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PC 2 Amendment <br /> Amendments-Cash Contributions, Loans Received and In-Kind <br /> <br />Candidate or Political Committee Name: Committee 1D Number: <br />Nancy Nathanson for Mayor Page 2 of 5 <br /> <br />Election: [] Primary 200_~4 [] General 20__ [] Other __ <br />Report: [] 1 st Pre-election [] 2nd Pre-election [] Post-election [] 20__ September Supplemental <br /> <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <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) IK In-Kind <br />l Individual LR Loan Received <br />L Labor Organization <br />O Other <br />P Political Party. Committee <br />Amending Page # Name and Address of Contributor Amount of In-Kind Purpose <br />and Duo # Contribution (see manual for suggested purpose codes) <br /> Occupational Informatlon or Contributor Code 1 I Code 2 <br /> Date Received Contributing Committee's lDO Aggregate <br /> <br />Page._: ~-- Line ~ Divine & Hammer <br />[] New Entry 855 Lincoln St $ 200 00 <br />[] Correcting <br />[] Deletm9 Eugene OR 97401 <br /> <br /> 5/7/04 $ 200 00 B CA <br /> <br />Page Line Chuck's Service Center <br /> [] New Entry 2852 Wdlamette St $ 100.00 <br /> [] Correcting <br /> [~ Deleting Eugene OR 97401 <br /> <br /> 5/7/04 $ 100.00 B CA <br /> <br /> Page_'~ Urge (' Chambers Construction <br /> [] NewEntry 2285 Coburg Rd Suitt 100 $ 1,000 00 <br /> [] Correcting <br /> [] Deleting Eugene OR 97401 <br /> <br /> 5/7/04 $ 1,000~00 B I <br /> CA <br /> <br /> Page ?'-- Line '-__~ Triad Good Government Fund <br /> [] New Entry 5800 Tennyson Pkwy $ 1,000.00 <br /> [] Correcting <br /> [] Deleting Piano TX 75024 <br /> <br /> 5/10/04 $ 1,000 00 B CA <br /> <br /> Page _~ Line 5 The Ulum Group <br /> [] New Entry 941 Oak St. $ 250 00 <br /> [] Correcting <br /> [] Deleting Eugene OR 97401 <br /> <br /> 5/10/04 $ 350 00 B I <br /> CA <br /> I <br /> <br /> See FOR OFFICE USE ONLY <br /> instructions V .... ~ -~ <br /> on Back and ~ ; , ~. ,,, ¢ , ?, ,-~., <br /> in Campaign <br /> Finance ~ Signature of candidate or treasurer <br /> Manual <br /> <br /> PC 2 ': <br /> Amendment Date signed <br /> <br /> <br />