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Cash Contributions, Loans Received and In-Kind <br /> <br />Candidate or Political Committee Name: Committee ID Number: <br />Pa, e <br /> <br />Election: U Primary 20__ [~Geaeral 20~_ U Othe~ <br />Report: ~)lst Pre-electio~ [] 2nd Pre-electio. [] Po~-elecfion [] 2.0~ Sepmmber Supplemental <br /> <br />SEE BACK FOR INSTRUCTIONS AND CODE DEI~INITIONS <br /> <br /> CODE 1: Contributor Type CODE 2: Contribution ~ <br /> B Business Entity CA Cash <br /> C Political Committee (includes business and union PACs) CO Cosigner Oblisation <br /> F Candidate's Immediate Family (includes candidate) IK In-Kind <br /> I Individual LR Loan Received <br /> L Labor Organization <br /> O Other <br /> p Political Party Cornmi~ee <br /> <br /> Line # Name and Address of Contributor Co~t~ution (see manual for su~zested purpose codes) <br /> Occupational InformMion or Contr/butor Code IIt Code 2 <br /> <br /> 4. $ <br /> <br /> 5. $ <br /> <br /> See Page Totals (Add all'~mounts with the same Accountini Period Totals (Complcm only for last page <br /> not includ~ ag$~,~tes.) ~sf~ ~ese amouDts to the S~ S~tem~t, PC l.) <br /> Ins~ctions con~bution ~. Do / ~~ <br /> m Cam~ign Cash (CA) $ E.~r ~ su~ s~ cau~ A, ~i.. I <br /> Finance <br /> Manual In-~nd (IK) $ In-Kind (IK) $ - <br /> ~n~r oa S~ Sm~nt, Colu~ A, Lin~ a and 9 <br /> <br /> PC 2 Loans Received (LR) $ L~m Re~ived (LR) $ - <br /> ~nl~r on $u~ F~te~ Colu~ A, Line 2 <br /> <br /> <br />