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Campaign Disclosure Statement Type or print in ink. SUMMP,RYPAGE <br /> Summary Page Am�to ewhole dollaos nded Statement covers period . � - . I <br /> from <br /> 9/21/03 •' � ' <br /> SEE INSTRUCTIONS ON REVERSE th�0ugh 10/18/03 page 2 Of 9 <br /> NAME OF FILER I.D. NUMBER <br /> Committee to Elect lan Bain 1255762 <br /> Column A Column B Calendar Year Summary for Candidates <br /> Contributions Received TOTALTHISPERIOD CALENDARYEAR Runnin in Both the State PrimaN and <br /> (FROMATTACHEDSCHEDULES) TOTALTODATE 9 • •' <br /> 1. Monetary Contributions ........................................... scnedu�e n,�ine 3 $ 2824 $ 9734 <br /> General Elections <br /> 2. Loans Received ...................................................... scnedu�e e,�ine s <br /> 1��� ,2000 1N through 6/30 7/1 to Date <br /> 3824 11734 20. Contributions <br /> 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines f+2 $ $ Received $ $ <br /> 4. Nonmonetary Contributions.................................... scneduie c,�ine s 0 450 <br /> 21. Expenditures <br /> 5. TOTA�CONTRIBUTIONSRECEIVED •�••••••••••••••••••••.••.•Add�ines3+4 $ 3824 $ 12184 Made $ $ <br /> Expenditures Made Expenditure Limit Summary for State <br /> 6. Payments Made....................................................... scneduie E,tine a $ 4664.73 $ 8909.32 Candidates <br /> 7. Loans Made............................................................. scnedu�e H,�ine s 0 0 <br /> 4664.73 8909.32 ZZ• Cumulative Expenditures Made• <br /> 8. SUBTOTALCASHPAYMENTS .................................... Add�ines6+7 g $ �I/SubjecltoVOluntaryExpenditureLimit) <br /> 9. Accrued Expenses (Unpaid Bills)...............................scneduie F�ine s 0 0 <br /> Date of Election Total to Date <br /> 10.Nonmonetary Adjustment ..........................................scnedu�e c,�ine s 0 0 (mm/dd/yy) <br /> 11.TOTALEXPENDITURESMADE.................................4dd�ines8+g+�0 $ 4664.73 $ 8909.32 �� $ <br /> Current Cash Statement -J� $ <br /> 12.Beginning Cash Balance....................... a.e�ro�s s�mmaryaaye,u�e�s $ 3665.41 <br /> To calculate Column B,add _J� $ <br /> 13.Cash Receipts Column A,�ine 3 above 3824 amounts in Column A to the <br /> ................................................... <br /> corresponding amounts <br /> 14.Miscellaneous Increases to Cash........................... soned�ie i,u�e a � from Column B of your last �-� $ <br /> 4664.73 report. Some amounts in <br /> 'I5.CBSh P8yf1l0f11S.................................................. ColumnA,Line 8 above Column A may be negative <br /> 2824.68 fi ures that should be �� $ <br /> 16. ENDING CASH BALANCE..........sldd Lines�2+�3+�e,men subtract Line�5 $ 9 <br /> subtracted from previous <br /> If this is a termination statement, Line 16 must be zero. period amounts. If this is �� $ <br /> riie first report being filed <br /> 17.LOAN GUARANTEES RECEIVED ........................... schedu�e e,Part z $ 0 for this calendar year, only <br /> carry over the amounts 'Since January 1,2001. Amounts in this section may be <br /> Cash Equivalents and Outstanding Debts from�ines 2,7,and 9(if different from amounts reported in Column B. <br /> 18. CeSh EqUiv812f1tS........................................ See instructions on reverse $ <br /> 0 a�Y� <br /> 19. Outstanding Debts......................... AddLine2+Vne9inColumnBabove $ � FPPC Fortn 460 (June/01) <br /> FPPC Toll-Free Helpline: S6WASK-FPPC <br />