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� <br /> , <br /> Schedule A Type or print in ink. <br /> Monetary Contributions Received Amounts may be rounded <br /> to whole dollars. <br /> SEEINSTRUCTIONS ON REVERSE <br /> NAME OF FILER <br /> R► ���5 a� �����,� crT ,� G <br /> FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER <br /> pq'(E CONTRIBUTOR pCCUPATION ANO EMPLOYER <br /> RECEIVED (IFCOMMITTEE,ALSOENTERI.D.NUMBER) CODE* <br /> (IF SEIf-EMPLOYED,ENTER NAME <br /> OF BUSINESS) <br /> ❑IND <br /> ❑COM <br /> ❑OTH <br /> ❑PTY <br /> ❑SCC <br /> ❑IND <br /> ❑COM <br /> ❑OTH <br /> ❑PTY <br /> ❑SCC <br /> ❑IND <br /> ❑COM <br /> ❑OTH <br /> ❑PTY <br /> ❑SCC <br /> ❑IND <br /> ❑COM <br /> ❑OTH <br /> ❑PTY <br /> ❑SCC <br /> ❑IND <br /> ❑COM <br /> ❑OTH <br /> ❑PTY <br /> ❑SCC <br /> Schedule A Summary <br /> 1. Amount received this period—itemized monetary contributions. <br /> (Include all Schedule A subtotals.)............................................................................................ <br /> 2. Amount received this period—unitemized monetary contributions of less than$100 ................. <br /> 3. Total monetary contributions received this period. <br /> (Add Lines 1 and 2. Enter here and�n the Summary Page, Column A, Line 1.)....................... <br /> SUBTOTAL$ <br /> SCHEDULE A <br /> Statement covers period � �� � <br /> �J � • � <br /> from �(— •� <br /> through � Page � of –+– <br /> I.D. NUMBER <br /> ����� <br /> AMOUNT CUMULATIVE TO DATE PER ELECTION <br /> RECEIVED THIS CALENDAR YEAR TO DATE <br /> PERIOD (JAN.1-DEC.31) (IF REQUIRED} <br /> "Contributor Codes <br /> ............ � IND–Individual <br /> $ COM–Reapient Committee <br /> (other than PTY or SCC) <br /> OTH–Other(e.g.,business entity) <br /> ............ $ PTY–Political Party <br /> � SCC–Small Contributor Committee <br /> TOTAL $ <br /> FPPC Form 460(January/05) <br /> FPPC Toll-Free Helpline:866/ASK-FPPC(8681275-3772) <br />