HomeMy WebLinkAbout2021.01.20_CAL_Form 460Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Type of Recipient Committee: All Committees —Complete Parts 1, 2, 3, and 4.
Officeholder, Candidate Controlled Committee
D State Candidate Election Committee
D 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 NU GUMMITTEE)
zens For Affordable Living
Primarily Formed Ballot Measure
V Controlled
Sponsored
(Also Complete Part 6)
Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
STREET ADDRESS (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
PO Box 1822
CITY STATE ZIP CODE AREA CODE/PHONE
Morro Bay CA 93443
OPTIONAL: FAX / E-MAIL ADDRESS
Type of Statement:
Preelection Statement
Semi-annual Statement
Termination Statement
Also file a Form 410 Termination)
m Amendment (Explain below)
Campaign Statement Cover Page,
Treasurers)
NAME OF TREASURER
Kristen Headland
MAILING ADDRESS
COVER
PAGE
Statement
dd-Year Report
Treasurer
-new phone number
PO Box 1822
CITY STATE ZIP CODE AREA CODE/PHONE
Morro Bay CA 93443
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX/E-MAILADDRESS
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 true and correct.
Executed on
Date
Executed on �.�� ? C 2�
Date
Executed on
Dale
Executed on
Date
�l
By
Signature of Controlling Officeholder, Candidate, State 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
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
COVER PAGE - PART 2
I
Page 2 of 2
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
Measure E-20
BALLOT NO. OR LETTER JURISDICTION
Measure E-20 City Of Morro Bay ❑ OPP
® OPPOOSESE
RESIDENTIAL/BUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP
Identify the controlling officeholder, candidate, or state measure proponent, if any.
Related Committees Not Included in this Statement: List anycommitrees
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.
COM
NAME OF TREASURER
STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME
I.D. NUMBER
NAME OF TREASURER I CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE
(NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
SOUGHT OR HELD
DISTRICT NO. IF ANY
7. Primarily Formed Candidate/Officeholder Committee List names of
officeholders) or candidate(w 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
n Cam al Disclosure Statement Amounts may be rounded SUMMARY PAGE
Campaign to whole dollars.
Summary !Page Statement covers period I
from 10/18/2020 •
12/31 /2020 Page 3 of 5
SEE INSTRUCTIONS ON REVERSE through
NAME OF FILER I.D. NUMBER
Citizens For Affordable Living 1396018
Contributions Received
1. Monetary Contributions................................................... schedule a, Linea
2. Loans Received................................................................ Schedule e, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS. 0 W a a I a 0 1 & q I I I I I I a I I W 1 6 1 0 a I Add Lines 1 + 2
4. Nonmonetary Contributions,.. 0 V r 0 9 r 4 q v 6 a 4 h 4 1 a 6 & a a I 1 0 0 1 1 1 1 1 1 4 1 1 1 1 $ a Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED................................Add Lines 3+4
Expenditures Made
6. Payments Made,..... 4 1 0 a 0 a I a 6 & a I I a & 6 $ a & 0 0 6 4 a 4 & 6 4 4 a a I & 6 1 a W 0 1 a * 1 0 0 W * a & 6 a I a a 6 & 1 4
7. Loans Made......................................................................
Schedule E, Line 4 $
Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines s+7
9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3
10, NonmonetaryAdjustment......................................................... Schedule C, Line 3
11. TOTAL EXPENDITURES MADE....................................Add Lines8+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 .................................. Schedule 4Line 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. . a I W 1 0 8 W 6 4 4 V W a 4 t 4 1 0 0 1 a 0 0 0 0 P P 0 schedule e, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents. . 6 t 4 1 9 1 A 1 4 m 4 m 4 1 W I t a W 1 0 0 a F a 0 F 4 a $ 4 0 * 0 0 0 a m 0 q m a a 0 m , See instructions on reverse
19, Outstanding Debts, . 4 1 4 1 1 a I I I & q I W I I I I r 0 0 1 1 8 0 0 4 9 M Add Line 2 + Line 9 in Column B above
Column A
TOTALTHIS PERIOD
(FROM ATTACHED SCHEDULES)
40.00
0
40.00
100.00
0
100.00
0
0
Column B
CALENDARYEAR
TOTAL TO DATE
$ 1847.00
0
$ 1847.00
0
$ 1847.00
$ 1875.79
0
$ 1875.79
0
0
$ 1875.79
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
shouId 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).
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through s/30 7/1 to Date
20. Contributions N/A
Received $ $ —
21. Expenditures N/A
Made $ $ —
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
Date of Election
(mm/dd/y
y)
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 whole dollars.
Statement covers period
• " �
10/18/2020
•
from
• "
12/31 /2020
4 5
SEE INSTRUCTIONS ON REVERSE
throu h
g
page of
NAME OF FILER
I.D. NUMBER
Citizens For Affordable Living
1396018
FULL NAME, STREETADDRESS 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
(IFSELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
❑IND
❑
COM
❑
OTH
❑
PTY
❑SCC
❑IND
❑
COM
❑
OTH
❑PTY
❑SCC
❑IND
❑
COM
❑
OTH
❑
PTY
❑SCC
❑IND
❑
COM
❑
OTH
❑PTY
❑SCC
❑IND
❑ COM
❑ OTH
❑PTY
SCC
SUBTOTAL $ 0.00
Schedule A Summary
1. Amount received this period —itemized monetary contributions. 0.00
(Include all Schedule A subtotals.).........................................................................................................$
2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$
40.00
3. Total monetary contributions received this period. 40.00
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $
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 E
Schedule E
Payments Made
SEE
ONS ON REVERSE
4ME OF FILER
Citizens For Affordable Living
Amounts may be rounded
to whole dollars.
Statement covers period
10/18/2020
from
through
12/31 /2020
5 5
Page of —
D.NUMBER
1396018
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign paraphernalia/misc. MBR member communications RAID radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries
CVC civic donations PET petition circulating TEL t.v. 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 surrey 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
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
Schedule E Summaily
I.
SUBTOTAL$
Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $
2. Unitemized payments made this period of under$1 00.......................................................................................................................................... $
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 $
o.00
100.00
0200
100. )0
FPPC Form 460 ( Ion /2016))
FPPC Advice: advice@fppc.ca.gov (866/2753772)
www.fppc.ca.gov