HomeMy WebLinkAbout2016.09.27_Sadowski_Richard_Form 460Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
from
Statement covers period
July 1, 2016
through
September 24, 2016
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 Part 5) 0 Sponsored
(Also Complete Part 6)
❑ General Purpose Committee
0 Sponsored ❑ Primarily Formed Candidate/
0 Small Contributor Committee Officeholder Committee
0 Political Party/Central Committee (Also Complete Part 7)
3. Committee Information
NAME IF NO
Sadowski for Council 2016
I.D. NUMBER
139048(
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE /PHONE
Morro Bay Ca 93442
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
N/A
CITY STATE ZIP CODE AREACODE /PHONE
OPTIONAL: FAX /E -MAIL ADDRESS
4. Verification
COVER PAGE
REaCSEIPVED '_ •
City of Morro Bay
Date of election if applicable: Page 1 of 4
(Month, Day, Year) For Official Use Only
November 8, 2016 Adm'in6tration
2. Type of Statement:
W Preelection Statement ❑ Quarterly Statement
❑ Semi - annual Statement ❑ Special Odd -Year Report
❑ Termination Statement
(Also file a Form 410 Termination)
® Amendment (Explain below)
Amended per request of Morro Bay City Clerk to show non - monetary
contributions total as both contribution and expenditure
Treasurer(s)
NAME OF TREASURER
Linda Stedjee
MAILING ADDRESS
CITY STATE ZIP CODE AREACODE /PHONE
Morro Bay CA 93442
NAME OF ASSISTANT TREASURER, IF ANY
N/A
MAILING ADDRESS
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.
certify under penalty of perjury under the laws of the State of California that the foregoing
Executed on S 2-h(4 By
Date
Executed on /;I f& By
Date
Executed on
Date
Executed on
Date
By Signature of Controlling Officeholder. Candidate, State Measure Proponent
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (Jan /2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.faDc.ca.gov
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Richard Sadowski
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Morro Bay City Council Member
RESIDENTIALBUS [NESS 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.
NAME
NAME OF TREASURER
I.D. NUMBER
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE /PHONE
COMMITTEE NAME
NAME OF TREASURER
I.D. NUMBER
❑ YES ❑ NO
ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COVER PAGE - PART 2
Page 2 of 4
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
SOUGHT OR HELD
DISTRICT NO. IF ANY
7. Primarily Formed Candidate /Officeholder Committee Listnames 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
Statement covers period
, '
Summary Page to whole dollars.
from
July 1, 2016
throe h
g
September 24, 2016
page 3 of 4
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
Sadowski for Council 2016
1390480
Column A
Column B
Calendar Year Summary for Candidates
Contributions Received
TOTALTHIS PERIOD
(FROM ATTACHED SCHEDULES)
CALENDAR YEAR
TOTAL TO DATE
Running in Both the State Primary and
General Elections
0
0
1. Monetary Contributions .................... ............................... Schedule A, Line 3
$
$
1/1 through 6/30 7!1 to Date
0
0
2. Loans Received ................................. ............................... Schedule B, Line 3
0
0
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2
$
$
Received $ $
622.78
622.78
4. Nonmonetary Contributions ............. ............................... Schedule c, Line 3
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ........ ............................Add Lines 3 +4
$
622.78
$ 622.78
Made $ $
Expenditures Made
Expenditure Limit Summary for State
6. Payments Made ................................. ............................... Schedule E, Line 4
$
0
$ 0
Candidates
7. Loans Made ........................................ ............................... Schedule H. Line 3
0
0
0
0
22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS ........... ............................... Add Lines 6 +7
$
$
( lr Subject to Voluntary Expenditure Limit)
9. Accrued Expenses (Unpaid Bills) ........... ............................... Schedule 1, Line 3
0
0
Date of Election Total to Date
10. Nonmonetary Adjustment .......................... ............................... Schedule c, Line 3
/ {
661P 4 °e
622.78
(mm /dd /yy)
11. TOTAL EXPENDITURES MADE ......... ............................... Add Lines 8 +9 + 10
$
-_ 2%
622.78
J $
$
Current Cash Statement
12. Beginning Cash Balance ............................ Previous Summary Page, Line 16
$
0
To calculate Column B,
13. Cash Receipts ............................ ............................... Column A, Line 3 above
0
add amounts in Column
14. Miscellaneous Increases to Cash ... ............................... Schedule 1, Line 4
0
A to the corresponding
amounts from Column B
*Amounts in this section may be different from amounts
reported in Column B.
15. Cash Payments .......................... ............................... Column A, Line 8 above
0
of your last report. Some
amounts in Column A may
16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15
$
0
be negative figures that
should be subtracted from
If this is a termination statement, Line 16 must be zero.
previous period amounts. If
this is the first report being
17. LOAN GUARANTEES RECEIVED . ............................... Schedule B, Part 2
$
0
filed for this calendar year,
only carry over the amounts
from Lines 2, 7, and 9 (if
Cash Equivalents and Outstanding Debts
y)
18. Cash Equivalents ................. ............................... See instructions on reverse
$
0
19. Outstanding Debts .............................. Add Line 2 +Line 9 in Column B above
$
0
FPPC Form 460 (Jan/2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov