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Home My WebLink About460 09/29/2016 Recipient Committee Campaign Statement 01/01/2016 - 09/24/2016 Thomas MooreRecipient Committee COVER PAGE Campaign Statement Data Stamp '_ A • 1 Cover Page Statement covets period Date of election if applicable: SEP 29 2016 Pa a of - 1/1/2016 (Month, Day, Year) For Official Use Only from - CITY CLERK SEE INSTRUCTIONS ON REVERSE through 9/24/2016 11/8/2016 CITY OF SEAL BEACH 1. Type of Recipient Committee: All committees - Complete Parts 1, x, 3, and 4. 2. Type of Statement: VI Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 10 Preelection Statement ❑ Quarterly Statement O State Candidate Election Committee O Recall Committee O Controlled ❑ Semi - annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (ago compile Part 5) O Sponsored (Also file a Form 410 Termination) ❑ General Purpose Committee faso Campeb Parc 6) ❑ Amendment (Explain below) O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party /Central Committee faso Compels Parch 3. Committee Information I.D. NUMBER 138747E Thomas Moore, Friends of STREET ADDRESS (NO P.O. BOX) MAILING ADDRESS (IF DIFFERENT) NO, AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL'. FAX /E- MAILADDRESS Treasurer(s) NAME OFTREASURER Robert Moore MAILING ADDRESS MAILINGADDRESS 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 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 foregoing is true and correct. Executed on September 27, 2016 Date Executed on September 27, 2016 Dale Executed on Date Executed on Data By By Signature of Controlling Office older, Candidate, Slata Measure Proponent By Signature of Controlling Officeholder, Candid., , State Meesum roponent 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 S. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Thomas Moore OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Seal Beach City Council District #2 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. CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME NUMBER ❑ YES ❑ NO CITY STATE ZIP CODE AREACODE/PHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE - PART 2 Page of ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT 7. Primarily Formed Candidate /Officeholder Committee List names of ofllceholder($) or candidatefs) 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.w.gov (866/275 -3772) www.fppc.w.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY Summary Page to whole dollars. Statement covers period from 1/1/2016 • 1 SEE INSTRUCTIONS ON REVERSE through 9/24/2016 Page of Thomas Moore, Friends of Contributions Received 1. Monetary Contributions .................... ............................... schedule A, Line 3 $ 2. Loans Received ................................. ............................... schedule 6, Linea 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ 4. Nonmonetary Contributions ............. ............................... schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 + 4 $ L.otumn N TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 3187.22 $ 500.02 3687.24 $ 92.00 3779.24 $ Expenditures Made 6. Payments Made ................................. ............................... Schedule E, Line 4 $ 2214.31 7. Loans Made ........................................ ............................... schedule H. Line 3 0 6. SUBTOTAL CASH PAYMENTS ........... ............................... Add Lines6 +7 $ 2214.31 9. Accrued Expenses (Unpaid Bills) ................... .......................Schedule F, Linea 3200.43 10. Nonmonetary Adjustment .......................... ............................... schedule C, Line 3 0 11. TOTAL EXPENDITURES MADE ........................................ AddLines8 +9 +10 $ 5414.74 Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Page, Line 16 $ 13. Cash Receipts... .... ................................................... Column A, Line 3above 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, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 0 3687.24 0 2214.31 1472.93 IT LOAN GUARANTEES RECEIVED . ............................... Schedule B, Pad 2 $ 0 Cash Equivalents a 18. Cash Equivalents......... 19. Outstanding Debts....... ............. See instructions on reverse $ 0 Add Line 2 + Line 9 in Column S above $ 3700.45 Column B CALENDARYEAR TOTAL TO DATE 3187.22 500.02 3687.24 92.00 3779.24 11387478 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 $ 2214.31 Candidates 2214.31 22. Cumulative Expenditures Made• $ pt Subject to Voluntary Expenditure Limit) 3200.43 Date of Election Total to Date 0 (mm/dd /yy) $ 5414.74 1 J $ 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 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 A Amounts may be rounded SCHEDULE A monetary Contributions Received statement covers period 1/1/2016 , ' • from SEE INSTRUCTIONS ON REVERSE through 9/24/2()16 Page of NAME OF FILER I.D. NUMBER Thomas Moore, Friends of 1387478 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMWTTEE, ALSO ENTER m. NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF - EMPLOYED ENTER NAME OF BUSINESS) PERIOD (JAN.1 -DEC. 31) (IF REQUIRED) Robert Moore 0 IND 7/11/2016 CI OOH Retired $485.20 ❑ PTY ❑ SCC Tom Moore MIND 8/1/2016 ❑COM ❑ OTH Director of Software $500.00 Development ❑PTY ROundbrix ❑ SCC IND 8/15/2016 David Moore ❑coM ITS Director - ❑ OTH Applications $500.00 ❑PTY Federal Reserve ❑ SCC Polly Cross 9 IND 8/26/2016 ❑COM Retired $193.90 ❑ OTH ❑ PTV ❑ SCC James Cathay W1 IND 9/18/2016 ❑COM Retired $100 ❑ OTH ❑ PTY ❑SCC SUBTOTAL $ 1473.00 00 n,, ""^ : ?� � �� xneuure M 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.) ........... ..... I .................. $ ........................ $ ..........TOTAL $ 1773.00 1414.22 3187.22 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 wnole dollars. Statement covers period from 111/2016 FORM Page of through 9/24/2016 NAME OF FILER I.D. NUMBER Thomas Moore, Friends of 1387478 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR COMMITTEE, ALSO CONTRIBUTOR IF AN INDIVtOUAL, 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) Kathleen Hansen ® IND ❑COM 9/16/2016 ❑orH Stock Broker $100 ❑ PTY Pending ❑ SCC Ryan Allen ® IND Managing Director 9/16/2016 ❑ PTY ❑ SCC Marty Eisenberg ® IND ❑COM Real Estate Broker 9/16/2016 [:j OTH Pending 9 $100 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 300 00 r� m fi: 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.fppe.ca.gov A mnuM� m • Fn uundeA SCHEDULE B - PART 1 scneoute Its — taarz 'I to whole dollars. Statement covers period Loans Received from 1/1/2016 SEE INSTRUCTIONS ON REVERSE through 9/24/2016 Page of !BER NAME OF FILER I.D. NU Thomas Moore, Friends of 1387478 FULL NAME, STREE7ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING AMOUNT (N OUTSTANDING e INTEREST ORIGINAL g CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER LID NUMBER) pr SELMEOFLOVINESS) ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN OR FOR IVEN BALANCEAT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD' PERIOD PERIOD LOAN TO DATE Thomas Moore Director of Software ❑ PAID CALENDAR YEAR Roundbrix RATE $ 0 $ 500.02 $ 11/10/201 $ 0 9/6/16 q r� IND ❑ DOM ❑ 0TH ❑ PTV ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION-- RATE t❑ IND [I COM ❑ OTH El PTY ❑SCC S S S $ S DATE DUE DATE INCURRED PAID CALENDAR YEAR El FORGIVEN FORGIVEN PER ELECTION" t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC S $ $ $ S DATE DUE DATE INCURRED SUBTOTALS $ 500.02 $ 0 $ 500.02 Schedule B Summary 1. Loans received this period .......................... ............................... (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period .................................. ............................... (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.) .........I .................... Enter the net here and on the Summary Page, Column A, Line 2. 'Amounts forgiven or paid by another party also must be reported on Schedule A. If required. ............................ $ ..................... NET $ r)nn n2 (May be a negab ye number) '0ler�n Schedule E, Lin. 3) 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 FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov A SCHEDULE B - PART 2 Schedule B — Part 2 mounts may be rounded statement covers period _ Loan Guarantors to wholedoilars. 1 from 1/1/2016 •' SEE INSTRUCTIONS ON REVERSE through 9/24/2016 Page of NAME OF FILER I.D. NUMBER Thomas Moore, Friends of 1387478 FULL NAME, STREETADDRESS AND IF AN INDIVIDUAL, ENTER AMOUNT BALANCE ZIP CODE OF GUARANTOR CONTRIBUTOR OCCUPATION AND EMPLOYER LOAN GUARANTEED CUMULATIVE OUTSTANDING (IF COMMITTEE, ALSO ENTER D. NUMBER) CODE (IF SELF - EMPLOYED, ENTER THIS PERIOD TO DATE TO DATE NAME OF BUSINESS) None ❑ IND LENDER CALENDAR YEAR ❑ COM $ DATE ❑ OTH PER ELECTION (IF REQUIRED) ❑ PTY ❑ SCC s CALENDAR YEAR ❑ IND LENDER ❑ COM $ ❑ 0TH PER ELECTION DATE (IF REQUIRED) ❑ PTY ❑ SCC s CALENDAR YEAR ❑ IND LENDER ❑ COM $ ❑ OTH PER ELECTION DAB (IF REQUIRED) ❑ PTY ❑ SCC s LENDER CALENDAR YEAR ❑IND ❑ COM $ DATE ❑ OTH PER ELECTION (IF REQUIRED) ❑ PTY ❑SCC $ SUBTOTAL $ p Summary Page, Line 17 .0, �" -, FPPC Form 460 (Jan/2016( FPPC Advice: advice @fppc.ca.gov (866/275 -3772( www.fppc.ca.gov Schedule C Amounts may be rounded t- d- !! .. SCHEDULE C Monmonetary Contributions Received Statement covers period Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.) ........................................................................................ ..............................$ 0 2. Amount received this period — unitemized nonmonetary contributions of less than $100 .... ..............................$ 92.00 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 $ 92.00 "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.ce.gov from 1/1/2016 • • - SEE INSTRUCTIONS ON REVERSE through 9124/2016 Page of NAME OF FILER I.D. NUMBER Thomas Moore, Friends of 1387478 DATE FULL NAME. SOF AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE. ALSO ENTER LD. NUMBER) CODE * OC (IF SEL ONAND EMPLOYER (IF GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE NAME OF BUSINESS) (JAN 1 - DEC 31) (IF REQUIRED) ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTALS 92 00� WS IN , Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.) ........................................................................................ ..............................$ 0 2. Amount received this period — unitemized nonmonetary contributions of less than $100 .... ..............................$ 92.00 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 $ 92.00 "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.ce.gov Schedule D SCHFnI I F n ouirnimary oT CX enaltures Amoums may oe rounaea l d hoe oars. Supporting /Opposing Other to w ll Candidates, Measures and Committees Statement covers period from 1/1/2016 • , • - , SEE INSTRUCTIONS ON REVERSE through 9/24/2016 Page of NAME OF FILER I.D. NUMBER Thomas Moore, Friends of 1387478 GATE NAME OF CANDIDATE, OFFICE,AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) AMOUNT THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN.1 -DEC. ai) PER ELECTION TO DATE (IF REQUIRED) ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ oppose Expenditure SUBTOTAL $ 0 0� ' 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 ..................................................... ............................... $ 0 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) .......... TOTAL.. $ 0 FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.m.gov (866/275 -3772) www.fppc.ca.gov Schedule D (Continuation Sheet) Q. &r__ -�J•a Amounts may be rounded ';rHFr1I II P D fnnAIT1 ' Statement covers period I Supporting /Opposing Other CALIFORNIA 460 Candidates, Measures and Committees from 1/112016 through 9/24/2016 Page NAM OF F LER of I.D. NUMBER Thomas Moore, Friends of 1387478 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, MEASURE NUMBER OR AND JURISDICTION, IO TYPE OF PAYMENT DESCRIPTION AMPERIOD IS CUMULATIVE TO DATE PER ELECTION OR COMMITTEE COMMITTEE (IF REQUIRED) PERIOD CALENDAR YEAR TO DATE (JAN.1 -DEC, 31) OF REQUIRED) ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support Cl Oppose Expenditure SUBTOTAL $ 0ff :,1.. ` r 8 :r', Vim, FPPC Form 460 (Jan/2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.w.gov SCHEDULE E Schedule nt E Amounts may of rounded Statement covers period ' Payments Made to whole dollars. s• A , � from 1/1/2016 O' SEE INSTRUCTIONS ON REVERSE through 9/24/2016 Page of NAME OF FILER I.D. NUMBER Thomas Moore, Friends of 1387478 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 FIL civic donations candidate filing /ballot fees PET petition circulating TEL t.v. or cable airtime and production costs FND fundraising events PHO POL phone banks polling and survey research TRC TRS candidate travel, lodging, and meals staff /spouse travel, lodging, and meals IND independent expenditure supportinglapposing 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, a -mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Leisure World News Campaign Bank Account Check 13521 St. Andrews Dr. PRT 300.00 Seal Beach CA 90740 America's Printer Campaign Bank Account Check 6910 Aragon Cir CMP 1152.36 Buena Park CA 90620 City of Seal Beach Check from Candidate City Clerk FIL $582.00 211 8th Street, Seal Beach, CA 90740 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2034.36 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................. ............................... $ 2034.36 2. Unitemized payments made this period of under $ 100 ........................................................................................................... ............................... $ 179.95 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 $ 2214.31 FPPC Form 460 (Jan/2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.w.gov SCHEOULE F Schedule F Accrued Expenses (Unpaid Bills P f P ) SEE INSTRUCTIONS ON REVERSE DESCRIPCODOFPAYMENT Amounts may be rounded to whole dollars. (b) AMOUNT INCURRED Statement covers period from 1/1/2016 through 9/24/2016 .. , , ' Page of NAME OF FILER BALANCE BEGINNING THIS PERIOD THIS PERIOD I.D. NUMBER Thomas Moore, Friends of OF THIS PERIOD (ALSO REPORT ON 1387478 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 filingiballot 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) NAME AND ADDRESS OF CREDITOR QFCOMMITTEE.AL50 ENTER LO. NUMBER) DESCRIPCODOFPAYMENT (a) OUTSTANDING (b) AMOUNT INCURRED (c) AMOUNTPAID (d) OUTSTANDING BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON OF THIS PERIOD Citibank Credit Card - Americas's Printer Citibank CMP 0 1413.72 0 1413.72 PO Box 78019 Phoenix, AZ 85062 Citibank Credit Card - USPS Citibank LIT 0 107.36 0 107.36 PO Box 78019 Phoenix, AZ 85062 Citibank Credit Card - Leisure World News Citibank PRT 0 384.00 0 384.00 PO Box 78019 Phoenix, AZ 85062 ' Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ $ summarized on Schedule D. 1905.08 0 $ 1905.08 Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ......................... 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.).... 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) ................................................ ............................... ...........INCURRED TOTALS $ .............. I ............ ... PAID TOTALS $ 3200.43 NET $ 3200.43 May be a negative number FPPC Form 460(Jan/2016) FPPC Advice: advice@fppc:a.gov (866/275 -3772) www.fppc.ca.gov Schedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills) Amounts may be rounded to whole dollars. Statement covers period from 1/1/2016 SCHEOULEF(CONT.) NAME AND ADDRESS OF CREDITOR CODEOR (a) OUTSTANDING IN AMOUNT INCURRED through 9/24/2016 Page of NAME OF FILER DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD I.D. NUMBER Thomas Moore, Friends of OF THIS PERIOD (ALSO REPORT ON E) 1387478 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 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 are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF CREDITOR CODEOR (a) OUTSTANDING IN AMOUNT INCURRED (c) AMOUNT PAID (d) OUTSTANDING (IF COMMITTEE, ALSO ENTER To NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCEAT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Citibank credit card - Three Leaves Printing Citibank LIT 0 132.58 0 132.58 PO Box 78019 Phoenix, AZ 85062 SchoolsFirst Credit Card - VistaPrint Schools First FCU LIT 0 170.00 0 170.00 PO Box 11908 Santa Ana, CA 92711 SchoolsFirst Credit Card - America's Printer Schools First FCU LIT 0 595.08 0 595.08 PO Box 11908 Santa Ana, CA 92711 SUBTOTALS $ $ 897.66 $ 0 $ 897.66 FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.m.gov (866/275 -3772) www.fppc.m.gov Schedule G Payments Made by an Agent or Independent Amounts may be rounded S Contractor (on Behalf of This Committee) to whole dollars. from Thomas Moore, Friends of CONTRACTOR 1/1/2016 9/24/2016 SCHEDULE G Page of 1387478 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 warkers'salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate fling /ballot fees PHO phone banks TRC candidate travel, lodging, and meals FNO 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 are contributions or independent expenditures must also be summarized on Schedule D. NAMEANDADDRESS OF PAYEE OR CREDITOR (IFCOMMITTEE. ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Attach additional information on appropriately labeled continuation sheets. TOTAL' $ 0 Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or FPPC Form 460 ()an /2016) independent contractor as reported on Schedule E. FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.w.gov Em"IMId9AAI Schedule H Amounts may be rounded Statement covers period to whole dollars. Loans Made to Others* 1/1/2016 • FORM. • from 9/24/2016 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Thomas Moore, Friends of 1387478 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATIONANDEM a OUTSTANDING (b) AMOUNT le) REPAYMENT la) OUTSTANDING (e) INTEREST p) ORIGINAL Ig) CUMULATIVE OF RECIPIENT (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS LOANED THIS FORGIVENESS BALANCE AT CLOSE OF THIS RECEIVED AMOUNT OF LOANS NANEGF euswess) PERIOD THIS PERIOD' PERIOD LOAN TO DATE PAID CALENDAR YEAR C1 FORGIVEN FORGIVEN PER ELECTION" S g 4 S $ DATE DUE DATE INCURRED PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTON" RATE Y S g Y S DATE DUE DATE INCURRED "Loans that are contributions to another candidate or committee must `' -1W also be summarized on Schedule D. Loans forgiven must also be SUBTOTALS $ $ $ 0 ;;; � ,;;} reported on Schedule E. $ ,'^ a lerele, lei ore Schedule I, Line 3) Schedule H Summary 1. Loans made this period ...................................................................................................................... ..............................$ n (Total Column (b) plus unitemized loans of less than $100.) .-If Required 2. Payments received on loans .............................................................................................................. ..............................$ n (Total Column (c) plus unitemized payments of less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................. ............................... NET $ n (Enter the net here and on the Summary Page, Column A, Line 7.) (May be a nepalrve number) FPPC Form 960 (Jan/2036) FPPC Advice: advice@fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule I Amounts may be rounded SCHEDULE I Miscellaneous Increases to Cash to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from 1/112016 through 9/24/2016 CALIFORNIA,,4 , F014M14 Page of NAME OF FILER Thomas Moore, Friends of I.D. NUMBER 1387478 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 0 Schedule 1 Summary 1. Itemized increases to cash this period .............................................................................................. ..............................$ 0 2. Unitemized increases to cash of under $100 this period. ... .................... ........................................................................ $ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ......... ..............................$ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.) .............................................................................................. ............................... TOTAL $ 0 FPPC Form 460 (Jan /2036) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov