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Sch ed u le A Type m I~int in ink. SCH E DU LEA <br /> Amounts rely be rounded Stltement covers perkx~ <br />Monetary Contributions Received <br /> frOfll <br /> <br />SEE INSTRUCTIONS ON REVERSE through Page o~ __ <br />NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMRE R <br /> <br /> FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE <br /> DATE (· COMMITTEE, m AOOfllO14 TO CQMMfl'KEE'S IMMf ANO MZ~E~, I~kqEl~ i.D. NUMMR M S~T~-EMI~OYI[O, ENTER RECEIVED THIS CALENDAR YEAR OTHER <br /> RECEIVE D Q4k · NO LD. t~ HAS BEE· ASSIGNED, Eh'TEIITREASURER'S IMMJ~ AND ADO~SS) NAM~ O~ mmmss) PERIOD (JAN. 1 - DEC. 31 ) (IF APPLICABLE) <br /> SUBTOTAL $ <br /> <br />Monetary Contributions Summary <br />1. Amount re~eivecI this period -- contributions of S 100 or more. <br />(Include all Schedule A subtotals.) .................................................................................................... S <br />2. Amount received this peric~J -- contributions of less than $1 <br />(Do not itemize.) ...................................................................................................................... $ <br />3. Total monetary contributions received this period. <br />(Add Lines I and 2. Enter here am:l on the Summary Page, Column A, Line 1.) ......................................... TOTAL S <br /> <br /> <br />