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Schedule A <br />Type or print in Ink. <br />SCHEDULE A <br />nnmums wa uu ~uwwoa <br />one ry on n u tons ecetve <br />Statement covers period <br />to whole dollars. • <br /> from <br />SEE INSTR th <br />h /y /~ //O ~ <br />UCTIONS ON REVERSE roug Page of <br />NAME OF FILER I.D. NUMBER <br /> <br /> <br />DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDNIDUAL, ENTER AMWNT CUMULATIVE TO DATE PER ELECTION <br />RECEIVED eF rAMNIrTEEN50EmERLO. RUMeeRI <br />CODE + OCCUPATION AND EMPLOYER <br />' RECEIVED THIS CALENDAR YEAR TO DATE <br /> Ea ~~~~ <br />prSEls-FA1PLm PERIOD <br />(JAN. 1 -DEC. 31) <br />(IF REQUIRED) <br /> oFeu~rE5e1 <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 /> ^IND <br /> ^COM <br /> ^OTH <br /> ^ PTY <br /> ^SCC <br /> ^IND <br /> ^COM <br /> ^OTH <br /> ^ PTY <br /> ^SCC <br />SUBTOTALS <br />SChetlUle A Summary <br />1. Amount received this period - contributions of $100 or more. <br />(Include all Schedule A subtotals.) ........................................................................................................ $ <br />2. Amount received this period - unitemized contributions of less than $100 ............................................. $ <br />3. Total monetary contributions received this period. <br />(Add Llnes 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ ~_ <br />'Contributor Codes <br />IND-Individual <br />COM -Recipient Commlltea <br />(other than PTY or SCC) <br />OTH -Other <br />PTY-Pdilical Pady <br />SCC-Small Contributor Committee <br />FPPC form 460 (June107) <br />FPPC Toll-Free Helpline: 866/ASK-FPPC <br />