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Summary Statement of Contributions and Expenditures <br />Please type or print legibly in black ink. Page 2 of 2 <br />Candidate or Political Committee Name: Committee ID Number: <br />Kitty Piercy for Mayor n/a <br />[] Original []] Primary 20_ [] General 200_E []] Other _ <br />[] Amendment [] 1st Pre-election [] 2nd Pre-election [] Post-election [] 20__ September Supplemental <br /> LOAN SUMMARY FOR OFFICE USE ONLY <br />21. Beginning Outstanding Loans <br />thne 29 of previous report) 15,000 00 <br />22. Loans Received (Non-Exempt) <br />(hne 2) + 2.000 O0 <br />23. Loans Received {Exempt) + 0.00 <br />(line [4) <br />24. LOANS RECE1VED SUBTOTAL <br /> = 17,000 O0 <br /> (hne~ 21 4 '~n + <br /> _~ 23) <br />25. Loan Payments (Non-Exempt) 0 00 <br />(line 7} <br />26. Loan Payments (Exempt) + 0 00 <br />(line 18) <br />27, Forgiven Loans + 0.00 <br />(Total loans forgiven during this accounting period) <br />28. LOAN PAYMENT SUBTOTAL <br /> = 0 00 <br />(lines 25 + 26 +27) <br />29. TOTAL OUTSTANDING LOANS <br /> = 17,000 O0 <br /> (line 24 minus line 28) <br /> PERSONAL EXPENDITURE SUMMARY <br />30. Beginning Outstanding Personal -Expenditures 0 00 <br /> (line 3o of previous [epon) <br />31. Personal Expenditures + 0.00 <br /> {Accounting Period Total from PC 3A) <br />32. PERSONAL EXPENDITURE SUBTOTAL <br /> = 0 00 <br />(lines 30 + 31 ) <br />33. Personal Expenditure Reimb,~sements 0.00 <br />{Total expenditures on PC 3 t~th pu~ose code R) <br />34. Forgiven Personal Expenditures + 0 00 <br />(Total personal expenditures £orgN en this acctg period) <br /> 35. REIMBURSEMENT SUBTOTAL <br /> = 0 O0 <br /> (lines 33 + 34) <br /> 36. OUTSTANDING PERSONAL EXPENDITU~S <br /> = 0 O0 <br /> (line 32 minus line 35) <br /> FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD <br /> 37. Ending Cash Balance 12,490.12 <br /> (line 20~ <br /> 38. Accounts Receivable + 0 00 <br /> (Accounting Period Total fi'om PC' 5) <br /> 39. SUBTOTAL : 12,490A2 <br /> (lines 37 * 38~ <br /> 40. Total Outstanding Loans 17,000.00 <br /> (line 2% <br /> 41. Outstanding Personal Expenditures + 0.00 <br /> Ihn¢ 36) <br /> 42. Accounts Payable + 0.00 <br /> tAccountmg Period Total from PC 6 / <br /> 43. SUBTOTAL : 17,000 00 <br /> dines 40 + 4l + 42) <br /> 44, BALANCE/DEFICIT = -4,509 88 <br /> {llnc 39 minus line 43' indicate ¢ or - balance) <br /> <br /> l, C Michael Arnold (name of candidate or treasurer), hereby certify that the above statement and the attached supporting reports <br /> are true and correct. <br /> <br /> Signature of candidate or treasurer Date signed <br /> <br /> <br />