Laserfiche WebLink
Schedule A Type or print in ink. SCHEDULE A <br />Amounts may I)e rounoee Statement covers period 490 <br />Mc~netary Contributions Received to whole dollars. CAUFORNIA <br /> <br />SEE INST.UOT,ONS ON REVERSE _ <br /> <br /> DATE FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT CUMU~TIVE TO DATE CUMU~TIVE TO DATE <br /> RECEIVED OR, IF NO ID NUMBER H~ BEEN ~IGNED. ENTER TREASURER'S ~E ~D ADDRESS) N~E OF BUSINESS) PERIOD (JAN. 1 ' DEC. 31 ) (IF APPLICABLE) <br /> <br /> SUBTOTAL $ /~0~ J <br />Moneta~ Contributions Summary <br />1. Amount received this period - contributions of $100 or more. <br />(Include all Schedule A subtotals.) ................................................................................................................................................ $ <br />2. Amount received this period - contributions of less than $100. <br />(Do not itemize.) ............................................................................................................................................................................. $ <br />3. Total monetary contributions received this period. <br />(Add Lines 1 and 2. Enter here and on the Summary Page, Coiumn A, Line q .) ...................................................... TOTAL $ <br /> <br /> <br />