HomeMy WebLinkAbout2021.08.02_Headding_John_Form 460Recipient Committee
Campaign Statement
Cover Page
Statement covers period
from O1/O1/2021
SEE INSTRUCTIONS ON REVERSE through 06/30/2021
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
0 Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
O State Candidate Election Committee Committee
O Recall O Controlled
(Also Complete Part 5) O Sponsored
(Also Complete Part 6)
❑ General Purpose Committee
O Sponsored
O Small Contributor Committee
O Political Party/Central Committee
3. Committee Information
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO
Headding for Mayor 2022
STREET ADDRESS (NO P.O. BOX)
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
I.D. NUMBER
1411645
CITY STATE ZIP CODE AREACODE/PHONE
Morro
CA 93442
IF DIFFERENT) NO. AND STREET OR P.O. BOX
P.O. Box 2034
CITY STATE ZIP CODE AREA CODE/PHONE
Morro Bay CA 93443
OPTIONAL: FAX / E-MAIL ADDRESS
4. Verification
Date of election if applicable:
(Month, Day, Year)
COVER PAGE
Date Stamp
RECEIVED
City of Morro Bay
Page 1
J U G 6 2021 For Official Use Only
November 8, 2022 I Administration
2. Type of Statement:
ElPreelection Statement ElQuarterly Statement
Z Semi-annual Statement ElSpecial Odd -Year Report
ElTermination Statement
(Also file a Form 410 Termination)
ElAmendment (Explain below)
Treasurers)
NAME OF TREASURER
Homer Alexander
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
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 foreaoina
is true �?
Executed on '"�! y ! 2�ei 000�
Executed on � 1100 2�
Executed on
Executed on
Date
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 CANDIDA
John Headding
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Mayor of Morro Bay
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Morro Bay CA 93442
Related Committees Not Included in this Statement: List anycommirrees
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.
I.D. NUMBER
NAME OF TREASURER
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. B
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME
NAME OF TREASURER
COMMITTEE ADD
I.D. NUMBER
CONTROLLED COMMI
STREET ADDRESS (NO P.O. BOX)
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 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 Lisf names of
officeho/der(s) or candidates) 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 (866J275-3772)
www.fppc.ca.gov
Campaign ®ISCiOSUre Statement Amounts may be rounded SUMMARY PAGE
to whole dollars. Statement covers period a .
Summary Page 01/01/2021 - ® • 1
from
06/30/2021 Page 3 of 5
SEE INSTRUCTIONS ON REVERSE
through
NAME OF FILER I.D. NUMBER
John Headding for Mayor 2022/Homer Alexanser filer 1411645
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,.,..,,, .... I . I . d . . & a 0 F . M 0 . W . R - I I I I . . I I I . . . Schedule A, Line $ 0 $ 0 1/1 through 6/30 7/1 to Date
2. Loans Received,,,",.",,""... .... 0 .......... ......... Schedule e, Line 3
20. Contributions
3, SUBTOTAL CASH CONTRIBUTIONS." ........................... Add Lines 1 + 2 $ 0 $ 0 Received $ $
4. Nonmonetary Contributions.,"",,..",..,. F . . q 0 . 4 q d 4 & . . . . . . . . . . . . . . Schedule C, Line 3 21. Expenditures
5, TOTAL CONTRIBUTIONS RECEIVED................................Add Lines 3+4 $ 0 $ 0 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made................................................................ Schedule E, Line 4 $ 618 $ 618 Candidates
7. Loans Made....................................................................... schedule H, Line 3
22, Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS.,,,,,, ................................ Add Lines 6 + 7 $ 618 $ 618 (If Subject to Voluntary Expenditure Limit)
9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 Date of Election Total to Date
10, Nonmonetary Adjustment..,",". I,, ......... **4v .... 11 ......... ............ Schedule C, Line 3 (mm/dd/yy)
11, TOTAL EXPENDITURES MADE.... ........ 0 ............ .... Add Lines 8+9+1a $ 618 $ 618 � � $
Current Cash Statement $
12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 1185
To calculate Column B,
13. Cash Receipts............................A........................4..... Column A, Line 3 above add amounts in Column
A to the corresponding *Amounts in this section may be different from amounts
14. Miscellaneous Increases to Cash,, Schedule 1, Line 4 amounts from Column B reported in Column B.
15. Cash Payments,,,." .... "I'll ............. .... Column A. Line 8 above 618 of your last report. Some
amounts in Column A may
16, ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 567 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 ................................ schedule e, Part2 $ 0 filed for this calendar year,
only carry over the amounts
Cash Equivalents and Outstanding Debts from Lines 2, 7, and 9 (if
any).
18. Cash Equivalents ................................................ See instructions on reverse $
19. Outstanding Debts, .... Add Line 2 + Line 9 in Column a above $ FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/2753772)
www.fppc.ca.gov
®mnAM,evn+e m v hn rn �., eJnrl
SCHEDULE B - PART 1
Schedule B — Part 1
Loans Received
Schedule
to whole dollars. ^ ^
Statement covers
from 01/01/2021
period
_
101 -
SEE INSTRUCTIONS ON REVERSE
through 6/30/2021
Page 4
of 5
NAME OF FILER
I.D. NUMBER
John Headding for Mayor 2022
1411645
FULL NAME, STREETADDRESS AND ZIP CODE
OF LENDER
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
IF AN INDIVIDUALENTER
,
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
a O
OUTSTANDING AMOUNT
BALANCE RECEIVED THIS
BEGINNING THIS
PERIOD PERIOD
c
AMOUNT PAID OUTSTANDING
OR FORGIVEN BALANCE AT
THIS PERIOD * CLOPERIOD HIS
e
INTEREST
PAID THIS
PERIOD
ORIGINAL
AMOUNT OF
LOAN
g
CUMULATIVE
CONTRIBUTIONS
TO DATE
John Headding
487
City of Morro Bay
❑ PAID
$ 0
$ 5,125
$
CALENDAR YEAR
$
Morro Bay, CA 93442
❑ FORGIVEN
RATE
PER ELECTION*
t ® IND ❑ COM ❑ OTH ❑PTY
❑ SCC
$ 51125
$ 0
$ 0
12/31/22
$
0
$
DATE DUE
DATE INCURRED
❑ PAID
CALENDAR YEAR
❑ FORGIVEN
RATE
PER ELECTION*"
t ❑ IND ❑ COM ❑ OTH ❑ PTY
❑ SCC
DATE DUE
DATE INCURRED
❑ PAID
CALENDAR YEAR
❑ FORGIVEN
RATE
PER ELECTION**
t ❑ IND ❑ COM El OTH El PTY
❑SCC
$
$
$
$
$
DATE DUE
DATE INCURRED
SUBTOTALS $ $
0
$ 5125 $
0
(Enter (e) on Schedule
E.
Line 31
B Summary
*Amounts forgiven or paid by another party also must be reported on Schedule A.
** If required.
0
U
Q
(May be a negative number)
1"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 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/2753772)
www.fppc.ca.gov
•
.ivy
' 111
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2021
SCHEDULE E
�1•l'
through 6/30/2021 Page 5 of 5
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D. NUMBER
Headding for Mayor 2022 1411645
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 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
United States Postal Service
POS
Post Office Box rental for 2021
118
898 Napa Ave
Morro Bav, CA 93442
Rock Harbor Marketing
WEB
Domain Name Hosting thru 2022
450
781 Market St
Morro Bav, CA 93442
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
Schedule E Summary
SUBTOTAL $ 568
1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $
2. Unitemized payments made this period of under$100.......................................................................................................................................... $
50
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 $ 618
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov