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Home My WebLink About2022.01.25_Addis_Dawn_Form 460 Amend through 6.30.21Recipient Committee Campaign Statement Cover Page from Statement covers period I Date of election if applicable: 01 /01 /2021 (Month, Day, Year) SEE INSTRUCTIONS ON REVERSE through 06/30/2021 1. Type of Recipient Committee: All Committees -Complete Parts 1, z, 3, and a. � Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure � State Candidate Election Committee Committee 0 Recall 0 Controlled (Also CompleteParfSJ 0 Sponsored (Also Complete Perf 6) ❑ General Purpose Committee � Sponsored � Small Contributor Committee � Political Party/Central Committee ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Parf 7) 3. Committee Information I I.D. NUMBER 1406734 NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Friends of Dawn Addis City Council 2022 STREETADDRESS (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 CODEIPHONE OPTIONAL: FAX / E-MAIL ADDRESS daddis@morrobayca.gov 4. Verification 2. Type of Statement: Date Stamp RECEIVED Ciry of Morro Bay JAN 2 5 2022 COVER PAGE Page 1 of 5 For Official Use Oniy ❑ Preelection Statement ❑ Quarterly Statement � Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) � Amendment (Explain below) Amending original Form 460, Schedule A, to include the $250 check contribution to reflect the date the check was received. Treasurers) NAME OF TREASURER Barbara Spagnola 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 I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the certify under penalty of perjury undjder the laws oaf t%he�%State of California that the foregoing is tr nd corre t. Executed on � � Z�6 � � V (� By �% (Date �% Executed on I �� "' L � � v� B Date SI of Controlling Offi er, Executed on Date contained herein and in the attached schedules is true and complete. I or By Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on Date By Signature of Controlling Officeholder, Candidate, Slate Measure Proponent Print Form FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 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, City of Morro Bay RESIDENTIAL/BUSINESSADDRESS (NO.ANDSTREET) CITY STATE ZIP Morro Bay, CA 93442 Related Committees Not Included in this Statement: List any committees 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. ITTEE NAME NAME OF TREASURER I.D. NUMBER ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE COMMITTEE NAME NAME OF TREASURER COMMITTEE ADDRESS I.D. NUMBER CONTROLLED COMMITTEE? CITY STATE ZIP CODE AREA CODElPHONE COVER PAGE - PART 2 1 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER 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 List names of officeholder(*) or candidate(*) for which this committee i* primarily funned. 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 Clear Cover Pg2 Print Form FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Friends of Dawn Addis City Council 2022 Contributions Received 1. Monetary Contributions................................................... scneduleA, Line 3 2. Loans Received... a 1 a a a a a a I a a 0 8 1 0 a * I a b a a 0 a I a 0 0 1 a 0 0 0 a 0 a I a I a a 0 6 a I a 0 0 4 1 o a a a a I a 0 1 1 0 Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS....,,.,,........,............ Add Lines 1 +2 4. Nonmonetary Contributions.... go is ell oviagoo* a law Plate Schedule C. Line 3 5. TOTAL CONTRIBUTIONS RECEIVED, . a a * 4 a 4 a * a a a 4 # 4 a a a A a 4 0 0 a a I 1 0 a ......AddLines 3 + 4 Expenditures Made 6. Payments Made... Schedule e, Line 4 7. Loans Made.... tattoo 1 000400 0011111*W4094 $1 *41 tea 166 at 40 *bag 6644 bad tattoo total Ptak Schedule H Line 3 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) .................. 10, Nonmonetary Adjustment..,.,. ............................ 11. TOTAL EXPENDITURES MADE .................... , Schedule FLine 3 Schedule C. Line 3 Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) G� Statement covers period 01 /01 /2021 from through 06/30/2021 3 Page I.D. NUMBER 1406734 SUMMARY PAGE Column B Calendar Year Summary for Candidates CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and 250 General Elections 0 1/1 through 6/30 7/1 to Date 250 20. Contributions Received 21. Expenditures Made 21 E Expenditure Limit Summary for State $ 274 $ 274 Candidates 0 Add Lines 8 + 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 1, 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, Line 96 must be zero. 0 0 274 $ 274 $ 512.57 250.00 0.00 274.00 $ 488.57 17. LOAN GUARANTEES RECEIVED, . 4 V o W & a 1 1 W I I 1 0 a a 6 A I t q 4 a 0 4 a P a a schedule e, Parf 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse to19. Outstanding Debts.... Palate **&#tea a at we Paola ask Add Line 2 + Line 9 in Column B above $ hJ L u 274 0 0 $ 274 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 should 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). 22. Cumulative Expenditures Made* (IT Subject to Voluntary Expenditure Limit) Date of Election (mm/ddlyy) Total to Date *Amounts in this section may be different from amounts reported in Column B, u FPPC Form 460 (tan/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 a _ , wl 11101 /01 /2021 • from 06/30/2021 4 5 rPage through of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Friends of Dawn Addis City Council 2022 1406734 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED,ER NAME PERIOD (JAN, 1 - DEC. 31) (IF REQUIRED) BUSINESS) Planned Parenthood Central Coast Action Fund ❑ IND ®COM Received via IntermediarY 04/15/2021 518 Garden Street ❑ OTH Olson Remcho LLP $ 250 $ 250 Santa Barbara, CA 93101 p PTY 555 Capitol Mall, Ste 400 EIN # 77-0304037 ❑ SCC Rarramantn rA AA814 EEG ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ $ 250 Schedule A Summary *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 (866/275-3772) www.fppc.ca.gov Schedule E Payments Made Amounts may be rounded to whole dollars. Statement covers period from 01 /01 /2021 SCHEDULE E 1 through06/3O/2021 page 5 of 0 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Friends of Dawn Addis City Council 2022 1406734 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. 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 POISE, 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 PROMISE 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 CA Secretary of State FIL $ 200 1500 11 th Street, Room 495 Sacramento CA 95814 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ $ 200 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. $ $ 200 $ 74 2. Unitemized 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).)............................................................................. $ $ $ 274 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)........................... TOTAL $ FPPC Form 460 (Jan/2016) -- — FPPC Advice: advice@fppc.ca.gov (866/275-3772) )ear Sch. E Print Form www,fppc.ca.gov