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Home My WebLink About2022.01.25_Addis_Dawn_Form 460COVER PAGE Recipient Committee Campaign Statement Cover Page from Date Statement covers period I Date of election if applicable: 07/01 /2021 (Month, Day, Year) SEE INSTRUCTIONS ON REVERSE through--- 12/31 /2021 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Parf 5) 0 Sponsored (Also complete Parr 6) ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 3. Committee Information 4. NAME (OR Friends of Dawn Addis City Council 2022 ❑ Primarily Formed Candidate) Officeholder Committee (Also Complete Part n I.D. NUMBER 140673� STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Morro Bay CA 93442 ( MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX / E-MAILADDRESS daddis@ morrobayca.gov 2. Type of Statement: ❑ Preelection Statement Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurers) RECEIVED City of Morro Bay Page JAN A 0 LU Adminigtradon ❑ Quarterly Statement ❑ Special Odd -Year Report t NAME OF TREASURER ' Barbara Spagno►a MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Morro Bay CA 93442 ( NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREACODE/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 certify under penalty of perjury under th�%e laws of the State of California that the foregoing is t e and rrertt. Executed on Dale or By Signature of Controlling Officeholder, Candidate, Slate Measure Proponent Executed on Date By Signature of Controlling Officeholder, Cendldate, Slate Measure Proponent FPPC Form 460 (Jan/2016) Clear Cover Pg1 Print Form FPPC Advice; advice@fppc.ca.gov (866/275-3772) Recipient Committee Campaign Statement Cover Page -- Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Dawn Addis OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member, City of Morro Bay RESIDENTIAUBUSINESSRDDRESS (NO. AND STREET) CITY STATE ZIP Morro Bay CA 93442 Related Committees Not Included in this Statement: clsc any commrttees not Included In this statement that are controlled by you or ere primarily formed to receive contributions or make expendHures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER Dawn Addis for Assembly 2022 1442437 NAME OF TREASURER CONTROLLED COMMITTEE? Marissa Russell �] YES ❑ No STREET ADDRESS (NO City STATE ZIP CODE AREA CODEIPHONE Sacramento CA 95841 (9i6) 348-9100 COMMITTEE NAME NAME OF TREASURER I.D. NUMBER BOX) ❑ YES ❑ NO CITY STATE ZIP CODE AREA CODE/PHONE Print Form 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO.OR LETTER COVER PAGE -PART 2 Page 2 of 5 ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee l.istnamesof offlceholder(s) or candldate(s) for which this comm/itee 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 Attach continuation sheets If necessary ❑ SUPPORT ❑ OPPOSE FPPC Form 460 (tan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov CampaignDisclosure Summary Page ecc inic'rt�i ICTtrINR ON R�VFRSE '' " NAME OF FILER Friends of Dawn Addis City Council 2022 1. ,Monetary Contributions................................................... schedule A, Linea 2. Loans Received.......* total 0 0*08 as W*6S4 W*sItvo* am 1494144 ad to top* 1*0***@ IS &*we. schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 4. Nonmonetary Contributions..... 4 V 1 0 a 0 a 1 4 G a a 0 4*41400vt 0 4 0 A & & I t 4 4 schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED, I I I a 8 4 1 1 1 1 1 1 1&* a S a 4 1 a IS 1 otSS,6 .... Add Lines 3 + 4 Expenditures ade 6. Payments Made........ a 9 a It a 1 0 %a* a I a I B I SI S 6 A 0 a 0 0 0 0 9 0 It S 9 schedule E. Line 4 42 7, Loans Made....................................................................... Schedule H, Line 3 8, SUBTOTAL CASH PAYMENTS......., &*all took b*V41 Sale 4 at 64P4 40 66 Sb*1 Add Lines 6 + 9. Accrued Expenses (Unpaid Bills) .......................................... schedule F Line 3 10. NonmonetaryAdjustment......................................................... schedule C, Line 3 11. TOTAL EXPENDITURES MADE .......................:................ Add Lines 6 + g + 10 Amounts may be rounded to whole dollars. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) $ 75.00 0 $ 75.00 0 $ 75.00 5.00 0 5.00 0 0 $ 5.00 Current Cash Statement 12, Beginning Cash Balance ............................ Previous summaryPage, Line 16 $ 4$$.57 13. Cash Receipts ................................... Column A, Line 3 above 75.00 14. Miscellaneous Increases to Cash.. ................................ schedule 1, Line 4 0 15, Cash Payments ..... Column A, Line 8 above 5.00 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ 558.57 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ schedule A Part 2 $ 0 Cash Equivalents and Outstanding Debts 18, Cash Equivalents.. .............................................o See instructions on reverse $ 0 19. Outstanding Debts .................. Add line 2 + L/ne gin Column B above $ 0 Statement covers period 07/01 /2021 from through Column B CALENDAR YEAR TOTAL TO DATE $ 325.00 0 $ 325.00 0 $ 325.00 $ 279.00 0 $ 279.00 0 0 $ 279.00 To any). calculate Column B, add amounts in Column A to the corresponding an from Column B of your last report. Some an 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 12/31 /2021 SUMMARY PAGE Page 3 of 5 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 274 $ 22. Cumulative Expenditures Made* (If Subject to Voluntary Expendituro limit) Date of Election (mm/ddtyy) l Date Totato C reported *Amounts in this section maybe different from amounts in Column B. 75 5 FPPC Form 460`(1an/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule AAmounts may be rounded SCHEDULE A Statement covers period A ® � to whole dollars. Monetary Contributions (Received 07/01 /2021 from 12/31 /2021 4 5 through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Friends of Dawn Addis City Council 2022 1406734 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ Schedule Summary "Contributor Codes �1 mj 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 I ) ......................TOTAL $ $ 75 $ 75 IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY- Political Party SGC - Small Contributor Committee FPPC Form 460 (1an/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov E wholeSchedule E Amounts . dollars.•. . ^ • : �n CALIFORNIAto 4 rayments Made from i 1 / FORM ie 5 INSTRUCTIONSSEE . FriendsIGD, NUMBER NAME OF FILER of Dawn Addis City Councili .i, campaign734 CODESs If one of the following codes accurately describes the payment, you may enter the code, Otherwise, describe the payment. CIVIP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS ADDRESSCTB 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) NAME AND OF (IF COMMITTEE, ALSO ENTER I.D, NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 0 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 5.00 2. Unitemized payments made this period of under$100.......................................................................................................................................... $ 0 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)............................................................................. $ 5.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)........................... TOTAL $ 7 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov