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PC 2 <br /> Cash Contributions, Loans Received and In-Kind <br />Candidate or Political Committee Name: Committee ID Number: <br />Nancy Nathanson for Mayor Pa~ze 14 of 18 <br /> <br />Election: [] Primary 200_44 [] General 2004 [] Other <br />Report: [] I st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental <br /> <br />SEE BACK FOR INSTRUCTIONS AND CODE DEF[NI, TIIONS <br /> <br /> CODE 11: 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} tK in-Kind <br /> I Individual LR Loan Received <br /> L Labor Organization <br /> 0 Other <br /> P Political Par~. Committee <br /> Amount of In-g~nd Purpose <br /> Line # Name and Address of Contributor <br /> Contribution (see manual for suggested purpose codes) <br /> <br /> Date Recewed Occupattonal Information, Contributtng Contributor Code 1 Code 2 <br /> Commtttee's IDt¢, or Descnption ff Code l¢s "0~ Aggregate <br /> <br /> Gene Gustafson <br /> 1, 207 Chimney Rock Ln $ 100.00 <br /> Eugene OR 97404 <br /> <br /> 5112104 retired $ 100.00 I CA <br /> <br /> Charles Roffe <br /> 2 3355 N Delta Hwy #121 $ 100 00 <br /> Eugene OR 97408 <br /> <br /> 5112104 banker $ 100.00 I CA <br /> <br /> Gary Pape <br /> 3. 1180 Lorella $ 100.00 <br /> Eugene OR 97401 <br /> <br /> 5/12~04 attorney $ 100.00 [ CA <br /> <br /> H. W Kdz <br /> 4. 2095 Lakeview Dr $ 250.00 <br /> Eugene OR 97408 <br /> <br /> 5/12/04 health system manager $ 250 00 I CA <br /> <br /> Jean Tate <br /> 5 5008 Blanton Rd $ 100 00 <br /> Eugene OR 97405 <br /> <br /> 5/12/04 rebred $ 100 00 I CA <br /> <br /> See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only lbr last page and <br /> contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC <br /> Instructions <br /> on Back and Cash (CA) $ 65000 Cash (CA) $ __ <br /> in Campaign Enter on Stmm~a~' Statement. Coltmm A, Line <br /> Finance In-Kind (IK) $ ~ In-Kind (IK) $ __ <br /> ~all tla~ Enter on Sttmmary Statement, Column A~ Lines 4 and <br /> <br /> Loans Received (LR) $ Loans Received (LR) $ __ <br /> PC 2 Enter on Stmnnar5 Statement, Colmnn A Line 2 <br /> <br /> <br />