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Home My WebLink About2019.07.24_Addis_Dawn_Form 460 Amend through 10.20.18Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from Sept 23, 2018 Oct 20, 2018 through Date of election if applicable: (Month, Day, Year) 11 /6/2018 Date Stamp RECEIVED City of Morro Bay )UI_ 24 2 13 City Clerk COVER PAGE CALIFORNIA 460 FORM Page 1 of 8 For Official Use Only 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ij Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall (Also Complete Part 5) ❑ General Purpose Committee O Sponsored O Small Contributor Committee O Political Party/Central Committee ❑ Primarily Formed Ballot Measure Committee O Controlled O Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 2. Type of Statement: O Preelection Statement 0 Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) gl Amendment (Explain below) Adjusted expenses ($77.65)because of double entry. ❑ Quarterly Statement ❑ Special Odd -Year Report Added missing $827 to column B, Line 10 3. Committee Information I.D. NUMBER 1406734 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Dawn Addis for City Council 2018 STREET ADDRESS (NO P.O. BOX) CITY Morro Bay STATE ZIP CODE CA 93442 E MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX PO Box 1921 CITY STATE ZIP CODE Morro Bay CA 93443 AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS Treasurer(s) NAME OF TREASURER Gail Bunting NMI CITY Morro Bay STATE ZIP CODE CA 93442 NAME OF ASSISTANT TREASURER, IF ANY AREA CODE/PHONE MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/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 certify under penalt�ojf perjury under the laws of the State of California that the foregoing is true and correct. Executed on ('22— I aw l Date Executed on f Date Executed on Date Executed on Date ein and in the attached schedules is true and complete. I By By idate, State Measure Proponent or Responsible Officer of Sponsor Signature of Controlling Officeholder, Candidate, State Measure Proponent 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 6. Primarily Formed Ballot Measure Committee COVER PAGE - PART 2 NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Dawn Addis OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member - Morro Bay, CA RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Morro Bay CA 93442 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 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 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 List names 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 Amounts may be rounded to whole dollars. Statement covers period from Sept 23, 2018 through Oct 20, 2018 SUMMARY PAGE Page 3 of 8 NAME OF FILER Dawn Addis for City Council 2018 Contributions Received 1. Monetary Contributions 2. Loans Received 3. 4. 5. Schedule A, Line 3 Schedule 8, Line 3 SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 +2 Nonmonetary Contributions Schedule C, Line 3 TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ Expenditures Made 6. Payments Made 7. Loans Made Schedule E, Line 4 $ 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 Current Cash Statement 12. Beginning Cash Balance 13. Cash Receipts 14. Miscellaneous Increases to Cash 15. Cash Payments 16. ENDING CASH BALANCE Previous Summary Page, Line 16 Column Al Line 3 above Schedule 1, Line 4 Column Al Line 8 above Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) $ 2,191.00 0 $ 2,191.00 0 Column B CALENDAR YEAR TOTAL TO DATE $ 15,053.00 0 $ 15,053.00 827.00 2,191.00 $ 15,880.00 3,749.61 0 3749.61 $ 0 0 $ 3,749.61 $ 8,043.25 2,191.00 0 3,749.61 $ 6,484.64 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 8,572 36 0 8,572 36 0 827.00 $ 91399,36 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). I D. NUMBER 1406734 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions Received $ 21. Expenditures Made $ 1/1 through 6/30 7/1 to Date Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election (mm/dd/yy) / / $ $ Total to Date `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 Amounts may be rounded SCHEDULE A MonetaryContributions Received to wno�e aouars. SEE INSTRUCTIONS ON REVERSE Statement covers period from Sept 23, 2018 CALIFORNIA FORM Page Ann 4 of 8 through Oct 20, 2018 NAME OF FILER Dawn Addis for City Council 2018 I.D. NUMBER 1406734 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 9/23/2018 Rosalie Valvo Morro Bay, CA 93442 IND Retired 100 100 ■ COM ■ OTH • PTY ❑ SCC 9/24/2018 Carol Swain Morro ay A 93442 [Z] IND ❑ COM ❑ OTH ❑ PTY ❑ scc Retired 99 198 9/24/2018 John Headdin. Morro Bay CA 93442 ®IND Small Business Owner Morro Bay Drug & Gift 200 200 • COM ❑ OTH • PTY • SCC 10/05/2018 United Domestic Workers of America Action Fund 555 Capitol Mall Suite 400 Sacramento, CA 95814 FPPC#1302384 ❑ IND RI COM Real Estate Broker Davies Company Real Estate 300 300 • OTH ■ PTY ❑ scc 10/5/2018 iiiimi Morro Bay, CA 93442 J IND Retired 100 100 ■ COM • OTH • PTY ❑ scc SUBTOTAL$ 799 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 $ 1549.00 642.00 2191.00 *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.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.) Monetary Contributions Received to whole dollars. Statement covers period from Sept 23, 2018 CALIFORNIA A 60 FORM �} Page 5 of 8 through Oct 20, 2018 NAME OF FILER Dawn Addis for City Council 2018 I.D. NUMBER 1406734 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELFEMPLOYED, ENTER NAME - OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 10/6/2018 Mary Stallard orro ay 442 V IND ❑ coM ■ OTH ❑ PTY • SCC Retired 50 100 10/7/2018 I nn ill w Morro Bay, CA 93442 ® IND ■ COM ❑ OTH • PTY ❑ SCC Retired 100 200 10/7/2018 Linda Fidell Morro Bay, CA 9344 ® IND ❑ coM ❑ OTH ❑ PTY ❑ SCC Retired 50 150 10/8/2018 Christi Hale Los Osos, CA 93402 V IND ❑ coM ■ OTH • PTY • SCC Director of Customer Success Land Gorilla 50 100 10/12/2018 Central Coast Labor Council 816 Camarillo Springs Road Suite G Camarillo, CA 93012 ❑ IND • COM OTH ❑ PTY • SCC 250 250 SUBTOTAL$ 500 *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) Amounts may be rounded SCHEDULE A (CONT.) Monetary Contributions Received to whole dollars. Statement covers period from Sept 23, 2018 CALIFORNIA �} V Ann FORM Page 6 of 8 through Oct 20, 2018 NAME OF FILER Dawn Addis for City Council 2018 I.D. NUMBER 1406734 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 10/16/2018 Marcella T Gelman Morro Bay CA 93442 WIND El coM ■ OTH • PTY ❑ SCC Retired 100 250 10/16/2018 Dan Cook Templeton, CA 93465 ® IND 0 coM ❑ OTH ❑ PTY ❑ SCC Retired 50 298 10/16/2018 Jeremiah O'Brien Morro Bay CA 93442 !i IND • COM ■ OTH ■ PTY ❑ SCC Self Employed Commercial Fisherman 100 100 ❑ IND • COM • OTH • PTY • SCC ❑ IND ❑ COM ❑ OTH ❑ PTY • SCC SUBTOTAL$ 250 *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 E Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statement covers period from Sept 23, 2018 through Oct 20, 2018 SCHEDULE E Page 7 of 8 NAME OF FILER Dawn Addis for City Council 2018 I.D. NUMBER 1406734 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. campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings MBR MTG OFC PET PHO POL POS PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads RAD RFD SAL TEL TRC TRS TSF VOT WEB radio airtime and production costs returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration 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 Hay Printing 3118 Main St. Suite G Morro Bay, CA 93442 LIT 1,132.45 Dawn Addis POS Morro Bay, CA 93442 Reimbursement -Postage 864.72 LISPS 848 Napa Ave Morro Bay, CA 93442 POS 437.88 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2,435.05 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 3,646.79 2. Unitemized payments made this period of under $100 $ 102.82 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 $ 3,749.61 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. from Statement covers period Sept 23, 2018 through Oct 20, 2018 SCHEDULE E (CONT.) Page 8 of 8 NAME OF FILER Dawn Addis for City Council 2018 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS CTB CVC FIL FND IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings MBR MTG OFC PET P HO POL POS P RO P RT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads RAD RFD SAL TEL TRC TRS TSF VOT WEB I.D. NUMBER 1406734 radio airtime and production costs returned contributions campaign workers' salaries U. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (internet, a -mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) 812 Sign Fiero Luis Obispo, Place Lane Suite CA F 93401 CMP 306.74 The San Rock 898 Morro Napa Harbor Bay #267 CA Marketing 93442 Social Media ads and boost 500.00 1010 New San Luis Obispo, St CA 93401 PRT 405.00 Times Marsh * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1,211.74 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov