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Schedule C Type or print in Ink. SCHEDULE C <br /> Nonmoneta Contributions Received Amounts may be rounded Statement covera erlod <br /> ry to whole dollars. � � • � <br /> from <br /> Z3 ��� . . � • 1 <br /> ! � �b <br /> SEE INSTRUCTIONS ON REVERSE through ` � Z � Page of <br /> NAME OF FILER <br /> � I.D.NUMBER <br /> �6 v�,�i �}� �' -� �-1���-�" �� �c.,`�, J Z��76 2 <br /> DATE FULL NAME,STREET ADDRESS AND IFAN INDIVIDUAL,ENTER AMOUNT/ CUMULATIVE TO pER ELECTION <br /> ZIP CODE OF CONTRIBUTOR CONTRIBU*OR DESCRIPTION OF DATE TO DATE <br /> RECEIVED CODE OCCUPATION AND EMPLOYER GOODS OR SERVICES FAIR MARKET CALENDAR YEAR <br /> (IF COMMITTEE,ALSO ENTER I,D.NUMBER) (IF SELF-EMPLOYED,ENTER VALUE (IF REQUIRED) <br /> NAME OF BUSINESS) (JAN 1-DEC 31) <br /> �tn.5 �-��n v S�u <br /> <br /> ❑OTH ,,�,,o s�'tr"` �o r�e 5�.S �j�j('J �(J� <br /> �� ) �pTy �.,e�' <br /> �C.�e D-� �!� C�' `��"�i� ❑SCC J%h 5 ��.rl�. l--1 0.�l, <br /> ❑IND <br /> ❑COM <br /> ❑OTH <br /> ❑PTY <br /> ❑SCC <br /> ❑IND <br /> ❑COM <br /> ❑OTH <br /> ❑PTY <br /> ❑SCC <br /> ❑IND <br /> ❑COM <br /> ❑OTH <br /> ❑PTY <br /> ❑SCC <br /> Aftach additional information on appropriate/y labeled continuation sheets. SUBTOTAL$ <br /> Schedule C Summary `Contributor Codes <br /> 1. Amount received this period—itemized nonmonetary contributions. . iN�-�ndividuai <br /> (include all Schedule C subtotals.).....................................................................................................................$ � `'� COM-RecipientCommittee <br /> (other than PTY or SCC) <br /> 2. Amount received this period—unitemized nonmonetary contributions of less than$100 ....................................$ � OTH-Other(e.g., business entity) <br /> PTY-Political Party <br /> 3. Total nonmonetary contributions received this period. � � � SCC-SmallContributorCommittee <br /> (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ......................TOTAL $ <br /> FPPC Form 460(January105) <br /> FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) <br />