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<br /> PC I <br /> Summary Statement of Contributions and Expenditures Rev. 12,01 <br />Please type or print legibly in black ink. Page 2 of2 <br />canbd;~ ~4PoIKc~~mmj!:amCf4 Uru}1 (A'( Committee ID Number: <br />G::rOriginal tJ Pri1nary 20 ~ Gi'ieneral 20 0"2...- o Other <br />o Amendment o 1 st Pre-election o 2nd Pre-election o Post-election B--september Supplemental <br /> LOAN SUMMARY FOR OFFICE USE ONL Y <br />21. Beginning Outstanding Loans <br /> (Total Outstanding Loans from previous report) .e- <br />22. Loans Received (Non-Exempt) <br /> (line 2) + <br />23. Loans Received (Exempt) <br /> (line 14) + <br />24. LOANS RECEIVED SUB TOT AL <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 /> (Total loans forgiven during this accounting period) + <br />28. LOAN PAYMENT SUB TOT AL <br /> (lines 25 + 26 +27) = <br />29. TOTAL OUTSTANDING LOANS -e- <br /> (line 24 minus line 28) = <br /> PERSONAL EXPENDITURE SUMMARY <br />30. Beginning Outstanding Personal Expenditures -e- <br /> (line 36 of previous report) <br />31. Personal Expenditures 31. ~ '} <br /> (Accounting Period Total from PC 3A) + <br />32. PERSONAL EXPENDITURE SUB TOT AL = ;3<j. Q'1 <br /> (lines 30 + 31) <br />33. Personal Expenditure Reimbursements 3 t.f. cr C) <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 = 3Lf.C[, <br /> (lines 33 + 34) <br />36. OUTSTANDING PERSONAL EXPENDITURES e- <br /> (line 32 minus line 35) = <br /> FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD <br />37. Ending Cash Balance /7bi.9? <br /> (line 20) <br />38. Accounts Receivable + <br /> (Accounting Period Total from PC 5) <br />39. SUBTOTAL = /7h If. rt <br /> (lines 37 + 38) <br />40. Total Outstanding Loans <br /> (line 29) <br />41. Outstanding Personal Expenditures + <br /> (line 36) <br />42. Accounts Payable + <br /> (Accounting Period Total from PC 6) <br />43. SUBTOTAL = <br /> (lines 40 + 41 + 42) <br />44. BALANCE/DEFICIT = (7 ro4-. 1'g <br /> (line 39 minus line 43: indicate + or - balance) <br />I, pe-ffLI H emmi Vl 4{'eh (name of candidate o~), hereby certify that the above <br />statement ard the attached suPr'orting reports are true and correct. <br />.1St1t0 f! etlJ1 m l'j\AJ;/'AA q-1-tJ5 <br />Signature ofbndidatc or treasurer(J Date signed <br />