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Schedule C Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER . 'n,� c � � �C GU oo�. r �e V�t, � DATE RECEIVED 7/r - �� FULL NAME,STREET AOQRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMf'fTEE,ALSO ENFER I.O.NUMBER) �a�-h�,v ��e�Q 2�� S�r�e ��. �� a� ��3 Type or print in ink. Amounts may be rounded to wnole aollars. C� ��.. gtatement co ers period , �_ . , � � � • � from � Pa e � of � through g IF AN INDIVIDUAL,ENTER DESCRtPT{ON OF AMOUNT/ CONTR{BUTOR OCCt1PATtON AND EMPLOYER FAIR MARKET CODE* (�p SELF-EMPLOYED,EN7ER GOODS OR SERViCES VALUE NAME OF BUSlNESS} �IND ❑COM ❑oTM ❑PTY os�� ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑1ND ❑COM ❑OTH ❑PN ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC Pr��sso� '�� Va� �.�� �,c� �sA.�►�� ,�a t � �ox � __ affa�h a�r�itinnai informafion on appropriaiely labefed continuafion sheefs. � SUBTOTAL$ Schedute C Summary 1. Amount received this period—itemized nonmonetary contributions. (Include ail Schedule C subtotals.) ...........................................................$ 2. Amount received this period—unitemized nonmonetary contributions of less than$100 ....................................$ 3 Tota{nonmonetary contributions received this period. I.D.NUMBER I� �OlD�O � CUMULATIVE TO pER ELECTION DATE TO DATE CALENQAR YEAR (IF REQUIRED) (JAN 1-DEC 31) ��/9� ' *Contributor Codes IND-Individual COM-Reapient Committee (other than PTY or SCC) OTH�-Othe�(e.g.,business entiry) PTY-Politicai Party SCC-Sma{I Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page,Coiumn A, Lines 4 and 10.) ...........•••••••••••T�TAL $ FPPC Form 460(Januaryl05) FPPC Toll-Free Helplin�:8fi61ASK-FPPC(866/275-37T2)