HomeMy WebLinkAbout2022.10.27_Wixom_Form 497 Amend497 Contribution Report
Amounts may be rounded to whole dollars.
NAME OF FILER
Date Of 10/08/2022
Date Stamp
- , •
Carla Wixom for Mayor 2022
This Filing
Report No. `
RECEIVED
For Official Use Only
AREA CODE/PHONE NUMBER
I.D. NUMBER (iiapplicable)
1452627
Amendment
City of Morro Bay
OCT 2-12022
STREETADDRESS
PC Box 2023
to Report No.
(explain below)
1
D
S
CITY STATE ZIP CODE
Morro Bay CA 93442
No. of Pages
City Clerk
1. Contribution(s) Received
IF AN INDIVIDUAL,
DATE
FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
ENTER OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE'
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
RECEIVED
Douglas Claassen
m IND
Manager
$1,000.00
10/07/2022
470
Morro Dunes Travel Trailer
Morro Bay, CA, 93442
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
-210
Provide interest rate
❑ IND
❑ COM
❑ OTH
[:]Check if Loan
❑ PTY
❑ SCC
Provide interest rate
❑ IND
❑ COM
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
Provide interest rate
* Contributor Codes
IND - Individual
COM - Recipient Committee (other than PTY or SCC)
OTH - Other (e.g., business entity)
Reason for Amendment: PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 497(Feb/2019)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov