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<br /> Summary Statement of Contributions and Expenditures PC I <br /> Rev. 12/03 <br />Please type or print legibly in black ink. Page 2 of2 <br />Candidate or Political Committee Name: Committee ID Number: <br /> ~~'1 (oy db<" ~~ Co\.c.."'~ \ <br />o Original y CB:General200 &{ <br />D Primary 20_ D Other <br />o Amendment D I st Pre-election o 2nd Pre-election o Post-election ..&.20~September Supplemental <br /> LOAN SUMMARY FOR OFFICE USE ONt y <br />21. Beginning Outstanding Loans <br /> (line 29 of previous report) <br />22. Loans Received (Non-Exempt) <br /> (line 2) + <br />23. Loans Received (Exempt) <br /> (line 14) + <br />24. LOANS RECEIVED SUBTOTAL <br /> (lines 21 + 22 + 23) = <br />25. Loan Payments (Non-Exempt) <br /> (line 7) <br />26. Loan Payments (Exempt) <br /> (line 18) + <br />27. Forgiven Loans <br /> (Tota11oans forgiven during this accounting period) + <br />28. LOAN PAYMENT SUB TOT AL = <br /> (lines 25 + 26 +27) <br />29. TOTAL OUTSTANDING LOANS = <br /> (line 24 minus line 28) <br /> PERSONAL EXPENDITURE SUMMARY <br />30. Beginning Outstanding Personal Expenditures <br /> (line 36 of previous report) <br />31. Personal Expenditures + <br /> (Accounting Period Total from PC 3A) <br />32. PERSONAL EXPENDITURE SUBTOTAL = <br /> (lines 30 + 31) <br />33. Personal Expenditure Reimbursements <br /> (Total expenditures on PC 3 with purpose code R) <br />34. Forgiven Personal Expenditures + <br /> (Total personal expenditures forgiven this acctg. period) <br />35. REIMBURSEMENT SUBTOTAL = <br /> (lines 33 + 34) <br />36. OUTSTANDING PERSONAL = <br /> EXPENDITURES <br /> FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD <br />37. Ending Cash Balance ~"'. 31 <br /> (line 20) ',' <br />38. Accounts Receivable .'. <br /> (Accounting Period Total from PC 5) + ...- <br />39. SUBTOTAL = ~ '1.3 \ t.- <br /> (lines 37 + 38) <br />40. Total Outstanding Loans RECE1V:ED <br /> (line 29) <br />41. Outstanding Personal Expenditures + ~ OCT 10 2006 <br /> (line 36) <br />42. Accounts Payable + l 3 ~~~~ " <br /> (Accounting Period Total from PC 6) CITY RECORDER <br />43. SUBTOTAL \ , ~. ~~ I, <br /> = <br /> (lines 40 +41 + 42) <br />44. BALANCE/DEFICIT = 'Sl.S?' <br /> (line 39 minus line 43: indicate + or - balance) - <br />I, R t< ~ r-<.-~ tJ. ~ rr c Jo,.,>- (name of candidate or treasurer), hereby certify that the above <br />statement and th attached supportmg reports are true and correct. <br />~~ / !/.; ~"'- t D--/o"-' 0 b <br />Signature of candidate or treasurer Date signed <br />