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PC 2 <br /> Cash Contributions, Loans Received and In-Kind Rev 12/01 <br /> <br />Can&date or Pohttcal Comrmttee Name: Comrmttee ID Number: <br />Nancy Nathanson for Mayor Page 14 of 1___8 <br /> <br />Election: [] Primary 2004 [] General 2004 [] Other ~ <br />Report. [] 1 st Pre-election [] 2nd Pre-election [] Post-electron [] September Supplemental <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> <br /> CODE 1: Contributor Type CODE 2: Contribution Type <br /> B Business Entzty CA Cash <br /> C Pohtmal Comrmttee (includes business and union PACs) CO Cosigner Obhgatmn <br /> F Candidate's Immediate Family (includes candidate) IK In-Kind <br /> I In&wdual LR Loan Received <br /> L Labor Orgamzatmn <br /> O Other <br /> P Poht~cal Party Comnmtee <br /> <br /> Amount of In-Kind Purpose <br /> Dne # Name and Address of Contributor <br /> Contribution (see manual for suggested purpose codes) <br /> <br /> Date Received Occupational Information, Contributing Contributor Code 1 Code 2 <br /> Committee's IDf¢, or Description ¢f Code ~ is "O" Aggregate <br /> <br /> Tim Kelly <br /> 1. 1220 Fir Acres Dr. $ 500.00 <br /> Eugene OR 97401 <br /> <br /> 4~22~04 Recreation Vehicle Dealer $ 500.00 I CA <br /> <br /> Kay Toolsen <br /> 2. 87180 Oakdale Dr. $ 500.00 <br /> Eugene OR 97402 <br /> <br /> 4~22~04 owner, RV manufacturer $ 500.00 I CA <br /> <br /> Steven J. Ward <br /> 3 84434 Pheasant Ln $ 300.00 <br /> Pleasant Hill OR 97455 <br /> <br /> 4/22/04 insurance agent $ 300.00 I CA <br /> <br /> Sharree Strausbaugh <br /> 4. 3642 River Pointe Dr. $ 250.00 <br /> Eugene OR 97408 <br /> <br /> 4~22~04 auto repair $ 250.00 I CA <br /> <br /> Rohn Roberts <br /> 5. 1234 Crenshaw Rd. $ 250.00 <br /> Eugene OR 97401 <br /> <br /> 4~22~04 attorney $ 250.00 I CA <br /> <br /> See Page Totals (Add all amounts w~th the same Accounting Period Totals (Complete only for last page and <br /> Instructions contnbutmn type. Do not include aggregates.) transfer these amounts to the Stm2nary Statement, PC 1.) <br /> <br /> on Back and Cash (CA) $1800.00 Cash (CA) $ __ <br /> in Campaign Enter on Sunm~ary Statement, Coltmm A, Lme 1 <br /> Finance In-Kind (IK) $ __ In-Kind (IK) $ __ <br /> mannal Enter on Sunm~ary Statement, Coltm'al A, Lines 4 and 9 <br /> <br /> Loans Received (LR) $ __ Loans Received (LR) $ __ <br /> PC 2 Enter on Sthmmary Statement, Colunm A, Line 2 <br /> <br /> <br />