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i <br /> I <br /> Schedule C Type or print In Ink. SCHEDULE C <br /> Amounts may be rounded Statement covers perfod <br /> Nonmonetary Contributions Received to whole dollars. � ' � � � <br /> from �� / D3 • " <br />� through �°� `3 � page� of� <br /> SEE INSTRUCTIONS ON REVERSE I.D.NUMBER <br /> NAME OF F�LER � <br /> co ��..,��.� .� ��.�� ��-�a.,��. �'� �.,��� � y o��� <br />� TION OF AMOUNT/ CUMUDATE E TO pER ELECTION <br /> IF AN INDIVIDUAL,ENTER DESCRIP <br />� DATE FULL NAME,STREET ADDRESS AND CONTRIBUTOR OCCUPATION AND EMPLOYER FAIR MARKET TO DATE <br /> F ZIP CODE OF CONTRIBUTOR CODE * GOODS OR SERVICES CALENDAR YEAR (IF REQUIRED) <br /> RECEIVED QF SELF-EMPLOVEO,ENTER VALUE ��AN 1-DEC 31) <br />� (IF COMMITTEE,ALSO ENTEft I.D.NUMBER) NAME OF BUSINESS) <br /> f"` �I�D Q-(��Q��S l. p J' .j <br /> �p/ �u ��e_.✓i n�e }-v'�er ❑coM `^-� �-�o � �,' /o-ZOoa `� .� <br /> j �`O ` pPTY P`7�rna.�Q �"dK�s �l\Q-r0.,sd <br />� ��woA �y0�� ❑scc Gr <br /> I ( �i'v,ti �3o�r�-n�e.-{-} o oM Co ust o t w�ev+�.�r Ca,..��..t 'f� a 7 <br /> ��I � � ❑oni CK ��.Se�S a1.1��� 029� <br /> ❑PrY C�� e '�-Qe9.wee� p <br /> (L.,e�u�oq� C� C�+9��G3 ❑scc �� <br /> ❑IND <br /> ❑COM <br /> ❑OTH <br /> ❑PTY <br /> ❑SCC <br /> �IND <br /> ❑COM <br /> ❑OTH <br /> ❑PTY <br /> ❑SCC <br /> Attach add�fional information on appropriately labeled continuation sheets SUBTOTAL S t���•(v� # N 4 , , <br /> 'Contributor Codes <br /> Schedule C Summary IND—Individual <br /> 1. Amount received this period-nonmonetary contributions of$100 or more. t.� �Q',47 coM-Rec�pient comminee <br /> (Include all Schedule C subtotals.).....................................................................................................................$ (other than PTY or SCC) <br /> OTH—Other <br /> 2. Amount received this period-unitemized nonmonetary contributions of less than$100 ....................................$ pTY—Polifical Party <br /> SCC—Small ConVibutor Committee <br /> 3. Total nonmonetary contributions received this period. ��g;(07 <br /> (Add Lines 1 and 2. Enter here and on the Summary Page,Column A, Lines 4 and 10.) ......................TOTAL $ <br /> FPPC Form 460 (June/01) <br /> FPPC Toll-Free Helpline: 866/ASK-FPPC <br />