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<br />Summary Statement of Contributions and Expenditures <br /> <br />PC 1 <br />Rev. 12/03 <br /> <br />Please type or print legibly in black ink. <br />Candidate or Political Committee N}\me: <br />, fA 'MIL ).. t I ~ I <br /> <br />~ Original D Primary 20_ D General 20_ D Other <br />D Amendment D 1st Pre-election D 2nd Pre-election 0 Post-election <br />LOAN SUMMARY <br /> <br /> <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 />(Total loans forgiven during this accounting period) <br />28. LOAN PAYMENT SUBTOTAL <br />(lines 25 + 26 +27) <br />29. TOTAL OUTSTANDING LOANS <br />(line 24 minus line 28) <br /> <br /> <br />I, <br />statement and the attached supporting reports are true and correct. <br /> <br />~4~ <br /> <br />Signature of candidate or treasurer <br /> <br />Page 2 of2 <br /> <br />Committee ID Number: <br /> <br />.0 20KSeptember Supplemental <br /> <br />FOR OFFICE USE <br /> <br />~ <br />_______ 0.00 <br />~ 0.00 <br />_______ 0.00 <br /> <br />+ <br /> <br />+ <br /> <br />= <br /> <br />+ <br /> <br /> <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 EXPENDITURES = ____ <br />(line 32 minus line 35) _____ <br />FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD <br />37. Ending Cash Balance '2 i../J 7 '?J-.D:OO' <br />(line 20) ./ f ~ . <br />38. Accounts Receivable <br />(Accounting Period Total from PC 5) <br />39. SUBTOTAL <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. BALANCEfDEFICIT <br />(line 39 minus line 43: indicate + or - balance) <br /> <br />+ <br /> <br />= <br /> <br />= <br /> <br />+ <br /> <br /> <br />= <br /> <br />j i~7 <6'/ <br />------- <br />------ <br /> <br />+ <br /> <br />+ <br /> <br /> <br />= ?'ffR7!!l <br />= I- 3- (p 7 '!!- <br /> <br /> <br />0.00 <br />0.00 <br /> <br />0.00 <br />0.00 <br /> <br /> <br />0.00 <br /> <br />0.00 <br /> <br />0.00 <br /> <br />~ <br /> <br />0.00 <br /> <br />0.00 <br /> <br />~ <br /> <br />.e:oo- <br /> <br />(name of candidate or treasurer), hereby certifY that the above <br /> <br />5~1- ~ Ur <br /> <br />Date signed ( <br />