HomeMy WebLinkAbout2020.09.23_Addis_Dawn_Form 460Recipient Committee
Campaign Statement
Cover Page
froIN
Statement covers period
7/1 /2020
SEE INSTRUCTIONS ON REVERSE through 9/19/2020
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
[� Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
0 State Candidate Election Committee Committee
0 Recall 0 Controlled
(Also Complete Part5) 0 Sponsored
(Also Complete Part B)
❑ General Purpose Committee
0 Sponsored ❑ Primarily Formed Candidate/
0 Small Contributor Committee Officeholder Committee
0 Political Party/Central Committee (Also Complete Part 7)
3. Committee Information I I.D. NUMBER
1406734
Friends of Dawn Addis City Council 2018
STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Morro Bay CA 93442
MAILINGADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREACODEIPHONE
OPTfONAL: FAX / E-MAILADDRESS
COVER PAGE
CALIFORNIA 46a
RECEIVED
Date of election if applicable: City of Morro Bay Page 1 of 4
(Month, Day, Year) �. `-` For Official Use Only
JL.i r
2. Type of Statement:
® Preelection Statement
❑ Semi-annual Statement
❑ Termination Statement
Also file a Form 410 Termination)
❑ Amendment (Explain below)
Treasurers)
NAME OFTREASURER
Gail Bunting
MAILINGADDRESS
City Clerk
❑ Quarterly Statement
❑ Special Odd -Year Report
CITY STATE ZIP CODE AREA CODE/PHONE
Cambria CA 93428
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAXlE-MAILADDRESS
4. Verification . �'
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the informatio co tained 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 true and correct. ( �
Executed on
Date /
Proponent or Responsible Officer of ponsor
Executed on By
Dale Signature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (Jan/2016)
FPPC Advice: advicel@fnnc.ca.eov (866/275-37721
COVER PAGE - PART 2
NAME OF OFFICEHOLDER OR CANDIDATE
Friends of Dawn Addis City Council 2018
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
City Council Member- Mono Bay, Ca
RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Morro Bay, CA 93442
Related Committees Not Included in this Statement: Llsranycommittees
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
Dawn Addis for Assembly
1422314
NAME OF TREASURER CONTROLLED COMMITTEE?
Denise Lewis ® YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
5429 Madison Ave
CITY STATE ZIP CODE AREA CODE/PHONE
Sacramento CA 95841 91&34&9100
COMMITTEE NAME
NAME OF TREASURER
I.D. NUMBER
BALLOT NO. OR LETTER I JURISDICTION
Page 2 of 4
❑ SUPPORT
❑ OPPOSE
Identify the controlling officeholder, candidat®, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD
DISTRICT NO. IF ANY
7. Primarily Formed Candidate/®ificeholder Committee l.lsr names of
officeholders) or candidates) for which this committee is primamy formed,
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
® SUPPORT
Dawn Addis Morro Bay City Counci ❑ 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 I OFFICE SOUGHT OR HELD
Attach continuation sheets if necessary
❑ SUPPORT
❑ OPPOSE
' FPPC Form 460 (lan/2016)
FPPC Advice: advice@fppc,ca,gov (866/275-3772)
www.fppc.ca.gov
Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE
Summary Page
to whole dollars. Statement covers period
from 7w2020 qs
'•ti ,
SEE INSTRUCTIONS ON REVERSE through 9/19/2020 Page 3 of 4
No
NAME OF FILER I.D. NUMBER
Friends of Dawn Addis City Council 2018 1406734
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTAL THIS PERIOD CALENDARYEAR
(FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and
General Elections
1. Monetary Contributions .................... schedule A, Line 3 $ 0 $ O,OO 1/1 through 6/30 7/1 to Date
0 0.00
2. Loans Received........ 1444,49 as is 1 0 b I a % a a a W 0 s a a . a a 0 K a 4 0 1 a 0 1 4 a 6 4 1 10 4 A a a 6 4 4 schedule e, Line 3
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ 0 $ 0.00 Received $ $
4. Nonmonetary Contributions..... ....................................... schedule C, Line 3 0 0.00 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED....................................Add Lines 3 + 4 $ 0 $ 0.00 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made... 9 * 4 a I a 4 9 W a 4 a we V 1 6 4 4 goo 4 * schedule E, Line 4 $ 1,047.00 $ 17579*60 Candidates
7, Loans Made.... go 0 to be to as of staso a d schedule H, Line 3 0 0.00
1,047.00 1,579.60 22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS, ......................................... Add Lines 6 + 7 $ $ (if Subject to Voluntary Expenditure Limit)
9. Accrued Expenses (Unpaid Bills) .......................................... schedule F Line 3 0 0,0 Date of Election Total to Date
10, Nonmonetary Adjustments,'......., IfIR1446 a I s A 144 * 0 4 1 as** s,R**l I e,a6*OtIl*41 11 as schedule C, Line 3 0 0.0 (mm/dd/yy)
11. TOTAL EXPENDITURES MADE.,.,.,.,,..... If least** I,,, to* Add Lines 8 + 9 + 10 $ 11047,00 $ 11579,60 $
Current Cash Statement $
12. Beginning Cash Balance ............................ Previous summary Page, Line 16 $ 1611,40
0 To calculate Column B,
13. Cash Receipts........................................................... Column A, Line 3 above add amounts in COILImn
0 A to the corresponding *Amounts in this section may be different from amounts
14. Miscellaneous Increases to Cash.,, t a 4 a 0 0 k a 1 6 0 a k 0 0 M * 6 , 6 a 0 V 0 0 a , I . a A Schedule 1, Line 4 amounts from Column B reported in Column Be
15. Cash Payments.................Dallas .................................a Column A, Line 8 above 1,047.00 of your last report. Some
56440 amounts in Column A may
16, ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ , be negative figures that
should be subtracted from
If this is a termination statement, Line 16 must be zero. previous period amounts. If
this is the first report being
17, LOAN GUARANTEES RECEIVED. . a * 4 4 0 9 a 1 . a a 1 9 1 0 4 P * a a a # 6 0 . 0 schedule Be Part 2 $ 0f filed for this calendar year,
only carry over the amounts
Cash Equivalents and Outstanding Debts from Lines 2, 7, and 9 (if
18. Cash Equivalents. . 1 1 4 4 V 0 4 a V A A 0 4 0 6 0 a I I a t W 4 0 f W 0 1 0 1 4 4 1 0 a 4 A N 1 0 1 A 4 9 1 See instructions on reverse $ 0 any).
19. Outstanding Debts. . 0 4 V * a a a * a a a W & h, a a 0 a . 4 , a a P 0 & Add Line 2 + Line 9 in Column B above $ 0 FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SCHEDULE E
"". •
iuUm
SEE I
OF
ON REVERSE
Friends of Dawn Addis City Council 2018
Amounts may be rounded
to whole dollars.
Statement covers period
from 7/1t202O
through 9/19/2020 I Page 4
1406734
CODES: If one of the following codes accurately describes the payment, you may enter fihe 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 RFD returned contributions
CTS contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries
CVC civic donations PET petition circulating TEL Lv. or cable airtime and production costs
FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals
FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals
IND Independent expenditure supporting/opposing others (explain)* POS 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)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Headding for Mayor 2020
Morro Bay, CA 93442
Candidate contribution IN 1411645
1,000.00
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTiAL $ 1,000.00
Schedule E Summairy
1. Itemized payments made this period. Include all Schedule E subtotals. $ 11000000
2. Unitemized payments made this period of under$100.......................................................................................................................................... $ 47.00
3. Total interest paid this period on loans. Enter amount from Schedule B Part 1 Column e $ 0.00
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)........................... TOTAL $
1,047.00
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov ($66/275-3772)
www.fppc.ca.gov