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Recipient Co m mittee Ty~orprint in ink. ALLOCATION PAGE <br /> Allocation Page Amounts may be roundedStatement covers period <br /> to whole dollars. <br /> <br /> SEE INSTRUCTIONS ON REVERSE Page of <br /> NAME OF COMMITTEE I--'""~'~-~ ~ I.D. NUMBER <br /> total $100 or mon )ppose officeholders, candidates, ballot measures, or committees. <br /> <br /> DATE NAME OF OFFICEHOLDER OR CANDIDATE AND OFFICE, OR NAME OF <br /> MEASURE AND BALLOT NUMBER OR LETTER, OR NAME OF COMMITTEE CHECK ONE IND. AMOUNT THIS CUMULATIVE TO DATE CUMULATIVE TO DATE <br /> EXP.* PERIOD CALENDAR YEAR OTHER <br /> IFOTHERTHANOFFICEHOLDER, CANDIDATE, ORMEASURECOMMITTEE suPeo~1 oPPOSE (JAN. 1-DEC. 31) (IFAPPLICABLE) <br /> <br />*See reverse regarding independent expenditures. SUBTOTAL <br />Allocation Summary Attach additional information on appropriately labeled continuation sheets. <br />1. Contributions and independent expenditures of $100 or more made this period. <br />(Include all Allocation Page subtotals.) ...................................................................... <br />2. Contributions and independent expenditures under $100 made this period. <br />(Do not itemize.) .................................................................................... ..... $ <br />3. Total contributions and independent expenditures made this period. <br />(Do not carry this to the Summary Page.) ............................................................ TOTAL $ <br /> <br /> <br />