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· -~ SCHEDULE C <br /> Schedule CA~o..t.TYPe or Print in Inkmay be rounded Statement c°verl p®ri°d B II~ Ir ~/I~ i1 <br /> Non-Monetary Contributions Received <br /> to whole dollars. <br /> from <br /> I <br /> SEE INSTRUCTIONS ON REVERSE through I Page.__ of __ <br /> NAME C~: OFFICEHOLDER OR CANOIDATE AND CONTROLLED COMMITFE£:I I.[3. NUMBER <br /> FULL NAME AND ADOR~SS OF CONTRIBUTOR <br /> DATE 0F COMka~EE. iN AO~I~ON TO CO~dkaT[EE'S NAME AND OCCUPATION AND EMPLOYER DESCRIPTION OF FAIR MARKET CUMULATIVE TO DATE CUMULATIVE TO DATE <br /> RECEIVED ADOflESS. ENTER I.D NUMBER OR. IF NO I.D. NUMI~R HAS (IF: SELF-EMPLOYED ENTER GOODS OR SERVICES VALUE CALENDAR YEAR OTHER <br /> BEEN ASSIGNED, ENTER TREASURER'S NAME & ADORESS) NAME OF BUSINESS) (JAN 1 - DEC 31 ) (IF APPLICABLE) <br /> .i <br /> SUBTOTAL $ <br /> <br /> Non-Monetary Contributions Summary attach additional information on appropriately <br /> i. Amount received ~his period -- non-monela~ conuibutions og $100 o~ mo~e. tabeted continuation sheets. <br /> (Include all Schedule C subtotals.) ................................................................................................................ $ <br /> 2. Amount received ~his period -- non-monetary contributions of less Ihan $100. <br /> (Do not itemize.) ........................................................................................................................................... $ <br /> 3. Total non-monetary contributions received this period. <br /> (Add Lines I and 2. Enter here and on Ihe Summary Page, Column A, Line 4.) ............................ TOT&L $ <br /> <br /> <br />