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PC Summary .atement of Contributions Expenditures Please type or print leg,Ny in black mk. Page 1 of 2 Candidate or PohUcal Corem,tree Name (use full name): Mailing Address as ]t Appears on Statement of Orgamzation (street, route or box number, c]ty, state, z]p code). Treasurer's Name:w Co~mlttee ID NumbeF. Co~]ttee T~pe, ~e~suFe N~bez 0[ [] Original ~Pnmary 20~ [] General 20 [] Other [] Amendmem [] 1st Pre-elect~on [~J 2nd Pre-elect~on [] Post-elect, on [] 20__ September Supplemental A-TOTALS FOR THIS B-CUMULATIVE TOTALS ACCOUNTING PERIOD FOR THIS ELECTION CONTRIBUTIONS 1 Cash Contributions (Accounting Period Total from PC 2) ~ "5 .Z O ~ [ '70 2 Loans Received (Non-Exempt) + + (Account,ng Period Total t¥om PC 2) 3. TotalCash Contributions (lines t+ 2) = 4 In-Kind + ~: /o'f./. ;Y + (Accounting Per,od Total from PC 2) 5 TOTAL CONTI~ABUTIONS EXPENDITURES 6. Cash Expen&tures (Account,ng Period Total from PC 3) 7. Loan Payments(Non-Exempt) + + (Account,ng Per,od Total from PC 3) ~o 0 8 Total Cash Expenditures (hnes 6+ 7) 9 lm-K~nd tAccount,ng Period Total from PC 2) + 10. TOTAL EXPENDITURES dines 8 + 9) = CASH BALANCE 11. Beginning Cash Balance (line 20 ofprev,ous report) 5'_/ ~7 5'(~ ~8 FOR OFFICE USE ONLY 12. Total Contributions {line 5) + 13. Other Receipts + (Accounting Period Total from PC 4A) 14. Loans Received (Exempt) + (Account,ng Period Total from PC 4At 15. CONTRIBUTION SUBTOTAL (hnes 1i + 12 + 13 + I4) = 16. Total Expen&tures (line 10) 17. Other Disbursements + (AccounUng Period Total from PC 4B) 18 Loan Payments (Exempt) + (Accounting Period Total from PC 4B) 19. EXPENDITURE SUBTOTAL 20. ENDING CASH BALANCE (hne 15 minus line t9)