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PC 2 <br /> Cash Contributions, Loans Received and In-Kind <br /> <br />Candidate or Political Committee Name: Conm~ittee ID Number: <br />Tom Slocum for City Council Page ~ of'_5 <br /> <br />Election: [] Pr/mary 2004 [] General 20__ [] Other __ <br />Report: [] 1 st Pre-elect~on [] 2nd Pre-election [] Post-election [~ 20__ September Supplemental <br /> <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> CODE 1: Contributor Type CODE 2: Contribution Type <br /> B Busmess Entity CA Cash <br /> C Political Committee (includes business and tmion PACs) CO Cosigner Obligation <br /> F Candidate's hnmediate Family (includes candidate) IK In-Kind <br /> I Individual LR Loan Received <br /> L Labor Organization <br /> O Other <br /> P Political Party Committee <br /> <br /> Amount of tn-Kind Purpose <br /> Line # Name and Address of Contributor Contribution (see manual for suggested purpose codes) <br /> <br /> Occupational Information or Contributor Code ~/ I Code 2 <br /> Date Received Contributing Committee's ID# Aggregate <br /> <br /> David W. Sohm <br /> 1. 720 Mountain View Drive $ 1100.00 <br /> Eugene, OR 97401 <br /> 04/15~04 Real Estate Appnaser $ 100.00 I CA <br /> <br /> John L. Scott Real Estate <br /> 2. 201 East 13th Ave $ 100.00 <br /> Eugene, OR 97401 <br /> <br /> 04/15/04 Real Estate Brokerage $ 100.00 B <br /> CA <br /> <br /> W. L Schultz <br /> 3. 2490 Lawrence $ '100.00 <br /> Eugene, OR 97405 <br /> 04~26~04 retired $ 100.00 I CA <br /> <br /> Gus Keller <br /> 4. 2942 Flintrock $ 100.00 <br /> Eugene, OR 97408 <br /> <br /> 04123104 Stock Broker $ 100.00 I <br /> CA <br /> <br /> Bill Elliott <br /> 5. 580 Taney Street $ 100.00 <br /> Eugene, OR 97402 <br /> 04~26~04 Real Estate Broker $ 100.00 I CA <br /> <br /> See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and <br /> [nstmcnons contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC <br /> <br /> on Back and Cash (CA) $ 500.00 Cash (CA) $ 3,150.00 <br /> ~n Calnpalgn Enter on SmranaE¢ Statement Colunm A. <br /> Finance <br /> Manual In-K~nd {IK) $ 0.00 In-Kind (IK) $ <br /> Fnter on S~nm~q~ Statement, £ olu~rm A. Lmeb 4 and 9 <br /> <br /> PC 2 Loans Received (LR} $ 0.00 Loans Received (LR~ $ 0.00 <br /> Enter on Sunttllary Statement. (otunm A, Line 2 <br /> <br /> <br />