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HomeMy WebLinkAbout2020.08.20_Williams-Mahan_Form 460 Termination AmendRecipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE 4. 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) feral Purpose Committee Sponsored Small Contributor Committee Political Party/Central Committee Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME IF NO C Williams Mahan For City Council 2020 Primarily Formed Ballot Measure V Controlled Sponsored (Also Complete Part 6) Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE Morro Bay CA 93442 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX P.O. BOX 1704 CITY STATE ZIP CODE AREA CODE/PHONE Morro Bay CA 93443 OPTIONAL: FAX / E-MAIL ADDRESS COVER PAGE Type of Statement: Preelection Statement e Quarterly Statement Semi-annual Statement Special Odd -Year Report Termination Statement (Also file a Form 410 Termination) m Amendment (Explain below) Schedule E-Payments Made -Returned Contributions Treasurers) NAME OF TREASURER Kristen Headland MAILING ADDRESS P.O. BOX 1704 CITY STATE ZIP CODE AREA CODE/PHONE Morro Bay CA 93443 NAME OF ASSISTANT TREASURER, IF ANY Barry Branin MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Morro Bay CA 93442 OPTIONAL: FA X / E-MAILADDRESS 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 certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. 0 Z , () Executed on Z_,Z� U By Date Executed on f B ' ZU - 2� Za yX Dale ' natu of Controlling Officeholder, Candidate, State Measure Proo nent or ResDons a Officer of Sponsor Executed on Date Executed on Date ay Signature of Controlling Officeholder, Candidate, Slate Measure Proponent By 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 NAME OF OFFICEHOLDER OR CANDIDATE Melanie Williams Mahan OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member RESIDENTIALIBUSINESS ADDRESS (NO.ANDSTREET) 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 NAME OF TREASURER I.D. NUMBER STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME OF TREASURER CONTROLLED COMMITTEE? ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE CK.��137 T c7�701211M 1 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION Page 2 of 5 ❑ 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 L.isrnames of officehoider(s) or candidate(*) 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 Amounts may be rounded to whole dollars. Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Williams Mahan For City Council 2020 Contributions Received 1. Monetary Contributions................................................... schedule A, Line 3 2. Loans Received................................................................ Schedule e, Line 3 3, SUBTOTAL CASH CONTRIBUTIONS". too $St$ 0 $ISO Is *a &a Is Add Lines 1 + 2 4. Nonmonetary Contributions... a Schedule C. Line 3 5. TOTAL CONTRIBUTIONS RECEIVED................................Add Lines 3+4 Statement covers period 02/14/2020 from 06/29/2020 through Column A Column B TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE $ 1,100.00 $ 11100.00 0.00 0.00 $ 1,100.00 $ 11100000 0.00 0.00 $ 1,100.00 $ 11100.00 Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 $ 7. Loans Made....................................................................... Schedule H, Line 3 8, SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 $ 9. Accrued Expenses (Unpaid Bills).....................................9.... schedule F Line 3 10. Nonmonetary Adjustment......................................................... Schedule C. Line 3 11. TOTAL EXPENDITURES MADE....................................Add Lines 8+9+10 $ 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... 0 1 a a 0 1 1 0 0 1 S a I a I 1 0 4 S 0 1 q V 4 0 9 a 0 0 S V Schedule i, 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. 1 ,100.00 0.00 1,100000 0.00 0.00 1,100000 1 W100000 0.00 1 ,1 00000 $ 0.00 17. LOAN GUARANTEES RECEIVED ................................ schedule e, 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 $ 0.00 0.00 $ 1,100.00 0.00 $ 11100800 o.00 0.00 $ 11100800 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). Page 3 I.D. NUMBER 1425213 SUMMARY PAGE of 5 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions Received Expenditures Made 1/1 through 6/30 7/1 to Date N/A $ 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. 1 FPPC Form 460 (!an/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 whole dollars. Statement covers period 02/14/2020 , from 06/29/2020 4 5 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Williams Mahan For City Council 2020 FULL NAME, STREET ADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 02/24/2020 Kristen Headland ® IND Retired $100.00, $100.00 ❑ CoM Morro Bay, CA., 93442 ❑OTH ❑ PTY ❑ SCC 02/24/2020 Barry Branin ® IND Retired $500.00 $500.00 ❑ CoM Morro Bay, CA., 93442 ❑OTH ❑ PTY ❑ SCC 02/24/2020 Tom Rost ®IND Retired $500,00 $500000 ❑COM Topeka, KS, 66612-1608 ❑ OTH ❑ PTY SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY SCC SUBTOTAL$ 1,100.00 Schedule A Summary 1. Amount received this period Woodsitemized monetary contributions. (Include all Schedule A subtotals.)..OWN ............ sea .. bass ads ... boo ............. boa .... ease . Possess ............ boa .......................$ 1,100.00 0.00 2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$ 3. Total monetary contributions received this period. 1,100.00 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ *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 (1an/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULEE Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Williams Mahan For City Council 2020 Amounts may be rounded to whole dollars. Statement covers period 02/24/2020 from through 06/29/2020 "'" 46U RM D.NUMBER 1425213 CODES: If one %J the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary) RFD returned contributions OFC office expenses CVC civic donations PET petition circulating FIL candidate filing/ballot fees PHO phone banks SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals FIND fundraising events POL polling and survey research ND independent expenditure supporting/opposing others (explain) TRS staff/spouse travel, lodging, and meals IPOS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) 9 p NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Staples Office Supplies OFC Stationary, Envelopes, Planner, Binders 142.14 2950 Broad Street San Luis Obispo, CA., 93401 Barry Branin RFD Returned Contribution 426.43 3290 Bay, CA., Morro Bay, CA Tom Rost RFD Returned Contribution 426.43 827 KS., 6612-1608 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary I. SUBTOTAL $ 995.00 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 $ 105.00 none 1,100.00 FPPC Form 460 (1an/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov