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SCttEDULE C <br />Non. Monetary Contributions Received to whole dollar~, from <br />SEE INSTRUCTIONS ON REVERSE through Page of <br />NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMII~EE: I D. NUMBER <br />FULL NAME AND ADDRESS OF CONTRIBUTOR <br /> DATE 01: COMMI! IEE. IN ADOIIION 1'O COMMIIIEE'S NAME AND OCCUPATION AND EMPLOYER DESCRIPTION OF' FAIR MARKET CUMULATIVE TO DATE CUMULATIVE TO DATE <br /> RECEIVED ADO~ESS. EN1,ER I O NUMEJER OR, IF NO ID NUMBER tlAS (IF SELF-EMFLOYEO ENIER GOODS OR SERVICES VALUE CALENDAR YEAR OTHER <br /> BEEN ASSIGNED. EN1ER TREASURER'S NAME & ADDRESS) NAME (Nc BUSINESS) (JAN I - DEC 31 ) (IF APPLICABLE) <br /> <br /> SUBTOTAL $ ~___ <br /> Non. Monetary Contributions Summary Att~h ,~dditio~! J~'orm~tio~ on appropri~ely <br /> labeled continuation sheets. <br /> t. Amount received Ihis period -- non-monelary contributions of $100 or mote. <br /> (Inclnde all Schedule C sublolals.) ................................................................................................................ $ <br /> 2. Amount received this period -- non-Jnonclary contribulions of less than $10(). <br /> (Do not ilemize.) ........................................................................................................................................... $ <br /> 3. Tolal non-monetary contributions received this period. <br /> (Add Lines i mid 2. Eider here and on Ihe Suinmary Page, Cohlmn A, Line 4.) ............................ TOTAL <br /> <br /> <br />