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Home My WebLink About2019.03.21_Headding_John_Form 460 AmendmentRecipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 10/21/18 through 12/31/18 Date of election if applicable: (Month, Day, Year) 11/06/18 Date Stamp RECEIVED City of Morro Bay MAR 21 2019 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. • Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall (Also Complete Part 5) O 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) O Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 2. Type of Statement: O Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) E Amendment (Explain below) Misunderstanding of reporting requirements for non -monetary O Quarterly Statement O Special Odd -Year Report contribution amoung multiple candidates at same event 3. Committee Information I.D. NUMBER 1411645 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Headding for Mayor 2018 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 P.O. Box 2034 CITY STATE ZIP CODE Morro Bay CA 93443 AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS Treasurer(s) NAME OF TREASURER Homer Alexander MAILING ADDRESS CITY Morro Bay STATE ZIP CODE CA 93442 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 information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoin Executed on Executed on Executed on Executed on Date 5-18- 2C'i� Date e t -2.0 j 6 Date Dale By By By By Si easurer onent 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 CALIFORNIA A gO T FORM ' NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE John Headding OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Mayor Morro Bay CA 93442 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 STREETADDRESS (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 III OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD II SUPPORT • OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD • SUPPORT IIII 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 10/21/18 through 12/31/18 SUMMARY PAGE CALIFORNIA A an FORM V Page 3 of 4 NAME OF FILER John Headding Contributions Received 1. Monetary Contributions 2. Loans Received 3. SUBTOTAL CASH CONTRIBUTIONS 4. Nonmonetary Contributions 5. TOTAL CONTRIBUTIONS RECEIVED Expenditures Made 6. Payments Made 7. Loans Made Schedule A, Line 3 Schedule B, Line 3 Add Lines 1 + 2 Schedule C, Line 3 Add Lines 3 + 4 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 + 10 $ Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) $ 5522 Column B CALENDAR YEAR TOTAL TO DATE $ 14,136 (2374) 505 $ 3148 $ 14,642 216 216 $ 3364 $ 14,858 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 4991 $ 13,534 0 0 4991 $ 4991 0 0 0 0 4991 $ 13.534 $ 2951 3148 4991 $ 1108 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 8 above $ 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 1411645 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 *Ampunts 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 C Amounts may be rounded SCHEDULE C "' °�""'� """�" Nonmon+etar Contributions Received Statement from 10/21/18 covers period CALIFORNIA 460 FORM —f' through 12/31/18 page 4 of 4 SEE INSTRUCTIONS ON REVERSE NAME John OF FILER Headding I.D. 1411645 NUMBER DATE RECEIVED FULL NAME, ZIP CODE (IF COMMITTEE, STREETADDRESS AND OF CONTRIBUTOR ALSO ENTER I NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF GOODS OR SERVICES AMOUNT/ FAIR MARKET CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - DEC 31) PER ELECTION TO DATE (IF REQUIRED) (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) VALUE Self-employed Owner, Fundraiser event 216 Hellos Dayspring 1 IND 10/28/18 7510 Los Osos Valley Rd ❑ COM Natural Center Healing costs beverage) (food & 216 San Luis Obispo, 93405 C OTH CA ❑ PTY ❑ SCC n IND ■ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND n COM ❑ OTH ❑ PTY ❑SCC ❑ IND ❑ COM ❑OTH n PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 216 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 Tess 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines than $100 $ 4 and 10.) TOTAL $ 216 216 *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