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. <br /> Schedule A <br /> Monetary Contributions Received <br /> SEE INSTRUCTIONS ON REVERSE <br /> NAME OF FfLER <br /> r�e�.�s o�- ��u��. e� <br /> � <br /> � � <br /> Type or prirrt in ink. <br /> Amounts may be rounded <br /> to whole doilars. <br /> �� ! FULL NAME,STREET ADDRESS AND Z!P CODE OF CONTRIBUTOR I CONTRIBUTOR <br /> RECEIVED I (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * <br /> ❑IND <br /> ❑CE?M <br /> ❑OTH <br /> ❑PTY <br /> ❑SCC <br /> ❑IND <br /> ❑COM <br /> ❑OTH <br /> ❑PTY <br /> ❑SCC <br /> ❑IND <br /> ❑COM <br /> ❑07H <br /> ❑PTY <br /> ❑SCC <br /> ❑IND <br /> �COM <br /> ❑�TH <br /> ❑PTY <br /> ❑SCC <br /> ❑IND <br /> ❑COM <br /> ❑OTH <br /> ❑PTY <br /> ❑SCC <br /> IF AN INQIVIDUAL, ENTER <br /> OCCUPA►tON AND EMPLOYER <br /> (IF SELF-EMPLOYED,ENTER NAME <br /> OF BUSINESS) <br /> SCHEDULE A <br /> Statement co ers period � �. , <br /> � • � <br /> from •' <br /> throu h / �� Page of � <br /> 9 <br /> I.�.NUMBER <br /> / �� � <br /> AMOUNT CUMULATIVE TO DATE PER ELECTION <br /> RECEIVED THIS CALENDAR YEAR TO DATE <br /> PERIOD (JAN. 1-DEC.31j (lF REGtUiRED) <br /> SUBTOTAL$ <br /> Schedule A Summary <br /> 1. Amount received this period—itemized monetary contributions. ,r1 <br /> ((nclude afl Schedule A subtotals.) ..................................................$ i / <br /> ...................................................... <br /> ived this eriod unitemized moneta contributions of less#han 100 ........•....•$ �� <br /> 2. Amount rece p -- ry � ��""""""' <br /> 'Contributor Codes <br /> tND—lndividual <br /> COM—Recipient Committee <br /> (other than PTY or SCC) <br /> OTH—Other(e.g.,business entity) <br /> PTY--Politicaf Party <br /> SCC—Smati Contrit�utor Committee <br /> 3. Total monetary contribu#ions received this period. <br /> (Add Lines 1 and 2. Enter here and on the Summary Page,Column A, Line 1.)....................... TOTAL $ FppC Form 460(January/05) <br /> FPPC Toii-Free Heipline:866/ASK-FPPC(866/275-3772) <br />