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. <br /> . <br /> SHORTFORM <br /> R@Clpl@11t COti'il'1')1�@@ Type or pMnt in ink. g��ment covers riod <br /> Amounts may be rounded Pe � . � ' <br /> Campaign Statement to W,,o,e do„a�. � _�_ L_c f Z �` � <br /> Summary Page fr°m <br /> through � Z—s�/— �j i L Pa� � of � <br /> NAME OF COMMITTEE <br /> I.D.NUMBER <br /> , � /.n <br /> �� t -� � G{j v � ��L�(.�c�.'c}°� ("� � 1� C- ( Z (> �v �� (� � <br /> Expenditures Made <br /> 1. Expenditures of$100 or mare made this period � �� <br /> ................. <br /> 2. Expenditures under$100 made this period(Not itemized.) .................................................................................................................... �,�� <br /> 3. SUBTOTAL EXPENDITURES MADE THIS PERIOD ......................................................................................................................... Add Lines 1 +2 $_ /,�.,2- <br /> 4. Nonmonetary Adjustment..........................................................................................................................................From Line 8 Below � <br /> 5. Total expenditures made from previous statement...............................................................................Previous Summary Page, Line 6 $ d <br /> (Jf this is the�rsf stafernent for the ca/endar year, enter zero.) <br /> 6. TOTAL EXPENDITURES MADE TO DATE ..................................................................................................................................Add Lines 3+4 +5 $ f.�� .� <br /> Contributions Received <br /> 7. Monetary contributions received this period ..........................................................................................................:................................ $ � <br /> 8. Non-monetary contributions received this period.................................................................................................................................... a <br /> 9. Total contributions received from previous statement.........................................................................Previous Summary Page, Line �0 $ d <br /> (If this is the first statement for the calendar year, enter zero.) <br /> 10.TOTAL CONTRIBUTIONS RECEIVED TO DATE.........................................................................................................................Add Lines 7+8+9 $ � <br /> Current Cash Statement <br /> 11.Beginning cash balance .....................................................................................................................Pr�vious Summary Page, Line 15 $ /��� <br /> 12.Cash receipts this period.................................................................................................................................................... Line 7 above � <br /> 13.Miscellaneous increases to cash........................ C� <br /> .................................................................................................................................... $ <br /> 14.Cash expenditures this period............................................................................................................................................ Line 3 above ��,� <br /> 15.ENDING CASH BALANCE THIS PERIOD.....................................................................................Add Lines 11 + 12+ 13, then subtract Line 14 $ �f� �`7" <br /> FPPC Form 450(January/OS) <br /> FPPC Toll-Free Helpline:868/ASK-FPPC(86612753772) <br />