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$('llEI )1 Jl .I:- (' <br />Non-Monetary Contributions Received to..o,. ~o,,... <br />~EE INSTRUCTIONS ON REVERSE through Page__ of __ <br />~JAIdE OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMIT-TEE: I D NUMBER <br /> <br /> DATE (IF COMMITTEE. IN Ai~I~T~ON TO COMMIrlEE'S NAME Atto OCCUPATION AND EMPLOYER OESCRK°TION OF FAIR MARKET CUMULATIVE TO DATE CUMULATIVE TO DATE <br /> RECEfl/ED ~ss. ENTER I D NUMBER {xq. IF ~K) I O NUMBER HAS (IF SELF-EMI~LOYEO EN1ER G~ OR S~FIVlC~ES VALUE CALENO/dR VEAR OTHER <br /> BEEN ~ED. ENTER TREJ~SUnER~ a & aSS) NAME ~ BUSINESS) (JAN I - DEC 31 ) (IF APPLIC~LE) <br /> I <br /> <br /> SUBTOTAL $ <br /> <br />Non-Monetary Contdbutlon~ Summary a.a~ additional in/orn~lion on qpproprimely <br />I. Amoufll received diis period -- non-monclary conltibulions of $ IIX) or more. labeled continuation sbeets. <br />(Include all Schedule C sublolals.) ................................................................................................................ $ <br />2. Amount received diis period -- non-monclary contribulions o1' less dian $100. <br />(Do nol itemize.) ........................................................................................................................................... $ <br />3. Total non-monclary conltibulions received Ihis period. <br />(Add Lines I and 2. Enlcr hem and on die Summary Page, Column A, Linc 4.) ............................ TOTAL <br /> <br /> <br />