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Schedule C Type or print in ink. SCHEDULE C <br /> Amounts may be rounded <br />Nonmonetary Contributions Received towhole dollars. SG;.e,,~ent covers pi,do: <br /> <br /> from /~' ~t/ <br /> <br />SEE INSTRUCTIONS ON REVERSE through //' Page <br />NAME OF FILER I.D. NUMBER <br /> <br /> IF AN INDIVIDUAL, ENTER AMOUNT/ CUMULATIVE TO PER ELECTION <br /> FULL NAME. STREET ADDRESS AND CONTRIBUTOR OCCUPATION AND EMPLOYER DESCRIPTION OF FAIR MARKET DATE TO DATE <br /> DATE ZIP CODE OF CONTRIBUTOR CODE * GOODS OR SERVICES CALENDAR YEAR <br /> RECEIVED (tF COM~IITTEE, ALSO ENTER LO. NUMBER) {IF SELF-EMPLOYED. ENTER VALUE (IF REQUIRED) <br /> NAME OF BUSINESS) (JAN 1 - DEC 31) <br /> <br /> Dpw ~ ~ o 0 <br /> <br /> DIND <br /> ~M <br /> ~o~ <br /> ~P~ <br /> Dscc <br /> <br /> Dom <br /> <br /> Dscc <br /> <br /> DIND <br /> <br /> ~O~ <br /> ~P~ <br /> Dscc <br /> <br />Attach additional information on appropriately labeled continuation sheets. SUBTOTAL: <br /> <br />Schedule C Summary 'Contributor Codes <br />1. Amount received this period - nonmonetary contributions of $100 or more. /-/'O ~) IND- Individual <br /> COM - Recipient Commil~ee <br />(Include all Schedule C subtotals.) ..................................................................................................................... $ (other then PlY or SCC) <br /> OTH - Other <br />2. Amount received this pedod - unitemized nonmonetary contributions of less than $100 .................................... $ PTY-Political Party <br />3. Total nonmonetary contributions received this period. ~-./~O ~ SCC- Small Contributor Commillee <br />(Add Lines I and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $ <br /> FPPC Form 460 (Junsl01) <br /> FPPC Toll-Free Helpllne: 866/ASK-FPPC <br /> <br /> <br />