HomeMy WebLinkAbout2018.08.27_Heading_John_Form 460Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from 07/01/2018
through 08/08/2018
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
[J Officeholder, Candidate Controlled Committee
O State Candidate Election Committee
O Recall
(Also Complete Pad 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 Pad 6)
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Pad 7)
Date of election if applicable:
(Month, Day, Year)
11/06/2018
2. Type of Statement:
WI Preelection Statement
❑ Semi-annual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
ET Amendment (Explain below)
14 CI t,1 5r a,{A
I c )
Date Stamp
RECEIVED
City of Morro Bay
AUG 2 7 2018
Page
1
of
For Official Use Only
❑ Quarterly Statement
❑ Special Odd -Year Report
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3. Committee Information
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Headding for Mayor 2018
I.D. NUMBER
"fii �Receiue /
STREET ADDRESS (NO P.O. BOX)
Morro Bay
STATE ZIP CODE AREA CODE/PHONE
CA 93442 805-
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
P.O. Box 2034
CITY
Morro Bay
STATE ZIP CODE AREA CODE/PHONE
CA 93443 805
OPTIONAL: FAX/E-MAIL ADDRESS
Treasurer(s)
NAME OF TREASURER
Homer Alexander
MAILING ADDRESS
CITY
Morro Bay
STATE ZIP CODE
CA 93442
AREA CODE/PHONE
805-
NAME OF ASSISTANTTREASURER, 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 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 foregoing is tn.
08-20-2018
Date
08-20-2018
Executed on
Executed on
Executed on
Executed on
Date Signature
By
Date
Date
By
By
By
:sponsible 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 (866/275-37721
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
John Headding
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Mayor of Morro Bay
RESIDENTIAUBUSINESS 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 orrnake 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
COVER PAGE - PART 2
CALIFORNIA 460
FORM
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. DR 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
IN OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
El SUPPORT
• OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
III SUPPORT
■ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
IN 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 07/01/2018
through 08/08/2018
SUMMARY PAGE
Page 3 of
NAME OF FILER
Homer Alexander
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 C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $
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 P, Line 3
10. Nonmonetary Adjustment Schedule C, Line 3
11. TOTAL EXPENDITURES MADE AddLines 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 /, 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.
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
500.00
1,500.00
Column B
CALENDAR YEAR
TOTAL TO DATE
$ 500.00
1,500.00
2,000.00 $ 2,000.00
0.00
2,000.00 $
48.00
0.00
48.00
0.00
0.00
48.00
$ 0.00
2,000.00
0.00
48.00
$ 1,952.00
17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents See instructions on reverse
$ 0.00
19. Outstanding Debts Add Line 2 + Line 9 in Column B above $ 1,500.00
0.00
2,000.00
$ 48.00
0.00
48.00
0.00
0.00
$ 48.00
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).
I.D. NUMBER
mo a Ytr tRs'c`av
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/ddlyy)
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
Monetary Contributions Received to wnoie sonars.
SEE INSTRUCTIONS ON REVERSE
statement covers period
from 07/01/2018
CALIFORNIA
FORM 46 0
through 08/08/2018
Page
4 of 6
NAME OF FILER
Homer Alexander
I.D. NUMBER
o it
AA? T rc r ettpeof
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)
08-07-18
Laura Pick
Morro Bay, CA 93442
®IND
El
Retired
500.00
500.00
500.00
■ OTH
❑ PTY
• SCC
• IND
■ COM
■ OTH
• PTY
■ SCC
• IND
II COM
• OTH
• PTY
• SCC
■ IND
■ COM
• OTH
• PTY
■ SCC
• IND
• COM
■OTH
■ PTY
• SCC
SUBTOTAL $
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 Tess than $100 $
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $
500.00
0.00
500.00
*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 (S66/275-3772)
vaww_fnnr_ea_gnv
SCHEDU LE B - PART 1
Schedule B — Part 1 Vto whole dollars. Mv�
Loans Received
SEE INSTRUCTIONS ON REVERSE
from
through
Statement covers period
07/01/2018
CALIFORNIA 460
FORM
08/08/2018
Page 5 of 6
NAME OF FILER
Homer Alexander
I.D. NUMBER
fJOT %e r id-Pccdv
FULL NAME, STREET ADDRESS AND ZIP CODE
(IFCOMMITTEED,ALSOEDNTERI.D.NUMBER)
IF AN INDIVIDUAL, ENTER
OCCFSELIOMPLOODDDMN FOYER
NAME OF BUSINESS)
(a)
OUTSTANDING
BEGINNING THIS
PERIOD
(b)
AMOUNT
RECEIVED THIS
PERIOD
(c)
AMOUNT PAID
OR FORGIVEN*
THIS PERIOD
(d)
OUTSTANDING
C BOSENOFET IS
PERIOD
(e)
INTEREST
PAID THIS
PERIOD
(i)
ORIGINAL
AMOUNT OF
LOAN
(g)
CUMULATIVE
CONTRIBUTIONS
TO DATE
John Headddina
Morro Bay, CA 93442
t [[] IND 0 COM III OTH ❑ PTY ❑ scc
Pharmacist & Small
Business Owner
0.00
$ 1,500.00
❑PAID
$ 0.00
$ 1,500,00
0 %
$ 1,500.0
CALENDAR YEAR
$ 1.500.00
❑ FORGIVEN
$ 0.00
12/31/18
RATE
$ 0.00
08/07/18
PER ELECTION**
$ 1.500.00
DATE DUE
DATE INCURRED
t ❑ IND 0 COM ❑ OTH ❑PTY ❑ SCC
$
$
❑ PAID
$
$
%
$
CALENDAR YEAR
$
CI FORGIVEN
$
RATE
$
PER ELECTION**
$
DATE DUE
DATE INCURRED
t❑ IND 0 COM 0 OTH II PTY ❑ scc
$
$
❑ PAID
$
$
%
$
CALENDAR YEAR
$
❑ FORGIVEN
$
RATE
$
PER ELECTION**
$
DATE DUE
DATE INCURRED
SUBTOTALS $ $ $ $
Schedule B Summary
1. Loans received this period $
(Total Column (b) plus unitemized loans of less than $100.)
2. Loans paid or forgiven this period $
(Total Column (c) plus loans under $100 paid or forgiven.)
(Include loans paid by a third party that are also itemized on Schedule A.)
3. Net change this period. (Subtract Line 2 from Line 1.) NET $
Enter the net here and on the Summary Page, Column A, Line 2.
*Amounts forgiven or paid by another party also must be reported on Schedule A.
** If required.
•
1,500.00
0.00
1,500 00
(May be a negative number)
(Enter (e) on
Schedule E, Line 3)
tContributor 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/Z016)
FPPC Advice: advice@fppc.ca.gov (S66/275-3772)
wvuw.fppc.ca.gov
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Amounts may be rounded
to whole dollars,
from
Statement covers period
07/01/2018
through
08/08/2018
SCHEDULE E
CALIFORNIA /� CO
FORM 'T V
Page 6
of
Homer Alexander
CODES: If one of the following codes accurately describes
CMP campaign paraphernalia/misc.
CNS campaign consultants
CTB contribution (explain nonmonetary)*
CVC civic donations
FIL candidate filing/ballot fees
FND fundraising events
IND Independent expenditure supporting/opposing others (explain)*
LEG legal defense
LIT campaign literature and mailings
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
the payment, you may enter the code. Otherwise, describe the payment.
MBR member communications
MTG meetings and appearances
OFC office expenses
PET petition circulating
PHO phone banks
POL polling and survey research
POS postage, delivery and messenger services
PRO professional services (legal, accounting)
PRT print ads
CODE OR
I.D. NUMBER
ecr rTa=;v12�4'
RAD radio airtime and production costs
RFD returned contnbutions
SAL campaign workers' salaries
TEL t.v. or cable airtime and production costs
TRC candidate travel, lodging, and meals
TRS staff/spouse travel, lodging, and meals
TSF transfer between committees of the same candidate/sponsor
VOT voter registration
WEB information technology costs (Internet, e-mail)
DESCRIPTION OF PAYMENT
AMOUNT PAID
United States Postal Service
898 Napa Ave
Morro Bay, CA 93442
Post Office Box Rental
POS
48.00
* Payments that are contributions or Independent expenditures must also be summarized on Schedule D.
SUBTOTAL $
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 $
48.00
0.00
0.00
48.00
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov