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Stamment <br /> of <br /> Contributions <br /> ..urnma, y anu Expenditures <br /> Please type or print legibly in black ink. Page 2 o1'2 <br />Candidate or Political Committee Name: I Committee iD Nmnber: <br />Kitty Piercy for Mayor t alu <br /> [] Original [~] Primary 200_4 [] General 20__ E~ Other <br /> [] Amendment ~ 1st Pre-election [] 2nd Pre-election [] Post-election [] 20__ September Supplemental <br /> LOAN SUMMARY <br />2t Beginning Outstanding Loans FOR OFFICE USE ONLY <br />(line 29 of previous report) 0.00 <br />22. Loans Received (Non-Exempt) <br />(line 2) + 15,000 00 <br />23 Loans Received (Exempt) <br />(hne 14) + 0 00 <br />24. LOANS RECEIVED SUBTOTAL <br />fhnes 21 + 22 + 23) = 15 000 00 <br />25 Loan Payments (Non-Exempt) <br />(linc 7) 0 00 <br />26 Loan Payments (Exempt) <br />dine t8) + 0 00 <br />27. Forgiven Loans <br />(Total loans fbrglven during this accounting period) + 0 00 <br />28. LOAN PAYMENT SUBTOTAL <br />(lines 25 + 2t) *-2% = 15,000 00 <br />29. TOTAL OUTSTANDING LOANS <br />(line 24 minus linc 28) = 15,000 00 <br /> PERSONAL EXPENDITURE SUMMARY <br />30~ Beginning Outstanding Personal Expen&tures <br /> (line 36 ofprewous report) 0 00 <br />31. Personal Expenditures <br />(Accounting Period Total from PC 3A) + 0 00 <br />32. PERSONAL EXPENDITURE SUBTOTAL <br />(hncs 30 4 3I} = 0 00 <br />33. Personal Expenditure Reimbursements <br />('l oral cxpenchtures on PC 3 ~ ith purpose code R) 0 00 <br />34 Forgiven Personal Expenditures <br />(Total personal expenditures.forgiven this acc(g, period) + 0 00 <br />35 REIMBURSEMENT SUBTOTAL <br /> (lines 33 + 34; = 0 00 <br />36. OU STANDING PERSONAL EXPENDITURES <br /> thnc 32 minus hn~ 35) = 0 00 <br /> <br /> FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD <br />37 Ending Cash Balance <br />(line 20) 12,245.42 <br />38. Accounts Receivable <br /> + 0.00 <br />(Accounting Period Total f?om PC 5) <br />39. SUBTOTAL <br />( hne_-, 37 + 38) = 12,245 42 <br />40, Total Outstanding Loans <br />(hn¢ 29) 15,000 00 <br />4l Outstanding Personal Expenditures R. E C ~ '%''~ ~ i V r~!~i <br />(line 36) ~ + 0 00 <br />42. Accounts Payable ~ ,'~- ''~ ~ <br />I_Accountmg Period Total/rom PC 6I + 0 00 ~ '" '~ ~' <br />43. SUBTOTAL <br />(imc~ 40 + 4l ¢ 42) <br />44. BALANCE/DEFICIT <br /> = -2~754 58 <br />(line 39 minus line 43' indicate ¢ or -balancet <br /> <br />I. 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 />S~gnature of candidate or treasurer Date signed <br /> <br /> <br />