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Campaign Disclosure Statement <br /> SEit71i17a1"y Page <br /> SEE INSTRUCT;OVu ON RE`iERSE <br /> �IAtv'F OF�ILFR <br /> Committee to Elect lan Bain <br /> Contribution� Received <br /> Type or print in ink. <br /> Amaunts may be rounded <br /> to whole dailars. <br /> 1. Monetary Con#ributions ........................................... scr,edute H,�ine 3 3 <br /> 2. Loans Received ...................................................... sr,t.�edu;e� _rne 3 <br /> 3. SUBTOTAL CASH CC1wTRiBUTIONS ......................... ad�j�ines 1>2 S <br /> 4. ��onmo�tet�ry Contributions.................................... 9cheoureC,tine3 <br /> S. TOTAL COPdTRIBUTIONS RECEIVED ...........................a�d Line�3�4 3 <br /> Expenditures Made <br /> 6. Payments Made....................................................... scr,edu;e t:�rn�a 5 <br /> 7. LoaI�S Nlade............................................................. Scl��iu!e H.Line 3 <br /> 8. SUBTOTIIL CA5H PAYAIIENT5 .................................... Fidd�ines s+7 $ <br /> 9. Accrued Expenses (Unpaid Billsj ...............................sr,r:�iu�eF,i.rr,e� <br /> 10. Nonrr�onetary Acijustmenfi..........................................scn���urec,unes <br /> 11. TOTALEXPENDITURES EviADE.................................4dd���es�+;;+�0 5� <br /> Current Cash Statement <br /> 1<. Beginnir�� Cash Balance....................... �rev,cvsSummaryPuge;Lina t5 3 <br /> 13.Cash RECeipts ................................................... Ca!umn A.Lrne 3 above <br /> 14. Miscellaneous Increases ta Cash........................... scnFdure; crr�e 4 <br /> 15. Gash Payments.................................................. ColumnFi.Lina8above <br /> 1G. ENDW�CASHBAL.ANGE.......... n��ot.tres;l� 13; .+�.rh�r�:ub;ractLinelS $ <br /> Jf this is a termination sfatemsnt, Line t8 must be:ero. <br /> 17. LOAN G�JARANTEES RECEIVED ........................... Scheduie B,r•�;i 2 S <br /> Cash Equivalents and t�uistanding Debfis <br /> 18. Cash Equiv8lents........................................ See instruc!icns or,res�erse $ <br /> 19. d utstanding Qebt&......................... Adrl!.ine 2+!_;r�e 9 in Coiurnn B above $ <br /> ColumnA <br /> TOTPL'Hi8 PER IOD <br /> (FROM hT?A'w,HEG SCHECULES} <br /> 0 <br /> � <br /> ---------------------------------- <br /> 0 <br /> 0 <br /> � <br /> SUMMARYPRGE <br /> Statement covers period � ;- . , � <br /> ftorn <br /> 1/1/05 s • N <br /> thraugh ------------6/3O/05------------- i Page 2 of 2 <br /> Colunnn B <br /> C.4i.EP:C.4R YFP.R <br /> TO71ti 1'U UATE <br /> � 0 <br /> � <br /> ----------------------------------- <br /> � 0 <br /> � <br /> � ---------- � <br /> o � <br /> 0 <br /> 0 � <br /> � <br /> 0 <br /> 0 � <br /> 150.33 <br /> 0 <br /> � <br /> --------------- <br /> � <br /> 150.33 <br /> � <br /> � <br /> Q <br /> A <br /> � <br /> � <br /> � <br /> � <br /> � <br /> � <br /> To calcuiate Column B,add <br /> amuurits in CoEumn A to ihe <br /> ccrresponding amounls <br /> from Calun�n B af your last <br /> report. Soms amounts in <br /> Column A may be negative <br /> figutes tliat shnuld be <br /> subtracted irom previaus <br /> period amounts. If this is <br /> the first report being iile� <br /> for this calendar ycar, only <br /> caery o��er the arnnunts <br /> from Lines 2,7,and 9;if <br /> any). <br /> ? I.D. PvUA16�R <br /> i 1255762 <br /> Calendar Year Surnmary for Candidates <br /> Running in Both the State Primary and <br /> General Elections <br /> 1/1 through G/30 7li to Late <br /> 20. Coaitributions <br /> Feceived $ <br /> 21. Expenditures <br /> Made $ <br /> �u <br /> � <br /> IExpenditure Limit Surr�mary for State <br /> i ca�,d�d�r�s <br /> 22. CumuEative Expenditures Made" <br /> {If SubJectta Voiuntary Ezpcnditure LimN) <br /> Date af Electinn Total to Daie <br /> (mm'dd;yy) <br /> �-J � <br /> �� S <br /> {—/ W <br /> —�—� � <br /> —_J—/ �a <br /> —i—� s <br /> 5ince January 1,20G1. Fmounts in this sectior�may be <br /> different irom amounts reported in Column B. <br /> FpPC Forrn 450 (Junel0l) <br /> FPPC Toll-Free Helpline: 866(ASK-FPPC <br />