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Summary ofatement of Contributions nd Expenditures <br /> Please ~pe or print legibly in black ink, <br /> Candidate or Political C~ommittee Name: _ ' . Page 2 of 2 <br /> <br /> ~ ~, ~ zu~ ~ Geu~a120, ~Other <br /> ~ ~ent ~ 1st ~e~l~t~on ' ~ 2~d Pre-election ~o~-election <br /> 20 <br /> September <br /> LOAN SUMMARY ' <br /> Supple~en~l <br /> 21, Bering ~t~ding Lo~s FOR OFFICE U~E ONLY <br /> (lin 29 of p~o~ <br /> 2~, Lo~s Received ~oa-Ex~po <br /> (line 2) + <br /> 23. Lo~s Received ~xempO <br /> (l~e 14) + <br /> 24, LO~S ~EIVED S~TOT~ <br /> 0ines 21 + ~ + 23) <br /> 25, Lo~ Pa~rs ~on-Exemp0 <br /> (]~ 7) <br /> 26, Loan Pa~ts (ExempO <br /> ~m~ 18) + <br /> 27, ~'or~ven Lo~ <br /> (Total lo~s forgiv~ du~n~ this ~co~ug p~od) <br /> 28, LO~ PAY~NT S~TOTAL <br /> (l~es 2~ + 26 +27) <br /> 29. TOTAL OUT$TAND~G LO~S <br /> 0ine 24 minus line 28) <br /> PERSONAL ~PEHDITURE ~UMMARY <br /> 30, Beginning Outstanding Pe~onaI Expendi~s <br /> (l~e 36 of previous ~pon) <br /> 31, P~onal Expend{m~s <br />(Acc~t~ P~6od~o~al fram PC 3A) + <br />32, PERSON~ EXPENDITU~ SUBTOT~ <br />_ (lines 30 + 31) <br />33. P~sonal Expenditure Reimbursemeng <br />(Total expedites on PC ~ wi~ pu~ose codg R) <br />M. Forgiven P~o~l <br />~otal p~r~nal ~x~di~s forgiven ~is acctg, pe~od) <br />-35.-~~SEME~ S~TOT~ <br />36. OU~T~D~G PE~ONAL <br />E~E~ITU~S <br />37, Endin~ Cash Bzlance <br /> (line 20) _ ~~ <br /> 38, Accounts Receivable -' <br /> (Accounting P~fiod To~I ~om PC 5) + <br /> 3~, SUBTOT~ " <br /> (IMcs 37 + 38) = ~ <br /> 40, Total Outs~ding Lo~s <br /> (line 29) ~ <br /> 41, Outs~nding Perso~l Expendi~s <br /> (lin~ 36) + ~ <br /> 42, Accounts Payable <br /> ._ (Accounting P~od Total ~m PC 6) * <br /> 43, S~TOTAL <br /> 0m~s40+ 41 + 42) ~ _. , ~ -- <br /> ~, BAL~CE~EFICIT <br /> ~c 39 m~? linc 43; indicate + or - bal~ce) = - . <br /> <br /> I, ~ ~ ~ ~ ~ (n~e of caudi~te or ~'easurer) hereby cerfif~ ~hsr fl~c ~bovc <br /> <br /> S~gna~e of canute or ~ ~urer ... D~te aigned <br /> <br /> <br />