HomeMy WebLinkAbout2016.09.29_Metzger_Tina_Form 4604. Verification
have used all reasonable diligence in preparing and reviewing this statement and
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (Jan/2016)
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
TINA METZGER FOR MAYOR 2016
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IFAPPLICABLE)
MAYOR OF MORRO BAY
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 STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE /PHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMM ITTEEADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE /PHONE
COVER PAGE - PART 2
Page Z of —
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 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 Amounts may be rounded SUMMARY PAGE
Summary Page to whole dollars. Statement covers period - "J"61
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
from
through
Page � of
I.D. NUMBER
Expenditures Made
Column A Column B
Calendar Year Summary for Candidates
Contributions Received
3,306.17
TOTAL THIS PERIOD CALENDAR YEAR
Running in Both the State Primary and
0
8. SUBTOTAL CASH PAYMENTS ........... ...............................
(FROM ATTACHED SCHEDULES) TOTAL TO DATE
3,306.17
9. Accrued Expenses (Unpaid Bills) ........... ...............................
Schedule F Line 3
0
General Elections
schedule C, Line 3
3,306.17
5,897.97
11. TOTAL EXPENDITURES MADE ......... ...............................
1. Monetary Contributions .................... ...............................
schedule A, Line 3
$ $
1i1 through 6/30 7/1 to Date
0
2. Loans Received ................................. ...............................
schedule e, Line 3
5,897.97
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS ..............................
Add Lines 1 +2
$ $
Received $ $
0
4. Nonmonetary Contributions ............. ...............................
schedule C, Line 3
21. Expenditures
5, 97 897.
Made $ $
5. TOTAL CONTRIBUTIONS RECEIVED ....................................
Add Lines 3 +4
$ $
Expenditures Made
6. Payments Made ................................. ...............................
Schedule E, Line 4 $
3,306.17
7. Loans Made ........................................ ...............................
schedule H, Line 3
0
8. SUBTOTAL CASH PAYMENTS ........... ...............................
Add Lines 6 +7 $
3,306.17
9. Accrued Expenses (Unpaid Bills) ........... ...............................
Schedule F Line 3
0
10. Nonmonetary Adjustment .......................... ...............................
schedule C, Line 3
3,306.17
11. TOTAL EXPENDITURES MADE ......... ...............................
Add Lines 8 + s + 10 $
Current Cash Statement
12. Beginning Cash Balance ............................ Previous summary 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.
17. LOAN GUARANTEES RECEIVED . ............................... Schedule e, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................. ............................... see instructions on reverse $
19. Outstanding Debts .............................. Add Line 2 + Line s in Column a above $
W
5,897.97
0
3,306.17
2,591.17
0
0
0
$
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).
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm /dd /yy)
I $
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
LO whole dollars.
Monetary Contributions Received
Statement covers period
CALIFORNIA ,
January 1,2016
from
- •
through September 29, 2016
Page of - _
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
TINA METZGER FOR MAYOR 2016
Not yet assigned
DATE
FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
V] IND
8 -22 -2016
Ann Reisner
El
Retired
500.000
❑ OTH
Morro Bay, CA 93442
❑ PTY
❑ SCC
W1 IND
8 -23 -2016
Diane E Brown
❑COM
Retired
1,000.00
❑ OTH
Newport Beach, CA 93660
❑ PTY
❑ scc
® IND
9 -5 -2016
Terrance Tennant
El coM
Retired
200.00
El OTH
Morro Bay, CA 93442
❑ PTY
❑ scC
IND
Evalyn Seidman
COM
Retired
9 -3 -2016
❑ OTH
400.00
San Leandro, CA 94577 -3726
❑ PTY
❑ scC
Charles W> Awbrey
11 IND
❑ COM
Retired
9 -13 -2016
100.00
Morro Bay, CA 93442
0 PTY
❑ scC
SUBTOTAL $ 2,200.00
Schedule A Summary
1. Amount received this period — itemized monetary contributions. �
(Include all Schedule A subtotals.) ........................................................................... ..............................$ :W5
2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$
3. Total monetary contributions received this period. ?,,42 %
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ......................TOTAL $
'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 (1an/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 whole dollars.
Statement covers periodill
CALIFORNIA
.1
from January 1,2016
FORM
through September 29, 201A
Page of
NAME OF FILER
I.D. NUMBER
TINA METZGER FOR MAYOR 2016
Not yet assigned
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
COMMITTEE, ALSO
CONTRIBUTOR
*
[FAN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF ENTER I.D. NUMBER)
CODE
(IF SELF - EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
IND
Donald J. Kleckner
El COM
Retired
9 -12 -2016
❑ OTH
100.00
Morro Bay, CA 93442
❑ PTY
❑ SCC
Alice Kolb
® IND
El COM
Retired
9 -13 -2016
❑ OTH
100.00
Morro Bay, CA 93442
❑ PTY
❑ scC
Sharon L. Sloan
® IND
El COM
Retired
9 -13 -2016
❑ OTH
100.00
Morro Bay, CA 93442
❑ PTY
❑ SCC
V IND
Lorie E. Noble
El coM
Retired
9 -15 -2016
❑ OTH
100.00
Morro Bay, CA 93442
❑ PTY
❑ SCC
Diane Fletcher
® IND
El COM
Retired
9 -17 -2016
❑ OTH
100.00
Morro Bay, CA 93442
❑ PTY
❑ SCC
SUBTOTAL $ 500.00
`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 E
Payments Made
Amounts may be rounded
to whole dollars.
Statement covers period
from January 1, 2016
SCHEDULE E
through Sept. 24, 2016 Page —2— of
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D. NUMBER
TINA METZGER FOR MAYOR 2016 Not yet assigned
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
RAID
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)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR
DESCRIPTION OF PAYMENT
AMOUNT PAID
USPS EDDM Mailer
MORRO BAY, CA 93442 POS $696.08
USPS Postage
Morro Bay, CA 93442 POS $206.45
City of Morro Bay Vet's Hall Rental
MTG $116.00
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ $1,018.53
Schedule E Summary
1. Itemized payments made this period. Include all Schedule E subtotals. $ $3,256.17
2. Unitemized payments made this period of under $ 100 ........... ............................... 50
0
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 Summa Page, Column A, Line 6. TOTAL $ $3,306.17
FPPC Form 460 (Jan /2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Schedule E
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Asap Reprographics
SCHEDULE E (CONT)
Statement covers period
• . I '
Amounts may be rounded
Sheet) to whole dollars.
(Continuation
$339.75
Morro Bay, CA 93442
•
Payments Made
Banners
925 Main St.
from
January 1, 2016
• -
Morro Bay, CA 93442
through
Sept. 24, 2016
g
SEE INSTRUCTIONS ON REVERSE
3118 Main St.
cmp
$241.92
Morro Bay, CA 93442
Page of
NAME OF FILER
My Campaign Store
Signs, Buttons, etc.
I.D. NUMBER
TINA METZGER FOR MAYOR 2016
CMP
893.37
Louisville, KY 40222
Not yet assigned
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
RAID
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)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Asap Reprographics
Printing
495 Morro Bay Blvd.
CMP
$339.75
Morro Bay, CA 93442
Goofy Graphics
Banners
925 Main St.
CMP
$162.60
Morro Bay, CA 93442
Hay Printing, Unit G
Envelopes
3118 Main St.
cmp
$241.92
Morro Bay, CA 93442
My Campaign Store
Signs, Buttons, etc.
304 Whittington PKWY #201
CMP
893.37
Louisville, KY 40222
Siafu Productions
Campaign Consultant
791 Price ST #103
CNS
$600.00
Pismo Beach, CA 93442
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ $2,237.64
FPPC Form 460 (1an/2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)