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Sch ed u le A Typ, or print Jn Ink. SCHEDULE A <br />Amounts may be rounded Statement (overs I~riod <br />Monetary Contributions Received towho~e~o.ar,. <br />SEE INSTRU~IONS ON REVERSE <br />NAME OF OFFICEHOLDER OR ~NDIDATE AND CONTROLLED COMMI~EE I.D. NUMBER <br /> <br /> FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT CUMU~TIVE TO DATE CUMU~TIVE TO DATE <br /> ~ DATE (~f COMM~EE. IN AOOff~ TO C~M~EE'S ~ME ANO ADD,SS. ENTER I.O NUMBER 0~ SEtl-EMPtOYED. EmER RECEIVED THIS ~LENDAR YEAR OTHER <br /> RECEIVED ~ ~ ~ I.D. NUMBER ~$ BEEN A$$~NED. EmER I~ASU~R'$ ~ME AND ADDRESS) NAME ~ eUS;NESS) PERIOD (JAN. I - DEC. 31) (IF APPLI~BLE) <br /> <br />Moneta~ ~o.tdbutio.s <br />1. Amount received this period -- ~ontributions of $100 or more. <br />2. Amount received this period -- contributions of ,ess than $100. <br />1~o not i~emize.) ....................................................................................................................... $ } <br />(Add Lines 1 ~nd 2. Enler here and on the Summary Page, Column A, Line 1.) .......... . ............................... TOTAL $ <br /> <br /> <br />