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Summary Statement of Contributions and Expenditures Please pipe or print legibly in black ink. ' page 2 of 2 Candidate or Political Committee Name: Cora~nitt-ee ID Number: [] Critical [] ~irm~ 20_ [] O~era120J2g:_ [] Other ._ ,~Amendment ['-] 1st Pre-~lection ~ 2_a_d Pre-election [] Post-eleelion [] .20__ September Supplemental LOAN SUMMARY * ~ 1. Beg~'~ing Outst~ding Loans ~ FOR OFFICE USE ONLY (linc 29 of previoua report) '~7 22. Loans Received (Non-Exempt) + 23. Loalls Received (Exempt) 24, LOANS RECEIVED SUBTOTAL (lines 21 + 22 + 23) ~ 25. Loan Payments (Non-Exempt) (line 7) 26. Loan Palanents (Exempt) · ~-7. Forgiven-Loans .(T°tal loans forgiven during this accounting period) + 28. LOAN PAYMENT SUBTOTAL (lines 25 + 26_ +27) = 29, TOTAL OUTSTANDll~G (line 24 minus line 2S) ,a P -S6NAL PEN0 n SUMMAnY " -' 30, Beginning Outstanding Personal l~xpenditur~s (linc 36 ofpr~vious r~port) 31, Persorml Expenditures (Accounting P~riod Total from PC 3A) + ~2'. PERSONAL ~,XI~ENDI'i'URE SUBTOT.4J-, (lines 33, Personal Expenditure Reimbursemcnt~ (Total ~xp~nditur~s on PC 3 with purpose code R) 34. Forgiven Per~oual Expenditures + (Total I~rs~nal ~xl~nditums forgiven this acc~. period) 35. KEnVIBURSE~ SUBTOTAL 3(~, O~TAaNI)ING PERSONAL F,,XPENDrIIJRI~S = FINANCIAL STATUS AT CLOSE O[~ACCOUNTING PERIOD 37. Ending Cash Balance - ~8, Accounts Recei~,'able (Accounting P~iod Toud from PC 5) 39, SUBTOTAL 40, Total Outstanding Loar~ (line 29) 41. Outs~mcting Personal Expenditures 42. A~¢oums Payable 4~ SUBTOTAL (l~e~ 40 + 41 +42) = '.. BALAnCE/DEFICIT ~ ~f I, C,~"/~. ,~ '/_..~ ~' 5 (name of candidam or treasurer), her. by c.rtify that the above statement an~ ~ ~ ~I~ ~OrtS are tru~ and correct.