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f 4: Schedule C Nonmonetary Contributions Received Type or print in ink. Amounts may be rounded to wnole dollars. �ME OF FILER �R «rvos o F �� c� Ty �°�� FULL NAME,STREET ADDRESS AND CONTRIBUTOR �F AN INDIVIOUAL,ENTER DATE ZIP CODE OF CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER RECEIVED pF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELP-EMPLOVED,ENTER NAME OF BUSINESSj 7�� _ �lL a��.�c� 75 D 5�� l 3� a Cc Ci� q�fo63 �1' 1�� rY IND ❑on-+ ❑PTY ❑SCC ❑IPID ❑COM ❑OTH ❑PTY pscc ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY pscc �ro�esso� ��Y►�i�o Attach additional information on appropriately labeled continuation sheets. Schedule C Summary 1. Amount received this period—itemized nonmonetary contributions. (Include all Schedule C subtotals.)............................................................ 2. Amount received this period—unitemized nonmonetary contributions of less than$100 .. 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page,Column A, Lines 4 and 10.) . Statement covers period � �. , from%/%LS�.L— , • • ' through — Page � of � DESCRIPTION OF I AMOUNT/ GOODS OR SERVICES FAIR MARKET VALUE I.D.NUMBER �a�� CUMULATIVE TO pER ELECTION DATE FO DATE CALENDAR YEAR ��F RE�UIRED) (JAN 1-DEC 31} aFc- I �� I �r�;oo SUBTOTAL$ ...............................$ �a ...............................$ O ..................TOTAL $ u � *Contributor Codes IND–Individual COM–Reapient Committee (other than PTY or SCC) OTH–Other(e.g.,business entity) PTY–Political Party SCC–Small Contributor Committee FPPC Form 460(January105) FPPC Tol{-Free Helpline:866lASK-FPPC(8661275-3772)