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PC <br /> Summary Statement of Contributions and Expenditures <br />Please type or print legibly in black imk Page 2 of 2 <br />Candidate or Political Committee Name: I Cormnittee ID Number: <br />Nancy Nathanson for Mayor <br />[_~,Original [] Primao' 2004 [] General 200_~4 [] Other _ _ <br />~Amendment [] 1st Pre-e[ection [] 2nd Pre-election [] Post-election [ii] Sepmmber Supplemental <br /> LOAN SUMMARY <br /> FOR OFFICE USE ONLY <br />2 l. Beginning Outstanding Loans <br />{Total Outstanding Loans from previous report) 0 00 <br />22. Loans Received (Non-Exempt) <br />(line 2l + 0.00 <br />23. Loans Received (Exempt) <br />(line t4l + 0.00 <br />24. LOANS RECEIVED SUBTOTAL <br />dines 21 + 22 + 23) = 0.00 <br />25. Loan Payments ~on-Exempt) <br />(line 7) 0.00 <br />26. Loan Payments (Exempt} <br />(line t81 + 0 00 <br />27. Forgiven Loans + <br />(Total loans forgiYen during this accounting period} <br />28. LOA-N PAYMENT SUBTOTAL <br />(lines 25 + 26 *27) = 0~00 <br />29. TOTAL OUTSTANDING LOANS <br /> = 0.00 <br /> (line 24 minus line 28) <br /> PERSONAL EXPENDITURE SU~It~ARY <br />30. Beginning Outstanding Personal Expenditures 0.00 <br /> (line 36 of previous report) <br />31. Personal Expenditures + 47.30 <br />(Accounting Period Total from PC 3Al <br />32. PERSONAL EXPENDITURE SUBTOTAL <br /> = 47 30 <br />{lines 30 + 31 } <br />3A Personal Expenditure Reimbursements 47 30 <br />(Total expenditures on PC 3 with purpose code R) <br />34. Forgiven Personal Expenditures + 0.00 <br />(Total personal expendilures forgiven this acctg, period) <br />35~ REIMBURSEMENT SUBTOTAL <br /> = 47.30 <br />(lin~ 33 4- 34} <br />36. OUTSTANDING PERSONAL EXPENDITURES <br /> = 0.00 <br /> (line 32 minus tine <br /> FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD <br />37. Endk~g Cash Balance 19019.00 <br />{line 20) <br />38. Accounts Receivable + 0.00 <br />(Accounting Period Total from PC 5) <br />39. SUBTOTAL <br /> = 19019.00 <br />(lines 37 + 38) <br />40. Total Outstanding Loans 0.00 <br />(line 2% <br />41. O~tstanding Personal Expenditures + 0.00 <br />{line <br />42. Accounts Payable + 0.00 <br />l, Accouming Period Total from PC 6} <br />43. SUBTOTAL = 19019.00 <br />{lines 40 * 41 + 42) <br />44. BALANCE/DEFICIT <br /> = 19019.00 <br />dine 39 minus line 43: indicate -~ or - balance) <br /> <br /> l, Steve Robip~son (name of candidate or treasurer), hereby certify that the above statement and hhe attached supporting reports <br /> are trne and correct. <br /> <br /> Signature of candidate or treasurer Date signed <br /> <br /> <br />