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ichedule C rype or print in ink. SCHEOULE C <br /> Amounts may be rounded Statement covers period <br /> �IonmonetaryContributionsReceived towholedollars. � ' . � <br /> p� . - • <br /> from ��—��- U v <br /> through ��� 3� ��� Page p of �°� <br /> �INSTRUCTIONS ON REVERSE I.D,NUMBER <br /> MAEOF FILER <br /> Gi i z�✓S Ta P� ��u.,�onC� N—,�� rb,v ,�� <br /> l 3o �63R <br /> IFANINDIVI�UAL.ENTER CUMULATIVE TO <br /> AMOUNT/ PER ELECTION <br /> FULL NAME.STREET ADDRESS AND CONTRIBUTOR QCCUPATIONAND EMPLOYER DESCRIPTION OF FAIRMAftKET DATE TODATE <br /> �TE ZIP CODE OF CONTRIBUTOR CODE " GOODS OR SERVICES CALEN�AR YEAR <br /> RECENED OFSe�-eMV�oveo.ENrEA UAWE (�qN 1 �DEC J7) (�F REOUIRED) <br /> (IF COMMITTEE A�50 ENTER ID.Nt1MBE0.� qpME OF BUSINE55) <br /> ' S!�C-(fZtSM /11A 6A 2 � nl E ❑IND I N 5 rrrs <br /> ❑coM � a -r+�E �.3� �a <br /> �� ���� �,0. '13oi� $E2 �oTH MAGAZiNE <br /> ❑Prv <br /> 1�obooaCr �'R �i'`Fo 6 3 ❑scc <br /> ❑IND <br /> ❑COM <br /> ❑OTH <br /> ❑PTY <br /> ❑SCC <br /> ❑IND <br /> ❑COM <br /> ❑OTH <br /> ❑PTY <br /> ❑SCC <br /> ❑IND <br /> ❑COM <br /> ❑OTH <br /> ❑PTY <br /> ❑SCC <br /> �ttach additional in�ormation on appropnately labeled continuation sheets SUBTOTAL 5 3O0 eY'" I <br /> �ChOC�U�2 C $U�ll�l'18ry 'Contributor Codes <br /> IND-Indivitlual <br /> . Amount received this period—itemized nonmonetary contributions. 30 ��� COM-RedpientCommiriee <br /> ............................... S <br /> (Include all Schedule C subtotals.).......................................................................... . . . �omer rnan Pn'or scc� <br /> . �--E}— OTH-Other(e.g.. business entiry) <br /> . Amount received this period—unitemized nonmonelary contnbutions of less than$100 .................................... $ p7y_political Party <br /> � SCC-SmallConiriburorCommdtee <br /> . Total nonmonetary contributions received this period. TOTAL $ �� <br /> fAdd Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... FPPC Form aso(danuay�os) <br /> FPPC Toll-Free Helpline:B66IASK-FPPC(866I275-3772) <br />