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PC1 <br /> Summary Statement of Contributions and Expenditures <br /> Pleas~ type or print legibly m black ink. Page 2 of 2 <br /> Candidate or Political Committee Name Committee/D Number: <br /> It's Only Fair <br />[] Original [] Primary 20 [] General 2004 [] Other <br />[] Amendment [] lstPre-elect~on [] 2nd Pre-elecnon [] Post-election [] September Supplemental <br /> LOAN SUMMARY FOR OFFICE USE ONLY <br />21 Beginmng Outstanding Loans <br /> (Total Outstanding Loans from previous report) 00 <br />22 Loans Received (Non-Exempt) <br /> (line 2) + .00 <br /> <br />23 Loans Received (Exempt) <br /> (Line 14) + .00 <br /> <br /> 24. LOANS RECEIVED SUBTOTAL = <br /> (lines 21 + 22 + 23) .00 <br /> <br />25. Loan Payments (Non-Exempt) <br /> (line 7) .00 <br /> <br /> 26. Loan Payments (Exempt) + 00 <br /> (line 18) <br /> 27. Forgiven Loans <br /> (Total loans forgiven during thi~ aeoounting period) + .00 <br /> <br /> 28. LOAN PAYMENT SUBTOTAL = 00 <br /> 0ines 25 + 26 + 27) <br /> 29. TOTAL OUTSTANDING LOANS = ,00 <br /> (line 24 minus line 28) <br /> PERSONAL EXPENDITURE SUMMARY <br /> 30. Beginning Outstanding Personal Expenditures .00 <br /> (line 36 of previous report) <br /> 31. Personal Expenditures + .00 <br /> (Aeoounfing Period Total from PC 3A) <br /> 32. PERSONAL EXPENDITURE SUBTOTAL = 00 <br /> (lines 30 + 31) <br /> 33 Personal Expenditure Reimbursements .00 <br /> (Total expenditures on PC 3 with purpose oodu R) <br /> 34. Forgiven Personal Expenditures <br /> (Total peraonal expan&tures forgiven this aootg, period) + .00 <br /> <br /> 35. REIMBURSEMENT SUBTOTAL 00 <br /> (lines 33 + 34) = <br /> 36. OUTSTANDING PERSONAL EXPENDITURES .00 <br /> (line 32 mmua line 35) <br /> FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD <br /> 37 Ending Cash Balance 3,894 69 <br /> (line 20) <br /> 38. Accounts Receivable <br /> + .00 <br /> (Aooounting Period Total from PC 5) <br /> 39. SUBTOTAL <br /> (line 37 + 38) - 3,894.69 <br /> 40. Total Outstanding Loans .00 <br /> (line 29) <br /> 41. Outstanding Personal Expenditures + .00 <br /> (line 36) <br /> 42. Accounts Payable + .00 <br /> (Aooounting Period Total from PC 6) <br /> 43. SUBTOTAL <br /> (lines 40 + 41 + 42) = .00 <br /> <br /> 44. BALANCE/DEFICIT = 3,894.69 <br /> )tl~inc 39 minus lane 43 indioat~ + or - balanoe) <br /> I, ~//A_~ ( 3 5~91)[ ~ ~ [,/"~'" (name of candidate or treasurer), hereby certify that the above <br /> statem~t and the attached supporting reports are true and correct. <br /> <br /> Signature of candidate or treasurer Date sign~ <br /> <br /> <br />