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PC 2 Cash Contributions, Loans Received and In-Kind Rev Candidate or Political Committee Name: Committee ID Number: Write-In Jim Torrey None Page 3 of 7 Election: [] Primary 20__ [] General 2004 [] Other __ Report: [] 1 st Pre-election [] 2nd Pre-election [] Post-election [] 20__ September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Polincal Comrmttee (includes business and union PACs) CO Comgner Obligation F Candidate's Immediate Farmly (includes candidate) IK In-Kind I Indiwdual LR Loan Received L Labor Organization O Other P Political Party Committee Line # Name and Address of Contributor Amount of In-Kind Purpose Contribution (see manual for suggested purpose codes) Date Received Occupational Information or Contributor Code 1 Code 2 Contributing Commtttee's ID# Aggregate Al Emrick, Jr. 1. 90680 Coburg Hills Drive $ 100.00 Eugene, OR 97408 08/16/2004 Wood products CFO $ 100.00 I CA Paul Haugen 2. 2773 Tomahawk Lane $ 100.00 Eugene, OR 97401 08/16/2004 Wood products Eastern sales manager $ 100.00 I CA Joseph H. Genyea III 3. 1810 Firland Blvd $ 100.00 Eugene, OR 97405 08/16/2004 Wood products sales $ 100.00 I CA McDougal Bros. Investments 4. PO Box 518 $ 1,000.00 Creswell, OR 97426-0518 08/18/2004 $ 1,000.00 B CA Greg Demers 5. PO Box 876 $ 2,000.00 Veneta, OR 97487-0876 08/18/2004 Real estate developer $ 2,000.00 I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $ 3,300.00 Cash (CA) $ ~ m Campaign Enter on Sunanary Statement, Colunm A, Line 1 Finance Manual In-Kind (IK) $ __ In-Kind (IK) $ __ Enter on Story Statement, Column A, Lines 4 and 9 PC 2 Loans Received (LR) $ ~ Loans Received (LR) $ ~ Enter on Summary Statement, Column A, Line 2