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Home My WebLink About2022.10.27_CAL_Form 460Relci lent Committee p COVER PAGE Stamp Campaign Statement Date A • 1 u Cover Page RECEIVED City of Morro Ba y Statement covers period Date of election if applicable: Page 1 of 6 09/25/2022 (Month, Day, Year) OCT 2-12022 For Official Use Only from vs. SEE INSTRUCTIONS ON REVERSE through 10/22/2022 11 /08/2022 City Clerk 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. 2. Type of Statement: ❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 521 Preelection Statement ❑ Quarterly Statement 0 State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd -Year Report 0 Recall 0 Controlled ❑ Termination Statement (Also Complete Part5) 0 Sponsored (Also file a Form 410 Termination) 0 General Purpose Committee (Also Complete Pad 6) ❑ 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.D. NUMBER 1396018 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) CITIZENS FOR AFFORDABLE LIVING STREET ADDRESS (NO P.O. BOX) 498 STATE ZIP CODE AREA CODE/PHONE MORRO BAY CA 93442 805- ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX 498 STATE ZIP CODE AREA CODE/PHONE MORRO BAY CA 93442 OPTIONAL: FAX / E-MAILADDRESS Treasurer(s) NAME OF TREASURER KRISTEN HEADLAND MAILING ADDRESS 498 STATE ZIP CODE AREA CODE/PHONE MORRO BAY CA 93442 805- 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 (b 2 % 2 d By Date Executed on �` Date to G UG By Executed on Date By 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) Clear Cover Pg1 Print Form FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fnnr_ra.Pnv COVER PAGE - PART 2 Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 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) CITY STATE ZIP CODE AREACODE/PHONE Clear Cover Pg2 Print Form Page 2 of 6 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE MORRO BAY HARBOR PARCEL TAX MEASURE B-22 BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT B-22 CITY OF MORR BAY 9 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 Attach continuation sheets if necessary 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. Statement covers period • . NIA Summary Page 09/25/2022 FORM 460 from 10/22/2022 page 3 of 6 through SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Citizen For Affordable Living 1396018 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and $1,092.00 $4,040.00 General Elections 1. Monetary Contributions................................................... Schedule A, Line 3 $ $ 1/1 through 6/30 7/1 to Date 2. Loans Received................................................................ Schedule e, Line 3 $1,092.00 $4,040.00 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ $ Received $ $ 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED....................................Add Lines 3+4 $ $1,092.00 $ $4,040.00 Made $ $ Expenditures Made 6. Payments Made................................................................ schedule E, Line 4 $ 1,463,69 7. Loans Made....................................................................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+7 $ 1,463.69 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule l; Line 3 10. Nonmonetary Adjustment......................................................... schedule C, Line 3 11. TOTAL EXPENDITURES MADE ........................................ Add Lines 6 + 9 + 10 $ 1,463.69 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 /, Line 4 15. Cash Payments......................................................... Column A, Line 6 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. 17. LOAN GUARANTEES RECEIVED ................................ Schedule e, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column 8 above $ RUM 1,092.00 1,463.69 $817.31 $ $3,181.07 $ $3,181.07 $ $3,181.07 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). 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) $ *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.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received to whole dollars. Statement covers period I CALIFORNIA 09/25/2022 F • from 10/22/2022 4 6 through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Citizen For Affordable Living 1396018 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE * (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10/04/2022 Ann Reisner 1300 ❑ COM Retired $200.00 ❑ OTH Morro Bay, CA, 93442 ❑ PTY ❑ SCC 10/14/2022 Dan Sedley 3300 El Retired $250.00 $349.00 ❑ OTH OTH Morro Bay, CA, 93442 ❑ PTY ❑ scc Melodye Bullis IND ❑ COM Retired $100.00 10/14/2022 974 ❑ OTH Morro Bay, CA, 93442 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 550.00 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.).........................................................................................................$ 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 $ 550.00 542.00 1,092.00 *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 (866/275-3772) www.fppc.ca.gov SCHEDULE E Schedule E Payments Made Amounts may be rounded to whole dollars. Statement covers period from09/25/2022 SEE INSTRUCTIONS ON REVERSE through 10/22/2022 Page 5 A NAME OF FILER I.D. NUMBER Citizen For Affordable Living 1396018 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 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 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 Goofy Graphics Yard Signs 925 Main St CMP $543.75 Morro Bay, CA, 93442 Goofy Graphics Yard Signs 925 Main St CMP $205.89 Morro Bay, CA, 93442 ASAP Reprographgics Literature 365 Quintana Rd LIT $143.44 Morro Bay, CA, 93442 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 893.19 Schedule E Summary $1,458.69 1. Itemized payments made this period. (Include all Schedule E subtotals.)..................................................................................................I.......... $ 5.00 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).)............................................................................. $ $$1,463.69 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) Clear Sch. E Print Form www.fppc.ca.gov Schedule E SCHEDULE E (CONT.) Statement covers period CALIFORNIA 460 Amounts may be rounded Sheet) to whole dollars. (Continuation Payments Made from09/25/2022 FORM through10/22/2022 6 INSTRUCTIONS ON REVERSE Page. op g - NAME OF FILER NAME I.D. NUMBER Citizen For Affordable Living 1396018 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 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 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 ASAP Reprographgics 365 Quintana Rd Morro Bay, CA, 93442 LIT Literature $239.25 3oofy Graphics 925 Main St Morro Bay, CA, 93442 CMP Yard Signs $326.25 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 565.50 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) wwwJppc.ca.gov