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Pc 1 "summary S,, ement of Contributions m..., Expenditures Please type or print legibly in black ink. Page 2 of 2 Candidate or Political Committee Name: Committee ID Number: [] Original [] Primary 20 0c4 [] General 20 [] Other [] Amendment [] I st Pre-election [] 2nd Pre-election [] Post-election [] 20 September Supplemental LOAN SUMMARY 21. Beginning Outstanding Loans FOR OFFICE USE ONLY (line 29 of previous report) 22. Loans Received (Non-Exempt) + (hne 2) ---- 23. Loans Received (Exempt) + (hne 14) 24. LOANS RECEIVED SUBTOTAL (hnes 21 + 22 + 23) = 25. Loan Payments (Non-Exempt) (hne 7) 26. Loan Payments (Exempt) + (line 18) 27. Forgiven Loans (Total loans forgiven dunng th~s accounting period) + 28. LOAN PAYMENT SUBTOTAL (hnes 25 + 26 +27) = 29. TOTAL OUTSTANDING LOANS (hne 24 minus line 28) = O PERSONAL EXPENDITURE SUMMARY 30. Beginning Outstanding Personal Expenditures (line 36 of previous report) 31 Personal Expenditures + (Accounting Period Total from PC 3A) 32. PERSONAL EXPENDITURE SUBTOTAL (lines 30 + 31) = 33. Personal Expenditure Reimbursements (Total expenditures on PC 3 with purpose code R) 34. Forgiven Personal Expenditures + (Total personal expenditures forgiven this acctg period) 35. REIMBURSEMENT SUBTOTAL (hnes 33 + 34) = 36. OUTSTANDING PERSONAL EXPENDITURES = FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD 37. Ending Cash Balance (line 20) ~-0 ~. 0~" 38. Accounts Receivable + (Accounting Period Total from PC 5) 39. SUBTOTAL (lines 37 + 38) = ~ ~'0 C{. (5 40, Total Outstanding Loans (line 29) 41. Outstanding Personal Expenditures + (hne 36) 42. Accounts Payable + (Accounting Period Total from PC 6) 43. SUBTOTAL (bnes 40 + 41 + 42) = 0 44. BALANCE/DEFICIT (line 39 m~nus line 43: ~nd~cate + or - balance) = 5' got-(, 0 I, ~c~'~ /k/~ ~v (name of candidate or treasurer), hereby certify that the above statement and the attached supporting reports are true and correct.