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Schedule C Type.~,~h*. SCHEDULE C <br />Amounts may be rounded I Stitement covers period <br />Non-Monetary Contributions Received towh~,dobers. /from ~ <br />/ <br />SEE iNSTRUCTIONS ON REVERSE /through P#ge <br />NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER <br /> <br /> FULL NAME AND ADDRESS OF CONTRIRUTOR OCCUPATION AND EMPLOYER CUMULATIVE TO CUMULATIVE TO <br /> DATE ~F CO~AM~TTEE, m AOO(TK~ YO COim~nIEE~ ~AME ~dO ADORESS, ~F S~LF;MPLOY~D, ENTlg NAAIE OF DESCRIPTION OF FAIR MARKET DATE DATE OTHER <br /> GOODS OR SERVICES VALUE CALENDAR YEAR <br /> RECEIVED ENTE~ LO. NUMI~R OdL ~F NO LD. mXMI~R ~S I~l# ASSIrmco. . BUgNESS) (IF APPLICABLE) <br /> EmEm T~A~U~rS ~ ANO ACO~SS) UAN. 1 - DEC. 31 ) <br /> <br />Attach additional information on appropriately labeled continuation sheels. SUBTOTAL $ <br />Non-Monetary Contributions Summary <br />1. Amount received this period-- non-monetary contributions of $100 or more. <br />(Include all Schedule C subtotals.) .................................................................................... S <br />2. Amount received this perlod-- non-monetary contributions of less than S 100. <br />(Do not itemize.) ........................................................................................................ $ <br />3. Total non-monetary contributions received this period. <br />(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 4.) ....................... TOTAL S <br /> / <br /> <br /> <br />