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Summary St~,ement of Contributions and ,.xpenditures Rev <br /> <br />Please type or print legibly in black ink. Page I of 2 <br />Candidate or Political C_q~ee Narne (use O/Il namg)~ <br />Mailing Address as it Appears oq g~atcmcnt of Organization (street, gO.~.tc or box number, l~t~ q7t~O/ <br /> <br />Committee ID Number: I Committee Type, Messum Number or Office: <br />J~Original C] Primary 20 ~ General 20 0g ~o'Other (~J.~[.)~.l~- m <br />[] Amendment [] I st Pre-election 2nd Pre-election Post-election [] 20 September Supplemental <br /> <br /> A-TOTALS FOR THIS B-CUMULATIVE TOTALS <br /> ACCOUNTING PERIOD FOR Tills ELECTION <br /> CONTRIBUTIONS <br />1. Cash Contributions <br /> (Ac¢ounting Period Total from PC 2) ~ ~/ ~ ~ <br />2. Loans Received (Non-Exempt) + ~ + <br /> (Accounting Period Total from PC 2) ~,. <br />3. Total Cash Contributions <br /> (lines l+ 2) = ~ 0.00 = 5~/ 3~ <br />4. In-Kind <br /> (AccountingPeriodTotalfromPC2) + '0-- + I t~ t'tlCt <br /> .ines~-,-~, : ~ o.oo : 7~ ~t_ <br /> EXPENDITURES <br />6. Cash Expenditures ~ 5~! 2 g~ <br /> (Accounting Period Total from PC 3) <br />7. Loan Payments (Non-Exempt) + ~ + <br /> (Accounting Period Total from PC 3) <br />8. Total Cash Expenditures <br /> <br />9. In-Kind <br /> {Accoun~ngPe.odTo~ompc:~ * .~ o.oo * t,~ q/t,t_?~ <br />,0. -- o.oo -- <br /> CASH BALANCE <br /> ! ]. Bcgianing Cash Balance <br /> (linc 20 ofprevious report) ~", ~7 FOR OFFICE USE ONLY <br /> <br /> 12. Total Contributions + ~ 0.00 <br /> RECEIVED <br /> 13. Other Receipts + <br /> (Accounting Period Total from PC 4A) <br /> ~.. Loans ReceiYed (Exempt) + ~. SEP 1 0 2004 <br /> (Accounting Period Total from PC 4A) <br /> <br /> 15. CONTRIBUTION SUBTOTAL <br /> .in¢.,,+,~+,~+.> : t~J'~ ~__~o0 CIIY RECORDER <br /> 16. Total Expenditures .~' 0.00 <br /> {line 10) <br /> 17. Other Disbnrsements + <br /> (Accounting Period Total from PC 4B) <br /> 18. Loan Payments (Exempt) + ~ <br /> {Accounting Period Total from PC <br /> <br /> 19. EXPENDITURE SUBTOTAL <br /> : 0.00 <br /> {lines 16 + 17 + 18) <br /> 20. ENDING C~SH B~/~NCE <br /> (line 15 minus line 19) = ~ 5 ~ 0.00 <br /> <br /> <br />