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Sch ed u le C Typeor printin ink. SCH E DU LE C <br /> Amounts may be rounded Statement covers period <br /> Non-Monetary Contributions Receivedto whole dollar$. <br /> SEE INSTRUCTIONS ON REVERSE through <br /> NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER <br /> FULL NAME AND ADDRESS OF CONTRIBUTOR <br /> CUMU~TIVE TO CUMU~TIVE TO <br /> OCCUPATION AND EMPLOYER DESCRIPTION OF FAIR MARKET DATE DATE OTHER <br /> ~ DATE (If C~MI~EE, IN ADDIT~ TO C~M~EE'S ~ME AND ADD. SS, (If SELF-EMPLOYED, ENTER NAME <br /> RECEIVED [mEn i.D. NUMBER ~ IF NO I.D. NUMBER ~S IEEN ASS~NED, BUSINESS) G~DS OR SERVICE5 VALUE CALENDAR YEAR <br /> ENTER T~ASU~R'S NAME AND A~SS) ,~ (JAN 1 - DEC. 31) (IF APPLI~BLE) <br /> <br />~Attach a~itional info~ation on appropriateW la~l~ continuation shee~. SUBTOTAL $ <br />Non-Moneta~ Contributions Summa~ <br />1. Amount received this period-- non-monetary contributions of $100 or more. <br />(Include all Schedule C subtotals.) .................................................................................... $ <br />2. Amount received this ~ri~ -- non-monetary contributions of less than $100. <br />(Do not itemize.) ....................................................................................................... <br />3. Total non-monetary contributions received this period. <br />(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 4.) ....................... TOTAL <br /> <br /> <br />