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PC Summary atement of Contributions a d Expenditures Please type or print legibly in black ink. Page 2 of 2 Candidate or Pohtlcal ColpnTllttee Name: Committee ID Number: []Onginat ~ Prima~ 20 ¢ ~ [] General 20 [] Other ~Amendment ~ 1st Pre-elecnon [] 2nd Pre-elecnon [] Post-elecnon [] 20 September Supplemental LOAN SUMMARY FOR OFFICE USE ONLY 21. Beginning Our. standing Loans (hne 29 ofprevtous report) 22. Loans Recmved {Non-Exempt) + (hne 2) cf O O 23 Loans Received (Exempt) (line !4) + O 24. LOANS RECEIVED SUBTOTAL (lines 21 + 22 + 23) = '4 © 0 25 Loan Payments (Non-Exempt) t line 75 ~ 0 0 26. Loan Payments (Exempt) (hne 18) + 27. Forgiven Loans + (Total loans forgiven dunng this accounting penod) 28, LOAN PAYMENT SUBTOTAL (Imes 25 ~- 26 +27) = t~ ~ O 29. TOTAL OUTSTANDING LOANS (line 24 minus line 28) = PERSONAL EXPENDITURE SUMMARY 30,Beginmng Outstanding Personal Expenditures (hne 36 of previous report) 31. Personal Expenditures + (Accounting Period Total from PC 3A) 32. PERSONAL EXPENDITURE SUBTOTAL (!k~es 30 + 31) = 33. Personal Expen&ture Reunbm'sements (Total expenchtures on PC 3 ,vlth purpose code R) 34. Forgiven Personal Expen&mres + (Total personal expenditures forgiven this acctg period) 35 REIMBLrRSENPENT SUBTOTAL {lines 33 -e 34) = 36. OUTSTANDD{G PERSONAL EXPENDITUtLES = FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOB 3% Ending Cash Balance (hne20) ~; ?~, 5-0 38. Accounts Recmvable + (Accounting Period Total from PC 5) 39. SUBTOTAL ~lines 37 + 38i = 40. Total Outstanding Loans (hne 2% 41. Outstanding Personal Expen&tures + ~ 'r~ ~}" (line 36) l:.,~,~ · 42. Accounts Payable + ] / 5 3 7~ 7 '~ (Accountmg Penod Total from PC 6} 6i'~[ Y I2~ !L~(5 43. SUBTOTAL (lines 40 + 41 + 42) 44. BALANCE/DEFICIT '*5 7 {hne 39 minus line 43. mchcate ~ or - balance) ~'/ ~ statement and tke attached suppomng r:ports ~e m_re and correct. Signature of can&date or treasurer D_4:e 3:~r. ea