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PC 2 <br /> Cash Contributions, Loans Received and in-Kind <br /> <br />Can&date or Polmcal Committee Name: Committee ID Number: <br />Nancy Nathanson for Mayor Page 16 of 18 <br /> <br />Electron. [] Primary 200_4 [~ General 2004 [~] Other __ <br />Report. [] l st Pre-electron [] 2nd Pre-electron [] Post-electron [] September Supplemental <br /> <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> <br /> CODE ~t: Contributor Type CODE 2: Contribution Type <br /> B Bus~ness Ennty CA Cash <br /> C Polmcal Comrmttee (includes business and umon PACs) CO Cosigner Obhgatmn <br /> F Can&date's Immedmte Farmly (includes candidate) IK In-Kind <br /> I In&wdual LR Loan Received <br /> L Labor Organizatmn <br /> O Other <br /> P Polmcal Party Comrmttee <br /> Amount of In-I~'nd Purpose <br /> bne # Name and Address of Contr~butor <br /> Contribution (see manual for suggested purpose codes) <br /> Occupational <br /> Information, <br /> Contributing <br /> Contributor <br /> Code 1 I Code 2 <br /> Date Received Committee's IDg, or Descnptton if Code ~ is "0" Aggregate <br /> <br /> Jack Roberts <br /> 1. 2330 Park Grove Rd. $ 500.00 <br /> Eugene OR 97408 <br /> <br /> 4~22/04 director, Lane Metro Partnership $ 500,00 I CA <br /> <br /> Wi~ham Martin <br /> 2 1165 E 21st St. $ 10000 <br /> Eugene OR 97403 <br /> <br /> 4~22~04 attorney $ 100.00 I CA <br /> <br /> Glenn Munro <br /> 3 1976 Garden Ave $ 250.00 <br /> Eugene OR 97403 <br /> <br /> 4~22/04 accountant $ 250 00 I CA <br /> <br /> Richard Briggs <br /> 4. 80 W. 23rd Ave $ 100.00 <br /> Eugene OR 97405 <br /> <br /> 4~23/04 retired $ 100.00 I <br /> CA <br /> <br /> He~d~ Pollack <br /> 5. 1478 Willamette St. $ 100.00 <br /> Eugene OR 97401 <br /> 4~23~04 insurance agent $ 100.00 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 contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement~ PC 1.) <br /> <br /> on Back and Cash (CA) $1050.00 Cash (CA) $ <br /> in Campaign Enter on Summary Statement, Colurrm A, Line <br /> Finance In-Kind (IL) $ ~ In-Kind (IL) $ __ <br /> Manual Enter on Stmwnary Statement, Colunm A, Lines 4 and 9 <br /> <br /> Loans Recmved (LR) $ - Loans Received (LR) $ ~ <br /> PC 2 Enter on Summary Statement, Coltmm A, L~nc 2 <br /> <br /> <br />