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Certificate of Limited Contributiens and Expenditures <br /> <br />Trea~u e~ 's N~lnw (Sf &flbrcnt than ~and~da~e L 7 cieph,me N umber <br /> <br />Mmhng Address as n Appear~ on Stakment of O~g~m!zatlon (>t¢cet, TOUk OF box 1}tallbcF. (17, bMOC, Z!p COd~ }, <br /> <br />the aggregate co~m~ibut~ons recel,, ed nor lite aggregate expen&tures made b> o~ on behalf of m) candidaq, o~ committee fo~ tlu5 <br />elcchon ~o ¢x~,xd S2,o00. t m~derst.md thai ii tl~e comnnn,-e cxcced~ $2.U00 m total centnbutK, n~, or exp~n&t~ire; dunng tl~c <br />elcctu-z,m ~Ltbbcqucnt detaded rcp,2its mu~t bc tiled <br /> <br /> d' 5i~nature of candidate or trcastacc Date <br /> <br /> If a candidate ol political comm:tkc EXPECTS ~o i~elther iccdve a total ol more ~ba2 SAOOO no~ >pend a total of :non: <br /> 52.000 lbr th.c enm'e eieo~on, a E crt~ficate of Lmnted C ontnNalons and Expcr~dm_tr¢5 m%, be flied Corotar!ecs may hlc th~ <br /> ccmikate v, hen riley oHgmal!y Ilk their Staemcnt of Orgamzation or during the first pfc-election r=pomng period A committee <br /> <br /> Wi~en e~ther thc to:a~ contributions o~ total cxt2~nd~tm c5 for mc elecuon e~,:eed $2.00O. detailed contnbano:~ and <br /> lcpo~s nmst be tiled, lh~ fi: ut deta~kd repo~ mttst bc filed fo~ Gc accou:mng pcrxod s~ v,'h~ch the committee exceeds SI,000 <br /> e~thcr otntnbuuon~ ot expeu&tu~c~ and mTst reflect all contnbuttons ani expend~t4re, to ,i2te Rcl~r to the Campat~n Finance <br /> Manual ~b~ ii~rthe~ rain matron <br /> <br /> Dead] m~ dates tot fihng a Cc~ nficate of L;mmM Contributions and Expen&tm'es or deta~1¢d cona ~bunola and expen&tm e repo~ ts <br /> MUST BE strictly obsen ed Under ORS 260 23A the Secretary of Start: may mmooe ~ cn'fi pcn~ky ag~,~nst a can&date or <br /> tree, surer fbr ghng a late or m~dffic:cn[ dem~led contribution and cxpen&turc report or Cemfica~e of LnmtCd Omtrtbtmons and <br /> <br /> FOR OFFICE USE ONLY <br /> <br /> <br />