Laserfiche WebLink
Schedule A 'ryps or print in ink. SCHEDULE A <br />Amounts may De rounoea Statement covers period <br />Monetary Contributions Received to whole dollsrs. <br /> through <br />SEE INSTRUCTIONS ON REVERSE <br />NAME OF FILERll.D. NUMBER <br /> <br /> DATE FULL NAME. MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIB~OR ~CUPATION AND EMPLOYER RECEIVED ~IS CALENOAR YEAR O~ER <br /> RECEIVED (IF C~I~EE. A~O ENTER I.D. N~aEn) CODE * (IF S~F-EM~OYED, ENTER N~E PERIOD (JAN. 1 - DEC. 31 ) (IF APPLICABLE} <br /> SUBTOTAL $ <br /> <br />Schedule A Summa~ <br />1. Amount received this period - contributions of $100 or more. <br />2. Amount received this period - unitemized contributions of less lhan $100 ......................................... $ INO-ln~dual <br /> COM - R~lplent C~ml~ee <br />3. Total moneta~ contributions received this period. OTH-Other <br />(Add Lines 1 and 2. Enter here and on the Summa~ Page, Column A,'Line 1.) ................... TOTAL $ <br />FPPC Form 460 (~9) <br />For Technical Assistance: 916~22-5660 <br /> <br /> <br />