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Home My WebLink About460 10/26/2016 Recipient Committee Campaign Statement 09/25/2016 - 10/22/2016 - Thomas MooreRecipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 9/25/2016 through 10/2212016 1. Type of Recipient Committee: All Committees _ Complete Parts 1, 2, 3, and 4. I� Officeholder, Candidate Controlled Committee O State Candidate Election Committee ❑ Primarily Formed Ballot Measure O Recall Committee O Controlled (Aso Cornplers Pert 5) 0 Sponsored ❑ General Purpose Committee (Aso comp o Pere) O Sponsored O Small Contributor Committee ❑ Primarily Formed Candidate/ O Political Party /Central Committee Officeholder Committee A"Ceaprere Pert r) 3. Committee Information NUMBER Thomas Moore for Seal Beach City Council 2016 District 2 (name revision at the request of Secretary of State) STREETADDRESS (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 COVER PAGE Date of election if applicable: OCT 26 2016 age of _ (Month. Day, Year) For Official Use Only CITY CLERK 11/8/2016 CITY OF SEAL BEACH 2. Type of Statement: October 24, 2016 Preelection Statement ❑ Semi - annual Statement ❑ Termination Statement ` Trrleastura0 Executed on Data BY r T 5 g t f G 1 II g Onwahakeq Centldate, S�easure Proponent or Responsible Officer of Sponsor Executed on Dale By Signature of controlling Officeholder, Candidate, State Measure Proponent Executed on are By Signature of Oonirolling rcaa er, --ol -ate, Stale Meamre Pro ponant 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 6. 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: Listanycommittees 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 AREACODEIPHONE COMMITTEE NAME I.D. NUMBER OF ❑ YES ❑ NO CITY STATE ZIPCODE AREACODE /PHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE OR LETTER COVER PAGE - PART 2 Page 2 of 8 ❑ 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 officeholder(s) or candidafe(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 El 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 NAME OF FILER _ Thomas Moore for Seal Beach City Council 2016 District 2 Contributions Received 1. Monetary Contributions .................... ............................... Schedule A, Line 3 2. Loans Received ................................. ............................... Schedule 8, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines f +2 4. Nonmonetary Contributions ............. ............................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........ ............................Add Lines 3 +4 Expenditures Made Column B 6. Payments Made ............................................................. E, Line 4 7. Loans Made 700.00 $ 695.48 $ ........................................ ............................... Schedule H. Line 3 8. SUBTOTAL CASH PAYMENTS ........... ............................... Add Lines 6 +f 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 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summery 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 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. Amounts may be rounded to whole dollars. Statement covers period from 9/25/2016 through 10/2212016 Column A Column B TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTAL TO DATE $ 496.50 $ 3683.72 198.98 700.00 $ 695.48 $ 4383.72 9200 . $ 695.48 $ 4475.72 $ 387.79 $ 2602.10 $ 387.79 $ 2602.10 1696.00 4896.43 $ 2083.79 g 7498.53 $ 1472.93 695.48 0 387.79 $ 1780.62 17. LOAN GUARANTEES RECEIVED . ............................... Schedule a, Part $ 0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................. ............................... See instructions on reverse $ 0 19. Outstanding Debts .............................. Add Lino 2+ Line 9 in Column a above $ 1895.98 Page 3 of 8 1387478 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/f to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (H subject to voluntary Expendeure Limit) Date of Election Total to Date (mm /dd/yy) -� $ 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). PAGE FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.r .gov Schedule A Amounts may be rounded MnnO+nn, to wi ri 11 SrtFIFr)111 F A -- - - - - -� -- ""'�" "" "" """`"•mow Statement covers period 9/25/2016 • • from • SEE INSTRUCTIONS ON REVERSE through 10/22/2016 4 8 NAME OF FILER Pa e of g Thomas Moore for Seal Beach City Council 2016 District 2 I.D. NUMBER 1387478 DATE RECEIVED (IF COMMITTEE, ALSO ENTER I. D. NUMBER ) FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBVEISCC IFAN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF SELF - EMPLOYED, ENTER NAME RECEIVED THIS PERIOD CALENDAR YEAR TO DATE OFBUSINESS) (JAN. 31 ( ) (IF REQUIRED) Marc Loopesko 10/15/2016 Retired $250.00 $250.00 ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCc ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC — SUBTOTALS $250 00�pafi SCh Pfi111P A Cnmm -- - - - ----- ._.1 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals) ........................................................................... ..............................$ 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 $ $250.00 $246.50 $496.50 `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 B — Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE Nam,E nr o" Thomas Moore for Seal Beach City Council 2016 District 2 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Thomas Moore tO IND ❑ COM 0 OTH i] PTY ❑ SCC rE] IND ❑ COM ❑ OTH i] PTY ❑ SCC ti] IND ❑ COM ❑ OTH El PTY ❑ SCC Amounts may be rounded to whole dollars. WAN INDIVIDUAL, ENTER a 8 (cl OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT AMOUNT RA aLOYED, ENTER BUSINESS) BEGINNING THIS RECEIVED THIS OR FORGIVE PERIOD pERIOD THIS PERIO Software ORIGINAL B CUMULATIVE ❑ PAID nt rRoundbrix AMOUNTOF CONTRIBUTIONS 500.02 LOAN TO DATE $ CALENDAR YEAR i] FORGIVEN 0 % $ 500.02 700.00 RATE $ s PER ELECTION' ❑ PAID $ 0 2/6/16 DATE DUE ❑ FORGIVEN DATE INCURRED s $ $ s �% 3 $ RATE ❑ PAID ❑ FORGIVEN $ $ Y SCHEDULE B - PART 1 aruwmem covers period from 9/25/2016 through 10/22/2016 Page 5 8 9 of I. D. NUMBER 1387478 NDING CE AT INTEREST ORIGINAL B CUMULATIVE F THIS PAID THIS AMOUNTOF CONTRIBUTIONS IOD PERIOD LOAN TO DATE 7S700.00 CALENDAR YEAR 0 % s 500.02 700.00 RATE $ PER ELECTION' 201 $ 0 2/6/16 DATE DUE DATE INCURRED s CALENDAR YEAR $ �% 3 $ RATE PER ELECTION ^ s TE DATE DUE r6AIN NDAR YEAR $ ATE FATE ELECT ION° DATE DUE SUBTOTALS $ 700.00$ 500 n9 S inn nn a schedule B Summary ,Ent„ Schedule 1. Loans received this period ................................................................................ ..............................$ inn nn (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period ............... 4nn m . .................... (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.) ........... Enter the net here and on the Summary Page, Column A, Line 2. NET $ w OR AIR (May be a neOeWe number) "Amounts forgiven or paid by another party also must be reported on Schedule A. If required. 9 I 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.w.gov (866/275 -3772) www.fppc.ca.gov Schedule E Payments Made SEE Thomas Moore for Seal Beach City Council 2016 District 2 Amounts may be rounded to whole dollars. E aremmem covers pe from 9125/2016 through 10/22/2016 I 6 9 Page of 8 NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I. D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Stater Brothers 6501 E. Spring Street Campaign Bank Account Check Long Beach, CA 90808 LIT $188.00 A Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ $188.00 Schedule E Summary I. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................. ............................... $ $188.00 2. Unitemized payments made this period of under $ 100 ....................................................................... ............................... $199.79 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 $ $387.79 FPPC Form 460 ()an /2016) FPPC Advice: advice @fppc.ca,gov (866/275 -3772) www.fppc.ca.gov 1387478 CODES: If one of the following codes accurately describes the payment, you may enter the code. CMP Otherwise, describe the payment. CNS campaign paraphernalia/misc. campaign consultants MBR member communications RAD radio airtime and production costs CTB contribution (explain nonmonetar y)' MTG OFC meetings and appearances RFD returned contributions CVC civic donations PET office expenses petition circulatin SAL campaign workers' salaries FIL candidate filing/ballot fees PHO g phone banks TEL t.v. or cable airtime and production costs FND fundraising events POL polling and survey research TRC candidate travel, lodging, and meals IND independent expenditure supporting /opposing others (explain)' POS postage, delivery and messenger services TRS staff /spouse travel, lodging, and meals LEG LIT legal defense PRO 9 professional services (legal, accounting) TSF transfer between committees of the same candidate /sponsor campaign literature and mailings PRT print ads VOT voter registration WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I. D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Stater Brothers 6501 E. Spring Street Campaign Bank Account Check Long Beach, CA 90808 LIT $188.00 A Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ $188.00 Schedule E Summary I. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................. ............................... $ $188.00 2. Unitemized payments made this period of under $ 100 ....................................................................... ............................... $199.79 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 $ $387.79 FPPC Form 460 ()an /2016) FPPC Advice: advice @fppc.ca,gov (866/275 -3772) www.fppc.ca.gov Schedule F Accrued Expenses (Unpaid Bills) Amounts may be rounded to whole dollars. Statement covers period from 9/25/2016 SCHEDULE F SEE INSTRUCTIONS ON REVERSE through 10/22%2016 7 NAME OF FILER e-mail) NAMEAND ADDRESSER CREDITOR AMEA ITTEE. DR ENTER LO. NUMBER) CODE OR DESCRIPTION OF PAYMENT Page of Thomas Moore for Seal Beach City Council 2016 District 2 M AMOUNT PAID (d) I.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the THIS PERIOD 1387478 CMP campaign Paraphernalia/misc. MBR code. Otherwise, describe the payment. CNS campaign consultants MTG member communications RAID radio airtime and production costs CTB contribution (explain nonmonetary)- OFC meetings and appearances office expenses RFD returned contributions CVC civic donations PET petition circulating SAL campaign salaries FIL candidate fling /ballot fees PHO phone banks TEL or cable airtime or cable airtime and production costs FND fundraising events POL polling and survey research TRC ca candidate travel, lodging, and meals IND independent expenditure supporting /opposing others (explain)- POS postage, delivery and messenger services TRS staff /spouse travel, lodging, and meals LEG legal defense LIT PRO professional services le al, accountin ( 9 TSF transfer between committees of the same candidate /sponsor campaign literature and mailin s 0 P RT 9) print ads I., voter registration summarized on Schedule D. Schedule F Summary SUBTOTALS $ 1905.08 $ 0 $ 0 $ 1905.08 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.) .................................. $1696.00 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on ............ INCURRED TOTALS $ accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $ 100.) .... ............................... PAID TOTALS $ 0 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.) .................................................................................................................................................... ............................... NET $ 1696.00 Mey ba a negalNa number FPPC Form 460 (Jan /2016) FPPC Advice: advice@fppc.r .gov (666/275 -3772) www.fppc.ca.gov inmundrmn recnnoiogy costs (internet, e-mail) NAMEAND ADDRESSER CREDITOR AMEA ITTEE. DR ENTER LO. NUMBER) CODE OR DESCRIPTION OF PAYMENT tat OUTSTANDING I6) AMOUNT INCURRED M AMOUNT PAID (d) BALANCE BEGINNING OF THIS PERIOD THIS PERIOD THIS PERIOD OUTSTANDING BALANCEATCLOSE Citibank Credit Card - Americas's Printer (ALSO REPORT ON E) OF THIS PERIOD Citibank CMP PO Box 78019 Phoenix, AZ 85062 $1413.72 0 0 $1413.72 Citibank Credit Card - USPS Citibank LIT PO Box 78019 Phoenix, AZ 85062 $107.36 0 0 $107.36 Citibank Credit Card - Leisure World News Citibank PRT PO Box 78019 Phoenix, AZ 85062 $384.00 0 0 $384.00 Payments that are contributions or independent expenditures must aim h< _ summarized on Schedule D. Schedule F Summary SUBTOTALS $ 1905.08 $ 0 $ 0 $ 1905.08 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.) .................................. $1696.00 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on ............ INCURRED TOTALS $ accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $ 100.) .... ............................... PAID TOTALS $ 0 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.) .................................................................................................................................................... ............................... NET $ 1696.00 Mey ba a negalNa number FPPC Form 460 (Jan /2016) FPPC Advice: advice@fppc.r .gov (666/275 -3772) www.fppc.ca.gov Schedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills) Amounts may be rounded to whole dollars. Statement covers period from 9125/2016 SCHEDULE F (CONT) NAME ANDADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D, NUMBER) Citibank credit card -Three Leaves Printing Citibank CODEOR DESCRIPTION OF PAYMENT LIT {al OUTSTANDING 6A LANCE BEGINNING OF THIS PERIOD through 10122/2016 NAME OF FILER (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON (d) OUTSTANDING BALANCEATCLOSE OF THIS PERIOD Page 8 of 8 Thomas Moore for Seal Beach City Council 2016 District 2 132.58 0 0 I.D. NUMBER SchoolsFirst Credit Card - VistaPrint 1387478 CODES: If one of the following codes accurately describes the payment, Schools First FCU LIT CMP campaign paraphernalia /mist. you may enter the code. Otherwise, describe the payment. CNS campaign consultants MBR MTG member communications RAD radio airtime and production costs CTB contribution (explain nonmonetary)' OFC meetings and appearances RFD returned contributions CVC civic donations FIL PET office expenses petition circulating SAL campaign workers' salaries candidate fling /ballot fees FIND PHO phone banks TEL tv. or cable airtime and production costs fundraising events IND independent expenditure supporting /opposing others (explain)` POL POS polling and survey research TRC TRS candidate travel, lodging, and meals staff /spouse travel, lodging, and o LEG legal defense PRO postage, delivery and messenger services 9 TSF meals transfer between committees of the same LIT campaign literature and mailings $1,696.00 professional services (legal, accounting) VOT candidate /sponsor voter registration ' Payments that are contributions or independent expenditures must also PRT print ads be summarized WEB information technology costs (internet, e-mail) on Schedule D. NAME ANDADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D, NUMBER) Citibank credit card -Three Leaves Printing Citibank CODEOR DESCRIPTION OF PAYMENT LIT {al OUTSTANDING 6A LANCE BEGINNING OF THIS PERIOD (b) AMOUNTINCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON (d) OUTSTANDING BALANCEATCLOSE OF THIS PERIOD PO Box 78019 Phoenix, AZ 85062 132.58 0 0 132.58 SchoolsFirst Credit Card - VistaPrint Schools First FCU LIT PO Box 11908 Santa Ana, CA 92711 170.00 0 0 170.00 SchoolsFirst Credit Card - America's Printer Schools First FCU LIT PO Box 11908 Santa Ana, CA 92711 595.08 0 0 595.08 Leisure World News 13521 St. Andrews Dr. PRT Seal Beach CA 90740 0 $1,696.00 0 $1,696.00 '.""-D4 b9/.66 $ $1696.00 $ 0 $ $2593.66 FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.guv (866/275 -3772) www.fppc.ca.gov