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<br />Campaign Disclosure Statement <br />Summary Page <br /> <br />SEE INSTRUCTIONS ON REVE RSE <br />NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE <br /> <br /> <br />Contributions Received <br /> <br />1. Monetary Contri butions ............................... Schedule A, Line 3 S <br />2. Loans Received.......... ....... ...... .................. ScheduleB, Line 7 <br />3. SUBTOTAL CASH CONTRIBUTIONS...................... AddUnes r + 2 S <br />4. Non-monetary Contributions. . . . . . . . . .. . . . . . . . . . . . . . . Schedule C, Line 3 <br />S. SUBTOTAL CONTRIBUTIONS:(Exdude Enforce.bIe Promises) AddUnes3 + 4 S <br />6. Enforceable Promises <br />(Exdude LNn Gu.r.ntees, tine "be/ow) . . . . . . . . . . . . . . . . . . . Schedule 0, Line 7 <br />7, TOTAL CONTRIBUTIONS RECEIVED ..................... AddUnesS + 6 S <br />Expenditures Made <br />8. Cash PaymenU (Other than Loans Made) . ...... .,... ScMduIeE,UneS S <br />9. LoansMade ............................................. ScheduIeH,Une7 <br />10. SUBTOTAL CASH PAYMENTS ............................ AddUnesB+J S <br />.11. Accrued Expenses (Unpaid Bills) ""","""""""'" Schedule F, UneS <br />12. TOTAL EXPENDITURES MADE......................... AddUnes ro + rr S <br /> <br />Type or print In Ink. <br />Amounts may be rounded <br />to whole dollars. <br /> <br />column A <br />TOTAL THIS PEIUOD <br />4JIIOM A nACHED SCHEOULES) <br /> <br />Statement covers period <br /> <br />from ~ <br /> <br />through ~ -?o-9S <br /> <br />COlumn B* <br />TqT AL PllEVIOUS PEIUOO <br />(SEE NOTE HLOW) <br />S 9,5~1 <br />54-'2.4- <br /> <br />s~ <br />dJ <br /> <br />s~ <br />t> <br />14.955 <br /> <br />s <br /> <br />s I~. 3~9 <br />(; <br />s~ <br />t) <br />12,3\~ <br /> <br />S <br /> <br />SUMMARY PAGE <br /> <br /> <br />CDlum" C <br />TOTAL TO DATE <br />«ADD COLUMNS A + I) <br /> <br />Q5(o/ <br /> <br />54-24 <br />s~q~ <br />ø <br />s-L'~ <br />s ~ '785'"" <br /> <br />s <br /> <br />s _12.. 3\9 <br />tf; <br />s ---J7 '3}9 <br />s~ <br /> <br />Current Cash Statement <br /> <br />13. Beginning Cash Balance .................. PreviousSummaryPage,Uner7 S <br /> <br />14. Cash ReceipU ...............................,...... CoIumnA,Unehbove <br /> <br />15. Miscellaneous Increases to Cash. ......... .... . . . . . . . . . . Schedule I, tine ot <br /> <br />16. CashpaymenU .................................... CoIumnA,UnerOabove <br /> <br />17. ENDING CASH BALANCE..... AddUnes rJ + rot + rs, then subtract Une r6 S <br /> <br />If this Is a term/Nt/on statement, Line , 7 must be zero. <br /> <br />2.b~b <br />. <br /> <br /> <br />g- <br /> <br />2~ <br /> <br />ENDING CASH IALANŒ SHOULD <br />NOT IE A NEGATIVE AMOUNT <br /> <br />18. LOAN GUARANTEES RECEIVED.............. Schedule B. Part I, Column (b) S <br /> <br />Cash Equivalents and Outstanding Debts <br />19. Cash EquivalenU ................................ See instructions on reverse S <br /> <br />20. Outstanding Debts.. .. .. .. .. .. .. ... Add LIne 2 + tine rr in Column C above S <br /> <br />. From previous Statement Summary Page, Column C. However. If <br />this is the first report flied for the calendar year, Column a should be <br />blank elCcept for LNns Received (LIne 2). Enforceable Promises (Line <br />6), Loans Made (Line 9), and Aurued Expenses (Line 11). <br /> <br />Summary for Candidates in Both June and <br />November Elections <br /> <br />711 to Date <br /> <br />21. ContribLltions S <br />Received. . . . <br /> <br />111 through 6130 <br /> <br />22. ~f3~d~~~.r.~~ S <br />