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Schedule A Type or print in ink. SCHEDULE <br />Monetary Contributions Received Amounts may be rouncle~l Statement covers period <br /> to whole dollars. '! ~ · TM <br /> <br /> from__I!J] C) I JtJ'jli i i <br />SEE INSTRUCTIONS ON REVERSE through~ ____ Page _ + of <br />NAME OF FILER ID NUMBER <br /> <br /> IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE <br /> DATE FULL NAME. MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR OTHER <br /> RECEIVED ¢~ COMM~H~ ALSO ~N~R, D NUMBER) CODE ~ {IF SELF-EMPLOYED. ENteR NAME PERIOD (JAN 1 - DEC. 31) (IF APPLICABLE) <br /> OF BUSINESS) <br /> D IND <br /> g COM <br /> g OTH <br /> DIND <br /> g COM <br /> DOTH <br /> DIND <br /> g COM <br /> DOTH <br /> DIND <br /> g COM <br /> DOTH <br /> <br /> SUBTOTAL $ ~.~ <br />Schedule A Summa~ <br />1. Amount received this period - contributions of $100 or more. <br />(Include all Schedule A subtotals.) .......... $ ~ ' ~ <br />............................................................................................. 'Conlribulor Codes <br />2. Amount received this period - unitemized contributions of less than $100 ......................................... $ ~.O~ IND-Individual <br />COM - Recipient Commitlee <br />3. Total moneta~ contribulions received this period. OTH- Olher <br />(Add Lines 1 and 2. Enter here and on the Summa~ Page, Column A, Line 1.) ................... TOTAL $ ~'~ <br />FPPC Form 460 <br />For Technical Assistsnce: g16/322-5660 <br /> <br /> <br />