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r Schedule C <br /> Nonmonetary Contributions Received <br /> lNSTRUCTIONS ON REVERSE <br /> �E OF FiLER <br /> OATE <br /> RECEiVEp <br /> .. <br /> i ��� <br /> Type or print in ink. <br /> Amounts may be rounded <br /> to wno�aollars. <br /> ��'�.�.�s o�" �ef� ��e� �� ���' <br /> FULL NAME,STREET ADDRESS AND <br /> ZIP CODE OF CONTRiBUTOR <br /> (IF COMMITTEE,ALSO ENTER I.D..NUMBER) <br /> ����� �� � <br /> 2.�5- � s-�-r�e�f- <br /> ��w�� �'-� c.�a�� <br /> CONTRtBUTOR �F AN INDIVIDUAL,ENTER <br /> CODE* OCCUPATION AND EMPLOYER <br /> (IF SELF-EMPLOYEO,EIYTER <br /> NAME OF BUSINESS) <br /> ��conn ��� �`�-sS� <br /> ❑ <br /> ❑oTM ��c�� � S�� <br /> c� <br /> ❑PTM yUt,�-�-�a� <br /> pscc <br /> ❑IND <br /> ❑COM <br /> ❑OTH <br /> ❑PTY <br /> ❑SCC <br /> ❑{ND <br /> ❑eonn <br /> porH <br /> ❑� <br /> ❑scc <br /> ❑IND <br /> ❑�� <br /> ❑OTH <br /> ❑PTY <br /> ' ❑SCC <br /> Statement covers period � �. , � <br /> /- ! - Zoo� � • <br /> from , � <br /> through �~ -��r ��� Page �" of ��`" <br /> DESCRIPTION OF <br /> GOODS OR SERVECES <br /> y p o�e jrytai t �.jvlc <br /> � 6a� <br /> �°r�a;� '(ae�!►�t`�- <br /> r�P h�w�.l <br /> AMOUNT/ <br /> FAIR MARKET <br /> VALUE <br /> �a� <br /> Attach additiona!information on approprrately labeled continuation sheets. SUBTOTAL$ ��$� I <br /> Schedute C Summary <br /> 1. Amount received this period—itemized nonmonetary contributions. ���"" <br /> (Include ali Schedule C subtotals.}.....................................................................................................................$ <br /> 2. Amount received this period—unitemized nonmonetary contributions of less than$100 ....................................$ °� <br /> 3. Total nonmonetary contributions received this period. �,,,��^,,� <br /> (Add Lines 1 and 2. Enter here and on the Summary Page,Column A,Lines 4 and 10.) ......................TQTAL $ <br /> FPPC Form 460(January/OS) <br /> FPPC Toll-Free Helpline:866/ASK-FRPC(866/275-3T72) <br /> I.D.NUMBER <br /> � � � �� � � <br /> CUMULATiVE TO pER ELECTION <br /> DATE TO DATE <br /> CALENDAR YEAR (�F REQUIRED) <br /> (JAN 1-DEC 31} <br /> �� ��� <br /> *Contributor Codes <br /> IND—Individual <br /> COM—Recipient Committee <br /> (other than PTY or SCC) <br /> OTH—Other{e.g.,business entity) <br /> PTY—Politica)Party <br /> SCC—Small Contributor Committee <br />