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Summary Stat ,nent of Contributions and xpenditures <br />Please [ype o~' print legibly m black mk Page 2 r,f2 <br /> I C'omm~[~ec ID Number <br />Can&date or Pohu~al Com~umtte¢ Name: <br /> <br />~ On[real ~ Primary 20 E General 20 e:. ~ Other <br />~ Amendment ~ 1st Pre-clecuon ~ 2nd Pre-elccuor~ ~ Post-cdecuon ~ September Supplemental <br /> LOAN SU~ASY [OR OFFICE USE ONLY <br />2t. Beginning Outstanding Loans <br /> tTo~al Outstan&ng Loans from pfc5 bouq <br />22 Loans Rece~¥ed/Non-Exempt) + <br /> <br />23. Loan~ Received (Exempt) <br />(hnc 14; <br />24 LOANS ~CEiVED SUBTOTAL <br />(hne~ 21 - 22 n- 23; = <br />25, Loan Payments (Non-E:~empt) <br />( hn¢ 7 ) <br />26. Loan Pa)~entb (Exempt~ + <br /> <br />27 Forgiven Loans <br /> (Total lomas forg~x en during th~ accoanung per:od} <br />28 LOAN PAYMENT SUBTOT_~ <br /> ~hnes 25 + 26 .27} <br />29. TOTAL OUTSTANDING LOANS <br /> dine 24 minus hne <br /> PE~$ONAk EXPENDiTUrE SUmmArY <br />30. Be[tatung Omstandmg Personal Expen&tures <br /> (hue 36 ct pre~ ~ou~, <br />31 Per~on.d Expenditures <br /> (Accotmtmg Period Total hum PC 3A~ <br /> 32. PERSONAL EXPENDITU~ SUBTOTAL <br /> (hncs 30 -- 31; <br /> 33 Personal Erpen&mre Rem~bursemcnts <br /> (Total expendittu'es on PC 3 with purpose codz R} <br /> 34. Forg~,~en Pelsonal E rpendnm'es + <br /> {Total personal cxpend~tmes k,rg~cn lh~5 2c~ tg penod} <br /> 35 ~IMBURSEMENT SUBTOTAL <br /> (hae~ 33 + 34/ <br /> 36 OUTSTANDLNG PERSONAL EXPENDITU~S <br /> <line 32 minus linc 35~ <br /> FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD <br /> ~,~ Ending Cash Bahmce <br /> /hne 20) - ~ <br /> 3~ Accounts Rece~vabte + <br /> (Accounung P~r~od 7oral from PC 5~ <br /> 39. SUBTOTAL <br /> Cmos 37 -~ 3~ <br /> 40 ToLd Outstanding Loans <br /> (hne 29} <br /> 4i Outstanding Personal Expendl[ures <br /> (linc 3o) <br /> 42. Accounts Payable <br /> (A~.counung Period ToLd from PC 6~ <br /> 43 SUBTOTAL = <br /> <br /> 44 BALANCE/DEFICIT <br /> (hnc 39 minus hne 45 re&cate ~ c4 - balance) <br /> <br /> f. (name of candidate or tres_surcr,h hereby comfy that the abux e <br /> staten'lent and the attached supporting reports nrc true and coprect. <br /> <br /> Signature of can&date or treasurei Date signed <br /> <br /> <br />