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Home My WebLink About2016.09.26_Sadowski_Richard_Form 460COVER PAGE Recipient Committee Date Stamp Sm. Campaign Statement R E C E I V E Cover Page City of Morro Ba SEE INSTRUCTIONS ON REVERSE Statement covers period from July 1, 2016 through September 24, 2016 Date of election if applicable: (Month, Day, Year) November 8, 2016 Page = Co Adt istration For of Use 1. Type of Recipient Committee: An committees - complete Parts 1, 2, 3, and 4. 2. Type of Statement: 64 Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ® Preelection Statement ❑ Quarterly Statement 0 State Candidate Election Committee Committee ❑ Semi- annual Statement ❑ Special Odd -Year Report 0 Recall 0 Controlled ❑ Termination Statement (Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) F-1 General Purpose Committee (Also Complete Part 6) ❑ Amendment (Explain below) • Sponsored ❑ Primarily Formed Candidate/ • Small Contributor Committee Officeholder Committee • Political Party/Central Committee ialso Complete Part 7) 3. Committee Information LD. NUMBER 139048( COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Sadowski for Council 2016 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX N/A CITY STATE ZIP CODE AREACODE /PHONE OPTIONAL: FAX/ E- MAILADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my certify under penalty of perju under the laws of the State of California that the foregoing 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) www.fppc.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 RESIDENTIALBUSINESS 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. I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO 51 REE I AUDRESS (NU N.U. BUx) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER I CONTROLLED COMMITTEE? ❑ YES ❑ NO ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE 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 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 Statement covers period , ' Summa Page to whole dollars. g from July 1, 2016 �- • September 24, 2016 Page 3 of 4 SEE INSTRUCTIONS ON REVERSE through g NAME OF FILER I.D. NUMBER Sadowski for Council 2016 1390480 Colulmn AoD ColuDmn B Calendar Year Summary for Candidates Contributions Received T (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and General Elections 0 0 1. Monetary Contributions .................... ............................... Schedule A, Linea $ $ 1/1 through 6/30 7/1 to Date 0 0 2. Loans Received ................ .................. Schedule e, 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 Lines6 +7 $ $ IN Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ........... ............................... Schedule F Line 3 0 0 Date of Election Total to Date 10. Nonmonetary Adjustment .......................... ............................... Schedule C, Line 3 0 0 (mm /dd /yy) 11. TOTAL EXPENDITURES MADE ................. ....................... Add Lines 8 +9 +10 $ 0 $ 0 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 Schedule C Amounts may be rounded SCHEDULE C Nonmonetary Contributions Received to whole dollars. Statement covers period CALIF ORNIA , 460 from July 1, 2016 • ' through September 24, 20' Page 4 of 4 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Sadowski for Council 2016 1390480 DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ FAIR MARKET CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME OF BUSINESS) GOODS OR SERVICES VALUE CALENDAR YEAR (JAN 1 - DEC 31) (IF REQUIRED) 10 IND 09/03/16 Naomi C. Wilkinson ❑ COM owner, Illumination Yard signs $421.96 $421.96 ❑ OTH Spa and Boutique q Cayucos, CA 93430 ❑ PTY ❑ SCC �❑ IND 09/14/16 Richard Rodgers Retired ticket -style fliers $179.95 $979.95 El OTH Morro Bay, CA 93442 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule C Summary Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.) ........................................................................................ ..............................$ 2. Amount received this period — unitemized nonmonetary contributions of less than $100 .... ..............................$ 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) .....................TOTAL $ *Contributor Codes IND — Individual 601.91 COM — Recipient Committee (other than PTY or SCC) 20.87 OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee 622.78 FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov