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HomeMy WebLinkAbout2021.01.04_Headding_John_Form 460Recipient Committee Campaign Statement Cover Page Statement covers period from 10/18/20 SEE INSTRUCTIONS ON REVERSE I through 12/31/20 1. Type of Recipient Committee: All Committees - complete Parts 1, 2, 3, and 4. � Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee O Recall O Controlled (Also Complete Part5) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee O Sponsored O Small Contributor Committee O Political Party/Central Committee ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1411645 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Headding for Mayor 2020 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Morro CA 93442 P.O. Box 2034 CITY STATE ZIP CODE AREA CODE/PHONE Morro OPTION 4. Verification CA 93443 Date Stamp RECEIVED City of Morro Bay Date of election if applicable: I (Month, Day, Year , . November 3,2020 2. Type of Statement: City Clerk ❑ Preelection Statement 0 Semi-annual Statement ❑ Termination Statement Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurers) COVER PAGE Page 1 of u For Offcial Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report NAME OF TREASURER Homer Alexander MAILING ADDRESS P.O. Box 2034 CITY STATE ZIP CODE AREA CODE/PHONE Morro Bay CA 93443 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS 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 certify under penalty of perjury under the laws of the State of California that the foregoing is true ay(d correct. ,� , Executed on �;zo Z O Date Executed on / 2027 Date Executed on Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, Stale 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 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 anycommirrees 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 NAME OF TREASURER I.D. NUMBER CONTROLLED COMMI ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? [:]YES ❑ NO CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 2 of 6 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION 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 officeho/der(sJ 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 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 Or FILER Headding for Mayor 2020/Filer Homer Alexander Contributions Received 1. Monetary Contributions................................................... schedule A, Linea 2. Loans Received................................................................ Schedule e, 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.....................................1, AddLines6+7 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 10. Nonmonetary Adjustment..........................................4.............. 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 Statement covers period from 10/18/20 through 12/31/20 SUMMARY PAGE Page 3 of 6 I.D. NUMBER 1411645 $ Column A Column B Calendar Year Summary for Candidates TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and General Elections $ 50 $ 8694 39700 4120 1/1 through 6/30 7/1 to Date 20. Contributions $ 3,750 $ 12,814 Received $ $ 26 128 21. Expenditures 3776 $ 12,942 Made $ $ $ $ $ 5.201 5,201 5,201 $ 2,638 3,748 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. 17. LOAN GUARANTEES RECEIVED ................................ Schedulet3, Part2 $ Cash Equivalents and Outstanding Debts 18. Cash Equiv.. alents.............................................. See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line gin Column B above $ 5,201 1,185 $ 12,2904 $ 12,204 $ 12,204 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 (mm/dd/yy) 0 Total to Date *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 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedulet3, Part2 $ Cash Equivalents and Outstanding Debts 18. Cash Equiv.. alents.............................................. See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line gin Column B above $ 5,201 1,185 $ 12,2904 $ 12,204 $ 12,204 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 (mm/dd/yy) 0 Total to Date *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 io wnole aouars. Statement covers period CALIFORNIA , • from 10/18/20 • ' through 12/31/20 Page 4 of 6 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Headding for Mayor 2020 1411651 FULL NAME, STREETADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME OF COMMITTEE, ALSO ENTER I.D. NUMBER) OF BUSINESS) PERIOD (JAN, 1 - DEC. 31) (IF REQUIRED) ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 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 $100 ...........................$ 50 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ 50 *Contributor Codes 1. Amount received this period —itemized monetary contributions. (Include all Schedule A subtotals.).........................................................................................................$ 2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$ 50 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ 50 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 (tan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov FPPC Form 460 (tan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE B - PART 1 Schedule B — Part 1 to whole dollars. MAN Loans Received Statement covers period from 10/18/20 CALIFORNIA I • ' FORM SEE INSTRUCTIONS ON REVERSE through 12/31/20 Page 5 of 6 NAME OF FILER I.D. NUMBER Headding for Mayor 2020 14111645 FULL NAME, STREETADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) WAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) a OUTSTANDING BALANCE BEGINNING THISE PERIOD AMOUNT RECEIVED THIS PERIOD c AMOUNT PAID OR FORGIVEN THIS PERIOD* OUTSTANDING BALANCE AT CLOPERIOD HIS OF e INTEREST PAID THIS PERIOD ORIGINAL AMOUNT OF LOAN g CUMULATIVE CONTRIBUTIONS TO DATE John Headding Mayor, City of Morr Bay ❑ pq)p $ $ 5,125 $ CALENDAR YEAR $ LEND 49120 Morro Bay, CA 93442 ❑ FORGIVEN RATE PER ELECTION'* t ® IND ❑ COM ❑ OTH ❑PTY ❑SCC $ 11425 $ 31700 $ 12/31/22 $ $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION** ❑ IND ❑ COM ❑ OTH El El tEl $ $ $ $ $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ $ % $ $ ❑ FORGIVEN RATE PER ELECTION** ❑ IND ❑ COM El El El tEl $ $ $ $ $ DATE DUE DATE INCURRED SUBTOTALS $ 3,700 $ $ 5,125 $ (Enter (e) on Schedule E. Line 3) Schedule B Summary *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. 3,700 ILoans 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.) 317 (May be a negative number) 1'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 (tan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Headding for Mayor 2020 Amounts may be rounded to whole dollars. Statement covers period from 10/18/20 through 12/31/20 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 SCHEDULE E Page 6 of 6 1411645 RAD radio production costs airtime and 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) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER 1,13, NUMBER) Hay Printing LIT Mailer #2 + Graphic Design 29425 3118 Main St Morro Bav, CA 93442 United States Postal Service POS Postage Mailer #2 1989 898 Napa Ave Morro Bay, CA 93442 Rock Harbor Marketing WEB Digidal Media Services 1,457 898 Napa #267 Morro Bav, CA 93442 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary SUBTOTAL $ 5171 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).)............................................................................. $ 30 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)........................... TOTAL $ 50201 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov