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Summary Statement of Contributions and Expenditures ~c~ <br />Please type or print ingibly in black ink. Page 1 of 2 <br />Candidate or Political Committee Name (use full name) <br />It's Only Fair <br />Ma[ling Address as it Appears on Statement of Organization (street, route or box number, city, state, zip code): <br />85210 S. Willamette St. - Eugene, OR 97405 <br /> <br /> Treasurers Name' Telephone Number (day): <br /> Chris Seuberg 541-484-7863 <br /> Committee ID Number: I Committee Type, Measure Number or Office: <br /> I <br />[] Origi~ [] ~ 20 [] C~n~ 2oo4 [] o~er <br />[] Amendment [] 1st Pre-election [] 2nd Pre-election [] 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 68,614.25 <br />2. Loans Received (Non-Exempt) + .00 + .00 <br /> (Accounting Period Total from PC2) <br />3 Total Cash Contributions <br /> = .00 = 68,614 25 <br /> (lines 1+2) <br />4. In-Kind <br /> (Accounting Period Total from PC 2) + .00 + .00 <br /> <br />5. TOTAL CONTRIBUTIONS <br /> (lines 3+4) = .00 = 68,614.25 <br /> EXPENOITURES <br />6. Cash Expenditures <br /> (Aecountin8 Period Total from PC 3) .00 64,719 56 <br />7. Loan Payments (Non-Exempt) + 00 + .00 <br /> (Accounting Period Totals from PC 3) <br />8. Total Cash Expenditures <br /> (lines 6+7) = .00 = 64,719.56 <br /> <br />9. In-Kind <br /> (Accounting Penod Total from PC 2) + .00 + .00 <br />10 TOTAL EXPENDITURES <br /> (lines 8+9) = .00 = 64,719 56 <br /> CASH BALANCE <br /> 11. Beginning Cash Balance <br /> (Ending Cash Balance from previous report) 3,894.69 FOR OFFICE USE ONLY <br /> 12. Total Contributions <br /> (line 5) + .00 <br /> 13. Other Receipts + .00 <br /> (Accounting Period Total from PC 4A) <br /> 14. Loans Received (Exempt) <br /> (Accounting Period Total fi'om PC4A) + .00 <br /> <br /> 15. CONTRIBUTION SUBTOTAL <br /> (lines 11 + 12 + 13 + 14) = 3,894.69 <br /> 16. Total Expenditures .00 <br /> (line 10) <br /> 17. Other Disbursements <br /> (Accounting Period Total from PC 4B) + .00 <br /> <br /> 18. Loan Payments (Exempt) + .00 <br /> (Accounting Period Total from PC 4B) OCT ]1 9 2004 <br /> 19. EXPENDITURE SUBTOTAL <br /> (Lines 16 + 17 + 18) = 00 <br /> <br />20.m,IN, ,CASI'I,, , CE CITY RECORDER <br /> (line 15 minus line 19) = 3,894.69 <br /> <br /> <br />