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Summary ,mtement of Contributions a,Jd Expenditures <br /> Plca,,c type o~ p~ mt Icgd*ly m black mk, <br />Canddatc o~ Polihcal Commdtce Name (usc fifll name). <br /> <br />Marling Ad&bss as ~I Appcms on Statement of( hgam/almn (q~ccl, ~outc or box ri,tuber, c~ty, stale, zq~ code) <br /> <br /> ]'lca~urcFs Name' Tclephone Number (day). <br /> <br /> A('('OUN [ lNG PERIOD FOR '[ HIS ELEC'[ <br /> CONTBIBUTIONS <br />i Cash Cold~]bul~ons <br /> (Ac~mmtmg fel:ud ~ oral flora PC 2) <br />Z hx.:s Rccei~ed (Non-Exempt) + + <br /> (Accounting Period Total flora PC 2) <br />3. Total Cash Contributions <br /> (hncs { t 2) = = - <br />4, ln-Kmd <br /> + + <br /> (Accounting Period q oral tion: f'(' 2) <br />5. TOTAL CONTRH{UTIONS <br /> (hncs 3 i 4J <br /> EXPEHD]TUHES <br />6 t'ash Fxpcnd:tmcs <br /> (Ao:ouhtmg Period It)Iai lmm PC 3) <br />7. Loan Payments (Nond;xcmpt~ + 4 <br /> (Accounlmg Peered l'otal flora PC 3) <br /> Total Cash Expcmhtures = = <br /> <br />9 In-Kind <br /> + <br /> (Accmmimg Period Total ~?om PC 2) <br /> 10.TO FAL EXPENDITURES <br /> ~hncs 8; 9) <br /> CASH BALANCE <br /> 1 l Begmmng Cash Balance <br /> (Fndmg Cash Bak.:ce thm~ p,cv.,us ~c'po:t) ; FOR OFFICE USE ONLY <br /> 12 '[ O(a[ Contributions * <br /> + <br /> Omc 5) <br /> 13. (}thor Recc:pts + <br /> ( Accounting Pe:md 'l oral from PC 4A) <br /> 14. Ioans I{ccc~ed (l{xcmpt) + <br /> (Accounting Permd [ oral lh.n PC <br /> 15 CONTRIBUTION SUBIOTAL <br /> (hnesl[ + 12 ~ 134 14) <br /> <br />17 Other D~sburscments <br /> + <br /> (Accou,tmg Permd R~tal flora PC 4B) <br />18 [ o,m Paymenls (Exempt) + <br /> <br /> I9 EXPI~NI)ITURI: SUBTOTAL . Lxkj. <br /> <br /> (l,neq 16 ~ I 7 * <br /> <br /> 20ENDING CASll BALANCE <br /> ii:nc 15 mm::~ linc <br /> <br /> <br />