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PC ! Summary Statement of Contributions and Expenditures Please type or prim legibly in black ink. Page 2 of 2 Ca=didate or Political Committee Name: · [~Amendment [~,lst Pre-election [] :nd Pre-election [] Post-election [] 20 ,. September Supplemental 1.0AN SlJMMA Y 21, B~'ginning Outstanding Loans FOR OFFICE 0$F ONLY (line 29 of previous report) 22. Loans Received (Neff-Exempt) - (line 2) 23. -Loans Received (Ex'pt) (hne 14) 24. LOANS REC]~IVED SUBTOTAL (haas 21 + 22 + 23) _ --- 25. Loan PayIItcnts (Non-Exempt) (line 7) 26, Loan Payments'(Exempt) (line la) + 27. Forgiven (Total loans forgiven during this accounting period) _ 28. LOAN PAYMENT SUBTOTAL (lines 25 + 26 +27) ' 29." TOTAL OUTSTANI)ING LOANS (line 24 minus line 28) = PERSONAl. EXPENDITURE SUMMARY 30~ Beginning OutstandLllg Personal Expenditures '- ' (line 36 ofprevmus report) 31. Personal Expenditures (Accounting Period Total ~'om PC 3A) 32, PERSONAL EXPENDITURE SUBTOTAL (lines 30 + 31) 33. Personal Expenditure Re~mbursemems (Total egp~aditurcs on PC 3 with purpose code R) 34. Forgiven Personal Expenditures (Total personal expenditures forgiven thig a_ectg, period) 35. P~IMBURSEMENT SUBTOTAL " (lines 33 + 34.) ~ _ 36. OUTSTANDING PERSONAL EXPENDITURES FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD- 3i. Ending Cash Balance 38. Accounts Receivable (Acco.tinting Period Total from PC 5) + 39. SUBTOTAL 40, Total Outstanding Loans (lin~ 29) 41. Outstanding Personal Expenditures (liae 36) + ~ - 42. Accounts Payable (Accounting Period Total from PC 6) + 43. SUBTOTAL (lines 40 + 41 ~ 42~ (li.e 39 minus l~ne 4~: indicate + or- balance) ~' I~~'~ I st,t~po1'ting reports a,, true and correct. 4/~(/~' '~ignature~ canclidate or treasurer Date signed