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Summary Statement of Contributions and Expenditures- <br />Please bpe or p~mt lug~bly iix black u-ftc " P~agc 1 of 2 <br />Can&date or Polmcal Commmee Name {use full name} <br /> <br />Ma!hng Address as ~t Appears on Statement of Orgamzatmn (sxeet, route or box number, c~U', state, zzp code) <br /> <br /> TdepJxone Number {day}, <br /> <br />Comnn~ee iD Number: Co~rn~ee Type, Measure Number or Office <br /> <br />.[] Original E] P . ,ary 20__ <br />~ Amendment -~ 1st Pre-elecnon ~ 2nd Pre-elecnon ~ Post-electmn ~ 20~ September Supplemental <br /> A-TOTALS FOR THIS ~CUMULAT]VE TOTALS <br /> ACCOUNTING PERIOD FOR THIS ELECTION <br /> CONTRIBUTIONS <br />1 Cash Conmbutmns <br /> { Accounting Period Tutal from PC 2) <br />2 Loans Received (Nun-Exempt) + / + <br /> / Accounting Period Total flora PC 2 <br />3 Total Cash Contnbunons = <br /> <br />4 In-Kind + + <br /> (Accounting Period Total ~rom PC 2) <br />5 TOTAL CONI~BUTIONS <br /> {lines 3 + 4) ~ - ' <br /> EXPENBITURES <br />O Cash Expen&mres <br /> (Account,nc Period Total from PC 3) <br />7 Loan Payments (Non-Exempt) + ~ + <br /> (Accountm~ Period Total from PC 3) <br />8 Total Cash Expert&tufts = <br /> <br /> (Accounnn~ Period Total from PC2) <br /> 10 TOTAL EXPENDITURES = <br /> <br /> CASH BALANCE <br /> 11. Bcglrmlng Cash Balance <br /> [hnc 20 ofprevmus report> ~i 7 ~ '~ ' ¢ FOR OFFICE UgE ONLY <br /> <br />12 Total Contnbunons + <br /> ~ hne 5 ~ <br />13 Othex Receipts + <br /> (Accounting Pcr~od Total flora PC 4-~) <br />14 Loans Received (Excmp[~ + <br /> ( Accounting Period Total from PC 4 ~ ) <br /> 15 CONTRIBUTION SL'BTOTAL = <br /> <br /> 17 Od:er Disbursements + <br /> (Accounup~ Pc~od I'otal ~¥om PC 48) <br /> 1S. Loan Payments (Exempt) <br /> ~Accounung Period Total from PC 4B} <br /> 19 EXPENDITURE SUBTOTAL <br /> /hncsio- 17 ~ lS~ <br /> <br /> <br />