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! <br /> SCHEDULE <br /> l'ype o~ ~rlnt in ink. <br />Non-Monetary Contribution s Received <br /> from <br />SEE INSTRU~Q~ ON RE~E <br />NAME OF OF~EHOLDEROR ~NDIDATE AND CONTROLLED ~MMITTEE <br />~ CUMU~TIVE TO CUMU~TIVE TO <br /> ~.. FUL~ N~ME AND ~DDRESS OF CO~RI~UTOR' ~CUPAT~N AND.EMPLOYER DESCRIPTION OF FAIR M~RKET DATE R DATE OTHER <br /> ~ D~TE tw (~. ~N A~ ~o c~n~t*S ~M~ A~O AO~SS. m ULF~M~O~. ~a~a ~M~ ~ G~OS OR SERVICES VALUE CALENDAR YEA (1~ APPLICABLE) <br /> <br /> iAltach a~ifional in~ation on appmpriately labeled c ~tinualion sheets. SUBTOTAL <br /> NOn-Moneta~ Contribution; Summary <br /> t. Amount re(eiv~ thi~ peri~ -- nommoneta;y (o~tri~utio~s <br /> (Include ~11 ~(~dule C subtotals.) .................................. <br /> 2. Amount received thi~ peri~-- non-monetary contributions of less than ~100 $ <br /> (DO not itemize.) <br /> 3. Total non-monetary contribut*ons received th~s pe~,od <br /> (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 4) <br /> <br /> <br />