HomeMy WebLinkAbout2022.01.25_Weiss_John_Form 460Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
.11* V
through December 31 2021
1. Type of Recipient Committee: All Committees —Complete Parts 1, 2, 3, and 4.
(� Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
0 State Candidate Election Committee Committee
0 Recall 0 Controlled
(Also Complete Pad5) 0 Sponsored
(Also Complete Part 6)
❑ General Purpose Committee
0 Sponsored
0 Small Contributor Committee
0 Political Party/Central Committee
3. Committee Information
COMMITTEE NAME (OR CANDIDATE'S NAME IF
John Weiss for Mayor 2020
STREET ADDRESS (NO P,O. BOX)
CITY
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Pert 7)
STATE ZIP
I.D. NUMBER
AREA CODE/PHONE
CITY
STATE ZIP CODE AREA CODEIPHONE
Morro Bay CA 93442 (
OPTIONAL: FAX / E-MAILADDRESS
iohnweissformayor _clmail.com
4. Verification
Date of election if applicable:
(Month, Day, Year)
o3jz(D
2. Type of Statement:
RECEIVED
City of Morro Bay
JAN 2 5 2022
Administration
❑ Preelection Statement
( Semi-annual Statement
❑ Termination Statement
Also file a Form 410 Termination)
❑ Amendment (Explain below)
Treasurers)
COVER PAGE
Page of
For Official Use Only
❑ Quarterly Statement
❑ Special Odd -Year Report
1
NAME OF TREASURER
Dan Costley
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
Morro Bav CA 93442 (
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAXlE-MAILADDRESS
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge t e 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 t oing is true andct.
Executed on
0
Date asurerorAsslstantTreasurer
2 9 Z 2 Executed on - By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
Executed on
Date
Executed on
Date
By
Signature of Controlling Officeholder, Candidate, Slate 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
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) 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.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
CITY STATE ZtP CODE AREA CODE/PHONE
COMMITTEE NAME
NAME OF TREASURER
COMMITTEE ADDRESS STREET
P.
I.D. NUMBER
CITY STATE ZIP CODE AREA CODE/PHONE
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO.OR LETTER i JURISDICTION
COVER PAGE - PART 2
❑ 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
officeholders) 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 450 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
CampaiAmounts may of rounded
gn Disclosure Statement
to whole dollars.
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Contributions Received
1.
Monetary Contributions...................................................
schedule A, Line
3
2.
Loans Received.. * P 9 0 M a 0 9 0 N 0 9 9 B 6 a 9
Schedule B, Line
3
3.
SUBTOTAL CASH CONTRIBUTIONS ..............................
Add lines 1 +2
4.
Nonmonetary Contributions ............................................
Schedule C. Line
3
5.
TOTAL CONTRIBUTIONS RECEIVED....................................Add
lines 3 +
4
Expenditures Made
6. Payments Made................................................................ Schedule E, Line 4
7. Loans Made....................................................................... Schedule H, line 3
8. SUBTOTAL CASH PAYMENTS .......................................... Add lines 6 + 7
9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3
10. Nonmonetary Adjustment ......................................pros.,............. Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ........................................ 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 16 must be zero.
Column A
TOTAL THIS PERIOD
(PROM ATTACHED SCHEDULES)
SUMMARY PAGE
- CALIFORNIA /� 46a
July 12021 FORM
gh
December
Column B
CALENDARYEAR
TOTAL TO DATE
0.00
$ 0.00 $ 0.00
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 7/1 to Date
20. Contributions
Received $ $
21. Expenditures
Made $ $
$
' Expenditure Limit Summary for State
8-on $ a nn Candidates
17. LOAN GUARANTEES RECEIVED ................................ Schedule e, Part 2 $ 0.00
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................ See instructions on reverse $ 0-00
19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ 0.00
previ
any).
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
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
22. Cumulative Expenditures Made*
(If SubJect to Voluntary Expenditure Limit)
Date of Election
(mmlddlyy)
Total to Date
*Amounts
in this section may be different from amounts
reported in Column B.
FPPC Form 460 (1an/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
John Weiss for Mayor 2020
Amounts may be rounded
to whole dollars.
Statement covers period
from July j 2021
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
CNS
campaign consultants
MTG
meetings and appearances
CTB
contribution (explain nonmonetary)*
OFC
office expenses
CVC
civic donations
PET
petition circulating
FIL
candidate filing/ballot fees
PHO
phone banks
FND
fundraising events
POL
polling and survey research
IND
independent expenditure supporting/opposing others (explain)*
POS
postage, delivery and messenger services
LEG
legal defense
PRO
professional services (legal, accounting)
LIT
campaign literature and mailings
PRT
print ads
SCHEDULE E
1425263
RAD radio airtime and production costs
RFD returned contributions
SAL campaign workers' salaries
TEL t.v, or cable airtime and production costs
TRC candidate travel, lodging, and meals
TRS staff/spouse travel, lodging, and meals
TSF transfer between committees of the same candidate/sponsor
VOT voter registration
WEB information technology costs (internet, e-mail)
iiiiiiiiiiiiiiiiiiiiiillillillillillillillI III
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Pacific Premier Bank
PO Box 25171
Santa Ana, CA. 92799-9810
PRO
Bank Service Charge Fees
$2.00 per month
Acct. # 8000162559
8.00
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $
8.00
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $
2. Unitemized payments made this period of under$100.......................................................................................................................................... $
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 6.1 ........................... TOTAL $ 8.00
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov