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Home My WebLink About2020.05.13_Addis_Dawn_Form 460 Amend through 12.31.19Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from July 31, 2019 through December 31,2019 Date of election if applicable: (Month, Day, Year) Date Stamp RECEIVE City of Morro B City Clerk Page COVER PAGE of For Official Use Only 1. Type of Recipient Committee: All Committees —Complete Parts 1, 2, 3, and 4. • Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall (Also Complete Par 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 Pad 7) 2. Type of Statement: ❑ Preelection Statement ❑ Semi-annual Statement O Termination Statement (Also file a Form 410 Termination) • Amendment (Explain below) Added related Committees ❑ 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 STATE ZIP CODE Morro Bay 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 NAME OF ASSISTANT TREASURER, IF ANY AREA CODE/PHONE 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 certify under penalty of perj under the la[wssooff the State of California that the foregoing is true and correct. Executed on ' Y� v By � f � Date Executed on ` ( 7 /—% 43 Date Executed on Date Executed on Date By By in the attached schedules is true and complete. I ent or Responsible Officer 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 C I_IFORNIA Ann FORM Page 2 of 5 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 Assembly I.D. NUMBER 1422314 NAME of TREASURER Denis 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 ❑ 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 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 Summary Page SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statement covers period from July 31, 2019 through December 31,2019 SUMMARY PAGE CALIFORNIA /1 G*O Page 3 of 5 NAME OF FILER Friends of Dawn Addis City Council 2018 Contributions Received 1. Monetary Contributions ScheduleA Line 3 2. Loans Received Schedule B Line 3 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 +2 4. Nonmonetary Contributions Schedule Co Line 3 5. TOTAL CONTRIBUTIONS RECEIVED AddLines3+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 + g + 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 Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 0 0 0 $ 0 $ 0 $ 390.00 $ 0 Column B CALENDAR YEAR TOTAL TO DATE 18,409.00 0 18,409.00 6,482 30 24, 891.30 16,269 00 0 $ 390.00 $ 16,269.00 0 0 $ 390.00 Previous Summary Page, Line 16 $ 2,534.00 Column Al Line 3 above Schedule 1, Line 4 Column A, Line 8 above Add Lines 12 + 13 + 14, then subtract Line 15 /f this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED 0 0 390.00 $ 2,144.00 Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents 19. Outstanding Debts Add Line 2 + Line 9 in Column B above See instructions on reverse $ $ 0 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). 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 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 noS•n•Jddymmm (ZUE-SLZ/998) AOS•eyDddl@a3inpe :a3opti Dcic11 (910Z/uer) 09b WAN Dddi 00 09Z $ 1V101 00.09Z$ (a6ed fuewwns aqi uo JalUG TOU Oa 7 pue scull ppy) •popad sp.@pew sampuadxa luapuadapui pue suouncipluoo To E 0014 Japunlo popad apew sainiipuadxa wapuadapui pue suopqmuoo paz!wal!ufl 'Z (sieloiqns a ainpagog ii apripui) •poped siun apew saini!puadxa Tuapuadapui pue suorqpiuoo paz!waii • [, Anununs a ainpows 00'09Z $ iviaLans ainpuodx3 Tuopuodapui uonnqmuo0 AielaumuuoN uolinqpiuo0 Ampuovj asoddOo oddns 091. 091. ainpuadx9 luopuodopui uonnqpiuo0 MepuouluoN uolincipwoo kielauoiN asodd0 0 poddns JOSIAJaCInS JOJ perpag pang 61.0Z/0E/ZI, 001. 001. ainpuadx9 luapuodapui uorqpitioo fue)aumuoN Ej uopqpiuoo kieleuovq Eij asoddo 0 podcins Ozoz ssai6uop .101lefeqieo pnieg 61.0Z/9Z/1. 1. (cratinOMI di) 31V0 01 NO110312 H3d (te a3a - Nvr) HV3A HV0N31V0 aiva 013At1v1rmrto 00IH3ct SIH1INflOINV V£1.90.171. el2OVII1N 'OA (03H111038 NOIld1HOS30 1N3INAVA dO dAJ 3ALLIININ03 'Nolipiasianr ONV 111fl ,102,13ERNIIN 9HCISV3IN I3IH1SIO ONV '30IAJ0 'g1V0IONV3 JO 3V\IVN 31VCI 91.0Z Hamoo APO SIPumea Jo spuapj H31Id dO AINVN 9 Jo abed laqUMaal-Ifiriono 09t7INEIOd VIN?:10A11V9 0Alf103HOS 61.0Z '1,E AMC 1.110,11 poped SJOA03 woumiels •smilop olotim pepunoi aq Aew slunotute 3SH3n91 NO SN011011H1SNI aDs seemunuo0 pue samseain `selempueo JeLpo Bu!soddoiBuwoddng seirmpuedxg jo fuemuing a einpeips Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statement covers period from July 31, 2019 throughDecember 31,2019 SCHEDULE E CALIFORNIA 460 FORM Page 5 of 5 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 PET PHO POL POS PRO PRT 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 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Salud FEC# Carbajal CO0576041 for Congress CTB 100.00 Ellen Beraud 1415985 for Supervisor CTB 150.00 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 A, 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