATE $ FI7RCaIVEN PER ELECTION" $ 2200 $ 0 $ 2152.71 12/3.1/16 $ 6/16/16 $ t IND E] COM ❑ OTH ❑PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION** RATE TO IND ❑COM ❑ OTH ❑ PTY ❑SCC $ $ $ $ $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ $ % $ $ PER ELECTION" ❑ FORGIVEN RATE t ❑ IND El COM ❑ OTH❑ PTY ❑ SCC $ $ $ $ $ DATE DUE DATE INCURRED SUBTOTALS $ 0 $ 2200 $ 0 $ 0 Schedule B Summary titn - •) Schedule E, , Lion3) 1. Loans received this period.............................................................................. ..............................$ n (Total Column (b) plus unitemized loans of less than $100 ) 2. Loans paid or forgiven this period.......................................................................--....... ....................$ 99nn (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.).............................................................. NET $ -2900 Enter the net here and on the Summa Pa e Column A L' 2 Summary tContributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee g , Ine (May be a negative number) "Amounts forgiven or paid by another party also must be reported on Schedule A. FPPC Form 460 (Jan/2016) " If required. FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded SCHEDULE E (CONT) (Continuation Sheet) to whole dollars. Statement covers period . Payments Made from 10/23/2016 12/31 /2016 FPage SEE INSTRUCTIONS ON REVERSE through � of NAME OF FILER I.D. NUMBER Aaron Gomez for City Council 2016 CODES CMP CNS CTB CVC FIL FND IND LEG LIT If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. campaign paraphernalia/misc. MBR member communications campaign consultants MTG meetings and appearances contribution (explain nonmonetary)* OFC office expenses civic donations PET petition circulating candidate filing/ballot fees PHO phone banks fundraising events POL polling and survey research independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services legal defense PRO professional services (legal, accounting) campaign literature and mailings PRT print ads NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Novo Restaurant San Luis Obispo, CA Achievement House, Inc. Paso Robles, CA Stripe Inc. San Francisco, CA Proxima Parada No Address Available (Music Band) CODE OR Meet & Greet MTG Postage POS MTG RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) DESCRIPTION OF PAYMENT Merchant Service Fees for accepting Credit Card Donations Band Music during a Fundraiser AMOUNT PAID 148.60 2719.53 300.02 233.33 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 3401.48 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov