Laserfiche WebLink
Schedule A Type or print in ink. SCHEDULE A <br />Monetary Contributions Received to whole dollars. Statement covers period <br /> from 'C-~t'~/ t e/c'l <br />NAMESEEINSTRUCTIONSON REVERSEoF FILER through \-~- ~ ~ { ~ ~ ~ Page~o, <br />~ · ,.~..~,~, <br /> <br /> ,~.,.~,v.~.~. ~o~.~ ~T,v~o ~ cu~,v~o o~ <br /> DATE FULL NAME. MAIBNG ADDRESS AND ZIP CODE OF CONTRIB~OR CONTRIB~OR OCCUPATION AND EMPLOYER RECEIVED ~IS CALENDAR YEAR O~ER <br /> RECEIVED pF C~I~E, A~O ENTER LD. NUMeER) CODE * (IF SELF-EM~OYED, ENTER ~E PERIOD (JAN. 1 - DEC. 31 ) (IF APPUCABL~ <br /> ~ IND <br /> ~x .~'~ C_~ c~4~ ¢~ OOTH <br /> <br /> SUBTOTAL $ ~0 0. <br />Schedule A 8umma~ <br />1. ~mount roeoivod this podod -contributions ol $1 O0 or moro. <br />(Ineludo all 8chedul, ~ subtotals.) .......................................................................... $ ~ ~ <br />2. Amount received this pedod - unitemized contributions of less than $100 ......................................... $ ~ ~ IND-In~du~ <br />COM - Recipient Comml~ee <br />3. Total moneta~ contributions received this period, o~- 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 />