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Please type or print legibly ~n black ~ Page 2 of 2 <br />Candidate~~~or Political Co~r~i~ee~.~ ~e: ~~ ~~ [ Com~fi~ee ID N~ber: <br />~riginal 1 ~Pr,ma~ 20 ~ General 20 ~ ~ ~ Other <br /> mendment ~ 1st Pre-election ~ 2nd Pre-election ~ Post-election ~ 20 ~eptember Supplemental <br /> LOAN <br />21. Begin(rig Outstanding Lo~s FOR OFFICE USE ONLY <br />(line 29 ofpre~ious repo~) <br />22. Lo~s Received (Non-Exempt) <br />dhe 2~ + ~ 0.00 <br />23. Lo~s Received (Exempt) <br />(line t4~ + ~ 0.00 <br />24. LOANS RECEIVED SUBTOTAL = / 0.00 <br />(lines 21 + 22 + 23} <br />25. Loan Payments {Non-Exempt) <br /> {line 7) ~ 0.00 <br />26. Loan Payments (Exempt) <br />(INe 18) + ~ 0.00 <br />27. Forgiven Loans <br />{Total loa~ forgiven during this accountNg p~riod} + <br />28. LOAN PAYMENT SUBTOTAL <br />(lNes 25 + 26 +27) <br />29. TOT~ OUTSTANDING LOANS <br />(line 24 minus hne 28} = / 0.00 <br /> <br /> P~SONAL ~XPEND~T~E $~A~Y <br />30. Beginning Omst~ding Personal Expenditures <br /> (line 36 ofpre~,~ous repo~) <br />3 L Personal Expenditures + <br />{AccoumNg Period Total ~om PC 3A} <br />32. PERSONAL EXPENDITURE SUBTOTAL <br />dines 30' 31) = ~ 0~00 <br />33. Personal Expenditure Reimbursements <br />(Total expendkures on PC 3 ~ith pu~ose code R} <br />34. Forgiven Personal Ex~nditures + <br />(Total personal expenditures lbrgi~en this acctg, period) <br />35. ~[~URSE~NT SgBTOT~ = ~ 0.00 <br /> {lines 33 + 34) <br />36. OUTST~D~'G PERSON~ <br /> = <br /> CNe 32 ~ns 1Ne 35) <br /> RNANC~AL STAT~S AT CLOSE OF ACCO~NT}NG <br /> 37. dineEnding Cash Balance20) <br /> 38. Accounts Receivable <br /> + <br /> (Accounting Period Total Nora PC 5) <br /> 39. SUBTOTAL <br /> (1Nes 37 + 38) <br /> 40 Total Outstanding Loans <br /> (line 2% <br /> 41. Outstanding Personal Expenditures + <br /> <br /> 42. Accounts Payable + <br /> (Accounting Period Total ~Oln PC 6) <br /> <br /> (l~es 40 + 41 + 42) = <br /> 44. BALANCE/DEFICIT = 2% 5 ~$ 0.00 <br /> (hne 39 minus line 43' indicate + or - balance) <br /> <br /> statement ~d the a~ched sup~i~ repo~s are true and co~ect. <br /> 8 ~lre c~d'd~,o trea~ Date signed <br /> <br /> <br />