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HomeMy WebLinkAbout2022.10.27_Wixom_Form 460Recipient Committee COVER PAGE Campaign Statement Date Stamp Cover Page RECEIVED City of Morro Bay Page 1 of 12 Statement covers period Date of election if applicable: from 09/25/2022 (Month, Day, Year) OCT 2 7 2022 For Official Use Only SEE INSTRUCTIONS ON REVERSE through 10/22/2022 11 /08/2022 Citv Clerk 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. 2. Type of Statement: V Officeholder, Candidate Controlled Committee O State Candidate Election ❑ Primarily Formed Ballot Measure 50 Preelection Statement ❑ Quarterly Statement Committee O Recall Committee O Controlled ❑ Semi-annual Statement El ❑ Special Odd -Year Report (Also CompleteParfS) Sponsored Termination Statement (Also Complete Part li) (Also file a Form 410 Termination) ❑ General Purpose Committee ❑ Amendment (Explain below) O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also Complete Pad7) 3. Committee Information I.D. NUMBER 1452627 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Carla Wixom For Mayor 2022 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 P.O. Box 2023 CITY STATE ZIP CODE AREA CODE/PHONE Morro Bay CA 93443 OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification Treasurer(s) NAME OF TREASURER Kristen Headland MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Morro Bay CA 93442 NAME OF ASSISTANT TREASURER, IF ANY Barry Branin MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Morro Bay CA 93442 OPTIONAL: FAX / E-MAIL ADDRESS 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 I Z Z - — 2-�r 7 Date Executed on /'—,7 L Date Executed on Date Executed on Date By By 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.fnnr.raxnv Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Carla Wixom OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Mayor RESIDENTIAUBUSINESS 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. GUMMI I I Et 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 NAME OF TREASURER COMMITTEE ADDRESS (NO P.O. I.D. NUMBER ❑ YES ❑ NO CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 2 of 12 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE El SUPPORT BALLOT NO. OR LETTER ( JURISDICTION El OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE UK HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee Listnames 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. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Carla Wixom For Mayor 2022 Contributions Received 1. Monetary Contributions................................................... Schedule A, Line 3 $ 2. Loans Received................................................................ Schedule B, 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 $ Column A TOTALTHIS PERIOD (FROM ATTACHED SCHEDULES) $6435.00. $ 0 $6435.00. $ $500.00 6935.00 Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 $ $3,958.61 7. Loans Made....................................................................... Schedule H, Line 3 0 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6 + 7 $ $3,958.61 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 0 10, Nonmonetary Adjustment......................................................... Schedule C, Line 3 $500.00 11. TOTAL EXPENDITURES MADE ........................................ Add Lines a + 9 + 10 $ $4,458.61 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ $4702.21 13. Cash Receipts........................................................... Column A, Line 3 above $6435.00. 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 0 15. Cash Payments......................................................... Column A, Line 8 above $3,958.61 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ $7,178.60 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 09/25/2022 through 10/22/2022 Column B CALENDAR YEAR TOTAL TO DATE $11,137.21 0 $11,137.21 $500.00 $11,637.21 $ $8,836.23 0 $ $8,836.23 0 $500.00 $ $9,336.23 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 12 11452617 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 $ $ IExpenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (if Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) 11 $ *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 periodCALIFORNIA , 09/25/2022 from • • 10/22/2022 4 12 through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Carla Wixom For Mayor 2022 1452627 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE SA 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 * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 09/30/2022 Luke Alexander 0 IND El COM Retired $100.00 923 OTH Morro Bay, CA, 93442 ❑ PTY ❑ scc 09/30/2022 Janice House 295 IND ❑ COM Retired $100.00 ❑ OTH Morro Bay, CA, 93442 ❑ PTY ❑ SCC 09/30/2022 Sally Mingo 0IND El COM Retired $100.00 672 Morro Bay, CA, 93442 ❑ PTY ❑ SCC 09/30/2022 Kirk Sturm 2550 IND ElCoM Attorney The Sturm Group$222.00 ❑ OTH Atascadero, CA, 93402 ❑ PTY ❑ SCC Laura Haggard P1 IND Professional 09/30/2022 149 El OTH McIntosh and Associates $100.00 Morro Bay, CA, 93442 ❑ PTY ❑ SCC SUBTOTAL $ 622.00 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 $ $4,722.00 $1,713.00 $6,435.00 *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) wwwJppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period from 09/25/2022 • - through10/22/2022 12 Page 5 of NAME OF FILER I.D. NUMBER Carla Wixom For Mayor 2022 1452627 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Art Prosser W IND Retired 10/06/2022 ElcoM El OTH $200.00 Morro Bay, CA, 93442 ❑ PTY ❑ SCC Shalagh Olmos ® IND Professional Pet Groomer 10/07/2022 ❑ coM Small Business Owner $100.00 Morro Bay, CA, 93442 El OTH ❑ PTY ❑ SCC Douglas Claassen W IND Manager 10/07/2022 ❑ coM Morro Dunes Travel Trailer $1,000.00 Morro Bay, CA, 93442 ❑ oTH ❑ PTY ❑ SCC Jeremiah O'Brien IND Fisherman 10/07/2022 ❑ coM ❑ OTH Self Employed $100.00 $200.00 Morro Bay, CA, 93442 ❑ PTY ❑ SCC Cindy Muir W IND Retired 10/07/2022 ❑coM $100.00 Morro Bay, CA, 93442 El OTH ❑ PTY ❑ SCC SUBTOTAL$ 1,500.00 *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 A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) Monetary Contributions Received to whole dollars. Statement covers period , from 09/25/2022 • - • through10/22/2022 12 page 6 of NAME OF FILER I.D. NUMBER Carla Wixom For Mayor 2022 1452627 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Michelle Heryford la IND Retired 10/07/2022 ❑ COM 1771 OTH $150.00 Morro Bay, CA, 93442' ❑ PTY ❑ SCC Charles Awbrey 9IND Retired 10/07/2022 ❑ COM $100.00 Morro Bay, CA, 93442 ❑ OTH ❑ PTY ❑ SCC Rocky Setting ® IND Manager 10/07/2022 ❑ COM Beachwalk Bungalow $100.00 Morro Bay, CA, 93442 El OTH ❑ PTY ❑ SCC Judy Setting 62 IND Manager 10/07/2022 ❑COM ❑ OTH Beachwalk Bungalow $100.00 Morro Bay, CA, 93442 ❑ PTY ❑ SCC Dannie Tope IND Broker 10/07/2022 ❑COM Coastal Capital Newport $100.00 Morro Bay, CA, 93442 ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ $550.00 *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 A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT) Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA 01 from 09/25/2022 FORM • through10/22/2022 Page 7 of 12 NAME OF FILER I.D. NUMBER Carla Wixom For Mayor 2022 1452627 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Amalis Mason ® IND Retired 10/07/2022 ❑COM El OTH $100.00 Morro Bay, CA, 93442 El PTY ❑ SCC Held Smith is IND Rancher 10/11 /2022 ❑ COM Held Ranch $250.00 Cayucos, CA, 93430 ❑ OTH ❑ PTY ❑ SCC Paul Van Beurden ® IND Real Estate Agent 10/11/2022 701 Embarcadero El COM Van Beurden Investments $250.00 Morro Bay, CA, 93442 ❑ OTH ❑ PTY ❑ SCC Joseph Yukich 62 IND Manager, Business Owner 10/14/2022 ❑ COM Manfrado Square Morro $100.00 Morro Bay, CA, 93442 PTY Bay ❑ SCC Randy Briscoe Ia IND Retired 10/14/2022 El COM $100.00 Morro Bay, CA, 93442 ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 800.00 "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 A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA from 09/25/2022 FORM • through10/22/2022 Page 8 of12 NAME OF FILER I.D. NUMBER Carla Wixom For Mayor 2022 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Debbie Arnold ❑ IND Supervisor 10/18/2024 9070 Irvine Center Drive, #150 ® COM ❑ OTH San Luis Obispo County $150.00 Irvine, CA, 92618 ❑ PTY FPPC # 1342399 ❑ sCC Edward Sylvester ® IND Retired 10/14/2022 ❑ CoM $100.00 ❑ OTH Morro Bay, CA, 93442 ❑ PTY ❑ SCC Thomas Switzer ® IND Contractor 10/14/2022 ❑ COM Winsor Construction $100.00 El OTH San Luis Obisop, CA, 93405 ❑ PTY ❑ SCC Bart and Karen Beckman 62 IND Retired 10/14/2022 ❑ coM ❑ OTH $200.00 Morro Bay, CA, 93442 ❑ PTY ❑ SCC Richard Caglia 01ND Attorney 10/15/2022 PO Box 1111 ❑ coM Diversified Management $500.00 ❑ OTH Fresno, CA, 93714 ❑ PTY ❑ SCC SUBTOTAL $ 1,050.00 *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 A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT) Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA 0 from 09/25/2022 • - • through10/22/2022 Page 9 12 of NAME OF FILER I.D. NUMBER Carla Wixom For Mayor 2022 1452627 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Robert Fowler la IND Consultant 10/18/2022 ❑ COM ❑ OTH Realty Meridian Real $200.00 Atascadero, CA, 93422 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 200.00 *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 C Amounts may be rounded SCHEDULE C Nonmonetary Contributions Received to whole dollars. Statement covers period , 09/26/2022 ® - ® from 10/22/2022 through Page 10 of 12 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Carla Wixom for Mayor 2022 CUMULATIVE TO DATE IF AN INDIVIDUAL, ENTER AMOUNT/ PER ELECTION FULL NAME, STREETADDRESSAND CONTRIBUTOR DESCRIPTION OF DATE OCCUPATION AND EMPLOYER FAIR MARKET TO DATE RECEIVED ZIP CODE OF CONTRIBUTOR CODE * GOODS OR SERVICES CALENDAR YEAR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER VALUE (IF REQUIRED) NAME OF BUSINESS) (JAN 1 -DEC 31) Carla Wixom ® IND Manager, Business Hors d'oeuvres 10/07/2022 ❑ CoM Owner $250.00 $250.00 Morro Bay, CA, 93442 ❑ OTH ❑ PTY Carla's Country Kitchen I. D. # 1452627 ❑ SCC Michelle Heryford 2 IND Retired Drinks 10/07/2022 ❑CoM $250.00 $400.00) ❑ OTH Morro Bay, CA, 93442 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 500.00 Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.)............................................................... $ 500.00 2. Amount received this period — unitemized nonmonetary contributions of less than $100..................................$ 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.).....................TOTAL $ 11/ 500.00 *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) PCtiit trtt3 FPPC Advice: advice@fppc.ca.gov (866/2753772) www.fppc.ca.gov SCHEDULE E Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE ME OF FILER Carla Wixom For Mayor 2022 Amounts may be rounded to whole dollars. Statement covers period from 09/25/2022 through 10/22/2022 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Page 11 of12 I.D. NUMBER 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 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 Poor Pichard Press Yard sign stands 2226 Beebee Street CMP $191.16 San Luis Obispo, CA, 93401 ASAP Reprographics Mailer, direct mail pieces 365 Quintana Rd LIT $1,165.55 Morro Bay, CA, 93442 Goofy Graphics Yard signs 925 Main St CMP $1,087.50 Morro Bay, CA, 93442' ` Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ $2,444.21 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ $3,800.15 $158.46 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).)............................................................................. $ $3,958.61 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 Amounts may be rounded (Continuation Sheet) to whole dollars. Payments Made SEE INSTRUCTIONS ON REVERSE Carla Wixom For Mayor 2022 Statement covers pe from09/25/2022 through10/22/2022 SCHEDULE E (CONT) Page 12 of12 I.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/mist. 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 United States Postal Service 398 Napa Ave Morro Bay, CA, 93443 POS Mailer $440.20 United States Postal Service B98 Napa Ave Morro Bay, CA, 93443 POS Mailer 915.74 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ $1,355.94 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov