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PC 1 Rev Summary Sta..ment of Contributions anc .xpenditures Please type or print legibly in black ink. Page 2 of 2 Candidate or Political Committee Name: I Committee ID Number: Amazon Creek Political Action Committee I [] Original [] Primary 2000 [] General 20 [] Other __ [] Amendment [] 1st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental LOAN SUMMARY 2 l. Beginning Outstanding Loans (Total Outstanding Loans from previous report) 0 FOR OFFICE USE ONLY 22. Loans Received (Non-Exempt) (line 2) + 0 23. Loans Received (Exempt) (line 14) + 0 24. LOANS RECEIVED SUBTOTAL (lines 21 + 22 + 23) = 0 25. Loan Payments (Non-Exempt) (line 7) + 0 26. Loan Payments (Exempt) (line 18) + 0 27. Forgiven Loans (Total loans forgiven during this accounting period) + 0 28. LOAN PAYMENT SUBTOTAL (lines 25 + 26 +27) = 0 29. TOTAL OUTSTANDING LOANS (line 24 minus line 28) = 0 PERSONAL EXPENDITURE SUMMARY 30. Beginning Outstanding Personal Expenditures (line 34 of previous report) 0 31. Personal Expenditures (Accounting Period Total from PC 3A) + 0 32. PERSONAL EXPENDITURE SUBTOTAL (lines 30 + 31) = 0 33. Personal Expenditure Reimbursements (Total expenditures on PC 3 with purpose code R) 0 34. OUTSTANDING PERSONAL EXPENI)ITURES (line 32 minus line 33) = 0 FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD 35. Ending Cash Balance (line 20) 198.19 36. Accounts Receivable (Accounting Period Total from PC 5) + 0 37. SUBTOTAL (lines 35 + 36) = 198.19 38. Total Outstanding Loans (line 29) 0 39. Outstanding Personal Expenditures (line 34) + 0 40. Accounts Payable (Accounting Period Total from PC 6) + 0 41. SUBTOTAL (hnes 38 + 39 + 40) = 0 42. BALANCE/DEFICIT (line 37 minus line 41: indicate + or - balance) = 198.19 I, Robert E. Siegmund (name of candidate or treasurer), hereby certify that the above statement and the attached supporting reports are true and correct.