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PCI <br /> Summary Statement of Contributions and E×penditures <br />Please type or print legibly in black ink. Page 2 of 2 <br />Candidate or Political Committee Name: [ Committee lD Number: <br />Elect Maurie Denner <br />[] Original [~ Primary 20_0_4 [] General 20 [] Other <br />~ Amendment [~ 1st Pre-election [~ 2nd Pre-election [~ Post-election [~ 200~4 September Supplemental <br /> LOAN SUI~II~IARY FOR OFFICE USE ONLY <br />21. Beginning Outstanding Loans <br />(line 29 of previous report} 800.00 <br />22. Loans Received (Non-Exemph <br />(line 2l + <br />23. Loans Received (Exempt} <br />(line t4) + 0.00 <br />24, LOANS RECEIVED SUBTOTAL <br /> = 800.00 <br /> dines 2t + 22 + <br />25. Loan Payments (Non-Exempt) <br />{line *0 0.00 <br />26. Loan Payments (Exempt) <br />{hne 18) + 0.00 <br />27. Forgiven Loans <br />(To~al loans tbrgiven dnrmg this accounting period} + 0,00 <br />28~ LOAN PAYMENT SUBTOTAL <br />(lines 25 + 26 '27) = 0,00 <br />29. TOTAL OUTSTANDING LOANS <br />(line 24 minus line 28l = 800,00 <br /> <br /> PERSONAL EXPENDITURE SUMMARY <br />30. Beginning Outstanding Personal Expenditures 100.48 <br /> {line 36 of previous report) <br />31. Personal Expenditures + 0.00 <br />tAccounting Period Total from PC <br />3Z PERSONAL EXPENDITURE SUBTOTAL <br /> = 100.48 <br />(lines 30 ~- 31) <br />33. Personal Expenditure Reimbursements 0 00 <br />(Total expenditures on PC 3 wid3 purpose code R) <br />34. Forgiven Personal Expenditures + 0,00 <br />(Total personal expenditures tbrgiven this acctg, period) <br />35. REIMBURSEMENT SUBTOTAL <br /> = 0 00 <br />{lines 33 + 34) <br />36. OUTSTANDING PERSONAL EXPENDITURES <br /> = 100 48 <br />{line 32 minus line 35) <br /> FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD <br /> 37. Ending Cash Balance 216.57 <br /> lithe 20) <br /> 38. Accotmts Receivable + 0 00 <br /> /Accommng Period Total from PC 5 } <br /> 39, SUBTOTAL = 216.57 <br /> {lines 37 + 38) <br /> 40. Total Outstanding Loans 800,00 <br /> (line 2% <br /> 41, Outstanding Personal Expenditures + 100 48 <br /> (line 36 I <br /> 42. Accounts Payable + 6 25 <br /> tAccounnng Period Iota{ from PC 6) <br /> 43. SUBTOTAL <br /> = 906.73 <br /> (hnes 40 + 41 + 42~ <br /> 44~ BALANCE/DEFICIT <br /> = -890.16 <br /> ¢line 39 minus tine 43' indicate + or - balancel <br /> <br /> i, Mark Donner (name of candidate or treasureD, hereby certify that the above statement and the attached supporting reports are <br /> true and con'ect. <br /> <br /> Si~e of cm~didate or treasurer Date signed <br /> <br /> <br />