HomeMy WebLinkAbout2022.08.02_Ford_Form 460Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
Statement covers period
from 05/22/2022
COVER PAGE
Date StampFFo,
-
RECEIVEDCity of MorroDate of election if applicable: AUG 2 202
(Month, Day, Year) of�fficial Use Only
SEE INSTRUCTIONS ON REVERSE
through 06/30/2022
City
Clef"
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
2. Type of Statement:
❑x Officeholder, Candidate Controlled Committee
❑ Primarily Formed Ballot Measure
❑ Preelection Statement
❑ quarterly Statement
0 State Candidate Election Committee
Committee
Semi-annual Statement
❑ Special Odd -Year Report
0 Recall
0 Controlled
Termination Statement
❑ Supplemental Preelection
(Also Complete Part5)
0 Sponsored
(Also file a Form 410 Termination)
Statement -Attach Form 495
❑ General Purpose Committee
(Also Complete Pert 5)
❑ Amendment (Explain below)
0 Sponsored
❑ Primarily Formed Candidate/
0 Small Contributor Committee
Officeholder Committee
0 Political Party/Central Committee
(also Complete Pad7)
3. Committee Information I I.D. NUMBER
1444164
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMIT
Jen Ford for Morro Bay City Council 2022
STREET ADDRESS (NO P.O. BOX)
5445 Madison Avenue
CITY STATE ZIP CODE AREA CODE/PHONE
Sacramento CA 95841 (916)340-9100
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
Treasurer(s)
NAME OF TREASURER
Denise Lewis
MAILING ADDRESS
5445 Madison Avenue
CITY
STATE
ZIP CODE
AREA CODE/PHONE
Sacramento
CA
95841
(916)348-9100
NAME OF ASSISTANT TREASURER, IF ANY
Marissa Russell
MAILING ADDRESS
5445 Madison Avenue
CITY
STATE
ZIP CODE
AREA CODE/PHONE
Sacramento
CA
95841
(916)348-9100
OPTIONAL: FAX / E-MAIL ADDRESS
(916)348-9111 / campaigns@rcbs.us
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my know dge 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 -1I ?,01 ?�ZZ
Date
Executed on , 1 ?-6 I
Dale
Executed on
Date
Executed on
Date
By
B �=
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
By
SlgnatureofConbollingoMceholder,Candidate, State Measure Proponent FPPC Forth 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fppc.ca.gov
www.netfile.com
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Jennifer N Ford
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
City Council Member City of Morro Bay
RES]DENTIAIJBUSINESS 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
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER
COVER PAGE - PART 2
Page 2 of ?
❑ 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(s) or candidate(s) 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
CITY STATE ZIP CODE AREA CODE7PHONE Attach continuation sheets if necessary
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (8661275-3772)
www.fnnc.ca.aov
Campaign Disclosure Statement SUMMARY PAGE
Amounts may be rounded Statement covers period CALIFORNIASummary Page to whole dollars. - • 1
from 05/22/2022
through
06/30/2022
Page 3 of 7
SEE INSTRUCTIONS ON REVERSE
I.D. NUMBER
NAME OF FILER
Jen Ford for Morro Say City Council 2022
1444164
Column A
Column B
Calendar Year Summary for Candidates
Contributions Received
TOTALTHI9PERiOD
CALENDARYEAR
Runningin Both the State Primary and
(FROMATTACHED SCHEDULES)
TOTALTO DATE
General Elections
1. Monetary Contributions ...........................................
Schedule A, Line 3
$ 508. 00 $
9,851.70
1/1 through 6/30 7/1 to Date
2. Loans Received ................................
Schedule B, Line 3
0.00
0.00
508. 00
$ $
9, 851 . 70
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS .........................
Add Lines 1 + 2
Received $ $
4. Nonmonetary Contributions ....................................
Schedule C, Line 3
0.00
0.00
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED•.•••••.••..............•••AddLines3+4
$ 508.00 $
9,851.70
Made $ $
Expenditures Made
6. Payments Made .......................................................
Schedule E, Line 4 $
1,370.34
$
9,851.70
7. Loans Made.............................................................
Schedule H, Line 3
0.00
0.00
8. SUBTOTAL CASH PAYMENTS ....................................
Add Lines 6 + 7 $
1,370.34
$
9,851.70
9. Accrued Expenses (Unpaid Bills
Schedule F,,Line 3
-394.50
0.00
10. Nonmonetary Adjustment ..........................................
Schedule C, Line 3
0.00
0.00
11. TOTAL EXPENDITURES MADE ................................
Add Lines 8+9+10 $
975.84
$
9,851.70
Current Cash Statement
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $
13. Cash Receipts ................................................... Column A, Line 3above
14. Miscellaneous Increases to Cash ........................... schedule 1, Line 4
15. Cash Payments .................................................. Column A, Line 8above
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule 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 $
862.34
To calculate Column B, add
508.00
amounts in Column A to the
corresponding amounts
0.00
from Column B of your last
report. Some amounts in
Column A may be negative
1,370.34
0.00
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
0.00
any).
0.00
0.00
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy)
$
1-/ $
Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fDDc.ca.CIov
^ -1- -1 A
SCHEDULE A
Amounts may be rounded
Received
Statement covers period
CALIFe ' '
Monetary Contributions to Whole dollars.
from 05/22/2022
FORM
through 06/30/2022
Page 4 of 7
SEE INSTRUCTIONS ON REVERSE
I.D. NUMBER
NAME OF FILER
Jen Ford for Morro Bay City Council 2022
1444164
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
IF REQUIRED
( )
OF BUSINESS)
06/18/2022
Alexa Ford
❑xIND
Cashier
150.00
150.00
S2022 $150.00
❑ COM
Mobile
Morro Bay, CA 93442
❑ OTH
❑ PTY
❑ SCC
❑IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL$ 150.00
Schedule A Summary
1. Amount received this period — itemized monetary contributions.
(Include all Schedule A subtotals.) 150.00
2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $
358.00
508.00
*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 (8661275-3772)
www.fppc.ca.gov
Schedule E Amounts may be rounded I Statement covers period
Payments Made to whole dollars. from 05/22/2022
SFF INSTRUCTIONS ON REVERSE
NAME OF FILER
Jen Ford for Morro Bay City Council 2022
SCHEDULE
through 06/30/2022 I Page 5 of 7
1444164
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
RAID
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)*
OFC
office expenses
SAL
TEL
campaign workers' salaries
t.v. or cable airtime and production costs
CVC
civic donations
PET
PHO
petition circulating
phone banks
TRC
candidate travel, lodging, and meals
FIL
candidate filing/ballot fees
POL
polling and survey research
TRS
staff/spouse travel, lodging, and meals
FND
IND
fundraising events
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
WEB
voter registration
information technology costs (internet, e-mail)
LIT
campaign literature and mailings
PRT
print ads
NAME AND ADDRESS OF PAYEE
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
300.00
AGP Video Services
1600 Preston Ln
Morro Bay, CA 93442
FOTFC
eFundraising Connections
7.25
2831 G Street Suite 200
Sacramento, CA 95816
eFundraising Connections
OFC
0.95
2831 G Street Suite 200
Sacramento, CA 95816
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 308.20
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) 1,370.34
2. Unitemized payments made this period of under$100 $ o. o0
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)............................................................................... $ 0.00
4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. TOTAL $ 1,370.34
FPPC Form 460 (Jan/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
www.fppc.ca.gov
Schedule E
(Continuation Sheet)
Payments Made
SEE INST
NAME OF
nm RG\/FRRp
Jen Ford for Morro Bay City Council 2022
Amounts may be rounded
to whole dollars.
Statement covers period
from 05/22/2022
through 06/30/2022
SCHEDULE E (CON
'ALIFORNIA
•' •
Page 6 of 7
I.D. NUMBER
1444164
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise,
describe the payment.
CIVP
campaign paraphernalia/misc.
MBR
member communications
RAD
RFD
radio airtime and production costs
returned contributions
CNS
campaign consultants
MTG
OFC
meetings and appearances
office expenses
SAL
campaign workers' salaries
CTB
contribution (explain nonmonetary)*
PET
petition circulating
TEL
t.v. or cable airtime and production costs
CVC
FIL
civic donations
candidate filing/ballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
FND
fundraising events
POL
polling and survey research
TRS
TSF
staff/spouse travel, lodging, and meals
transfer between committees of the same candidate/sponsor
IND
independent expenditure supporting/opposing others (explain)*
POS
postage, delivery and messenger services
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
a -mail)
PRT
nrint ads
WEB
information technology costs (internet,
NAME AND ADDRESS OF PAYEE
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
OFC
7.25
=_Fundraising Connections
2831 G Street Suite 200
Sacramento, CA 95816
WEB
34.48
Travis Ford
2981 Sandalwood Ave
Morro Bay, CA 93442
River City Business Services
PRO
530.66
5445 Madison Avenue
Sacramento, CA 95841
PRO
395.25
River City Business Services
5445 Madison Avenue
Sacramento, CA 95841
MTG
94.50
The City of Morro Bay
595 Harbor St
Morro Bay, CA 93442
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
SUBTOTAL $ 1,062.14
FPPC Form 460 (Jan/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule F
Accrued Expenses (Unpaid Bills)
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Tcn P-1 fir Morro Bav Citv Council 2022
Amounts may be rounded
to whole dollars.
Statement covers period
from OS/22/2022
through 06/30/2022
SCHEDULEF
Page 7 of?
I.D. NUMBER
1444164
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
RFD
radio airtime and production costs
returned contributions
CNS
campaign consultants
MTG
meetings and appearances
SAL
campaign workers' salaries
CTB
contribution (explain nonmonetary)*
OFC
PET
office expenses
petition circulating
TEL
t.v. or cable airtime and production costs
CVC
civic donations
PHO
phone banks
TRC
candidate travel, lodging, and meals
FIL
candidate filing/ballot fees
POL
polling and survey research
TRS
staff/spouse travel, lodging, and meals
FND
fundraising events
independent expenditure supporting/opposing others (explain)*
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate/sponsor
IND
PRO
professional services (legal, accounting)
VOT
voter registration
LEG
T
legal defense
campaign
U I campaign I Bret uic..
(a) (b) (c) (d)
NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE
OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD
AGP Video Services MTG 300.00 0.00 300.00 0.00
1600 Preston Ln
Morro Bay, CA 93442
MTG 94.50 0.00 94.50 0.00
The City of Morro Bay
595 Harbor St
Morro Bay, CA 93442
* Payments that are contributions or independent expenditures must also be SUBTOTALS $ 394.50$ 0.00$ 394.50$ 0.00
summarized on Schedule D.
Schedule F Summary
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for
accrued expenses of $100 of more, plus total unitemized accrued expenses under $100.).............................................
........... INCURRED TOTALS $
2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on
accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) .........
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
...................... PAID TOTALS $
onthe Summary Page, Column A, Line 9.).............................................................................................................................................
0.00
394.50
NET $-394.50
May be a negative number
FPPC Form 460 (Jan/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
* Payments that are contributions or independent expenditures must also be SUBTOTALS $ 394.50$ 0.00$ 394.50$ 0.00
summarized on Schedule D.
Schedule F Summary
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for
accrued expenses of $100 of more, plus total unitemized accrued expenses under $100.).............................................
........... INCURRED TOTALS $
2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on
accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) .........
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
...................... PAID TOTALS $
onthe Summary Page, Column A, Line 9.).............................................................................................................................................
0.00
394.50
NET $-394.50
May be a negative number
FPPC Form 460 (Jan/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)