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HomeMy WebLinkAbout2019.07.24_Addis_Dawn_Form 460 Amend through 9.22.18Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from July 1, 2018 through September 22, 2018 Date of election if applicable: (Month, Day, Year) 11/6/2018 Date Stamp RECEIVED City of Morro Bay _ilk 2 4 City Clerk COVER PAGE CALIFORNIA 460 FORM Page 1 of 16 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 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 Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Pert 7) 2. Type of Statement: ❑ Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) O Amendment (Explain below) Missed entering nonmonetary contributions from column A and B, ❑ Quarterly Statement ❑ Special Odd -Year Report line 4, to nonmonetary adjustments column A and B, line 10. 3. Committee Information I.D. NUMBER 1406734 COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE) Dawn Addis for 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 PO Box 1921 CITY STATE ZIP CODE AREA CODE/PHONE Morro Bay CA 93443 OPTIONAL: FAX / E-MAIL ADDRESS Treasurer(s) NAME OF TREASURER Gail Bunting MAILING ADDRESS CITY STATE ZIP CODE Morro Bay CA 93442 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 i certify under penalty of perjury under the laws of the State of California that the foregoing is true a Executed on Executed on Li Executed on Executed on Date Date 1 Date -1 Date By By on contained herein and in the attached schedules is true and complete. I ssistant Treasurer ure Proponent 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 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee COVER PAGE - PART 2 NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Dawn Addis 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.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 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 1, 2018 through September 22, 2018 Page SUMMARY PAGE of 16 NAME OF FILER Dawn Addis for City Council 2018 Contributions Received 1. Monetary Contributions 2 Loans Received 3. 4. Schedule A, Line 3 Schedule B, Line 3 SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 +2 Nonmonetary Contributions Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED AddLines3+4 $ Expenditures Made 6. Payments Made 7. Loans Made Schedule E, Line 4 $ Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS Add Lines 6+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+to Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) $ 10661.00 0 $ 10661.00 827.00 11488.00 4708.49 0 Column B CALENDAR YEAR TOTAL TO DATE 12,861 0 $ 12861 827.00 4708.49 $ 0 827.00 $ 5535.49 Current Cash Statement 12. Beginning Cash Balance Previous Summary Page, Line 16 $ 13. Cash Receipts Column A, Line 3 above 14. Miscellaneous Increases to Cash Schedule 1, Line 4 15. Cash Payments column A, Line 8 above 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED 2085.74 10, 661.00 5 4708.49 $ 8043.25 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 13688.00 4822.75 0 4822.75 0 827.00 $ 5,649.75 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 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 A Amounts may be rounded SCHEDULE A to wnoie aouars. Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE Statement covers period from July 1, 2018 CALIFORNIA FORM Page 460 4 of 16 through September 22, 2018 NAME OF FILER Dawn Addis for City Council 2018 I.D. NUMBER 1406734 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 7/1/2018 Leslie Thomson Morro Bay, CA 93442 ® IND Self Employed Tribe Elation 201 201 • COM • OTH • PTY ❑ scc 7/1/2018 Patricia Gordon Morro Bay, CA 93442 ® IND El OTH ❑ PTY ❑ SCC Retired 7/1/2018 Judy David Mahan Morro Bay, CA 93442 ®IND El COM El OTH ❑ PTY ❑ scc Director, Cal Poly SBDC Cal Poly State University 100 100 7/7/2018 Dawna Davies San Luis Opispo,CA 93401 Z IND ❑ COM ❑ OTH ❑ PTY Real Estate Broker Davies Company Real Estate 100 100 • SCC 7/7/2018 Dan Cook Templeton,CA 93465 WI IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Retired 99 99 SUBTOTAL$ 600 Schedule A Summary 1. Amount received this period - itemized monetary contributions. (Include all Schedule A subtotals.) $ 2. Amount received this period - unitemized monetary contributions of less than $100 $ 3788 3. Total monetary contributions received this period. 10661 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ 6873 *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.) to whole dollars. Monetary Contributions ReceivedCALIFORNIA Statement coversperiod from July 1, 2018 Ai an FORM "1'V Page 5 of 16 through September 22, 2018 NAME OF FILER Dawn Addis for City Council 2018 I.D. NUMBER 1406734 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 7/8/2018 Barr Price San Luis Obispo, CA 93401 FA IND ❑ COM ❑ OTH ❑ PTY ❑ scc Vice President Applied Earthworks, Inc 100 100 7/8/2018 Monica Haslin• Bischof Morro Bay CA 93442 ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Retired 100 100 7/11/2018 kit D Weir Napa CA 94558 ■ IND ❑ coM ® OTH • PTY ❑ SCC Acupuncture Clinic of Napa 100 100 7/11/2018 Kimberl Kirchmer Bakersfield CA 93308 CZ IND ❑ CoM ❑ OTH ❑ PTY • SCC Sub -Teacher Kern County High School District 100 100 7/16/2018 William Luffee Morro Bay CA 93442 ® IND ❑ coM ❑ OTH ❑ PTY • SCC Sales Promotion Plus 500 852 SUBTOTAL$ 900 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) Monetary Contributions Received to whole dollars. Statement covers period from July 1, 2018 CALIFORNIA 460 FORM Page 6 of 16 through September22, 2018 NAME OF FILER Dawn Addis for City Council 2018 I.D. NUMBER 1406734 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC, 31) PER ELECTION TO DATE (IF REQUIRED) 7/16/2018 James Quesenberry Los Osos, CA 93402 ® IND ❑ coM ■ OTH ❑ PTY ❑ SCC Retired 100 100 7/18/2018 Karen Robert Morro Bay, CA 93442 J IND ❑ COM ■ OTH ❑ PTY • SCC Life Specialist Live Now.Org 100 100 7/22/2018 Robert Chan. Morro Bay, CA 93442 FA IND ■ COM ❑ OTH ■ PTY ■SCC Massage Therapist Self Employed 100 100 7/24/2018 Kyla Grafton Morro Bay, CA 93442 V IND ■ COM ■ OTH ■ PTY • SCC Rancher Self Employed 300 300 7/25/2018 Abb Diodati Morro Bay, CA 93442 ® IND ■ CoM ■ OTH ❑ PTY • SCC Homemaker 150 175 SUBTOTAL$ 750 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.) MonetaryContributions Received to whole dollars. Statement covers period from July 1, 2018 CALIFORNIA Ann FORM "1'W page 7 of 16 through September 22, 2018 NAME OF FILER Dawn Addis for City Council 2018 I.D. NUMBER 1406734 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 7/25/2018 Stanel & Susan Craig Morro Bay, CA 93442 FA IND ■ COM II OTH ■ PTY • SCC Broker Haven Properties 100 100 7/28/2018 Teresa Parr Arroyo Grande CA 93420 J IND IICOM • OTH ❑ PTY ■ SCC Retired 100 100 7/30/2018 Ric Deschler Morro Bay CA 93442 Fil IND ■ COM • OTH ■ PTY • SCC Retired 125 125 7/31/2018 Bob&Pam H land Morro Bay CA 93442 Li1 IND 1:i COM ❑ OTH ❑ PTY • SCC Retired 100 100 7/31 /2018 Dan Cook Templeton,CA 93465 ! IND 111 coM ❑ OTH ■ PTY ■ SCC Retired 50 149 SUBTOTAL $ 475 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.) MonetaryContributions Received to whole dollars. Statement coversperiod tt from July 1, 2018 CALIFORNIA 460 FORM Page 8 of 16 through September 22, 2018 NAME OF FILER Dawn Addis for City Council 2018 I.D. NUMBER 1406734 DATE RECEIVED FULL NAME, STREET ADDRESSAND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE,ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 8/1/2018 Emiliana Guereca Los Angeles, CA 90064 ® IND ❑ coM ❑ OTH ❑ PTY • SCC Self Employed Ez Event Productions 300 300 8/1/2018 Lee Johnson Morro Bay CA 93442 ® IND ❑coM ❑ OTH ❑ PTY ❑ SCC CEO AccuAir 400 499 8/8/2018 on Morro Bay, CA 93442 ® IND • COM ❑ OTH ❑ PTY • SCC Self Employed DnaBurtonEnterprises 250 250 8/16/2018 Eric & Sherri Prater San Luis Obispo, CA 93401 LZ IND ❑ coM ❑ OTH • PTY • SCC Superintendent SLCUSD 100 100 8/25/2018 Cara Ta for Morro Bay, CA ® IND ■ COM ❑ OTH • PTY ❑ SCC Agriculture Biologist SLO County Ag Dept 100 100 SUBTOTAL$ 1150 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.) MonetaryContributions Received to whole dollars. Statement coversperiod from July 1, 2018 CALIFORNIA Ann FORM ' "'f'V Page 9 of 16 through September 22, 2018 NAME OF FILER Dawn Addis for City Council 2018 I.D. NUMBER 1406734 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 8/26/2018 Cind Betonte Morro Bay CA 93442 ® IND ❑ coM ❑ OTH ❑ PTY ❑ SCC Retired 99 198 8/26/2018 n orro ay 442 ® IND 0 COM ❑ OTH ❑ PTY ❑ SCC Retired 100 100 8/26/2018 aiiiiIllips Morro Bay CA 93442 ® IND ❑ cOM ❑❑ PTY ❑ SCC Retired 100 100 8/26/2018 Morro Bay CA 93442 • IND ■ COM ❑ OTH • PTY ■ SCC Mayor City Of Morro Bay 250 250 8/26/2018 Nicholas Andre SLO CA 93405 r IND ❑ coM ❑ OTH ■ PTY ❑ SCC Web Developer Kumani, Inc 500 500 SUBTOTAL$ 1049 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.) MonetaryContributions Received to whole dollars. Statement coversperiod from July 1, 2018 CALIFORNIA Ann FORM "I.M Page 10 of 16 Page through 22, 2018 NAME OF FILER Dawn Addis for City Council 2018 I.D. NUMBER 1406734 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 9/1/2018 Dou las Rogers Morro Bay CA 93442 I,/ IND ❑COM ■ OTH ❑ PTY ■ SCC Sales Rep Tempo Plastic 150 150 9/7/2018 Bruce Gibson for Supervisor PO Box 1001 Morro Bay CA 93443 #1279202 ■ IND © COM ❑ OTH ■PTY ■ SCC Retired 200 200 9/9/2018 Catalyst Consulting & Acquisitions Pismo Beach CA 93449 ❑ IND ■ COM 61% OTH ■ PTY ❑ SCC Retired 100 100 9/9/2018 L.M Pick ' Morro Bay CA 93442 Lil IND ❑ coM ■ OTH ❑ PTY ❑ SCC Retired 150 150 9/10/2018 IBEW PAC Educational Fund 900 Seventh Street NW Washington DC 20001 ❑ IND ❑ coM ® OTH ■ PTY ❑ SCC Web Developer Kumani, Inc 500 500 SUBTOTAL$ 1100 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) MonetaryContributions Received to whole dollars. Statement coversperiod from July 1, 2018 CALIFORNIA /� 60 FORM `'!' Page 11 of 16 through September 22, 2018 NAME OF FILER Dawn Addis for City Council 2018 I.D. NUMBER 1406734 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 9/12/2018 Judith Resnick Morro Bay CA 93442 I►I IND [loom ❑ OTH ❑ PTY ❑SCC Retired 100 100 9/18/2018 Robyn Scott Morro Bay CA 93442 !/ IND ❑ COM ■ OTH ❑ PTY ❑ SCC Marketing Assoc Turn -Key Marketing 50 140 9/18/2018 Dan Cook Templeton,CA 93465 FI IND ■ COM ❑ OTH ■ PTY • SCC Retired 99 248 9/19/2018 Paul LaRiviere Morro Bay CA 93442 V IND ■ COM ■ OTH ❑ PTY ❑ SCC Retired 200 200 9/20/2018 Ruth Kalin Morro Bay CA 93443 ® IND ■ COM ❑ OTH ■ PTY ❑ SCC Lecturer Cal Poly State University 50 100 SUBTOTAL$ 499 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.) MonetaryContributions Received to whole dollars. Statement coversperiod from July 1/2018 CALIFORNIA Ann FORM �11' Page 12 of 16 through Sept 22, 2018 NAME OF FILER Dawn Addis for City Council 2018 I.D. NUMBER 1406734 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 9/20/2018 Mark &Kell Resnick Morro Bay CA 93442 2 IND ❑ COM ❑ OTH ❑ PTY ❑ scc Nurse/pharmacist Dignity Health 100 100 9/22/2018 Dawn Beattie Morro Bay CA 93442 ® IND ❑ COM ❑ OTH • PTY • SCC None 100 155 9/22/2018 Robert and Pam H land Morro Bay CA 93442 ® IND ■ corm ❑ OTH ❑ PTY ■ SCC Retired 100 200 9/22/2018 Marcella T Gelman IIIMIIIIIIM Morro Bay CA 93442 V IND ❑ coM ■ OTH ■ PTY ■ SCC Retired 50 150 ■ IND • COM ■ OTH ❑ PTY ❑ SCC SUBTOTAL$ 350 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee 1 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 "' WI"'IC ""I"'" Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE Statement from through coversperiod July 1, 2018 CALIFORNIA FORM 46r Page 13 of 16 >@ptember 22, 201 i NAME OF FILER Dawn Addis for City Council 2018 I.D. NUMBER 1406734 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) DESCRIPTION OF GOODS OR SERVICES AMOUNT/ FAIR MARKET VALUE CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - DEC 31) PER ELECTION TO DATE (I F REQUIRED) 9/06/2018 William Luffee San Luis Obispo 93401 Promotion Plus Campaign Yard Signs, Buttons 352.00 352.00 ■IND ❑ COM 2 OTH ■ PTY ■ SCC 8/26/2018 Linna Thomas Morro Bay CA 93442 Coalesce Bookstore Meeting Space, coffee and Gift Certificates for raffle. 206.00 206.00 ■ IND ❑ COM r OTH ■ PTY ❑ SCC • IND • COM • OTH ❑ PTY ❑ SCC ■ IND ■ COM ❑ OTH ■ PTY El SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 558.00 Schedule C Summary 1. 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.) $ 558.00 $ 269.00 TOTAL $ 827.00 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee 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 Amounts may be rounded to whole dollars. Statement covers period from July 1, 2018 throughSeptember 22, 201 E SCHEDULE E Page 14 of 16 NAME OF FILER Dawn Addis for City Council 2018 I.D. NUMBER 1406734 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 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 Cayucos Collective 123 N Ocean Ave Cayucos, CA 93430 CMP 634.00 Dawn Addis FIL Morro Bay, CA 93442 Reimbursement 410.00 Stripe.com San Francisco, CA Stripe fees for online donations 185.14 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1229.14 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 4132.59 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).) $ 0. 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $ 4708.49 575.90 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov S chedule E (Continuation Sheet) P ayments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. from Statement covers period July 1, 2018 through3eptember 22, 201 i SCHEDULE E (CONT.) CALIFORNIA 460 FORM Page 15 of 16 NAME OF FILER Dawn Addis for 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 P OL POS 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, a -mail) NAME (IF COMMITTEE. AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID ALSO ENTER I.D. NUMBER) Hay 3118 Morro Pnnting Main Bay, St CA Ste 93442 G LIT 928.81 12501 Political Norwalk, Imperial Data, CA 90650 INC 200 POL Data 500.00 Political Hwy 411 Sticker New Lafayette York, Mule NY Street 10003 6th Floor CMP 180.00 540 Costco FROOM LUIS OBISPO, RANCH Way CA 93405 7211 FND 288.16 SAN 4104 Promotion San Vachell Luis Obispo, Plus Lane CA 93401 CMP Buttons and Yard Signs 1006.48 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2903.45 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule I SCHEDULE I Miscellaneous SEE INSTRUCTIONS ON REVERSE Increases to Cash • to whole dollars. Statement July from covers 1, period 2018 CALIFORNIA FORM ��� tnrougn'eptember22, 201f Page 16 of 16 NAME OF FILER Dawn Addis for City Council 2018 I.D. 1406734 NUMBER DATE RECEIVED FULL NAME (IF COMMITTEE AND ADDRESS OF SOURCE ALSO ENTER I NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Itemized increases to cash this period. $ 2. Unitemized increases to cash of under $100 this period. 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) 4. Total miscellaneous Increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.) TOTAL $ 0.00 5.00 0.00 5.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov