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PC I <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 Ntm-tber: <br />Kitty Piercy for Mayor I n/a <br />[~ Original [5~ Primary 2004 [~ General 20__ ~ Other __ <br />[~ Amendment [-] I st Pre-election E] 2nd Pre-election [] Post-election ~ 20__ September Supplemental <br /> LOAN SUMMARY FOR OFFICE USE ONLY <br />21. Beginning Outstanding Loans 15,000.00 <br />(line 29 ot previous report) <br />22. Loans Received (Non-Exempt) + 0.00 <br />(line 2~ <br />23. Loans Received (Exempt) + 0 00 <br />(bne 14~ <br />24. LOANS RECEIVED SUBTOTAL <br /> = 15,000.00 <br /> limes 21 + 22 + 23) <br />25. Loan Payments (Non-Exempt) 0 00 <br />(line 7) <br />26. Loan Payments (Exempt) + 0.00 <br />(line 18) <br />2T Forgiven Loans + 0.00 <br />(Total lo:ms forgiven during this accounting period) <br />28. LOAN PAYMENT SUBTOTAL <br /> = 0.00 <br /> (hnes 25 T 26 +27) <br />29. TOTAL OUTSTANDI[NG LOANS <br /> = 15,000 00 <br /> (hne 24 mmu~ hne 28t <br /> PERSONAL EXPENDITURE SUMMARY <br />30. Beginning Outstanding Personal Expenditures 0.00 <br /> time 3(> of pre¥~ous report) <br /> 31. Personal Expenditures + 0.00 <br /> (Accounnng Period Total from PC 3A) <br /> 32 PERSONAL EXPENDITURE SUBTOTAL <br /> = 0 O0 <br /> {lines 30 + 31) <br /> 33. Personal Expenditure Reimbursements 0.00 <br /> (Total expenditares 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 PERSiONAL EXPENDITURES <br /> = 0 00 <br /> {hnc 32 minus line 351 <br /> RNANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD <br /> 37 Ending Cash Balance 424 51 <br /> {line 20~ <br /> 38. Accounts Receivable + 0.00 <br /> (Accounting Permd Total fi'om PC 5} <br /> 39. SUBTOTAL = 424.5~ <br /> (hne.-, 37 * 38) <br /> 40. Total Outstanding Loans q 5,000.00 <br /> {line 29) <br /> 41. Outstanding Personal Expenditures + 0 00 <br /> (line 36) <br /> 42. Accounts Payable + 1,736.00 <br /> (Accounting Peliod Total t¥om PC 61 <br /> 43. SUBTOTAL = ~16,736 00 <br /> (lines 40 + 4t + 42) <br /> 44. BALANCE/DEFICIT = -~6,31~ 49 <br /> I me 39 minus line 43: indicate + or - balance) <br /> <br /> 1, C Michael Arnold, Attorney at Law (name of candidate or treasurer), hereby certi~' that 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 />