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Home My WebLink About2021.01.25_Addis_Dawn_Form 460Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 10/18/2020 through 12/31/2020 1. Type of Recipient Committee: All Committees —Complete Parts 1, 2, 3, and 4. m Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Parts) 0 Sponsored (Also Complete Part 6) ❑ General Purpose Committee 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part7) 3. Committee Information NAME IF Friends of Dawn Addis City Council 2018 I.D. NUMBER 1406734 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE Morro NE1 CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / EMAILADDRESS 4. Verification COVER PAGE Date Stamp RECEIVED City of Morro Bay Date of election if applicable: (Month, Day, Year) 2. Type of Statement, ❑ Preelection Statement m Semi-annual Statement ElTermination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurers) NAME OF TREASURER MAILING ADDRESS Page 1 of 4 For Official Use Only City Clerk ❑ Quarterly Statement ❑ Special Odd -Year Report 1 CITY STATE ZIP CODE AREA CODEIPHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information certify under penalty of perjury under the laws of the State of California that the foregoing is trysapd correct. '' Executed on Date Executed on Date Executed on Date Executed on Dale herein and in the attached schedules is true and complete. I or By Signature of Controlling Officeholder, Cendi ate, State Measure Proponent FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) terww.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Dawn Addis OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member - Morro Bay, CA RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Morro Bay CA 93442 Related Committees Not Included in this Statement: tfsranycommittees 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? Dennis Lewis ® YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) 5429 Madison Ave CITY STATE ZIP CODE AREACODE/PHONE Sacramentono immilinq in, NAME OF TREASURER COMMITTEE ADDRESS STREET CA 95841 916-348-9100 I.D. NUMBER ❑ YES COMMITTEE? CITY STATE ZIP CODE AREA CODE/PHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO.OR LETTER (JURISDICTION COVER PAGE - PART 2 Page 2 of 4 ❑ 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 oBiceho/der(w or candidate fs) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE I OFFICE SOUGHT OR HELD NAME OF OFFICEHOLDER OR CANDIDATE � OFFICE SOUGHT OR HELD NAME OF OFFICEHOLDER OR CANDIDATE 1 OFFICE SOUGHT OR HELD NAME OF OFFICEHOLDER OR CANDIDATE i OFFICE SOUGHT OR HELD AKach continuation sheets if necessary 1 ❑ SUPPORT ❑ OPPOSE ❑ SUPPORT ❑ OPPOSE ❑ SUPPORT ❑ OPPOSE FPPC Form 460 (Jan/2016j FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statement covers period from 10/18/2020 SUMMARY PAGE SEE INSTRUCTIONS ON REVERSE through 12/31/200 Page 3 of 4 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 CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions ................................................... Schedule A, Line 3 $ 0 $ 0 t!1 through 6/30 7!1 to Date 2. Loans Received................................................................ schedule B, Line 3 0 0 20, Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ 0 $ 0 Received $ $ 4. Nonmonetary Contributions......................a schedule C, Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED................................Add Lines 3+4 $ 0 $ 0 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made............... bass as 0 1*0 sea *W*Wse asysW*4 to a affio*v4p be was at 00 bass schedule E, Line 4 $ 51.83 $ 1631.43 Candidates 7. Loans Made ......................... schedule M, Line 3 0 0 ....................... 51 83 1631643 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines s+7 $ $(HSubject toVoluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) .......................................... scnedure F Line 3 0 0 Date of Election Total to Date 10. Nonmonetary Adjustment, a W a 9 a a a I I V I I a a I V 1 0 0 P a I a a 0 a a 0 a 0 & 14 0 a q W 0 0 0 4 4 a 4 a & a 0 6 6 & a 6 1 . 'Schedule C, Line 3 0 0 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE. . q 0 A a 4 0 a a a & 6 4 a V a 0 a 0 a a B P & 0 a 0 6 4 4 a 4 4 be Add Lines 8+9+1p $ 51.83 $ 1631.43 J $ Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 13. Cash Receipts..........................................................a Column A, Line 3 above 14. Miscellaneous Increases to Cash .................................. Schedule /, 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, tine 16 must be zero. $ 564.40 0 0 51.83 0 17. LOAN GUARANTEES RECEIVED ................................ schedute 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 B above $ _512.57 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 shou previ Id be subtracted from ous 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). 0 *Amounts in this section may be different from amounts reported in Column B. 0 FPPC Form 460 (jan/2016j) FPPC Advice: advice@fppc.ca.gov (866/275.3772j www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Friends of Dawn is City Council 2018 Amounts may be rounded to whole dollars. Statement covers period from 10/18/20 through 12/31/20 SCHEDULE E Page 4 of Al l[III�Zi 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 RAD 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 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 (intemet, 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 Summary SUBTOTAL $ 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 2. LIN mized payments made this period of under$100.......................................................................................................................................... $ 0 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)............................................................................. $ 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)........................... TOTAL $ 51.83 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov