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Summary Statement of Contributions and Expenditures <br />Please type or print legibly in black ink._ _ Pase 2 of 2 <br />Candi~L~te or Politic.al Cojm~itt-ee Name: _/- /)/k2 _ [ Comminee ID Number: <br /> <br />[] Amendment [] 1 st Pre-election ~ 2nd Pre-election [] Post-election [] 20__ September SuEplemental <br /> LOAN SUl~ MARY FOR OFFICE USE ONLY <br />21. Begirming Outstanding Loans <br />(line 29 of previous report) <br />22. Loans Received i'Non-Exempt) <br />(line 2) + <br />23, Loans Received (Exempt) <br />0i~ 14) + <br />24. LOANS RECEIVED SUBTOTAL <br /> (lines 21 + 22.4. 23) - <br />2~. Loan Payments (Non-Exemp0' <br />(line 7) <br />26. Loan Payments (Exempt) <br />(line 1 S) <br />27, Forgiven Loans <br />(Total loans forgiven during this acc_ountin..~ perio~l_) + <br />28. LOAN PAYMENT SUBTOTAL <br />(tree, .2.~ ? 26 +27) <br />29. TOTAL OUTSTANDING LOANS -- <br /> (line 24 minus line 28) <br /> PERSONAL £IP£NDffURE SUMMAFlY <br />30. Beginning Outstanding Personal Expenditures <br /> (Iin~ 36 of previous l~port) <br />31. Personal Expenditures <br />_ (Accounting Period Total from PC 3A) <br /> 32, PERSONAL EXPENDITURE SUBTOTAL <br /> <br /> 33. Personal Expenditure Reimbursements <br /> (Total expenditures on PC 3 with purpose code R) <br /> 34, 'Forgiven Personal Expenditu~s / <br /> (Total personal expenditures forgiver this aectg, p~fiod) + ( <br /> 35. REIMBURSEMENT SUBTOTAL <br /> (lines 33 * 34) = ~ __ <br /> 36. OUTSTANDING PERSONAL <br /> EXPENDITURES ~ /'~ <br /> " FINANCIAL STATUS AT CLOSE OF ACCOUNTING~PERIOD <br /> 37. Ending Cash Balance <br /> <br /> 38. Accounts Rcceix~able <br /> (AecountMg Period Total from PC 5) <br /> 39. SUBTOTAL <br /> <br /> 40, Total Outstanding Loans <br /> (line 29) <br /> 41. Outstanding Personal Expenditures <br /> <br /> 42 Accounts Payable <br /> (Accounting Period Total from PC 6) <br /> 43. SUBTOTAL <br /> (lines 40 + 41 ~- 42) <br /> 44. BALANCE/D,FICIT <br /> (line 39 minus line 43: indicate + or - bata_~.ce) = / ' <br /> <br /> 1, C~~' e/~ ~ ~'~ "/~. (name of candidate or treasurer), hereby certify that the above <br /> Signatureo~nd_i, dS~r treasurer Date signed <br /> <br /> <br />