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, <br /> Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE <br /> Amounts may be rounded Statement covers period � - <br /> Summary Page to whole dollars. � . � � <br /> from 10/18/03 • ' <br /> SEE INSTRUCTIONS ON REVERSE through 12/31/03 page 2 of $ <br /> NAME OF FILER I.D.NUMBER <br /> Committee to Elect lan Bain 1255762 <br /> Column A Column B Cale�dar Year Summary for Candidates <br /> Contributions Received TOTAITHISPERIOD CALENDARYEAR <br /> (FROMATTACHEDSCHmULES) ToT.�-ro�o.,� Running in Both the State Primary and <br /> 1796.04 11509 General Elections <br /> 1. Monetary Contributions ........................................... Scneduien,�ine3 $ $ <br /> 2. Loans Received ...................................................... scnedu�e a,�ine s <br /> -1500 20pp 1N through 6/30 7/t to Date <br /> 3. SUBTOTAL CASH CONTRIBUTIONS ......................... .4dd�ines�+2 $ 296.04 $ 13509 20. Contributions <br /> Received $ $ <br /> 4. Nonmoneta Contributions.................................... schedu�e c,�ine a 298•6� 748.67 <br /> ry 21. Expenditures <br /> 5. TOTALCONTRIBUTIONSRECEIVED •.•••••.••.••.••••.••...••.,4dd�ines3+4 $ 594.71 $ 14257.67 Made $ $ <br /> Expenditures Made Expenditure Limit Summary for State <br /> 6. Payments Made....................................................... scneduie E,�ine a $ 2970.39 $ 13379.71 Candidates <br /> 7. Loans Made............................................................. scnedu�e H,�ine s 0 0 <br /> 2970.39 13379.71 22. Cumulative Expenditures Made` <br /> 8. SUBTOTALCASHPAYMENTS .................................... .4dd�ines6+7 $ $ (IfSuEjecttoVoluntaryExpenAttureLimit) <br /> 9. Accrued Expenses (Unpaid Bills)...............................Scnedu�e F Line 3 � � Date of Election Total to Date <br /> 10.Nonmonetary Adjustment ..........................................scnedu�ec,�ine3 0 0 (mm/dd/yy) <br /> 11. TOTAL EXPENDITURES MADE.................................4dd�ines 8+g+�0 $ 2970.39 $ 13379.71 �� $ <br /> Current Cash Statement �� $ <br /> 12.Beginning Cash Balance....................... ara�ro�s s�mmeryPa9e,une�s g 2824.68 <br /> To calculate Column B,add _�_� $ <br /> 13.Cash Receipts ................................................... Co�umn A,line 3 above 296.04 amounts in Column A to the <br /> corresponding amounts <br /> 14.Miscellaneous Increases to Cash........................... scneduie�,�ine a � from Column B of your last �� $ <br /> 15.Cash Payments.................................................. CWumn A.Une 8 above 29�0.39 report. Some amounts in <br /> Column A may be negative �� $ <br /> 16.ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 150.33 figures tltat should be <br /> subtracted from previous <br /> If this is a termination statement, Line 16 must be zero. period amounts. If ihis is �� $ <br /> the first report being filed <br /> 17. LOAN GUARANTEES RECEIVED ........................... Scnedu�e a,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 Lines 2,7, and 9(if different from amounts reported in Column B. <br /> 0 a�Y) <br /> 18. CeSh EquivelefltS........................................ See instructions on reverse $ <br /> 19. OUfSlBfldlfl9 DBbtS......................... AddLine2+Line9inColumn8above $ 500 FPPC Form 460 (June/01) <br /> FPPC Toll-Free Helpline: 866/ASK-FPPC <br />