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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 /> ~'7 (",r- f;r C,- -Itt (lOll ~(' ~ ( <br />D Original , ~General 20~ <br />D Primary 20_ D Other <br />D Amendment D 1 st Pre-election D 2nd Pre-election D Post-election jgf 20 0<7 September Supplemental <br /> LOAN SUMMARY FOR OFFICE. USE ONLY <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 /> (Tota] 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 /> 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. RE~BURSEMENTSUBTOTAL = <br /> (lines 33 + 34) <br />36. OUTSTANDING PERSONAL = <br /> EXPENDITURES .. <br /> FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD '. <br />37. Ending Cash Balance ~cf,'31 " <br /> (line 20) <br />38. Accounts Receivable ~ ,r ... <br /> (Accounting Period Total from PC 5) + - ". <br /> . , <br /> ""i' <br />39. SUBTOTAL l' cj, 31 . <br /> = .' <br /> (lines 37 + 38) ." .. - <br />40. Total Outstanding Loans RECE\VED. .,. <br /> (line 29) - " '. <br />41. Outstanding Personal Expenditures + - SEP 0,8 2005 . .....:. <br /> (line 36) <br />42. Accounts Payable + ('36. 'j.J I', <br /> . 0 <br /> (Accounting Period Tota] from PC 6) CITY RECORD,ER <br />43. SUB TOT AL . . <br /> = I 3 b. 8 tf <br /> (lines 40 + 41 + 42) ',"' .~ <br />44. BALANCEfDEFICIT = - '?..2-. 5 3 <br /> (line 39 minus line 43: indicate + or - balance) 0' <br />I, A drt: ~ CJ. Er !(...!:.Sf)'---- (name of candidate or treasurer), hereby certify that the above <br />statement and the a ached supportmg reports are true and correct. <br /> ~~ tfZ- ~r~~ 'l- ;!. - tJ S- <br />Signature of candidate or treasurer Date signed <br />