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PC <br /> Cash Contributions, Loans Received and n-Kind <br />Candidate or Political Committee Name: Committee ID Number: <br />Nancy Nathanson for Mayor Page 1~0 of 1~8 <br /> <br />Election: [] Primary 2004 [] General 2004 [] Other __ <br />Report: [] I st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental <br /> <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 Committee (includes business and union PACs) CO Cosigner Obligation <br /> F Candidate's Immediate Family (includes candidate) -[K tn-Kind <br /> 1 Individual LR Loan Received <br /> L Labor Organization <br /> O Other <br /> P Political Party Committee <br /> Amount of ln-Ktnd Purpose <br /> Line ¢¢ Name and Address of Contributor <br /> Contribution (see manual for suggested purpose codes) <br /> Occupational Information, Contributing Contributor Code ? I Code 2 <br /> Date Received Committee's tD¢~, or Description If Code 1 is ~0~ Aggregate <br /> <br /> Stephame Cormor <br /> I 4040 Sunndge Dr $ 1000 00 <br /> Eugene OR 97405 <br /> <br /> 516104 hotel owner $ 1000.00 I CA <br /> <br /> Klm Godfrey <br /> 2. 27 W. 5th Ave. $ 100.00 <br /> Eugene OR 97401 <br /> 517/04 restaurant manager $ 100 00 I CA <br /> <br /> Lloyd Helikson <br /> 3 2440 Suncrest Ave $ 40.00 <br /> Eugene OR 97405 <br /> <br /> 5/7104 attorney $ 100 00 <br /> CA <br /> <br /> Carolyn M Gates <br /> 4 2530 H~ghland Oaks Dr $ 100 00 <br /> Eugene OR 97405 <br /> <br /> 5/7/04 fine artist $ 100.00 I CA <br /> <br /> J~m Torrey <br /> 5~ 3593 Riverpointe Dr $ 100.00 <br /> Eugene OR 97408 <br /> <br /> 5/7~04 CEO, outdoor advertising $ 100 00 <br /> CA <br /> <br /> See Page Totals (Add all arr~ounts with the same Accounting Period Totals (Complete only for last page and <br /> contribution type. Do not include aggregates.) transfer these amounts to the Summary StatemenL PC <br /> <br /> on Back and Cash (CA) $1340.00 Cash (CA) $ ~ <br /> ~11 Canlpa~girl Enter on Stanmao Statement, Cokmm A, Linc 1 <br /> Finance la-Kind (IK) $ ~- ha-Kind (iK) $ __ <br /> ~/~[811ual Enter on Sammy, Statement Co,turin A~ Lraeq 4 a~d <br /> <br /> Loans Received (LR~ $ Loans Received (LR) $ _ <br /> PC 2 Enter un Smnmary Stmement, Cottflml A Line 2 <br /> <br /> <br />