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cheduleA Typa or print In ink. <br /> Amounts may be rounded SCHEDULE A <br /> lanetary Contributions Received to who�e dollars. Statement covers period I <br /> • - • 1 <br /> from /° ^/- o g • • � <br /> .�MSTRUCTIONS ON REVERSE [hrOUgh �U ��$-� g Page�olI?� <br /> �OF FILER <br /> ? �/;��f ���/) I.D. NUMBER <br /> C /T/LCN /O '�rPd>fCT /[i We I � (JL/ tl r(q/ /30 � 3 <br /> �� FULL NAME.STREET ADDRESS AN�ZIP CODE OF CONTRIBUTOR If AN INDIVIDUAL, ENTER AMOUNT CUMULA7IVE TO DATE PER ELECTION <br /> �IFCONNIITEE,nL50ENtERID.NUMBEF� CONTRIBUTOR OCCUPATIONANDEMPLOYER RECEIVEDTHIS <br /> HECEIVED CODE • pcsEir�EenaiovE�Er+tEar�nME PERtOD JqN ND DEC.�3R (IF REOU RED) <br /> . OFBUSINE55) <br /> ro-r-o Ci�RO�� l.Jou6 p oM /� <br /> � � ❑°TH K�r 12ED �UU oe <br /> �? ❑arv <br /> R�ot�000 l. �T CR Cj46 bS ❑SCC <br /> [�IND <br /> fu-�-O$ KEiTH nJ. �Au175TA ❑COM <br /> OPTM ^ 00 <br /> ���o � o, g�6, os�� �£T,Q� a� �— � <br /> �e_9-0$ �^NNN CHow n�on�A �OM 1'2v0ucr �N0.kcrluG � <br /> `P.�,(� 367 <br /> OTH � <br /> ��,�o c, C� �wo�U o°5� � gM 1 ao�° <br /> ❑wo <br /> ❑coM <br /> ❑OTH <br /> ❑PTY <br /> ❑SCC <br /> ❑IND <br /> ❑COM <br /> ❑OTH <br /> ❑PTV <br /> ❑SCC <br /> SUBTOTALS �QQ Bb <br /> cl�dule A Summary <br /> 'Contributor Codes <br /> �mount received this period-itemized monetary contributions. iND-tndiv�uai <br /> �lzxludeallScheduleAsubtotals.)........................................................................................................ $ f �� COM-RecipientCommittee <br /> (other than PTY or SCC) <br /> Asaount received this period-unitemized monetary contributions of i ss than$100 ............................. $ '�- OTFI-Other(e.g., business entiry� <br /> . PTY-Political Party <br /> Ta181 monetary contributions received this period. ob SCC-SmallContributorCommittee <br /> �d Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)....................... TOTAL $ ��� <br /> FPPC Fortn 460(Januaryl05) <br /> FPPC Toil-Free Helpline:866IASK-FPPC(8661275•3772) <br />