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PC 1 <br /> Summary Statement of Contributions and xpenditures Rev <br /> Please type or pnnt legibly m black mk. Page 2 of 2 <br /> Can&date or Polltmal Committee Name: [ Committee ID Number: <br /> Write-la Jim Torrey I none <br /> [] Original [] Primary 20__ [] General 2004 [] Other ~ <br /> [] Amendment [] 1 st Pre-election [] 2nd Pre-elecUon [] Post-election [] 20__ September Supplemental <br /> LOAN SUMMARY <br /> 21. Beginnmg Outstandmg Loans FOR OFFICE USE ONLY <br /> (line 29 of prewous report) 0.00 <br /> 22. Loans Received (Non-Exempt) <br /> (line 2) + 200.00 <br /> 23. Loans Recmved (Exempt) <br /> (line 14) + 0.00 <br /> 24. LOANS RECEIVED SUBTOTAL <br /> (hnes 21 + 22 + 23) = 200.00 <br /> 25. Loan Payments (Non-Exempt) 0.00 <br /> (hne 7) <br /> 26. Loan Payments (Exempt) + 0.00 <br /> (hne 18) <br /> 27. Forgzven Loans <br /> + 0.00 <br /> (Total loans forgzven during th~s accounting period) <br /> 28. LOAN PAYMENT SUBTOTAL <br /> = 0.00 <br /> (hnes 25 + 26 +27) <br /> 29. TOTAL OUTSTANDING LOANS <br /> (hne 24 minus line 28) = 200.00 <br /> <br /> PERSONAL EXPENDITURE SUMMARY <br /> 30. Begmmng Outstanding Personal Expenditures 0.00 <br /> (line 36 of prewous report) <br /> 31. Personal Expenditures <br /> (Accounting Period Total from PC 3A) + 9,643.00 <br /> 32. PERSONAL EXPENDITLTRE SUBTOTAL <br /> = 9,643.00 <br /> (hnes 30 + 31) <br /> 33. Personal Expenditure Remabursements <br /> (Total expenditures on PC 3 with purpose code R) 9,643.00 <br /> 34. Forgiven Personal Expenditures + 0.00 <br /> (Total personal expenditures forgiven this acctg, period) <br /> 35. REIMBURSEMENT SUBTOTAL <br /> (hnes 33 + 34) = 9,643.00 <br /> <br /> 36. OUTSTANDING PERSONAL EXPENDITURES <br /> : 0.00 <br /> (line 32 n~nus hne 35) <br /> FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD <br /> 37. Ending Cash Balance 61.05 <br /> (hne 20) <br /> 38. Accounts Receivable + 0.00 <br /> (Accounting Period Total from PC 5) <br /> 39. SUBTOTAL <br /> = 61.05 <br /> (lines 37 + 38) <br /> 40. Total Outstanding Loans 200.00 <br /> (line 29) <br /> 41. Outstandmg Personal Expenditures + 0.00 <br /> (hne 36) <br /> 42. Accounts Payable <br /> (Accounting Period Total from PC 6) + 16,109.19 <br /> 43. SUBTOTAL <br /> (lines 40 + 41 + 42) = 16,309.19 <br /> 44. BALANCE/DEFICIT <br /> (line 39 rmnus hne 43. indicate + or - balance) = -16,248.14 <br /> <br /> [name 6f candidate or measurer), hereby certify that the above statement and the attached supporting repons are tree and <br /> corre, c~. <br /> <br />~S~gnature of candidate or treasurer / Date signed <br /> <br /> <br />