HomeMy WebLinkAbout2020.01.22_Addis_Dawn_Form 460 Semi-AnnualRecipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from July i1, 2019
December 31,2019
through
Date of election if applicable:
(Month, Day, Year)
Date Stamp
RECEIVED
City of Morro Bay Page
JAN 2 J 20?
City Clerk
COVER PAGE
For Official Use Only
1. Type of Recipient Committee: All Committees —Complete Parts 1, 2, 3, and 4.
gl Officeholder, Candidate Controlled Committee
O State Candidate Election Committee
O Recall
(Also Complete Pad 5)
❑ General Purpose Committee
O Sponsored
O Small Contributor Committee
O Political Party/Central Committee
❑ Primarily Formed Ballot Measure
Committee
O Controlled
O Sponsored
(Also Complete Pad 6)
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
2. Type of Statement:
❑ Preelection Statement
2 Semi-annual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
❑ Quarterly Statement
❑ Special Odd -Year Report
3. Committee Information
I.D. NUMBER
1406734
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Friends of Dawn Addis City Council 2018
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE
Morro Bay CA 93442
AREA CODE/PHONE
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY
STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
Treasurer(s)
NAME OF TREASURER
Gail Bunting
MAILING ADDRESS
CITY
Cambria
STATE ZIP CODE
CA 93428
AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY
STATE ZIP CODE
AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the inf
certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on
Executed on
Executed on
Executed on
Date
Dale
tsfe(tOl__O
Date
By
By
mation ed herein and in the attached schedules is true and complete. I
cer of Sponsor
Signature of Controlling Officeholder, Candidate, State Measure Proponent
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
COVER PAGE - PART 2
CALIFORNIA A60
FORM: "'
Page
2 of 5
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Friends of Dawn Addis City Council 2018
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
City Council Member - Morro Bay, CA
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 STREET ADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME
I.D. NUMBER
NAME OF TREASURER
CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.D. BOX)
CITY
STATE ZIP CODE AREA CODE/PHONE
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 FIELD
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
❑ SUPPORT
❑ OPPOSE
❑ SUPPORT
❑ OPPOSE
❑ 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
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Friends of Dawn Addis City Council 2018
Contributions Received
1. Monetary Contributions Schedule A, Line 3
2. Loans Received schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 +2
4. Nonmonetary Contributions Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 + 4
Expenditures Made
6. Payments Made
7. Loans Made
8. SUBTOTAL CASH PAYMENTS
9. Accrued Expenses (Unpaid Bills)
10. Nonmonetary Adjustment
Schedule E, Line 4 $
Schedule H, Line 3
Add Lines 6 + 7 $
Schedule F, Line 3
Schedule C, Line 3
Add Lines 8 + 9 + 10
11. TOTAL EXPENDITURES MADE
Current Cash Statement
12. Beginning Cash Balance
13. Cash Receipts
14. Miscellaneous Increases to Cash
15. Cash Payments
16. ENDING CASH BALANCE
Previous Summary Page, Line 16
Column A, Line 3 above
Schedule 1, Line 4
Column A, Line 8 above
Add Lines 12 + 13 + 14, then subtract Line 15
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED
Amounts may be rounded
to whole dollars.
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
0
0
0
0
0 $
Statement covers period
from July 41, 2019
through December 31,2019
Column B
CALENDAR YEAR
TOTAL TO DATE
$ 18,409.00
0
390.00
0
18,409.00
6,482 30
24, 891.30
16,269.00
0
390.00 $ 16,269.00
0
0
$ 390.00
2,531400
0
0
390.00
2,14400
Schedule B, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents See instructions on reverse
19. Outstanding Debts Add Line 2 + Line 9 in Column B above
0
6,482.30
22, 751.30
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).
SUMMARY PAGE
CALFIFOROMRNIA CO
u
I.D. NUMBER
1406734
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 7/1 to Date
20. Contributions
Received $ $
21. Expenditures
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
Date of Election
(mm/dd/yy)
Total to Date
`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 D
SCHEDULE D
Amounts
be
Statement
July
covers
t1,
2019
period
CALIFORNIA
FOR M
460
Summary
.�l.l
Candidates,
SEE
pp�
INSTRUCTIONS
Ortln
of
g /O
ON
Expenditures
Measures
pp
REVERSE
OS111
g Other
and Committees
to
whole
may
dollars.
rounded
from
December
31,2019
�
through
Page
oftot
NAME
OF
FILER
I.D.
NUMBER
Friends
of
Dawn
Addis
City
Council
2018
1406734
DATE
MEASURE
NAME
OF
CANDIDATE,
NUMBER
OR
OR
COMMITTEE
OFFICE,
LETTER
AND
AND
JURISDICTION,
DISTRICT,
OR
TYPE
OF
PAYMENT
DESCRIPTION
(IF
REQUIRED)
AMOUNT
PERIOD
THIS
CUMULATIVE
CALENDAR
(JAN.
1
-
DEC.
TO
YEAR
31)
DATE
PER
(IF
TO
REQUIRED)
ELECTION
DATE
Salud
Carbajal
for
Congress
2020
;►A1
Monetary
11/25/2019
Contribution
fe-cd Cob
100
100
5-/
Lo
4
❑
Nonmonetary
Contribution
❑
Independent
rI
Expenditure
Support
❑
Oppose
Ellen
Beruad
for
Supervisor
LI
Monetary
12/30/2019
Contribution
tit9C-
_41e
( Li
159
SS
150
150
❑
Nonmonetary
Contribution
❑
Independent
Expenditure
a Support
❑
Oppose
❑
Monetary
Contribution
❑
Nonmonetary
Contribution
❑
Independent
❑
Support
❑
Oppose
Expenditure
SUBTOTAL
$ 250.00
Schedule D Summary
1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.)
$ 250.00
2 Unitemized contributions and independent expenditures made this period of under $100 $
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) TOTAL .. $
250.00
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Friends of Dawn Addis City Council 2018
CODES:
CMP
CNS
CTB
CVC
FIL
FND
IND
LEG
LIT
Amounts may be rounded
to whole dollars.
Statement covers period
from July f1, 2019
throughDecember 31,2019
If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)*
civic donations
candidate filing/ballot fees
fundraising events
independent expenditure supporting/opposing others (explain)*
legal defense
campaign literature and mailings
MBR member communications
MTG meetings and appearances
OFC office expenses
PET petition circulating
PHO phone banks
POL polling and survey research
POS postage, delivery and messenger services
PRO professional services (legal, accounting)
PRT print ads
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB
SCHEDULE E
CALIFORNIA
FORM
radio airtime and production costs
returned contributions
campaign workers' salaries
t.v. or cable airtime and production costs
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
transfer between committees of the same candidate/sponsor
voter registration
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
Salud
FEC#
Carbajal
CO0576041
for
Congress
CTB
100.00
Beraud
1415985
for Supervisor
CTB
150.00
Ellen
FPPC#
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
SUBTOTAL $
250.00
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) $
2. Unitemized payments made this period of under $100 $
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 Summary Page, Column Al Line 6.) TOTAL $
250.00
140.00
0.00
390.00
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov