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Schedule C <br /> . <br /> Nonmonetary Contributions Received <br /> SEE INSTRUCTIONS ON REVERSE <br /> NAME OF FILER <br /> �r t�Q�� S a� �e.�( ��� Gt' <br /> DATE FULL NAME,STREET ADDRESS AND <br /> RECEIVED ZIP CODE OF CONTRIBUTOR <br /> (IF COMMITTEE,ALSO ENTER I.D.NUMBER) <br /> Type or print In ink. <br /> Amounts may be rounded <br /> to whole dollars. <br /> L�G <br /> SCHEDULE C <br /> Statement covers period , � . � <br /> � � • <br /> from �� 20 l o • ' <br /> through ��3d��l U page l of � <br /> IF AN INDIVIDUAL,ENTER AMOUNT/ <br /> CONTRIBUTOR DESCRIPTION OF <br /> OCCUPATION AND EMPLOYER FAIR MARKET <br /> CODE* (IF SELF-EMPLOYED,ENTER GOODS OR SERVICES VALUE <br /> NAME OF BUSINESS) <br /> I.D.NUMBER <br /> � Z ��O � � � <br /> CUMUI.ATIVE TO pER ELECTION <br /> DATE TO DATE <br /> CALENDAR YEAR (IF REQUIRED) <br /> (JAN 1-DEC 31) <br /> t 2 o i o l'V1 a�-�h�e�,a 1r 2�`? ❑coM Pro-��-s s o�z. Vo�c�. m�i( I��C <br /> 1 � T S�-�'e�-�' (' t,.� <br /> � 2_1S dJ ❑OTH �j ���Pf-2 a T' `�O Ro� � I��.O� � I� 1.0� <br /> �O�3o f Zo�� �Ze�(w� L�=4�.i�c A �t�I o to 3 o s� Sli t� YVl a-��e c� Y�v�e.w�( <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 /> Attach additional information on appropriately/abeled continuation sheets. SUBTOTAL$ l� ,p� <br /> Schedule C Summary <br /> 1. Amount received this period—itemized nonmonetary contributions. <br /> (Include all 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.) ......................TOTAL $ <br /> 1�`i .00 <br /> b <br /> 1 �`i. 00 <br /> r*Contributor Codes <br /> IND—Individual <br /> COM—Recipient Committee <br /> (other than PTY or SCC) <br /> � OTH—Other(e.g.,business entity) <br /> � PTY—Political Party <br /> SCC—Small Contributor Committee <br /> FPPC Form 460(January/05) <br /> FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) <br />