Laserfiche WebLink
Schedule A Type or print In ink <br />be <br />Monetary Contributions Received Amounts may to whole doolf rounded <br />lars. <br />SEE INSTRUCTIONS ON REVERSE <br />NAME OF FILER2 Nl`kIDs TO 'l5F6CC_r_ 1q&_/ e14 <br />DATE FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR <br />RECEIVED (IFCOMMI TEE,KSOEN ERID NUMBER) CODE • <br />�6.� C I tuv k^/ <br />I�� <br />-7/zL+/ <br />7/'2 -Ll/ <br />7/Z(O/ l I <br />bpz4i l <br />rS <br />TLe,xIn f <br />i l_Dx,le, C44, C aeS' <br />,Olen aAQ,�pnQ- Cct.S4� <br /> <br />cUnX)CtN U4--\ CR C41UP2- <br />`Dents �. u-iG�jj✓1�' U'iR <br /> <br />, w ci CLQ U1 �f`EQk Z <br />J—,YUdD <br />❑ COM <br />DOTH <br />❑ PTY <br />❑ SCC <br />COM <br />❑ OTH <br />❑ PTY <br />❑SCC <br />-ffPND <br />❑COM <br />DOTH <br />❑ PTY <br />❑ SCC <br />[IND <br />❑COM <br />❑ OTH <br />❑ PTY <br />❑ SCC <br />4�14ND <br />❑COM <br />❑ OTH <br />D PTY <br />❑SCC <br />SCHEDULE A <br />Statement covperiod • . <br />from er I •INt <br />• • 1 <br />through Page of <br />e171UNUL a /l I D. NUMBE�(�/ <br />Ry/ <br />CN ��-/T1% 7/ <br />IF AN INDIVIDUAL, ENTER <br />AMOUNT <br />CUMULATIVE TO DATE <br />PER ELECTION <br />OCCUPATION AND EMPLOYER <br />RECEIVED THIS <br />CALENDAR YEAR <br />TO DATE <br />(IFSELF-EMFLOYW,ENrERNAME <br />PERIOD <br />(JAN 1 -DEC. 31) <br />(IF REQUIRED) <br />OFBUSINESS7 <br />Von V-0 <br />loo.— <br />�5¢ec. tJeRct9 <br />If�U` (00 - <br />f2'W C S' Gitoo <br />[aSu'll <br />(off- too. <br />h iso- too <br />SUBTOTALS iQ� �%..7..., ,�_.,',.u.-:<5-� t�i•y{;.'::,.��Yi ter' t« ��I <br />Schedule A Summary <br />1. Amount received this period — itemized monetary contributions. <br />(Include all Schedule A subtotals.)........................................................................................................ s <br />2. Amount received this period — unitemized monetary contributions of less than $100 ............................. f <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 f <br />'Contributor Codes <br />IND— Individual <br />COM— Recipient Committee <br />(other than PTY or SCC) <br />OTH — Other (e.g., business entity) <br />PTY — Political Party <br />SCC — Small Contributor Committee <br />FPPC Form 466 (January/05) <br />FPPC Toll -Free Helpline: 8661ASK-FPPC (866/2753772) <br />