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:ampaign Disclosure Statement 7YPe or print In ink. _ SUIvMMRVPAGE <br /> Amou�ts may be rounded Statement covers perlod � - <br /> u�nmary Page to whole dollare. / � � <br /> ,,om l� D r /D • ' <br /> �dSTRUCTION50NREVERSE thtOUgh Q° � �D Pepa ^' Of � <br /> 4►tEOF fILER � I.D. NUMBER <br /> ColumnA ColumnB Calendar Year Summary for Candidates <br /> :ont�ibutiOns RBCeiV@d 70TALTNISPERiO� ULENDANVEAF Runninn m Both the State Priman� and <br /> IFROMATTALNmSLMED�lE5) TOTPITOMTE D • •/ <br /> General Elections <br /> , Yonetary Contributions ........................................... scnadu�e a, �ine 3 S � S '� <br /> 1/1 through B130 7n to Oa�e <br /> . lnans Received ...................................................... scnedu�e e, �i�e 3 <br /> . SIBTOTALCASH CONTRIBUTIONS ......................... Ado unes�+z S g Z0. Contributions <br /> Received $ $ <br /> . NE�nmOnetary Contributia0s.................................... Scneduie c,��ne 3 21. Expenditures <br /> . TOTALCONTRIBUTIONS RECEIVED ...... ....................Add lines�*o S -� $ $ Meda $ $ <br /> :�enditures Made �, Ezpenditure Limit Summary for State <br /> . PaymentsMade....................................................... scneaokE,��nee S 8 '� Candldates <br /> . I.nans Made.........................................:................... scneeu�e H,�ino 3 <br /> 22. CumulaUve Expenditurea Made' <br /> . SUBTOTAICASHPAYMENTS .................................... nad��ness+ � S S �ra�e�.�,e,v�M+rye,��mn�nw�u� <br /> Accrued Expenses (Unpaid Bills) ...............................scneawe F cine a �ata of Election Totai to�ete <br /> D.konmonetary Adjustmenl ..........................................scneau�e c,�ine 3 (mMddiyy) <br /> 1_TOTALEXPENDITURESMADE................................add�inesa.e� �o S � 8 �� _J__/ $ <br /> :urrent Cash Statement 2 �'I� ��j' —J—J $ <br /> �Beginning Cash Balance....................... are�ious s�mmaryaape,�me ia S �//J�11— To calculate Column B,add <br /> 3.C35h ReCelptS ................................................... Column A.Line 3 above amounts in Column A Io the <br /> _ corresponding emounts •Amounts in this section may be difterent from amounts <br /> 4.te6scellaneous Increases to Cash........................... Scnedu.��,une a from Column B of your last reported in Column B. <br /> — report. Some amounts in <br /> 5.C25h P8yrt1@I1I5.................................................. Calumn A.L"me B aDove ��2 � Coiumn n may ue nega�ive <br /> 5_BIDING CASM BAII�NCE.......... qda�mes n+ u+ 7a,(�en aubhact Line 75 $ �.1L�L_._L_� fguree that should be <br /> subtracted trom previous <br /> �fhis is a termination statement, Lirre 16 must be zero. � period amounts. If this is <br /> the firat reDOrt baing fled <br /> i_LOAN GUARANTEES RECEIVED ........................... 5cneavk e,Part z g — for this wlendar year, onty <br /> carry over the amounts <br /> ;ash Equivalents and Outstanding Debts _ a�nY���nes z, �,a�a s��r <br /> 8. Cash Equivalents........................................ See insrructions on reverse S <br /> 9. OutstBnding Debts......................... Add l.ineY�Lma 9 in CoNmn B eDOVe $ PPPC Form 460(�anuaryl05) <br /> FPPC To14Free Helpllne: B661ASK-FPPC(B88I27S3772) <br />