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HomeMy WebLinkAbout2021.01.20_CAL_Form 460Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Type of Recipient Committee: All Committees —Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee D State Candidate Election Committee D Recall Also Complete Part 5) feral Purpose Committee Sponsored Small Contributor Committee Political Party/Central Committee Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME IF NU GUMMITTEE) zens For Affordable Living Primarily Formed Ballot Measure V Controlled Sponsored (Also Complete Part 6) Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Morro Bay CA 93442 MAILING ADDRESS (IF DIFFERENT) NO, AND STREET OR P.O. BOX PO Box 1822 CITY STATE ZIP CODE AREA CODE/PHONE Morro Bay CA 93443 OPTIONAL: FAX / E-MAIL ADDRESS Type of Statement: Preelection Statement Semi-annual Statement Termination Statement Also file a Form 410 Termination) m Amendment (Explain below) Campaign Statement Cover Page, Treasurers) NAME OF TREASURER Kristen Headland MAILING ADDRESS COVER PAGE Statement dd-Year Report Treasurer -new phone number PO Box 1822 CITY STATE ZIP CODE AREA CODE/PHONE Morro Bay CA 93443 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAILADDRESS 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 Date Executed on �.�� ? C 2� Date Executed on Dale Executed on Date �l By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State 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 HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) COVER PAGE - PART 2 I Page 2 of 2 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE Measure E-20 BALLOT NO. OR LETTER JURISDICTION Measure E-20 City Of Morro Bay ❑ OPP ® OPPOOSESE RESIDENTIAL/BUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP Identify the controlling officeholder, candidate, or state measure proponent, if any. Related Committees Not Included in this Statement: List anycommitrees 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. COM NAME OF TREASURER STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER I CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholders) or candidate(w 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 n Cam al Disclosure Statement Amounts may be rounded SUMMARY PAGE Campaign to whole dollars. Summary !Page Statement covers period I from 10/18/2020 • 12/31 /2020 Page 3 of 5 SEE INSTRUCTIONS ON REVERSE through NAME OF FILER I.D. NUMBER Citizens For Affordable Living 1396018 Contributions Received 1. Monetary Contributions................................................... schedule a, Linea 2. Loans Received................................................................ Schedule e, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS. 0 W a a I a 0 1 & q I I I I I I a I I W 1 6 1 0 a I Add Lines 1 + 2 4. Nonmonetary Contributions,.. 0 V r 0 9 r 4 q v 6 a 4 h 4 1 a 6 & a a I 1 0 0 1 1 1 1 1 1 4 1 1 1 1 $ a Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED................................Add Lines 3+4 Expenditures Made 6. Payments Made,..... 4 1 0 a 0 a I a 6 & a I I a & 6 $ a & 0 0 6 4 a 4 & 6 4 4 a a I & 6 1 a W 0 1 a * 1 0 0 W * a & 6 a I a a 6 & 1 4 7. Loans Made...................................................................... Schedule E, Line 4 $ Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines s+7 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 10, NonmonetaryAdjustment......................................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE....................................Add Lines8+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 4Line 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. 17. LOAN GUARANTEES RECEIVED. . a I W 1 0 8 W 6 4 4 V W a 4 t 4 1 0 0 1 a 0 0 0 0 P P 0 schedule e, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents. . 6 t 4 1 9 1 A 1 4 m 4 m 4 1 W I t a W 1 0 0 a F a 0 F 4 a $ 4 0 * 0 0 0 a m 0 q m a a 0 m , See instructions on reverse 19, Outstanding Debts, . 4 1 4 1 1 a I I I & q I W I I I I r 0 0 1 1 8 0 0 4 9 M Add Line 2 + Line 9 in Column B above Column A TOTALTHIS PERIOD (FROM ATTACHED SCHEDULES) 40.00 0 40.00 100.00 0 100.00 0 0 Column B CALENDARYEAR TOTAL TO DATE $ 1847.00 0 $ 1847.00 0 $ 1847.00 $ 1875.79 0 $ 1875.79 0 0 $ 1875.79 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 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). Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through s/30 7/1 to Date 20. Contributions N/A Received $ $ — 21. Expenditures N/A Made $ $ — Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election (mm/dd/y y) 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 to whole dollars. Statement covers period • " � 10/18/2020 • from • " 12/31 /2020 4 5 SEE INSTRUCTIONS ON REVERSE throu h g page of NAME OF FILER I.D. NUMBER Citizens For Affordable Living 1396018 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 (IF COMMITTEE,ALSO ENTER I.D. NUMBER) CODE (IFSELF-EMPLOYED, ENTER NAME 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 $ 0.00 Schedule A Summary 1. Amount received this period —itemized monetary contributions. 0.00 (Include all Schedule A subtotals.).........................................................................................................$ 2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$ 40.00 3. Total monetary contributions received this period. 40.00 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ 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 SEE ONS ON REVERSE 4ME OF FILER Citizens For Affordable Living Amounts may be rounded to whole dollars. Statement covers period 10/18/2020 from through 12/31 /2020 5 5 Page of — D.NUMBER 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 RAID 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 surrey 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 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summaily I. SUBTOTAL$ Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 2. Unitemized payments made this period of under$1 00.......................................................................................................................................... $ 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.)........................... TOTAL $ o.00 100.00 0200 100. )0 FPPC Form 460 ( Ion /2016)) FPPC Advice: advice@fppc.ca.gov (866/2753772) www.fppc.ca.gov