HomeMy WebLinkAbout2020.05.13_Addis_Dawn_Form 460 Amend through 01.18.20Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from 1/1/2020
1/18/2020
through
Date of election if applicable:
(Month, Day, Year)
Date Stamp
RECEIVED
City of Morro Bay
MAY 1 3 2020
City Clerk
COVER PAGE
CALIFORNIA 460
FORM
Page
1
of
4
For Official Use Only
1. Type of Recipient Committee: All Committees —Complete Parts 1, 2, 3, and 4.
[.lj Officeholder, Candidate Controlled Committee
O State Candidate Election Committee
O Recall
(Also Complete Part 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:
O Preelection Statement
❑ Semi-annual Statement
O Termination Statement
(Also file a Form 410 Termination)
lZ Amendment (Explain below)
Added related committee
0 Quarterly Statement
❑ Special Odd -Year Report
3. Committee Information
I.D. NUMBER
1406734
COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE)
Friends of Dawn Addis City Council 2018
STREET ADDRESS (NO P.O. BOX)
CITY
Morro Bay
STATE ZIP CODE
CA 93442
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
AREA CODE/PHONE
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 t
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
Date
Executed on
Date
Date
Dt t,
By
By
nd in the attached schedules is true and complete. I
onsible Officer of Sponsor
Signature of Controlling Officeholder, Candidate, State Measure Proponent
Signature of Controlling Officeholder, Candidate, Slate 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
FORM 1.
Page
2 of 4
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure 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
Dawn Addis for Assemby
I.D. NUMBER
1422314
NAME OF TREASURER
Denise Lewis
CONTROLLED COMMITTEE?
® YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
5429 Madison Avenue
CITY STATE ZIP CODE AREA CODE/PHONE
Sacramento CA 95841 (916)348-9100
COMMITTEE NAME
I.D. NUMBER
NAME OF TREASURER
CONTROLLED COMMITTEE?
❑ YES Cl NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE AREA CODE/PHONE
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
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE
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
2. Loans Received
Schedule A, Line 3
Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 +2
4. Nonmonetary Contributions Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED AddLines3+4
Amounts may be rounded
to whole dollars.
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
0
0
Statement covers period
1/1/2020
SUMMARY PAGE
CALIFORNIA
through 1/18/2020 3
Page of
Column B
CALENDAR YEAR
TOTAL TO DATE
$ 18,409.00
0
0 $ 18,409.00
0 6,482 30
0 $ 24,891.30
I D. NUMBER
1406734
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
20. Contributions
Received $
21. Expenditures
Made $
1/1 through 6/30
7/1 to Date
Expenditures Made
6. Payments Made
7. Loans Made
Schedule E, Line 4
Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS AddLines6+7
9. Accrued Expenses (Unpaid Bills) Schedule F,, Line 3
10. Nonmonetary Adjustment Schedule C, Line 3
11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $
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
$ 250.00
0
$
16,519.00
0
$ 250.00 $ 16,519.00
0
0
0
6,482 30
250.00 $ 23,001.30
$ 2144.00,
0
0
250.00
$ 1,894.00
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 $ B
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
(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
S chedule E
P ayments Made
SEE INSTRUCTIONS ON REVERSE
Amounts may be rounded
to whole dollars.
Statement covers period
from 1/1/2020
through 1/18/2020
SCHEDULE E
CALIFORNIA'
FORM
Page 4
of
4
NAME OF FILER
Friends of Dawn Addis City Council 2018
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
CNS
CTB
CVC
FIL
FND
IND
LEG
LIT
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
MTG
OFC
P ET
P HO
POL
P OS
PRO
P RT
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage, delivery and messenger services
professional services (legal, accounting)
print ads
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB
I.D. NUMBER
1406734
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
1500
Secretary
11th
Sacramento
of
St
State
Rm
CA
495
95814
Annual
Committee
Dues
200.00
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
SUBTOTAL $
200.00
S chedule 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).)
$ 200.00
50.00
0.00
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $ 250.00
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov