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PC 2 <br /> Cash Contributions, Loans Received and n-Kind <br />Candidate or Political Commattee Name: Comrmttee ID Number' <br />Nancy Nathanson for Mayor Page 1_9_0 of 1__8_8 <br /> <br />Election: [] Primary 200_44 [] General 200_~4 [] Other <br />Report: [] 1st Pre-election [] 2nd Pre-election [] Post-electron E~ September Supplemental <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> <br /> CODE 1: Contributor Type CODE 2: Contribution Type <br /> B Business Entity CA Cash <br /> C Political Cornmattee (includes business and umon PACs) CO Cosigner Obliganon <br /> F Can&date's Immediate Family (includes can&date) IK In-Kmd <br /> I lndlwdual LR Loan Received <br /> L Labor Organ/zatlon <br /> O Other <br /> P Pohtmal Party Conm~ittee <br /> <br /> Amount of In-Kind Purpose <br /> Line ¢¢ Name and Address of Contributor <br /> Contribution (see manual for suggested purpose codes) <br /> Occupational Information, Contributing Contributor <br /> Date Received Committee's ID¢C, or Description if Code I is "0" Aggregate Code 1 , Code 2 <br /> Galina Groza <br /> 1. 1778 Sylvan Street $ 250.00 <br /> Eugene OR, OR 97403 <br /> <br /> 3114104 Retired $ 250.00 I CA <br /> <br /> Dorothy Anderson <br /> 2. 939 E. 21 st Ave, $ 100.00 <br /> Eugene OR, OR 97405 <br /> <br /> 3/16/04 Homemaker $ 100.00 I <br /> CA <br /> <br /> Richard Forrest <br /> 3. 1011 McKinley Street $ 50.0 00 <br /> Eugene, OR 97402 <br /> <br /> 3/17/04 Paint Compnay Executive $ 50,0.00 I CA <br /> <br /> Jack Courtemanche <br /> 4 2154 K~mberly Circle $ 100.00 <br /> Eugene OR, OR 97405 <br /> <br /> 3/17104 Retired $ 100.00 <br /> CA <br /> <br /> Industrial Source <br /> 5. PO Box 2330 $ 1000.00 <br /> Eugene OR, OR 97402 <br /> <br /> 3/17/04 $ 1000.00 B CA <br /> <br /> See Page TotaLs (Add all amounts with the same Accounting Period Totals (Complete only for last page and <br /> <br /> Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) <br /> <br /> on Back and Cash (CA) $1950.00 Cash (CA) $ <br /> in Campaign Enter on Sumnkary Statement, Coltmm A, Line 1 <br /> Finance In-Kind (IK) $ 0 00 In-K~nd (IK) $ <br /> Marltlal Enter on Stmwaary Statement, Coltmm A, Lines 4 and 9 <br /> <br /> Loans Received (LR) $ 000 Loans Received (LR) $ <br /> PC 2 Enter on Summary Statement, Colunm A, Line 2 <br /> <br /> <br />