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HomeMy WebLinkAbout2023.09.20_Headding_Form 460Recipient Committee Campaign Statement Cover Page Statement covers period from 06/30/2023 SEE INSTRUCTIONS ON REVERSE I through 09/20/2023 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ❑�/ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 1 State Candidate Election Committee Committee j_j Recall Controlled (Also Complete Pad5) Sponsored (Also Complete Part 6) ❑ General Purpose Committee j_ Sponsored ❑ Primarily Formed Candidate/ j Small Contributor Committee Officeholder Committee j Political Party/Central Committee (Also Complete Part7) 3. Committee Information I.D. NUMBER 1411645 Headding for Mayor STREETADDRESS (NO P.O. BOX) STATE ZIP CODE AREA Morro Bay CA 93442 MAILINGADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX P.O. Box 2034 CITY STATE ZIP CODE AREA CODE/PHONE Morro Bay CA 93442 OPTIONAL: FAX / E-MAIL ADDRESS holmheaddingformayo i,ggmaii. com 4. Verification Date of election if applicable: (Month, Day, Year) November 5,2024 2. Type of Statement: COVER PAGE Date Stamp RECEIVED • ' City of Morro Bay Page 1 of SEP 2 02023 1 For Official Use Only City Clerk ❑ Preelection Statement ❑ Semi-annual Statement © Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) ❑ Quarterly Statement ❑ Special Odd -Year Report Treasurer(s) NAME OF TREASURER Homer Alexander MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Morro Bay CA 93442 NAME OF ASSISTANT TREASURER, IF ANY MAILINGADDRESS CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX / E-MAILADDRESS 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 q ye . 3 By �y Date Treasurer Executed on i By Date Signature off Slate Measure Proponent or Responsible Officer of Sponsor Executed on Date Executed on By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (1an/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 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 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 AREACODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? [:]YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) COVER PAGE - PART 2 Page 2 of 44 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ 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 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 1.11 C J 1A1 r- Lit' I.UUC AKLA UUUCl1'r1UNr Attach continuation sheets if necessary FPPC Form 460 (1an/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 John Headding for Mayor/Homer Alexander Contributions Received Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 1. Monetary Contributions................................................... schedule A, Line 3 $ 0 2. Loans Received................................................................ schedule B, Line 3 (4025) 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ 0 4. Nonmonetary Contributions ............................................ schedule C, Line 3 0 5. TOTAL CONTRIBUTIONS RECEIVED................................Add Lines 3+4 $ (4025) Expenditures Made 6. Payments Made................................................................ schedule E, Line 4 $ 0 7. Loans Made....................................................................... schedule H, Line 3 (4025) 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 $ (4025) 9. Accrued Expenses (Unpaid Bills) .......................................... schedule F Line 3 10, Nonmonetary Adjustment......................................................... schedule C, Line 3 11. TOTAL EXPENDITURES MADE....................................Add Lines 8+9+10 $ (4025) Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Page, Line 16 $ 4025 13. Cash Receipts........................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash .................................. schedule i, Line 4 15. Cash Payments......................................................... Column A, Line 8 above 4025 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 0 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 $ Statement covers period from 06/30/2023 through 09/20/20223 Column B CALENDAR YEAR TOTAL TO DATE $ 0 (4025) $ 0 0 $ (4025) $ 0 (4025) $ (4025) $ (4025) 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). SUMMARY PAGE Page 3 of 4 1411645 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 Candidates 22. Cumulative Expenditures Made* (if Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) I '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 Amounts may ho rnunrlarl SCHEDULE B - PART 1 Schedule — Part 1 to whole dollars. Statement covers period CALIFORNIA Loans Received from 06/30/2023 FOR through 09/20/2023 Page U of 4 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER John Headding for Mayor/Homer Alexander filer 1411645 FULL NAME, STREETADDRESS AND ZIP CODE [FAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a OUTSTANDING AMOUNT c AMOUNT PAID OUTSTANDING e INTEREST ORIGINAL g CUMULATIVE OF LENDER BALANCE RECEIVED THIS OR FORGIVEN BALANCE AT PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER BEGINNING THIS PERIOD THIS PERIOD. CLO HIS PERIOD LOAN TO DATE NAME OF BUSINESS) PERIOD PERIOD ® PAID CALENDAR YEAR John Headding Retired $ 4025 $ 0 0 $ 5125 $ 0 RATE Morro Bay, CA 93442 Z FORGIVEN PER ELECTION* $ 7125 $ 0 $ 3100 $ 01/01/202 $ 0 t ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION" RATE t ❑ IND ❑ COM ❑ OTH ❑ PTY El $ $ $ $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ $ % $ $ ❑ FORGIVEN PER ELECTION" RATE DATE DUE DATE INCURRED t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ 0 $ 7125 $ 0 $ Schedule B Summary 1. Loans received this period $ .................................................................................................................... (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period.........................................................................................................$ (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.).............................................................. NET $ Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. 7125 7125 (May be a negative number) (Enter (a) on Schedule E, Line 3) tContributor 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