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Summary Statement of Contributions and Expenditures <br />Please type or print legibly in black ink. Page 1 of 2 <br />Candidate or Political Committee Name (use full name) <br />Irs Only Fair <br />IVlmling Address as it Appears on Statement of Organization (street, route or box number, mty, state, zip code): <br />85210 S. Willamette St. - Eugene, OR 97405 <br /> <br />Treasurer's Name' Telephone Number (day). <br />Chris Seuberg 541.484-7863 <br /> Committee ID Number. I Committee Type, Measure Number or Office: <br /> I <br />[] Original [ [-] Primary 20___ [] Oenera12004 [] Other <br />[~1 Amendment ] [] 1st Pre-election [] 2nd Pre-election [~1 Post-election [] September Supplemental <br /> A-TOTALS FOR THIS B-CUMULATIVE TOTALS <br /> ACCOUNTING PERIOD FOR THIS ELECTION <br /> CONTRIBUTIONS <br />1. Cash Contributions <br /> (Accounting Period Total from PC 2) .00 100,393.81 <br />2. Loans Received (Non-Exempt) + 00 + 00 <br /> (Accounting Period Total from PC2) <br />3. Total Cash Contributions <br /> = .00 = 100,393.81 <br /> (hnes 1 +2) <br />4. In-Kind <br /> (Accounting Period Total from PC 2) + 00 + .00 <br /> <br />5. TOTAL CONTRIBUTIONS <br /> (lines 3+4) = O0 = 100,393.81 <br /> EXPENDITURES <br />6. Cash Expenditures <br /> (Accounting Period Total from PC 3) 770.12 65,489 68 <br /> <br />7. Loan Payments (Non-Exempt) + .00 + 00 <br /> (Accounting Period Totals from PC 3) <br />8. Total Cash Expenchtures 770 12 = 65,489 68 <br /> (lines 6+7) = <br /> 9. In-Kind + .00 + 00 <br /> (Accounting Period Total from PC 2) <br /> 10. TOTAL EXPENDITURES 770 12 = 65,489 68 <br /> (lines 8+9) = <br /> CASH BALANCE <br /> l 1 Begmmng Cash Balance 35,674.25 FOR OFFICE USE ONLY <br /> (Ending Cash Balance from previous report) <br /> 12. Total Contributions + 00 <br /> (lino 5) <br /> 13 Other Receipts + O0 <br /> (Accounting Period Total from PC 4A) <br /> 14 Loans Received (Exempt) + .00 <br /> (Accounting Period Total from PC4A) <br /> <br /> 15 CONTRIBUTION SUBTOIAL <br /> (lines 11 + 12 + 13 + 14) = 35,674 25 <br /> <br /> 16. Total Expenditures 770 12 <br /> ,,,,,,,o, RECEIVED <br /> 17 Other Di_sbuxsements <br /> (Accounting Period Total from PC 4B) + 34,904 13 <br /> <br /> + .oo NOV 1 7 2004 <br /> 18. <br /> Loan Payments (Exempt) <br /> (Accounting Period Total from PC 4B) <br /> 19 EXPENDITURE SUBTOTAL CiTY RECORDER <br /> (Lines 16 + 17 + 18) = 35,674.25 <br /> <br /> 20 ENDING CASH BALANCE <br /> (line 15 minus line 19) = O0 <br /> <br /> <br />