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04/12/2~04 13:40 541--484-4942 EUGENE CHAMBER PAGE 02 <br /> <br /> Statement <br /> of <br /> Contributions <br /> oummary and Expenditures <br /> Pleas~ type or print legibly in black ink. Pegc I of 2 <br /> Candidate or Political Committee Name (use ~11 name): - <br /> <br /> Mailing Address as it Appears on Statemeut of OrK.anizatiou (street, route or box nullLbcr, city, state, zip code): <br /> <br /> Treasurer's Name: Telephone Number (day): <br /> <br /> Committee 1D NumEer: Committee Type, Measure Number or Office: <br /> <br /> ,f <br /> <br /> ~ Amendment [.~ 1 st Pre-election [] 2nd Pre-election [] Post-election [] 20___ September Supplemental <br /> A-TOTALS FOR ~Hi$ B-CUMULATIVE TOTALS <br /> ACCOUNT~G PRRIOD FOR THIS ELECTION <br /> C0NTRISOI'i0SS ~ <br /> '1. C~sh Contributions <br /> <br /> 2. Loan~ Received (Non-Exempt) , <br /> (Accounting Period_ Tot~l from PC 2) ~ _ ~ <br /> 3, To~al Cash Contributions <br /> <br /> 4. In-Kind <br /> (Accounting Period Total from PC 2> + ~, (.~ v . ~)~.,~;(~ <br /> <br /> EXPENDITURES <br /> 6. Cash Expenditures <br /> <br /> 7. Loan Payments (lqon-Ex-¢mpt) -- <br /> (Accounting Period Total ~rom PC 3) + ~ _ + ~ - <br /> 8. Total Cash Expenditures <br /> <br /> 9. In-Kind + <br /> (Accounting Pariod Total from PC 2) _ '~f---"~,(~) ~ + <br /> <br /> CASH BALANCE <br /> l 1. Begirmmg Cash Balance <br /> OFF~G~ <br /> ONLY <br /> <br /> 12, Total Contributions <br /> <br /> 13, Other Receipts <br /> _(Acc°unting Per. iod Tom. l from PC 4A) <br /> 14. Loans Received (Exempt) + <br /> (Accounting Period Total from PC 4A) '~ 9 <br /> <br /> 16, Total Exp,nditur*s <br /> <br /> 17. Other Disbursements <br /> (AccountingP¢~odT0-'fr0mPC4B) + - - RECEIVED <br /> 18, Loan Payments (Exempt) + <br /> (Accounting Period Total from _P_C_4B) APR! 220l)4 <br /> 19- EXPENDrrURE SUBTOTAL <br /> <br /> (line 15 ~nus ~e 19) <br /> <br /> <br />