Tom Slocum for City Council - Laserfiche WebLink

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PC1 Please ~e or print legibly in black i~. Page 2 of 2 C~didate or Political Com~i~ee Name: I Com~mi~ee ID Number: gh;al ~2fima~ 20~ ~ General 20 ~ Other mendment ~1 st Pre-election ~ 2nd Pre-election ~ Post-election ~ 20~ September Supplemental LOA~ SUmmArY 21. Begi~ng Ou[stand~g Loans ~ F~ ~F~CE USE ONLY {1/ne 29 of previous repo~) 22. Lomqs Received (Non-Exempt) (line 2) + 23. Lo~s ReceB'ed (Exempt) (hne 14'~ + 24. LOANS P~CEIVED SL~TOTAL (lines 21 * 22 + 23) = 25. Loan P%ments ~on-Exempt) (line 7) 26. Loan Payments (Exempt) thne 18) + 27. Forgiven Loans (Tomt lomns forgiven d~ng th~s accounting period) + 28. LOAN PAYMENT SUBTOTAL (lines 25 + 26 *2% = 29. TOTAL OUTSTANDING LOANS {line 24 m~nus hne 28) = PE~$0NAL EXPENDITU~E 30. Beginnine Outstanding Personal Expenditures (hne 36 of~rc~, ious repo~) 31. Personal Expenditures (Accoun6ng Period Total from PC 3A} + 32 PERSONAL EXPENDITU~ SL~TOTAL (lines 30 * 31 ~ = 33. Personal Expenditure Reimbursements (Total expen&~es on PC 3 w~h p~pose code R 34. Forgiven Pemonal Ex~ndit~es (Total per~nal expenditures fbrgP,'en this acctg, period) + 35. R~E~4BURSEMENT SUBTOT.~ I1Nes 33 + 3% 36. OUTSTANDING PE~ON~ E~ENDITU~S = FINANCIAL STAT~$ AT CLOSE OF ACCOUnTInG PER~OD 38. Accounts Receivable (Accocmfing Period Total from PC 5) + 39. SUBTOTAL = (lhnes 37 4 38) 40. Total Oumtanding Loans {hne 2% 41~ Outstanding Personal Expendit~es (line 36) + 4Z Accounts Payable (Accounting Period lomI from PC 6} + (lines 40 + 41 * 42) = 44. BALANCE[DEFICIT (line 39 minus ~ine 43: indicate * or - bal~ce) = I, ~ (~ q ~ ~[OC *~ t~5 (name of c~ndidate or ~eas~xe0, here-by c~ni¢ ~al the above statemept and the atta~d s~N~g repons are ~e ~d co~ect. Signature of candidate or treas~er Date signed