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Type or print in ink. SCHEDULE A <br />~CI1[~IMI~/~ Amounts may be rounded Statement covers period <br />Vlonetary Contributions Receivedto whole dollars, from <br /> <br />~EE INSTRUCTIONS ON REVERSE MBE <br />~AME OF FILER <br /> <br /> IF AN INDiViDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION <br /> DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE <br /> RECEtVED (~FCOMMI~EE,ALSOEN~ERID NUMBER) CODE * (iFSELF EMPLOYED, ENTERNAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) <br /> OF BUSINESS} <br /> ~ scc <br /> ~IND <br /> ~ PTY <br /> ~IND <br /> OCOM <br /> ~ ~OTH <br /> ~ PTY <br /> ~ SCC <br /> ~IND <br /> ~ COM <br /> ~ mE <br /> ~ PTY <br /> ~scc <br /> DIND <br /> OCOM <br /> ~ OTH <br /> ~ P~Y <br /> ~ SCC <br /> SUBTOTAL $ <br /> <br /> *Contributor Codes <br /> Schedule A Summary IND-Individual <br /> 1. Amount received this period - contributions of $100 or more. 10 ~) O o COM- Recipient Committee <br /> (Include all Schedule A subtotals.) ........................................................................................................ $ (other than PTY or SCC) <br /> ~ OTH - Other <br /> 2. Amount received this period - unitemized contributions of less than $100 ............................................. $ PTY - Political Party <br /> SCC - Small Contributor Committee <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 $ ~ O ,.~'O , <br /> FPPC Form 460 (Junel01) <br /> FPPC Toil-Free Helpline: B66/ASK-FPPC <br /> <br /> <br />