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PC 1 Summary Stmement of Contributions and Expenditures .- Please type or print legibly in black ink. Page 2 of 2 Candidate or Political Commmee Name: Committee ID Number: [] Original [] Primary 20~ [] General 20~ [] Other [] Amendment [] 1st Pre-elect~on [] 2nd Pre-election [] Post-elect~on [] 20 September Supplemental LOAN 21 Begmmng Outstanding Loans FOR OFFICE USE ONLY (hne 29 of previous report) 22. Loans Received (Non-Exempt) + (hne 2) 23. Loans Received (Exempt) + (line 141 24. LOANS RECEIVED SUBTOTAL (lines 21 * 22 + 23) : 25. Loan Payments (Non-Exempt) (hne 7) 26. Loan Payments (Exempt) + (line 18) 27. Forgiven Loans (Total lomas forgwen during th~s accounting period) 28. LOAN PAYMENT SUBTOTAL (lines 25 + 26 +27) = 29. TOTAL OUTSTANDING LOANS (hne 24 m~nus hne 28) = PERSONAL EXPENDITURE SUMI~IARY 30. Beginning Outstanding Personal Expenditures (hne 36 ofprewous report) 31. Personal Expen&tures + (Accounting Period Total from PC 3Al 32. PERSONAL EXPENDITURE SUBTOTAL (hnes 30 + 31) 33. Personal Expenditure Reimbursements (Total expen&mres on PC 3 w~th pm'pob¢ code R) 34. Forgiven Personal Expenditures + (.Total personal expen&mres forgiven th~s acctg period) 35. REIMBURSEMENT SUBTOTAL (hnes 33 -~ 34) 36. OUTSTANDING PERSONAL EXPENDITURES = FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD 37. Ending Cash Balance (lme 20/ 38. Accounts Recmvable + (Accounting Period Total from PC 5) 39. SUBTOTAL (hnes 37 + 38) 40~ Total Outstanding Loans (hne 29) 41. Outstanding Personal Expenditures + {hne 36l 42. Accounts Payable + (Accounnng Period Total from PC 6) 43. SUBTOTAL (hnes 40 + 41 + 42 ) 44. BALANCE/DEFICIT ~/} (hne 39 minus hne 43 re&cate + or - balance) L .C~k/, ~._ '~J,~?~,~ (name of candidate or treasurer), hereby certify that the above statement and the attached supporting reports are true and correct. Signature of can&da'ie or treasurer Date signed