HomeMy WebLinkAboutHarmon - 460 - 10-21-2018 through 12-31-2018 Amendment 3Page of
COVER PAGE - PART 2
CALIFORNIA
FORM
Recipient CommitteeCampaign Statement
Cover Page — Part 2
460
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
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.
NAME OF TREASURER
COMMITTEE NAME
YES NO
I.D. NUMBER
CONTROLLED COMMITTEE?
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
NAME OF TREASURER
COMMITTEE NAME
YES NO
I.D. NUMBER
CONTROLLED COMMITTEE?
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
DISTRICT NO. IF ANY
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD
JURISDICTION SUPPORT
OPPOSE
BALLOT NO. OR LETTER
7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
OFFICE SOUGHT OR HELD
SUPPORT
OPPOSE
SUPPORT
OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT
OPPOSE
Attach continuation sheets if necessary
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT
OPPOSE
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Campaign Disclosure Statement
Summary Page
Page of
Amounts may be rounded
to whole dollars.
I.D. NUMBER
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 I, Line 4
15. Cash Payments ......................................................... Column A, Line 8 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.
CALIFORNIA
FORM
SUMMARY PAGE
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 8 + 9 + 10 $ $
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 $
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 $ $
460Statement covers period
from
through
Column B
CALENDAR YEAR
TOTAL TO DATE
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
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
*Amounts in this section may be different from amounts
reported in Column B.
Date of Election
(mm/dd/yy)
Total to Date
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
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).
//
//
$
$
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule C
Nonmonetary Contributions Received
I.D. NUMBER
Attach additional information on appropriately labeled continuation sheets.
CUMULATIVE TO
DATE
CALENDAR YEAR
(JAN 1 - DEC 31)
AMOUNT/
FAIR MARKET
VALUE
PER ELECTION
TO DATE
(IF REQUIRED)
DATE
RECEIVED
Amounts may be rounded
to whole dollars.
DESCRIPTION OF
GOODS OR SERVICES
SCHEDULE C
Page of SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
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 $
Statement covers period
from
through
SUBTOTAL $
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
FULL NAME, STREET ADDRESS AND
ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTOR
CODE *
IND
COM
OTH
PTY
SCC
CALIFORNIA
FORM 460
IND
COM
OTH
PTY
SCC
IND
COM
OTH
PTY
SCC
IND
COM
OTH
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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule C (Continuation Sheet)Statement covers period California Form 460
Nonmonetary Contributions from 10/21/2018 Page 5 of 5
Name of Filer: Heidi Harmon for Mayor 2018 through 12/31/2018 ID Number 1388334
Date First Name Last Name Street Address City State Zip Code Occupation & Employer Product/Service $FMV $YTD
10/22/2018 Judy Ann Maynard
San Luis Obispo CA 93401 IND Owner, Kreuzberg Appetizers/space 300.00$ 300.00$
Total 2,810.82$ 2,810.82$