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Summary dtatement of Contributions and Expenditures <br />Pfcase type or print legibly m black mk Page 2 of <br />Can&dare or Pohtm3l Cgmmmee Name: , , ,~;. ,- } Committee ID Number' <br /> <br />~Ongmal ~qh',mary 20e d ~ deneral 20~ ~ Other <br />~ Amendment ~ Ist Pre-elccnon ~ 2nd Pre-elect,on ~ Post~etecnon ~ 20~ September Supplemental <br /> ~ LOAN SUMr~ARY FOR OFFICE USE ONLY <br />2i BcghmmgOutstand~ng Loans <br />dine 29 of p~evmus repot~ <br />22 Loans Received ~Non-Exempr} + <br /> <br />23. Loans Rzcmved iExempt) + <br /> dine i4t <br />24 LOANS RECEIVED SUBTOFAL <br />(hnes 21 - 22 ~ 23~ <br />25 Loan Payments (N3n-Exempt) <br />( hne ? ) <br />26. Loan Payments (Exempl) <br />t !me 1 g~ <br />27. J orgp~en Loans <br /> + <br />47 oral roans (o~ gn, en dm mg th ~s accounting period ~ <br />28 LOAN PAYMENT SUBTOTAL <br /> dines 25 + 26 <br />29 TOTAL OUTSTANDING LOANS <br /> dine 24 minus hne 28) = <br /> PESSONAL EXPENBffUSE <br />~0. Beginning Outstanding Personal Expe~ditt~e~ <br /> (line 36 of prevmus reporO <br />31 Personal Expenditures <br /> (AccountmgPmtodTotatflomPC3Al + '~ ~-~ ~ % -~ ~'~ ~ <br /> 32. PERSONAL EXPENDITURE SUBTOTAL <br /> dines 30 -,- 3 / ) <br /> 33. Personal Expert&rare Reimbursements <br /> ( Fotal cxpcn&mres on PC 3 with propose code R) ~ <br /> 34 Forgiven Personal Expenditures + <br /> (Total personal cxpen&tures for~wen rhts acctg, peno& - ' <br /> <br />35 REIMBU-RSEMENT SUBTO%~ <br /> dines 33 - 34) = <br /> 3& OUTSTANDING PERSONAL <br /> EXPENDITURES = ~7 Z ~, c~ <br /> FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD <br />37 Ending Cash Balance ; ,(, <br /> <br /> 38. Accounts Receivable <br /> + <br /> {Accounnng Per{od Total from PC 5) <br /> SUBTOTAL <br /> <br /> 40, Total Outstanding Loans <br /> <br /> 41. OutstandmgPersonal Expen&mres ~7 ~ ~": ~' 7 C <br /> Ihne 36) + ~~. ~ C <br /> 42. Accounts Payable <br /> ~Accountmg Permd Total flora PC 6~ + ' ' ~' 0 ~ : *" <br />43 SUBqOTAL <br /> <br />44 B,kLANCE ~EFI'CI'T - <br /> <br /> [,-~{ ~..q ~ ~* [ [ 5; .~ L d "c:,~ ~ ;, tname of can&date or treasurer L hereby tert~fv, that the <br /> statement and the anached supporting reports are tree and con'ed. <br /> <br /> S~gnaturc of candidate or treaburei Date ,qgned <br /> <br /> <br />