Laserfiche WebLink
Schedule A Type or print in ink, SCHEDULE A <br />Monetary ContributionS Received ~m°un[s may ue r°unaea Wij~~ <br />to whole dollars. Statement covers period <br /> <br />SEE INSTRUCTIONS ON REVERSE through /~'~' :~/'-Z~'"~'""~ J ~ge ~ ol ~ ~_ <br /> <br /> IF AN INDIVIDUAL, ENTER ~OUNT CUMULATIVE TO DATE PER ELECFION <br />DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE <br /> ~scc <br /> ~o <br /> ~co~ <br /> 0 PTY <br /> ~ sec <br />Schedule <br /> A <br />Summary 'Conlribulor Codes <br />1. Amount received this period - contributions of $100 or more.~/-~ /~ ~ IND- Individual <br />(Include all Schedule A sublolals.) ........................................................................................................ $ cou- Recipienl Commillee <br />(olher <br />than <br />PTY <br />SCC) <br />2. Amount received this period - unitemized conlribulions ol less than $100 ............................................. $ /~ 7, ~/ <br />OTH - Olher <br />PTY- Political Pa~y <br />3. Total moneta~ conlribulions received this period. ~ ~ ~ ~ ~ sec- Small Contribulor Commillee <br />(Add Lines 1 and 2. Enter here and on the Summa~ Page, Column A, Line 1 .) ....................... TOTAL $ <br />/ <br />FPPC Form 460 (June/01) <br />FPPC Toll-Free Helpline: 866/ASK-FPPC <br /> <br /> <br />