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Schedule AType or prim in ink. SCHEDULE A <br /> Amounts may be rounded <br /> Monetary Contributions ReceivedI Statement covers period <br /> to whole dollars, from ~ <br /> <br /> NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER <br /> <br /> FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE <br /> ~ DATE (w COMMITTEE, IN ADDITION TO COMMITTEE'S NAME AND ADD, SS. ENTER LO. NUMBER (IF SELF-EMIq. OYED. ENTER RECEIVED THIS CALENDAR YEAR OTHER <br /> RECEIVED o~ If MO I.D. MUMRER HAS ~EEN ASMGNED, ENTER TREAMJRER'~ MAMF ANO ADDRESS) NAME O~ lUgmSS) PERIOD (JAN. 1 - DEC. 31) (IF APPLICABLE) <br /> 1o /o :'i , <br /> SUBTOTAL $ <br />Monetary Contributions Summary <br />1. Amount received this period -- contributions of $100 or more. <br />0nclude all Schedule A subtotals.) .................................................................................................... <br />2. Amount received this period -- contributions of less than $100. <br />(Do not itemize.) ................... . .................................................................................................... $ ~"~,~. 00 <br />3. Total monetary contributions received this period. <br />(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ........... . ............................... TOTAL <br /> <br /> <br />