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HomeMy WebLinkAbout2019.07.24_Addis_Dawn_Form 460 Amend through 12.31.18Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from Oct 21, 2018 Dec 31, 2018 through Date of election if applicable: (Month, Day, Year) 11/6/2018 Date Stamp RECEIVED City of Morro Bay JUL 2 4 2013 City Clerk COVER PAGE CALIFORNIA 460 FORM Page 1 of b 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) 0 General Purpose Committee O Sponsored O Small Contributor Committee O Political Party/Central Committee O Primarily Formed Ballot Measure Committee O Controlled O Sponsored (Also Complete Part 6) O Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 2. Type of Statement: ❑ Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) • Amendment (Explain below) adjusted beginning cash balance column A, line 12 based ❑ Quarterly Statement 0 Special Odd -Year Report on adjustments made on second pre -election report ($77.65) 3. Committee Information I.D. NUMBER 1406734 COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE) Dawn Addis City Council STREET ADDRESS (NO P.O. BOX) CITY Morro Bay STATE ZIP CODE 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 IY Morro Bay NAME OF ASSISTANT TREASURER, IF ANY STATE ZIP CODE CA 93442 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 perjury under the laws of the State of California that the foregoing is tru -Zz� ICI Executed on Executed on Executed on Date Executed on Date Date Date By By mation contained herein and in the attached schedules is true and complete. I Treasurer 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 MI 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 penod from Oct 21, 2018 through Dec 31, 2018 SUMMARY PAGE Page 3 of NAME OF FILER Dawn Addis City Council 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 AddLines3+4 Expenditures Made 6. Payments Made Schedule E, Line 4 7. Loans Made 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 Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) $ 3,356.00 0 $ 3, 356.00 5,655.30 $ 9,011.30 $ 7,011.64 0 7,011.64 0 5,655.30 $ 12,666.94 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. 6,484.64 3,356.00 0 7,011.64 2,829.00 17. LOAN GUARANTEES RECEIVED 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 $ $ 18,409.00 6,482.30 $ 24,891.30 Column B CALENDAR YEAR TOTAL TO DATE 18,409.00 0 $ 15,584.00 0 $ 15,584.00 0 6,482.30 $ 22,066.30 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 Schedule A Amounts may be rounded SCHEDULE A MonetaryContributions Received LO wnoie uouars. SEE INSTRUCTIONS ON REVERSE Statement covers period from Oct 21, 2018 CALIFORNIA FORM Page 460 4 of through Dec 31, 2018 NAME OF FILER Dawn Addis City Council 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) 10/22/2018 John Ashbau h an uls Ispo, 3405 (I IND ❑ COM ❑ OTH Instructor Allen Hancock College 99.00 99.00 • PTY • SCC 10/26/2018 John Ashbau h an uis Ispo, A 93405 l IND [loom Instructor Allen Hancock College 50.00 149.00 • OTH • PTY • SCC 10/28/2018 Gre o Ma in Morro Bay CA 93442 ! IND Attorney James, Murphy Law 300.00 300.00 0 coM ElOTH ❑ PTY • SCC 10/28/2018 iiiiiiiiiiii SLO CA 93401 • IND Financial Advisor Northwestern Mutual 300.00 300.00 ■ COM ■ OTH ■ PTY ❑ SCC 10/28/2018 Jane Heath Morro Bay CA 93442 J IND Attorney Law Offices of Jane Heath 25.00 128.00 • coM ❑ OTH • PTY ❑ SCC SUBTOTAL $ 774.00 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 $ 3. Total monetary contributions received this period. 3356.00 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ 3,019.00 337.00 *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 A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) Monetary Contributions Received to whole dollars. Statement covers period from Oct 21, 2018 CALIFORNIA ..T" O Ann FORM Page 5 of through Dec 31, 2018 NAME OF FILER Dawn Addis City Council 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) 10/28/2018 Tierra Redonda,LLC Los Angeles, CA 90027 ❑ IND ❑ COM W4 OTH ❑ PTY ❑ scc 1,000.00 1,000.00 10/28/2018 Teresa& William Sz mczak Rolling Hills Estates CA90274 IND ❑COM ■ OTH ❑ PTY ❑ scc Self Employed Preservation Partners 1,000.00 1,000.00 10/29/2018 Me. an O.levie Portland OR 97220 V IND ■ COM ❑ OTH ❑ PTY ❑ SCC Sales Rep Full Circle Farms 20.00 100.00 11 /9/2018 Martha Van Der Veer Johnson orro ay 2 V IND ■ COM ■ OTH • PTY • SCC Homemaker 200.00 200.00 10/26/2018 Patricia Gordon Morro Bay, CA 93442 F-4 IND • COM • OTH ■ PTY ❑ SCC Retired 25.00 125.00 SUBTOTAL $ 2245.00 *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 C Amounts may be rounded SCHEDULE C LV YVuIVIC ""l"'"' Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE from through Statement coversperiod Oct 21, 2018 CALIFORNIA 460 FORM Pa e 5 of 5 g Dec 31, 2018 NAME OF FILER Dawn Addis City Council 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 (IF REQUIRED) 10/31 /208 iiiiiiiim Morro Bay, CA 93442 ® IND None Office supplies,etc 314.00 469.00 ■ COM ❑ OTH ❑ PTY ❑ SCC 11/11/2018 April Elliott PO Box 835 Morro Bay CA 93443 gi IND April Elliott Designs Graphic Design 125.48 125.48 ■ COM ❑ OTH ❑ PTY ❑ SCC 11/18/2018 Joe Birne Morro Bay CA 93442 IND 000M Joe Birney Designs Graphic Design 1,000.00 1,000.00 ■ OTH ❑PTY • SCC 11/7/2018 Travis Ford Morro Bay 93442 G7 IND Rock Harbor Marketing Website 4,000.00 4,000.00 ■ COM ❑ OTH • PTY • SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ 5,439.48 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.) $ 5,655.30 $ 0.00 TOTAL $ 5,655.30 *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