HomeMy WebLinkAbout2021.07.29_CAL_Form 460COVER PAGE
Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
01 /01 /2021
from
through
06/30/2021
1. Type of Recipient Committee: All Committees —Complete Parts 1, z, a, and a.
❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
O State Candidate Election Committee Committee
0 Recall 0 Controlled
(Also Complete Parts) 0 Sponsored
(Also Complete Part 6)
® General Purpose Committee
0 Sponsored
® Small Contributor Committee
0 Political Party/Central Committee
3. Committee Information
Citizens For Affordable Living
❑ 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
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
Date of election if applicable
(Month, Day, Year)
Date
RECEIVED
City of Morro Bay
JUL 2 9 2021
Administration
I
2. Type of Statement:
❑ Preelection Statement
Semi-annual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
Page of
For Official Use
❑ Quarterly Statement
❑ Special Odd -Year Report
ra Amendment (Explain below)
Campaign Statement Cover Page, change mailing address and
phone number.
Treasurers)
NAME OF TREASURER
Kristen Headland
I
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
Morro Bay CA 93442
NAME OF ASSISTANT TREASURER, 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 true and correct.
Executed on r% � Z 9 � �z C)��k By
�rDce'te
Executed on 0 7,2 C; By
Date
Executed on By
Date 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: advice@fppc.ca.gov (866/2753772)
www.fnnr.M9nv
Campaign Disclosure Statement
Amounts may be rounded SUMMARY PAGE
to whole dollars. Statement covers period CALIFORNIA
Summary Page 01 /01 /2021 FORM •
from
06/30/2021 page 2 of 2
SEE INSTRUCTIONS ON REVERSE through
NAME OF FILER I.D. NUMBER
Citizens For Affordable Living
Contributions Received TOColumn A Column B Calendar Year Summary for Candidates
TALTHIS PERIOD CALENDAR YEAR
(FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and
0. 648.38 General Elections
1, Monetary Contributions................................................... schedule A, Line 3 $ 0 $ 0.
1/1 through 6/30 7!1 to Date
2. Loans Received................................................................ Schedule e, Line 3
0. 648.38 20, Contributions N/A
3, SUBTOTAL CASH CONTRIBUTIONS. , 0 0 1 & Add Lines 1 + 2 $ 00 $ 00 Received $ $
4. Nonmonetary Contributions..... W 0 0 1 P 0 0 4 1 1 1 1 a a 9 B a 1 0 V I & $ 1 0 k 0 1 0 Schedule o, Line 3 0 648.38 Made 21. Expenditures N/A
$ $
5, TOTAL CONTRIBUTIONS RECEIVED....................................Add Lines 3 + 4 $ $
Expenditures Made Expenditure Limit Summary for State
6, Payments Made................................................................ Schedule E, Line 4 $ 0. $ 0, Candidates
7. Loans Made...................................................................... Schedule H. Line 3 0' 0.
22, Cumulative Expenditures Made*
84 SUBTOTAL CASH PAYMENTS........ 6940 Iwo@ *6844 Ito*** I W*1 see 0*11 01 1* Add Lines 6 + 7 $ 0. $ 0' (if Subject to Voluntary Expenditure Limit)
9, Accrued Expenses (Unpaid Bills) .............................. .."........ schedule F Line 3 0. 0. Date of Election Total to Date
10, Nonmonetary Adjustment......,........... ..... schedule C, Line 3 0. 06 (mm/dd/yy)
11. TOTAL EXPENDITURES MADE ........................................ Add Lines 8 + 9 + 10 $ 0. $ 0. $ N/A
Current Cash Statement $ N/A
648.38
12. Beginning Cash Balance. Previous summary Page, Line 16 $ O To calculate Column B,
13. Cash Receipts........................................................... Column A, Line 3 above add amounts in Column
0, A to the corresponding *Amounts in this section may be different from amounts
14. Miscellaneous Increases to Cash .................................. Schedule i, Line 4 amounts from Column B reported in Column B.
15. Cash Payments......................................................... Column A, Line 8 above 0. of your last report. Some
648.38 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
0 this is the first report being
17. LOAN GUARANTEES RECEIVED. ............................... schedule B. Part $ filed for this calendar year,
only carry over the amounts
Cash Equivalents and Outstanding Debts from).
Lines 2, 7, and 9 (if
0 any
18, Cash Equivalents", a 64 tog* W4401401&14*4 6&010 0014 0144'd'a to*44 *I See instructions on reverse $
19, Outstanding Debts". a dola 6*640 holfill 16,04 WN tog Add Line 2 + Line 9 in Column a above $ 0 FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov