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Home My WebLink About2016.09.28_Metzger_Tina_Form 460Recipient Committee Campaign Statement Cover Page from Statement covers period Date of election if applicable: January 1,2016 1 (Month, Day, Year) SEE INSTRUCTIONS ON REVERSE I through September 29, 2016 1. Type4f Recipient Committee: All committees – Complete Parts 1, 2, 3, and 4. R J Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee O Recall O Controlled (Also Complete Part 5) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee O Sponsored O Small Contributor Committee O Political Party /Central Committee ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information I I.D. NUMBER Not vet assigned COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) TINA METZGER FOR MAYOR 2016 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 AREA CODE /PHONE OPTIONAL: FAX/ E -MAIL ADDRESS November 8, 2016 Date Stamp RECEIVED City of Morro Bay Administration 2. Type of Statement: W Preelection Statement ❑ Semi- annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) COVER PAGE Page_,` _ of-8- Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report Treasurer(s) NAME OF TREASURER DOUG RIDDELL 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 AREA CODE /PHONE OPTIONAL: FAX/ E -MAIL ADDRESS 4. Verification have used all reasonable diligence in preparing and reviewing this statement and to the b knowledge the informatio ai he in and in the attached schedules is true and complete. I certify under penalty of perjury u er the laws fthe State of California that the Officer of Sponsor 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 (1an/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.ANDSTREET) 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 AREACODE /PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) COVER PAGE - PART 2 Page 2 of 6. Primarilv Formed Ballot Measure Committee NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT ❑ OPPOSE 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 CITY STATE ZIP CODE AREA CODE /PHONE 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 -- 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 Schedule H, Line 3 TOTAL THIS PERIOD CALENDAR YEAR Running in Both the State Primary 9. Accrued Expenses (Unpaid Bills) ........... ............................... Schedule F Line 3 (FROM ATTACHED SCHEDULES) TOTAL TO DATE and 11. TOTAL EXPENDITURES MADE ......... ............................... Add Lines s + g + 10 $ General Elections 5897.97 1. Monetary Contributions ............... ..... ............................... Schedule A, Line 3 , $ $ 1/1 through 6/30 7/1 to Date 0 2. Loans Received ................................. ............................... Schedule a, 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 $ 7. Loans Made ........................................ ............................... 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 s + g + 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 9 in Column 8 above $ 3,306.17 $ 0 3,306.17 $ 0 3,306.17 W 5,897.97 0 3,306.17 2,591.17 I 0 C To calculate Column B, add amounts in Column Ato 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 w wnoie uondrs. Monetary Contributions Received Statement covers period 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, STREET ADDRESS 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) J71 IND 8 -22 -2016 Ann Reisner ❑ COM Retired 500.000 ❑ OTH Morro Bay, CA 93442 ❑ PTY ❑ scc VI IND 8 -23 -2016 Diane E Brown El COM Retired 1,000.00 El 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 El COM Retired 9 -3 -2016 ❑ OTH 400.00 San Leandro, CA 94577 -3726 ❑ PTY ❑ SCC Charles W> Awbrey 0 IND ❑ COM Retired 9 -13 -2016 ❑ OTH 100.00 Morro Bay, CA 93442 ❑ PTY ❑ SCC SUBTOTAL $ 2,200.00 Schedule A Summary 1. Amount received this period — itemized monetary contributions. lsldv (Include all Schedule A subtotals.) ........................................................................... ..............................$ 3 /C 2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$ _ 2-. 7 ? 3. Total monetary contributions received this period. 7 c� 7 (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 (Jan/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 period CALIFORNIA from January 1,2016 FORM through September 29, 20'A 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 CONTRIBUTOR * WAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION 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 Donald J. Kleckner ❑ Retired 9 -12 -2016 TH El 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 ❑ 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 A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT) Monetary Contributions Received to whole dollars. Statement covers period 1 0. from January 1,2016 • - through September 29, 201j Page (CJ 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 ENTER I.D. NUMBER) CONTRIBUTOR CODE * IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO (IF SELF- EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) IND Stan House ❑ Retired 9 =17 -2016 ❑ OTH OTH 100.00 Morro Bay, CA 93442 ❑ PTY ❑ scC Sally M. Kenfield ® IND El Retired 9 -17 -2016 OTH F] O OTH 100.00 Morro Bay, CA 93442 ❑ PTY ❑ scC Jefferson N. Eckles ® IND El Com Eckles Wealth Mtg. 9 -22 -2016 F-1 oTH 1004 Main St. 200.00 Morro Bay, CA 93442 ❑ PTY Morro Bay, CA 93442 ❑ scC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 400.00 *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 POS Postage $206.45 Morro Bay, CA 93442 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 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 $ $3,306.17 FPPC Form 460 (1an/2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule E Amounts may be rounded SCHEDULE E (CONT.) Statement covers period --M-CALIFORNIA (Continuation Sheet) to whole dollars. 460 Payments Made from January 1, 2016 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER TINA METZGER FOR MAYOR 2016 through Sept. 24, 2016 Page of I.D. NUMBER 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 RAD 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 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772)