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Schedule A Type or print in ink. 5CHEDULE~ A <br /> Monetary Contributions Received Am°~ontwS~o~eYdl~oll~r~.nd~l Statement cove,sl~riod <br /> from ~ <br /> SEEINSTRUCTIONSONREVERSE through ~"~O-~'~ Page ~ of ~l <br /> NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER <br /> <br /> FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE <br /> ~ DATE {IF COMMITrEE, IN ADDniO# TO COMMITI'EE'S NAME AND ADD~q~S$, ENTER I.D. NUMBER (IF SELF -EMPLOYED, ENI'ER RECEIVED THIS CALENDAR YEAR OTHER <br /> RECEIVE D Oe, ~f NO LD. #UMeER ~S tEEN ASSI(~NED, ENTER TPJE A~I. JRER'$ NAME AND ADDRESS) NAME O~ aUS~SS) PERIOD (JAN. 1 - DEC. 31 ) (IF APPLICABLE) <br /> <br /> SUBTOTAL $ <br /> <br />Monetary Contributions Summary <br />1. Amount received this period -- contributions of $100 or more. <br /> (Include all Schedule A subtotals.) .................................................................................................... <br /> <br />2. Amount received this per od -- contributions of less than $100. <br /> (Do not itemize.) ................................................................................................................ <br /> <br />3. Total monetary contributions received this period. <br /> (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .......... .................. : ............ TOTAL <br /> <br /> <br />