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PC 1 <br /> Summary Statement of Contributions and Expenditures Re, <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 2004 [] Other ~ <br />[] Amendment [] I st Pre-election [] 2nd Pre-election [] Post-election [] 20__ September Supplemental <br /> LOAN SUMMARY <br />21. Beginning Outstanding Loans FOR OFFICE USE ONLY <br />(line 29 of previous report) 17,000.00 <br />22. Loans Received (Non-Exempt) <br />(line 2) + 0 00 <br />23. Loans Received (Exempt) <br />(line 14) + 0 00 <br />24. LOANS RECEIVED SUBTOTAL <br /> = 17,000.00 <br /> (hnes 21 + 22 + 23) <br />25. Loan Payments (Non-Exempt) <br />(hne 7) 13,7t59 87 <br />26. Loan Payments (Exempt) <br />(line 18) + 0.00 <br />27. Forgiven Loans <br /> + 0 00 <br />(Total loans forgiven dunng this accounting period) <br />28. LOAN PAYMENT SUBTOTAL <br />(hnes 25 + 26 +27) = 13,7159 87 <br />29. TOTAL OUTSTANDING LOANS <br />(line 24 minus line 28) = 3,230 13 <br /> <br /> PERSONAL EXPENDITURE SUMMARY <br />30. Beginning Outstanding Personal Expenditures 0 00 <br /> (line 36 of previous report) <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 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 />(lines 33 + 34) <br />36. OUTSTANDING PERSONAL EXPENDITURES <br /> = 0.00 <br /> (line 32 minus line 35) <br /> FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD <br />37. Ending Cash Balance <br />(line 20) 2,000 00 <br />38. Accounts Receivable + 0.00 <br />(Accounting Period Total from PC 5) <br />39. SUBTOTAL <br /> = 2,000 00 <br />(lines 37 + 38) <br />40. Total Outstanding Loans <br />(line 29) 3,230.13 RECEIVED <br />41. Outstanding Personal Expenditures + 0.00 <br />(hne36) NOV 3 0 2004 <br />42. Accounts Payable + 0 00 <br />(Accounting Period Total from PC 6) <br />43. SUBTOTAL CITY RECORDER <br />(lines 40 + 41 + 42) = 3,230 13 <br /> 44. BALANCE/DEFICIT = <br /> (line 39 minus line 43: indicate + or - balance) -1,230.13 <br /> <br /> I, C M~¢hael 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 />