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PC <br /> Summary Statement of Contributions and Expenditures <br />Please type or pnnt legibly in black mk Page 2 of 2 <br />Can&date or Polmcal Corrmnttee Name Comnmtee ID Numbe~ <br />Andrea Orbz for City Council NIA <br />[] Original ~ Pr,mary 20 04 [] Oenera! 20 [] Other <br />~ Amendment [] 1st Pre-elect,on [] 2nd Pre-election ~ Post-election [] 20 September Supplemental <br /> LOAN SUMMARY <br />21 Beginning Outstanding Loans FOR OFFICE USE ONLY <br />(line 29 of previous report) 745.00 <br />22. Loans Rece,ved (Non-Exempt) <br />(line 2) + 200.00 <br />23. Loans Received (Exempt) <br />(line 14) + 0.00 <br />24 LOANS RECEIVED SUBTOTAL <br /> (lines 21 + 22 + 23) = 945 00 <br />25 Loan Payments (.Non-Exempt) <br />(line 7) 200.00 <br />26 Loan Payments ~xempt) <br />(line 18) + 0.00 <br />27 Forg,ven Loans <br />(Total loans forgiven during this accounting period) + 0.00 <br />28 LOAN PAYMENT SUBTOTAL <br />(lines 25 + 26 +27) = 200.00 <br />29. TOTAL OUTSTANDING LOANS <br />(line 24 minus hne 28) = 745.00 <br /> PERSONAL EXPENDITURE SUMMARY <br />30 Beg,nmng Outstan&ng Personal Expen&mres <br /> (line 36 of previous repoil) 0.00 <br />31 Personal Expenditures <br />(Accounting Period Total from PC 3A) + 0.00 <br />32 PERSONAL EXPENDITLPfd~ SLFBTOTAL <br />(lines 30 + 31) = 0.00 <br />33. Personal Expen&ture Rmmbursements <br />(.Total expenditures on PC 3 with purpose code R) 0.00 <br />34 Forgiven Personal Expert&rares <br /> + 0.00 <br />(Total personal expendCures forgiven this acctg, period) <br />35 RE[lvlBURSEMENT SUBTOTAL <br />(lines 33 + 34) = 0.00 <br />36. OUTSTANDING PERSONAL EXPENDITURES <br />(,line 32 minus line 35) = 0.00 <br /> FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD <br />37 En&ngCash Balance <br /> (line 20) 21 0 87 <br />38 Accounts Recmvable <br />(Accounting Penod Total ,rom PC 5) + 0.00 <br />39 SUBTOTAL <br />(lines 37 ~- 38) = 210.87 <br />40. Total Outstan&ng Loans <br />(line 29 ) 745.00 <br />41 Outstan&ng Personal Expen&tures <br /> (hne 36) + 0.00 <br />42 Accounts PavaNe <br /> (Accounting Period Total from PC 6) + 0.00 <br />43 SUBTOTAL <br /> (lines 40 + 41 + 42) = 745.00 <br />44 BALANCE/DEFICIT <br /> = -534.13 <br /> (.line 39 ncnnus line 43 in&cate -~ or - balance) <br /> <br />l, Vi;;¢, ., .,, ~i, -¥,~,.~' ~'~ _ ,~.; ~ ~ ~ ~,.I ' ~* (name of candidate o? treas~r~)~ hereb-~ cemfy that the above <br />statement and the attached supporfmg repons are true and correct <br />S,gnature of' can&date 9f-tr'~asur-er Date s,~ned <br /> <br /> <br />