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Schedule A Typeorprint in ink. SCHEDULE A <br />Amounts may be rounded Statement covers period <br />Monetary Contributions Received towhoi~dollar~. <br />SEE INSTRUCTIONS ON REVERSE through % -,,'~- [ / Pe~ of <br />NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE _ I.D. NUMBER <br /> <br /> FULL NAME AND ADDRESS OF CONq'RIBUTOR ' OCCUP~I~ON AND EMPLOYER AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE <br /> DATE (~ CO~I~rrTEE, m ~DD~mfl TO COMMfTTEE'S NAME ANO ADO~$S. ENTER LO. mJKqlER II,~[r-EMPLOVEE). ENTER RECEIVED THIS CALENDAR YEAR OTH£R <br /> RECEIVED o~, w NOI.D. NUMBER HAS MEN ASS~G~D, ENTE~ T~ASU~R3 NAME Am) ADm~ESS) NAME O~ B~mSS) PERIOD (JAN. 1 o DEC. 31 ) (IF APPLICABLE) <br /> I <br /> I <br /> SUBTOTAL $ <br /> <br />Monetsry Contributions Summary <br />1. Amount received this period -- contributions of $100 or more. <br />(Include all Schedule A subtotals.) .................................................................................................... $ <br />2. Amount received this period -- contributions of less than $100. <br />(Do not itemize.) ....................................................................................................................... <br />3. Total monetary contributions received this period <br />(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ......................................... TOTAL <br /> <br /> <br />