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Late Independent Expenditure Report LATEINDEPENDENTEXPENDITUREREPORT <br /> <br />3. Contributions of $100 or More Received* <br /> <br /> DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTR~SUTOR IF AN INDrV~DUAL, ENTER OCCUPATION AMOUNT <br /> RECEIVED (IF COMMITTEE, ALSO ENTER IO NUMBER) cone ** AND EMPLOYER INTEREST RATES <br /> [] IND <br /> ,,~//~ [] COM If loan, <br /> [] OTH enter interest rate, if any <br /> [] PTY <br /> [] scc .% <br /> [] IND <br /> [] COM If loan, <br /> [] OTH enter interest rate, if any <br /> [] PTY <br /> [] scc -% <br /> [] IND <br /> [] COM If loan, <br /> [] OTH enter interest rate, if any <br /> [] pTY <br /> [] scc % <br /> [] IND <br /> [] COM If loan, <br /> [] OTH enter interest rate, if any <br /> [] PTY <br /> [] SCC -% <br /> [] IND <br /> [] COM If loan, <br /> [] OTH enter interest rate, if any <br /> [] PTY <br /> [] scc % <br /> [] IND <br /> [] COM If loan, <br /> [] OTH enter interest rate, if any <br /> [] P~' <br /> [] scc <br /> <br />*Major donor and independent expenditure **Contributor Codes 1 <br />IND - Individual <br />J <br />committees that do not receive contributions COM- Recipient Committee (other than PTY or SCC) <br />are not required to complete Part 3. FPPC Form 496 (Junel01) <br />OTH - Other <br />PTY-PoliticaIParty FPPC Toll-Free Helpline: 866/ASK-FPPC <br />SCC - Small Cont~butor Committee 866/275-3772 <br /> <br /> <br />