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Sch ed u l e A Tvp~ Or print in ink. SCH E DU LEA <br /> Monetary Contributions Received Amounts may be rounded Statement covers period <br /> to whole dollars, from <br /> SEE INSTRUCTIONS ON REVERSE through <br /> NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER <br /> <br /> FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE <br /> ~ DATE (IF COMMI11'EE. IN ADDITION TO COMMITTEE'S NAME AND ADDP~SS, ENTER I.D. NUMBER (IF SELF-EMPLOYED, EmER RECEIVED THIS CALENDAR YEAR OTHER <br /> RECEIVE D on. i~ NO I.D. NUMBER HAS KEN ASSIGNED, ENTER TP,~AS4.tRER'$ NAME AND ADDRESS) NAME O~ BUSmtSS) PERIOD (JAN. 1 - DEC. 31) (IF APPLICABLE) <br /> ~ /' <br /> <br />Moneta~ Contributions Summa~ <br />1. Amount received thi~ ~riod -- contributions of $100 or more. <br />2. Amount received this ~ri~ -- contributions of less than $100. <br />(Oo not itemize.) <br />3. Total moneta~ contributions received this period. <br />{~dO tin,~ 1 and 2. triter her, ~nd on th~ Summary Pa~e, Column ~, tine 1.) .......... . ............................... lOl~t <br /> <br /> <br />