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PC Summary atement of Contributions d Expenditures Please type or pnnt legibly in black ink. Page 2 of 2 Candidate or Polmcal Committee Name. Comnnttee ID Number. [~1 Original [~Primary 20° 4 [] General 20__ [] Other [~Amendment [] 1st Pre-election [~/2nd Pre-elecnon [] Post-clecnon [] 20__ September Supplemental LOAN SUMMARY 21. Begmmng Outstanding Loans FOR OFFICE USE ONLY (hne 29 ofprewous report) 22 Loans Received (Non-Exempt) (line 2~ + 23. Loans Rece~,/ed (Exempt} 4hnc 14) + 24. LOANS RECEIVED SUBTOTAL lhnes 2t + 22 + 23) = 25 Loan Payments (Non-Exempt) (line 7) 26. Loan Payments (Exempt) (line I8) + 2Z Forgiven Loans (7 oral loans forg~ en during tins accounting period) + 28, LOAN PAYMENT SUBTOTAL (lines 25 + 26 +27) = 29. TOTAL OUTSTANDING LOANS (hne 24 minus hnc 28) = PERSONAL EXPENDITURE SUMMARY 30. Bcginmng Outstan&ng Personal Expenditures Ihne 36 ofpre¥~ous report) 31 PersonatExpendlmres {Accounting Period Total from PC 3A) 32, PERSONAL EXPENDITURE SUBTOq[AL (lines 30 + 31) = 33, Personal Expenditure Reimbursements (Total expen&tures on PC 3 with purpose code R) 34. Forgiven Personal Expenditures + (Total personal expenditures forgiven th~s acctg, period) 35. REIMBURSEMENT SUBTOTAL ehnes 33 + 34) = 36. OUTSTANDING PERSONAL EXPENDITURES = FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD 37. Ending Cash Balance thne 20) ~Z c( ~7 ~ 2*7 38. Accounts Recmvable + t. Account~ng Period Total from PC 5) 39. SUBTOTAL (hnes 37 + 38) = 40. Total Outstanding Loans (hue 29) 41, Outstanding Personal Expen&tures + (hne 36) 42. Accounts Payable + (Accounting Period Total fiom PC 6) 2~ . 43. SUBTOTAL (hnes 40 + 41 +42) 44. BALANCE/DEFICIT , (hne 39 mmu~ hne 43: ~n&cate* or- balance) = ~ ~' ~'~ ~ ~ ~/9 ,) I, ~ ¢~ C-~,_ c4 ~ ~C ~ c~ 5 e c~ (name of candidate or treasurer), hereby cemfy that the above statement and the attached supporting reports are true and correct. £ Signature of candidate or treasurer Date s~gned