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PC <br /> Summary Statement of Contributions Expenditures <br />Please ~vpe 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 2004 C] Other __ <br />[] Amendment [] 1st Pre-election [] 2nd Pre-election [] Post-election [~ 20__ September Supplemental <br /> LOAN SUMMARY <br />21. Beginning Outstanding Loans FOR OFF~CE USE ONLY <br />(line 29 of previous reportl 17,000.00 <br />22. Loans Received (Non-Exempt) <br />(Fine 2) + 0 00 <br />23. Loans Received (Exempt) <br />(line 14) + 0.00 <br />24. LOANS RECEIVED SUBTOTAL <br />(lines 21 * 22 + 23) = 17,000 00 <br />25. Loan Payments (Non-Exempt) <br />(tine 7) 0.00 <br />26. Loan Payments (Exempt) + 0 00 <br />{line 18) <br />27. Forgiven Loans <br /> + 0.00 <br />(Total loans forgiven dunng th~s accounting period) <br />28. LOAN PAYMENT SUBTOTAL <br />(hncs 25 + 26 +27) = 0.00 <br />29. TOTAL OUTSTANDING LOANS <br />{line 24 minus line 28) = 17,000 00 <br /> <br /> PERSONAL EXPENDITURE SUMMARY <br />30. Beginning Outstanding Personal Expenditures 0.00 <br /> t line 36 of previous report) <br />3 l. Personal Expenditures + 0.00 <br />(Accounnng Period Total from PC 3Al <br />32. PERSONAL EXPENDITURE SUBTOTAL <br /> = 0 00 <br />(lines 30 + 31 t <br />33. Personal Expenditure Reimbursements 0.00 <br />(Total expenditures on PC 3 with purpose code R) <br />34. Forgiven Personal Expenditures + 0.00 <br />(Total personal expenditures forgiven this acctg period) <br />35. REIMBURSEMENT SUBTOTAL <br /> = 0.00 <br />(hues 33 ~- 34) <br />3& OUTSTANDING PERSONAL EXPENDITURES <br /> = 0.00 <br /> (hue 32 minus line 35) <br /> FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD <br /> 37 Ending Cash Balance i4,644.87 <br /> { hue 20) <br />38. Accounts Receivable <br /> + 0 00 <br /> (Accounting Period Total from PC 5) <br /> 39. SUBTOTAL = ~4,~44 87 <br /> (hnes 37 + 38~ <br />40. Total Outstanding Loans ~7,000 00 <br />tline 29) <br />41. Outstanding Personal Expenditures + 0 00 <br />thne 36) <br />42. Accounts Payable + 0.00 <br />{Accounting Period Total from PC 6} <br />43. SUBTOTAL = '~7,000 00 <br />(lines 40 + 41 + 42t <br /> 44. BALANCE/DEFICIT = <br /> (line 39 minus tine 43. red,cate + or - balance) -2,35& ~ 3 <br /> <br /> I, C. M~ch@o} 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 />