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PC 1 Summary Statement of Contributions and Expenditures Please type or print legibly in black ink. Page 1 of 2 Candidate or Political Committee Name (use full name): ~ -- Mailing Address as it Appears on Statement of Organization (street, route or box number, city, state, zip code): Treasurer's Name: Telephone Numb_er (day): Co~i~ee ID Number: Co~ee T~e, Measure Number or Office: ~ Original ~ Prima~ 20 O~ ~ General 20 ~ Other ~ Amen~ent ~ 1st Pre-election ~ 2nd Pre-election ~ Post-election ~ 20 September Supplemental A-TOTALS FOR THIS ~UMULATWE TOTALS ACCOUNTING PE~OD FOR THIS ELECTION ~0flT~IBHTIO~S 1. CashConffibutions ~ q ~JO, ~ b ~/2~0. (Accosting Period To~l ~om PC 2) _) 2. Loans Received ~on-Exempt) + + (Accosting Period To~l from PC 2) 3. Total Cash Contributions 4. In-Kind + ~ ~ (Accosting Period To~l ~om PC 2) 2 ~, ~ ~ + · (lines 3 + 4) EXPENDITURES 6. Cash Expenditures ~ (Accosting Period Total ~om PC 3) ~ ~O, ~ ~ O O. ~ 7. Loan Pa~ents ~on-Exempt) + + (Accosting Period Total ~om PC 3) 8. Total Cash Expendi~es (lines6+7) = 3 OO. ~ = ~ OO. ~ (Acco~nng Period To~l ~om PC 2) 2 ~, ~ + (lines 8 + 9) CASH BALANCE I I. Bcgmmng Cash Bahmce O FOR OFFICE USE ONLY (hne 20 ol prc~ taus ~eport) 12. Total Contr,butmns + ~ q. ~ ~ ~ (hne 5~ 13. Other Recc,pts + RECEIVED (Accounting Pertod I oral from I)(' 4A I ~ ' 14. Loans Recc,xcd (I xemp,) + o APR ~ 0 2004 {Accotlllllll~ Period Iola] h'om PC4 k) 16. Total I.xpcnchtures 3 ~ ~. g~ (hne 10) 17. ()ther D~sbursemenl~ + (Accounting Pcnod Total from P(4B) i 8. Loall I)a5 ments (Exempt) + (&ccounl]ng Pcnod Tolal flora P(411) 19. FXPI:NI)ITURE SUB'I()TAI. (hne, 16, I', 20. ENDING CASll BALXN('E (hne Iq nlmus hnc 19) t