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Summary Statement of Contributions and Expenditures <br />Please ~,'pe or print legibly In black u~ Page 1 of <br />Can&date or Pohncal Comml~ee Name (u? thll nnme) <br /> <br />Marl;ns Address as it Appea~s' on Statement of Orgamzation (street, route or box number, c~, state, zip code)' <br /> <br />%easurer's Name -~-. / / Telephone Number (day~: <br />Conmntte~ ID Number. Co:~:ee Type. Measure Number or Office <br /> <br />~ Original ~ Primary 20__ ~ General 20~'~ ~ Other ~ <br />~ ~mendment ~ i st Pre-eIecnon ~ 2nd Pre-elecnon ~ Post-elecuon ~ 20__ Sept=tuber Supplemental <br /> A-TOTALS FOR ~ HIS ~CUMULATIVE TOTALS <br /> ACCOUNTING PERIOD FOR TH~S ELECT~O~ <br /> CONTRI~UTi0N8 <br />i, Cash Conmounons <br /> (Accounun~ Period Total from PC 2) '~/ / <br />2 Loans Received (Non-Exempt~ + ~ + / <br /> iAccounting Period Total from PC 2) <br />3 Total Cash Contnbutmns = 0..- <br /> <br />4 I n- Kind : <br /> (Acco~ntmg Period Tokai i~om PC 2~ ( ' + <br />~ TOTAL COS'H~BUTIONS <br /> <br /> EXPEnDiTURES <br />o CashEspen&~res ~ X5* ~5- <br /> tAccommng Period Total fi-om PC 3} * '~ ~ ~ <br />7 Loan Payments tNon-ExempU ¢ ~_~ + <br /> (Accounung Period Tmal from PC 3) <br />8. To~al Cash Expen&m~es <br /> <br />9 ln-K;nd + ]- + <br /> (Accoantmg Period Total fiom PC 2) C <br />I0 TOTAL EXPENDITUI~S = ~ ~ = <br /> <br /> CASH BALANCE <br />11 Begriming Cash Balance <br /> (hne 20 oFp~ev~ous report) ~; 7/~ % ~ FOR OFFIG[ USE ONLY <br />12 TotalConmbutmns + <br /> (hne 5 ) <br />lo OtherRece~pts + : rt ~ ...... <br /> (Accounting Period Total hon! PC -tA ) ~' <br />I4 Loans Retraced (Exempt) + <br /> (Accounting Period Total fi om PC ,4A) ~ ~ <br />15 CONTRIBUTION SUBTOTAL = _<~ <br /> <br />16. Total Expert&rufus : ~4~ <br />17 Other D~sbursement3 + <br /> (Accounting Pc~md Tora~ lrom PC 4E) <br />1S Loan Payments (ExempO + <br />~Accountmg Per,oa Total from PC 4B) [¢ ~ <br />19 EXPE%DITUP~ SUBTOTAL = <br />(hncs l~, * 17 ~ IS) <br /> <br /> <br />