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PC 2 <br /> Cash C ,ntributions, Loans Receiw. u and In-Kind Rev. 12/03 <br /> <br />Candidate or Political Committee Name: Committee ID Number: <br /> <br />ElecUon: ~Pnmary 20 Oc( [] General 20 [] Other <br />Report: ]~1 st Pre-election [] 2nd Pre-election [] Post-election [] 20 September Supplemental <br /> <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> <br /> CODE 1: Contributor Type CODE 2: Contribution Type <br /> B Business Entity CA Cash <br /> C Political Committee (includes business and union PACs) CO Cosigner Obligation <br /> F Candidate's Immediate Family (includes candidate) IK In-Kind <br /> I Individual LR Loan Received <br /> L Labor Organization <br /> O Other <br /> P Political Party Committee <br /> <br /> Amount of /n-Kind Purpose <br /> Line # Name and Address of Contributor <br /> Contribution (see manual for suggested purpose codes) <br /> <br /> Date Received Occupational Information or Contributor Code 1 Code 2 <br /> Contributing Committee's ID~ Aggregate <br /> <br /> See Page Totals (Add all amounts wi~ the same Accounting Period Totals (Complete only for last page and <br /> Ins~ctions conmbution ~e. Do not include ag~egates.) ~ansfer ~ese amounts to ~e Su~aw Statement, PC 1.) <br /> on Back and <br /> in Campm~ Cash (CA) $ ~0 Cash (CA) $ <br /> Fin~ce Enter on <br /> M~ual In-~nd (IK) $ In-Kind (IK) $ <br /> ~ntar on Su~ Stat~mant, Col~ A, Lines 4 ~d 9 <br /> <br /> PC 2 Lo~s Received (LR) $ ~ Loans Received (LR) $ <br /> ~nmr on S~ S~tement, Col~ ~ Line 2 <br /> <br /> <br />