Laserfiche WebLink
Summary Statement of Contributions and Expenditures '~- <br />Please _t}~. e or print legibly in black ink, .. Page 1 of <br />Candidate or Political Committee Name (use full nares): " <br /> <br />Mailing Address as it Appears on Statement of Organization (street, route or box number, city, state, zip code): <br /> <br />Treasurer's Name: [ Telephone Number (clay): <br />Commitm= ID Numbcr: Commitme {~p~, M=~surc Numbor or Office: <br /> <br /> Amendment [] 1 st Prc-~lcction [] 2nfl Pre-election Post-election [] 20 September Supplemental <br /> A-TOTALS I~OR Tills i]-CUt~LATIVE TOTALS <br /> ACCOUNTING PERIOD FOR Tills ELECTION <br /> CONTRIBUTIONS <br />1. Cash-Contributions <br /> <br /> Loans Received (Non-~xempt) <br /> <br /> Toud Cash Contributions <br /> <br />4. In. land <br /> (A~cottlalil~ Peflod Total fr~m PC 2) + . ~ + -(~ <br /> <br /> ~XpISNDITUR~$ <br /> <br />7. Loan Payments (Non-Exempt) <br /> <br />8, Total Cash Bxpendicures <br /> <br />9. In-Kind <br /> (A=~ r~t To~ fro. PC 2) + ~ + <br />10.TOTAL EXPENDITUI~S <br /> <br /> CA$1~ BALANCE <br /> 11, Besimai~-~ash Balance <br /> <br /> 12. Total Contributions <br /> <br /> (Accountin~ Pm-iod To. tal from PC 4A) '~ ~ _ _ <br /> 14. Loans Received (Exempt) + <br /> ~ _(Accountios Period Total from PC 4A) <br /> com a, uno S OTa <br /> <br /> 16, Total Expenditure~ <br /> (,,,,,0) 4, oar.. RECEIVED <br /> 17. Other Disbursements + <br /> (^~o,,,,ti~ ~,~iod Toni ~m PC,~) 'f~ D E C 0 <br /> 18. Loan Payments (Exempt) + <br /> (Account,S Period Total from PC 4B) <br /> ~9. ~X~"~Xrt~ SU~TOT^L -' CITY <br /> <br /> <br />