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PL l <br /> Summary Statement of Contributions an, Expenditures <br />Please type or print legibly in black ink. Page 2 of 2 <br />Candidate or Political Committee Name: Committee ID Nmnber: <br />K~tty Piercy for Mayor n/a <br />[] Ongmat [] Pr,mary 200_!4 [] General 20__ [] Other __ <br />[] Amendment [] 1st Pre-election [] 2nd Pre-election [~ Post-elecnol~ [] 20__ September Supplemental <br /> LOAN SUMMARY <br />21 Beginning Outstanding Loans FOR OFFICE USE ONLY <br />(line 29 of prex ious report) 15,000 00 <br />22. Loans Received (Non-Exempt) <br />(hnc 2~ + 0 00 <br />23. Loans Received (Exempt) + 0 00 <br />(hnc t4~ <br />24 LOANS RECEIVED SUBTOTAL <br />(l,ne,, 21 ~ 22 -~ 23) = 15,000 00 <br />25 Loan Payments (Non-Exempt) <br />{hnc 7) 0 00 <br />26, Loan PaTyments (Exempt) <br />(hne 18) + 0 00 <br />27 Forgiven Loans <br />(~lotai loan~ tbrgi~en during this accounting penodl + 0 00 <br />28. LOAN PAYMENT SUBTOTAL <br /> = 0 O0 <br />(hncs 25 + 26 +27~ <br />29. TOTAL OUTSTANDING LOANS <br /> = 15,000 O0 <br /> (lin~ 24 m~nus line 28~ <br /> PERSONAL EXPENDITURE SUMMARY <br />30. Beginning Outstanding Personal Expenditures 0 00 <br /> time 36 ofp~e~ lou~ report) <br />31 Personal Expenditures + 0 00 <br />{Accounnng Period Total from PC 3A) <br />32 PERSONAL EXPENDITURE SUBTOTAL <br /> = 0 O0 <br />(hnes 30 + 31) <br />33. Personal Expenditure Reimbursements 0 00 <br />( {oral expenditures on PC 3 ~ lth purpuse code R) <br />34. Forgiven Personal Expenditures + 0 00 <br />(Total personal expenditures torglvcn this acctg period) <br />35. REIMBURSEMENT SUBTOTAL <br /> = 0 00 <br />(lines 33 * 34~ <br />36 OUTSTANDING PERSONAL EXPENDITt~ES <br /> = 0.00 <br /> (line 32 minus line 35t <br /> FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD <br />37 Ending Cash Balance 424 51 <br />(line 20) <br />38. Accounts Recewable + 0 00 <br />{Accounting Period ~ oral from PC 5; <br />~_, SUBTOTAL <br /> = 424 51 <br />(hnc= 37 ~- 38/ <br />40, Total Outstanding Loan< <br />(line 29) 15,000 O0 <br />4[. Outstanding Personal Expenditures + 0 00 <br />(hne 30) <br /> 42. Accounts Payable + 1.736 00 <br /> t %cotmtmg Period 'lYtal irom PC o) <br /> 43. SUB]OffAL <br /> = 16,73600 <br /> times 40 ~ 41 + 42) <br /> 44. BALANCE/DEFiCIT <br /> = -16,311 49 <br /> (line 39 minus line 43 re&cate ~ or - balance; <br /> <br /> l, C M~chaet Amolci, Attorney at Law (name of candidate or treasurer}, hereby certi(y tha the above statement and the attached <br /> supporting reports are true and correct, <br /> <br /> S~gnature of candidate or treasurer Date signed <br /> <br /> <br />