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Recipient Committee <br />Campaign Statement <br />Summary Page <br />NAME OF COMMITTEE <br />Type or print in ink. <br />Amounts may be rounded <br />to whole dollars. <br />Staloement coven period <br />from / ! g 0 <br />through <br />SHORT FORM <br />CALIFORNIA i <br />4.i <br />Page Z of 3 <br />I.D. NUMBER <br />3 q7 115- <br />Expenditures <br />15 <br />Expenditures Made <br />$ <br />40 <br />1. Expenditures of $100 or more made this period..................................................................................................................................... <br />2. Expenditures under $100 made this period (Not itemized.)..................................................... <br />3. SUBTOTAL EXPENDITURES MADE THIS PERIOD......................................................................................................................... <br />Add Lines 1 + 2 <br />$ <br />v <br />4. Nonmonetary Adjustment ........................................... ............................................................................................... <br />From Line 8 Below <br />5. Total expenditures made from previous statement............................................................................... <br />Previous Summary Page, Line 6 <br />$ <br />(if this is the first statement for the calendar year, enter zero.) <br />6. TOTAL EXPENDITURES MADE TO DATE.................................................................................................................................. <br />Add Lines 3 + 4 + 5 <br />$ <br />Q <br />Contributions Received <br />7. Monetary contributions received this period........................................................................................................................................... $ &? <br />8. Non -monetary contributions received this period................................................................................................................................. <br />O <br />9. Total contributions received from previous statement......................................................................... Previous Summary Page, Line 10 $ <br />(if this is the first statement for the calendar year, enter zero.) <br />10. TOTAL CONTRIBUTIONS RECEIVED TO DATE......................................................................................................................... Add LineS 7 + 8 + 9 $ <br />Current Cash Statement <br />11. Beginning cash balance..................................................................................................................... Previous Summary Page, Line 15 $ <br />12. Cash receipts this period ...................... .................. Line 7 above <br />............................................................................................................ <br />13. Miscellaneous increases to cash............................................................................................................................................................ $ C? <br />14. Cash expenditures this period............................................................................................................................................ Line 3 above <br />15. ENDING CASH BALANCE THIS PERIOD..................................................................................... Add Lines 11 + 12 + 13, then subtract Line 14 $ <br />FPPC Form 450 (January/05) <br />FPPC Top -Free Helpline: IlWASK-FPPC (866W543772) <br />