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Schedule C Type or print in Ink. SCHEDULE C <br /> Amounts may be rounded <br />[Mo. monetary ~.,ontr[uuttons necelveu to whole dollars. <br /> Stateliest c~¥~;~ period <br /> <br />SEE INSTRUCTIONS ON REVERSE through ) Z -- ~ -- ~3 "ago ~ Of <br />NAME OF FILER I.D. NUMBER <br /> <br /> IF AN INDIVIDUAL, ENTER AMOUNT/ CUMU~TIVE TO <br /> FULL NAME, STREET AODRESS ANO CONIRIBUTOR OCCUPATION AND EMPLOYER DESCRIPTION OF FAIR MARKET DATE PER ELECTION <br /> DATE ZIP CODE OF CONTRIBUTOR CODE * 0F SELF-E~LOYED, ENTER GOODS OR SERVICES V~UE CALENDAR YEAR TO DATE <br /> RECEIVED (IF C~EE. A~O ENTER I.D. ~ER) N~E OF BUSINESS) (JAN i ' DEC 31 ) 0F. RE'IRED) <br /> <br /> DIND <br /> <br /> ~o~ <br /> ~P~ <br /> ~c <br /> <br /> ~OTH <br /> <br /> ~c <br /> ~IND <br /> <br />~O~ <br />~P~ <br />~scc <br />Attach additional information on appropriately labeled continuation sheets. SUBTOTAL. $ . <br /> <br />Schedule C Summary 'Conlribulor Codes <br />1. Amount received this period - nonmonetary contributions of $100 or more. Q,. IND - Individual <br /> O <br /> COM <br /> Commitlee <br /> (Include all Schedule C subtotals.) ..................................................................................................................... $ ;.?o <br /> ' (o/her than PTY or SCC) <br /> OTH - Olher <br />2. Amount received this period - unitemized nonmonetary contributions of less than $100 .................................... $ PTY - Political Party <br /> SCC- Small Contributo[ Committee <br />3. Total nonmonetary contributions received this period. <br /> (Add Lines 1 and 2. Enter here and onthe Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $ ~ ~ <br /> FPPC Form 460 (June/01) <br /> FPPC Toll-Free Helpllne: 8661ASK-FPPC <br /> <br /> <br />