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Home My WebLink About460 10/20/2020 Recipient Committee Campaign Statement 09/20/2020 - 10/17/2020 Thomas MooreRecipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE COVER PAGE Date Stamp ICALIFORNIA - ]RECEIVED• - 460 Statement covers period Date of election if applicable: Page 1 of 6 from 9/20/2020 (Month, Day, Year) OCT 2 U 2020 11 For Oficial Use Only through 10/17/2020 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, s, and 4. m Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall (Also Compee Pan s) ❑ General Purpose Committee Sponsored Small Contributor Committee Political Party/Central Committee ❑ Primarily Formed Ballot Measure Committee SControlled Sponsored (Also Complee Pan 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complee Part 7) 3. Committee Information I.D. NUMBER COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMI17EE)850767211 Thomas Moore for Seal Beach Council 2020 4. STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE Verification 11/3/2020 CITY CL9AK �Y OF SEAL $SAC; 2. Type of Statement: Z 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 Robert L. Moore MAIL NGADDRESS C TY STATE ZIP CODE AREA CODE/PHONE MAILINGADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 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 Date Executed on(.. �_ By —L` w ng OM co 5wa'or wncioeie, smLie•',nsa�-as�ure{Proponent or ROSDonsible Officar ni . mn— Exearted on Date Executed on a By Signature of Conbolingom-ceFokFw—, te, State Measure Proponent By Signature of Controlling Officeholder, CandIdate, State Measure ponent 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 Thomas J. Moore OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Seal Beach City Council, District 2 RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 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 AREA CODE/PHONE COMMITTEE NAME NAME OF STREETADDRESS (NO P.O. B I.D. NUMBER ❑ YES ❑ NO CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 2 of 6 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 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 vgmmc ur r1ltK Thomas J. Moore Amounts may be rounded to whole dollars. SUMMARY PAGE Statement covers period from 9/20/2020 through 10/17/2020 Page 3 of 6 Contributions Received Column A $ 2209 Column B 13. Cash Receipts •••••••••• ••••••••••••••••••••••••••••••••••••............. Co/umnA, Line 3 above 1310 To calculate Column B, add amounts in Column TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) None CALENDAR YEAR TOTAL TO DATE 1. Monetary Contributions................................................... Schedule A, Line 3 $ 1310 $ 4539 2. Loans Received................................................................ Schedule B, Line 3 should be subtracted from 0 3500 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Innes 1 + 2 $ 1310 any). 8039 $ 4. Nonmonetary Contributions ............................................ schedule C, Line 3 None None 5. TOTAL CONTRIBUTIONS RECEIVED 1310 8039 ................................Add Lines 3+4 $ $ Expenditures Made 6. Payments Made................................................................ Schedule E Line 4 $ 3454 $ 7974 7. Loans Made....................................................................... Schedule H, Line 3 None None 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 3454 7974 $ $ 9. Accrued Expenses (Unpaid Bills) .......................................... schedule F Line 3 None None 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 None None 11. TOTAL EXPENDITURES MADE....................................Add Lines 8+9+10 3454 7974 $ $ Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 2209 13. Cash Receipts •••••••••• ••••••••••••••••••••••••••••••••••••............. Co/umnA, Line 3 above 1310 To calculate Column B, add amounts in Column 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 None A to the corresponding 15. Cash Payments......................................................... Column A, Line 8 above 3454 amounts from Column B of your last report. Some 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15amounts $ 65 in Column A may be negative figures that If this is a termination statement, Line 16 must be zero. should be subtracted from previous period amounts. If this is the first report being Ned for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if 17. LOAN GUARANTEES RECEIVED ................................ schedule S, Part 2 $ None Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ None any). 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column S above $ None I.D. NUMBER 85-0767211 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 $ $ IExpenditure 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 FILER Thomas J Moore DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF RECEIVED CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) 9/27/2020 Christine Moore 10/3/2020 Robert Goldberg 10/11/2020 1 Leisure World GOP Club Amounts may be rounded to whole dollars. SCHEDULE A statement covers from 9/20/2020 through 10/17/2020 Page 4 of 6 CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CODE * OCCUPATION AND EMPLOYER RECEIVED THIS (IF SELF-EMPLOYED, ENTER NAME PERIOD ® IND ❑ COM Retired 490 ❑ OTH ❑ PTY ❑ SCC ® IND ❑ CoM Retired 200 ❑ OTH ❑ PTY ❑ SCC ❑ IND m COM Retired 500 ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 1190 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) 1190 2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$ 120 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ 1310 I.D. NUMBER 85-0767211 CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 -DEC. 31) (IF REQUIRED) 490 490 200 200 500 500 7 '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 rvirmr- Vr• r-ILtK Thomas J. Moore FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Thomas J. Moore t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Amounts may be rounded to whole dollars. statement covers period from 9/20/2020 through 10/17/2020 SCHEDULE B - PART 1 Page 5 of -6 I.D. NUMBER 85-0767211 IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) OUTSTANDING BALANCE BEGINNING THIS PERIOD AMOUNT RECEIVED THIS PERIOD AMOUNT PAID OR FORGIVEN THISPERIOD- OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD e INTEREST PAID THIS PERIOD ORIGINAL AMOUNT OF LOAN CUMULATIVE CONTRIBUTIONS TO DATE Incumbent, Seal Beach City Council ❑ PAID $ $ 3500 0 % 3500 CALENDAR YE 3500 3500 $ $ 0 ❑ FORGIVEN $ 11/4/2020 RATE $ 0 8/1/2020 PER ELECTION" $ 3500 DATE DUE DATE INCURRED PAID SUBTOTALS $ 0 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.) .......... ............................................. 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. ❑ FORGIVEN RATE $ g DATE DUE ❑ PAID $ ❑ FORGIVEN $ $ 0 ........... $ 0 ........... $ 0 NET $ $ 5 — DATE DUE $ 3500 $ 0 (May be a negative number) RATE on $ $ PER ELECTION"+ $ DATE INCURRED CALENDAR YEAR $ $ PER ELECTION*" S DATE INCURRED 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 Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Thomas J Moore Amounts may be rounded to whole dollars. 79 statement covers period from 9/20/2020 through 10/17/2020 Page 6 of 6 NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR Leisure World News, 13521 St. Andrews Drive, Seal Beach CA 90740 I PRT Americas Printer PRT 6910 Aragon Circle, Buena Park, CA 90620 01 "Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary DESCRIPTION OF PAYMENT Advertising Yard signs and newsletter printing 1. Itemized payments made this period. (Include all Schedule E subtotals.)...................................................................................... 2. Unitemized payments made this period of under $100......................................... .......................................................................... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)...................................................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ................. AMOUNT PAID 1526 1463 SUBTOTAL $ 2989 2989 $ 465 ..................... $ 0 ........ TOTAL $ 3454 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov 85-0767211 CODES: If one of the following codes accurately describes the CMP campaign paraphernalia/misc. payment, you may enter the code. Otherwise, describe the payment. CNS CTB campaign consultants MBR MTG member communications meetings and appearances RAD radio airtime and production costs CVC contribution (explain nonmonetary)• civic donations OFC office expenses RFD SAL returned contributions campaign workers' salaries FIL candidate Ming/ballot fees PET PHO petition circulating phone banks TEL t.v. or cable airtime and production costs FND IND fundraising events independent expenditure supporting/opposingPOL others (explain)' POS polling and survey research TRC TRS candidate travel, lodging, and meals staff/spouse travel, lodging, and meals LEG LIT legal defense campaign PRO postage, delivery and messenger services professional services (legal, accounting) TSF transfer between committees of the same candidate/sponsor 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 Leisure World News, 13521 St. Andrews Drive, Seal Beach CA 90740 I PRT Americas Printer PRT 6910 Aragon Circle, Buena Park, CA 90620 01 "Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary DESCRIPTION OF PAYMENT Advertising Yard signs and newsletter printing 1. Itemized payments made this period. (Include all Schedule E subtotals.)...................................................................................... 2. Unitemized payments made this period of under $100......................................... .......................................................................... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)...................................................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ................. AMOUNT PAID 1526 1463 SUBTOTAL $ 2989 2989 $ 465 ..................... $ 0 ........ TOTAL $ 3454 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov