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Schedule A Type or print in ink. SCHEDULE A <br />Amounts may be rounded Statement covers period <br />Monetary Contributions Received to whole dollars. <br />SEE INSTRUCTIONS ON REVERSE through S-~?, F~v <br />NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I I.D. NUMBER <br /> <br /> FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE <br /> ~ DATE (if COMMII~EE. IN AODmON 10 COMMITTEE'S NAME AND ADDRESS, ENTER I.D. NUMBER (IF SEtf-EMPtOYEOo ENTER RECEIVED THIS CALENDAR YEAR OTHER <br /> RECEIVE D oR. I~ NO I.D. NUMBER HAS BEEN ASMGNED, ENTER IREASURER'S NAME AND ADDRESS} NAME O~ BUSINESS} PERIOD (JAN. I - DEC. 31 ) (IF APPLICABLE) <br /> <br />Moneta~ Contributions 5umma~ <br />I. Amount receiVed thb period -- contributions of $ I O0 or more. <br />(Include all schedule A ~ubtotals.) .............. ~ ..................................................................................... $ '~ / <br />2. Amount received this period -- contributions of less than $100. 2/ <br />(Do not i~emize.) ....................................................................................................................... <br />3. Total monela~ contributions received this period. <br />(.d~ Unes ~ and Z Enter here a~d on ~he Summary Paae. ~o~um~ ~. Une ~.) .......... . ............................... TOTA~ ~ <br /> <br /> <br />