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Schedule A Type or print in Ink. SCHEDULE A <br />Moneta Contributions Received Amounts may be rounded <br />ry to whole dollars. statement covers period ~ <br />~ ~ <br />~ <br /> ~i~,a 3 <br />from ~ - <br />~ <br /> ^~, <br />~ ~ ~~/ /~`~ <br />f <br />SEE INSTRUCTIONS ON REVERSE <br />through <br />Page o <br />NAME OF FILER ~ ~~ ~~ ~~ <br />r-~~~~~s 6~ - I.D. BERG ~J/ <br />//J / <br />~~ FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER <br />OCCUPATION AND EMPLOYER AMOUNT <br />RECEIVED THIS CUMULATIVE TO DATE <br />CALENDAR YEAR PER ELECTION <br />TO DATE <br />RECEIVED (IFCOMMITTEE, ALSO ENTER I.O.NUMSER) CODE + QF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. t -DEC. 37) (IF REQUIRED) <br /> oFSUSa+ESSt <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 />Schedule 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 Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ <br />'Contributor Codes <br />IND -Individual <br />COM -Recipient Committee <br />(other than PTY or SCC) <br />OTH -Other <br />PTY - Pditical Party <br />SCC -Small Contributor Committee <br />FPPC Fonn 460 (June/01) <br />FPPC Toll-Free Helpline: 866/ASK-FPPC <br />