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Jtement Contdb t]ons oummary Please .type or pnnr legibly m black ip&. Page 2 of' 2 Candidate or Political Committee Name: I Corcmaittee ID Number: ~r-~,~ to..-- 52~<-- <~,4-% [~1 Original [~Primary 20 r2 ,.~ [] General 20 [] Other ~Amendment [] Ist Pre-election ~2nd Pre-election [] Post-electzon [] 20 September Supplemental LOAN SUMMARY 21. Beginning Outstanding Loans FOR OFFICE USE ONLY (line 29 of previous report) 22. Loans Recmved (Non-Exempt) (tine 23 + 23. Loans Received (Exempt) (hne 14) + 24. LOANS RECEIVED SUBTOTAL (hnes 21 + 22 + 23) = 25. Loan Payments (Non-Exempt) (line 7) 26 Loan Payments (Exempt) (line 18) + 27. Forgiven Loans (Total loans forgiven during th~s accounting period) + 28. LOAN PAYMENT SUBTOTAL (hnes 25 + 26 +27) = 29. TOTAL OUTSTANDING LOANS tline 24 minus line 28) = PERSONAL EXPENDITURE SUMMARY 30. Begmming Outstanding Personal Expenditures (line 36 of previous report) 31. Personal Expenditures (Accounnng Period Total from PC 3A) 32. PERSONAL EXPENDITURE SUBTOTAL (hnes 30 + 31) = 33. Personal Expenditure Reimbursements (Total expenditures on PC 3 with purpose code R} -- 34. Forgiven Personal Expenditures ITotal personal expenditures forgiven th~s acctg, period) 35. RELMBURSEMENT SUBTOTAL (lines 33 * 34~ 36. OUTSTANDING PERSONAL EXPENDITURES = FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD 37. Ending Cash Balance (line 20) 38. Accounts Receivable tAccountmg Period Total from PC 5) + 39. SUBTOTAL (lines 37 ~- 38) = 40. Total Outstanding Loans (line 29) 41. Outstanding Personal Expenditures (line 36) + 42. Accounts Payable (Accounting Period Total from PC 6) + 43. SUBTOTAL (hnes 40 + 41 +42) = 44. (line 39 minus hne 43. md~cate + or- balance) = I, /~14#'~-e~ fl. ~r'/'~/~$ov-- (na~neofcandidateortreasurer).herebycert~fythatrheabove statement and the attached supporting reports are tree and correct. Signature of ca/nd~date or treasurer Date signed