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*Schedule C Type or print in ink. SCHEDULE C <br />'Non-Monetary Contributions Received AmountSto wholemaYdollars.be rounded Statement covers period <br /> CALIFORNIA 490 <br /> ,rom FORM <br /> <br /> SEE INS'rRUCTIONS ON REVERSE through .~/?)0[~ Page /~''~ of ~"/ <br /> NAME OF OFFICEHOLDER OR CANDIDATE AND CON~ ~LED COMMITTEE <br /> <br /> CUMU~TIVE TO <br /> FULL NAME AND ADDRESS OF CONTRIBUTOR ~CUPATION AND EMPLOYER CUMU~TIVE TO <br /> DATE {~F C~MIT~EE, IN ADDITION TO C~I~EE~S N~E ~O ADDRESS, (1~ SELF-EMPLOYED, ENTER NAME OF DESCRIPTION OF FAIR MARK~ DATE <br /> RECEIVED ENTER IO NUMBER OR, IF NO I D N~SER HAS eEEN ASSIGNED, BUSINESS) GOODS OR SERVICES VALUE CALENDAR YEAR DATE OTHER <br /> ENTER TRE~URER'S N~E ~D ~DRESS) (JAN 1 - DEC. 31 ) (IF APPLIC~LE) <br /> <br /> Attach additional information on appropriately labeled continuation sheets. SUBTOTAL <br /> <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 1 and 2. Enter here and on the Summary Page, Columr~ A, Line 4.) .................................. TOTAL <br /> <br /> <br />