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cfiedule A Type or print In ink. SCFIEDULE A <br /> Amounta may be rounded Statement covers perlod <br /> lo�oetary Contributions Received to whole dollara. •� / � � <br /> from �- � _ 68 � ' <br /> through 9'- 30-o s' peBe_�ot_1_L_ <br /> EB7BTRUCTIONS ON REVERSE <br /> I.D. NUM9ER <br /> �0F FILER � <br /> C � -t�'i s a �- e on� atiiz�co-� cTio,J C.o ,Hi Fc' / 3 o 'J G 3 <br /> IF AN INDIVIDUAL. ENTER NriOUM CUMULATIVETO DATE PER ELECTION <br /> � �� FULL NAME.STREET ADDRESS AND ZIP CO�E OF CONTRIBUTOR CONTRIBl1TOR OCCUPATIONAND EMPLOYER RECEIVED THIS CALENDAR YPAR TO DATE <br /> b�ENED OFCOM�'TTEE���SOEN�ai,o.N�u6Ea� CODE * iiFSe�F��r.+P�ovEO,eNTEnwvnE PERIOD (JAN. � �DEC.31) (�F REOUIRED) <br /> OFBUSINE56) <br /> �INO <br /> q `r3 , �. U ra�y ❑�oM � <br /> 9 p PTV �L7'I 2E� o"�S <br /> �1 40�,.�0 0 0 l." �- 9 0� ❑scc <br /> No <br /> �g¢�RT ���MA� OcoM � <br /> 4�,�. � � �£ ❑oTH (��) 2e� �°�^ <br /> �PTY <br /> d� C � G�u� ❑SCC <br /> ❑IND <br /> ❑COM <br /> ❑OTN <br /> �PTY <br /> ❑SCC <br /> D <br /> ❑CO <br /> ❑on+ <br /> �PTV <br /> �SCC <br /> �IND <br /> ❑COM <br /> �OTH <br /> �PTY <br /> �SCC <br /> SUBTOTALE S�.S� I <br /> C�(�U�BASUfl'1I178(y � ��L�3� 'ContributorCodes <br /> IND-Individual <br /> Amount received this period-itemized monetary contributions. ��� U .�o COM-RecipientCommittee <br /> �Imclude atl Schedule A subtotals.) ................ . .........................._......_.................................,............... $ n b s�ness e ry <br /> . . (other the TY or SCC) <br /> �_ OTH-Other(e.g., u � nti ) <br /> Amount received this period-unitemized monetary contributions of I ss than$100 ............................. $ pTy-Polilical Party <br /> SCC-Small CoMributor Committee <br /> Total monetary contributions received this period. 7 �� U� �U <br /> �4dd Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)....................... TOTAL $ FPPC Form 460(January105� <br /> FPPC Toll•Free Helplirre:8661ASK-FPPC(8661275-3772) <br />