Laserfiche WebLink
Type M print in ink. $ tJ MMARY PAGE <br />Campaign Disclosu re Statement A.Dunt, may be rounded Statement covers p~riod <br />Summary Page <br /> from <br /> <br /> through ~ Page <br />SEE INSTRUCTIONS ON REVERSE <br />NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER <br /> <br /> Contributions Received Column A Column B* Column C <br /> TOIAL THIS FENOD Tql'AL I~EVIOUS FENOO TOTAl. TO DATE <br /> fROM ATIACHED SCHEDULES) (SEE NOTE IELOW) <br /> <br /> 1. MonetaryContributions ............................... Schedule X, Une 3 S "'" S <br /> <br />2. Loans Received ......................................... ScMdu/e e, Une z '" <br />3. SUBTOTAL C~SH CONTmBUT~ONS ...................... ~u~,, 1 · 2 S --- S ~--'~Z.. S ~(,~-- <br />4. Non-monot, Contributions ......................... s **C Li-- -- <br /> <br />6. Enforceable Promises ---- <br />7. TOTAL CONTRIBUTIONS RECEIVED ..................... AddUMsS · 6 S --- S ~4~ $ <br /> <br /> Expenditures Made <br /> 8. Cash Payments (Other than Loans Made) ............ ScMdu~ ~, Line S S "q S 4~'7~' S <br /> 9. Loans Made ............................................. ~J~u# H, Une 7 --- <br /> 10. SUBTOTAL CASH PAyMENT~ ............................ ,ddLinese,9 S '~' S <br /> 1 1. Accrued Expenses (Unpaid Biffs) ........................ ~ F, Lk~e S '"" <br /> <br /> i <br /> Current Cash Statement <br /> 13. Beginning Cash Balance .................. ~e,ous Summary P~ge, (./ne 17 S g~ I ' From previous Statement Summery Page, Column C. However, if <br /> J this is th~ first report filed foc the c~ie~dar year. Column B should be <br /> 14. Cash Receipts ............................... : ...... ColumnA, Line ~ above "'"'" ~ blank except for Loum Received (Line 2), EnfMceeble Promises (Line <br /> 15. Miscellaneous increases to Cash ........................ ScMdu~e ;, Une 4 -'-- I6)' L°~ns MIdi (Line 9)' and ACcrued Expensm (Line 11)* <br /> 16. Cash Payments .................................... ColumnA, Line lOabove <br /> <br /> 17. ENDING CASH BALANCE ..... Add LIne;15 ,14 , Is.~,nsub~mUne~6 $ ~(,,4'_ Summary for Candidates in Both June and <br /> ffthi~seterminatlonstatement, Llne 17 must be zero. ENDINGCASHDALAN(~ SHOULD November Elections <br /> ,, 1/1 through 6/30 7/1 to Date <br /> <br /> 18. LOAN GUARANTEES RECEIVED Sc~ule 8, partl, Column(b) S ~ 21. ~oflt~'ibu, tiofls ~'~ <br /> .............. . Keceweo <br />Cash Equivalents and Outstanding Debts ~ 22. x nditures <br /> ....... $ <br /> ~g. Cash Equivalents ................................ See insuuc~iore on reverse S <br /> <br /> 20. Outstanding Debts ................. AddLine 2 ·Ltne ll in¢olumnC,~bove $ <br /> <br /> <br />