Laserfiche WebLink
~ Schedule C T~ m ~ln Ink. SCHEDULE C <br />AmountSto who~e doll~s.m~Y be ~'ounded Stitement covef~ period <br />Non-Monetary <br />Contributions <br />Received <br />NAME OF OFFICEHOLDER OR CANDIDATE AND COI~TROLLED C.~OMMITTEE I.D. NUMBER <br />I <br />FULL NAME AND ADDRESS OF CONTRIBUTOR <br /> OCCUPATION AND EMPLOYER CUMULATIVE TO CUMULATIVE TO <br /> DATE Iw COMMn1~E. iN AOO~lO. ?O CoMMrnEI'S m~M! ~m ADO~S$. (W S~I~.EMKOYK~. Emir NAMt m DESCRIPTION OF FAIR MARKET DATE DATE OTH E R <br /> RECEIVED ENTL~ I.D. NU~AIE# OP, n' 140 I.D. NtlMKll HAS It;EN ASHmO, BUSINESS) GOODS OR SERVICES VALUE CALENDAR yF. jsJ~ (IF APPLICABLE) <br /> INTEli TREAW R'S NAME ANt) AOOKESS) (JAN. 1 - DEC. 31 ) <br /> <br />Attach additional tnformatlon on appmpriately labeled continuation sheets. SUBTOTAL $ <br />Non-Monetary Contributions Summary <br />1. Amount received this period -- non-monetary contributions of $100 or more. <br />(Include all Schedule C subtotals.) .................................................................................... $ <br />2. Amount received this period-- non'monetary contributions of less than $100. <br />(Do not Itemize.) ........................................................................................................ <br />3. Total non-monetary contributions received this period. <br />(Add Lines ! and 2. Ente.r here and on the Summary Page, Column A, Line 4.) ....................... TOTAL $ <br /> <br /> <br />