Laserfiche WebLink
<br /> Summary Statement of Contributions and Expenditures PC J <br /> Re\'. l2i03 <br />Please type or print legibly in black ink. Page 20f2 <br />Candidate or Political Committee Name: I Committee lD Number: <br /> 6ltNb of q <br />~ Original I 0 Primary 20_ ro General20J2L I}(] Other ?up p /e-YYJ e.n tiLJ <br />o Amendment o 1 st Pre-election o 2nd Pre-election o Post-election 020 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) + 0.00 <br /> (line 2) --- <br />23. Loans Received (Exempt) + - 0.00 <br /> (line ]4) <br />24. LOANS RECEIVED SUBTOTAL = -- 0.00 <br /> (lines 21 + 22 + 23) <br />25. Loan Payments (Non-Exempt) 0.00 <br /> (line 7) --- <br />26. Loan Payments (Exempt) + 0.00 <br /> (line 18) - <br />27. Forgiven Loans + <br /> (Total loans forgiven during this accounting period) - <br />28. LOAN PAYMENT SUBTOTAL = - 0.00 <br /> (lines 25 + 26 +27) <br />29. TOTAL OUTSTANDING LOANS = -- 0.00 <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 = -- 0.00 <br /> (lines 30 + 31) <br />33. Personal Expenditure Reimbursements -- <br /> (Total cxpenditun:s on PC 3 with purpose code R) <br />34. Forgiven Personal Expenditures + -- <br /> (Total personal expenditures torgiven this acctg. period) <br />35. REIMBURSEMENT SUBTOTAL = -- 0.00 <br /> (lines 33 + 34) <br />36. OUTSTANDING PERSONAL EXPENDITURES = -- 0.00 <br /> (line 32 minus line 35) <br /> FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD <br />37. Ending Cash Balance ~S. S7 0.00 <br /> (line 20) <br />38. Accounts Receivable + - <br /> (Accounting Period Tota] from PC 5) <br />39. SUBTOTAL = <6t; 57 0.00 <br /> (lines 37 + 38) - <br />40. Total Outstanding Loans - 0.00 RECEIVED <br /> (line 29) <br />41. Outstanding Personal Expenditures + - 0.00 SEP 12 2005 <br /> (line 36) <br />42. Accounts Payable + - <br /> (Accounting Period Total from PC 6) CITY RECORDER <br />43. SUBTOTAL = - 0.00 <br /> (lines 40 + 41 + 42) <br />44. BALANCEIDEFICIT = -g 5 ~.? 0.00 <br /> (line 39 minus line 43: indicate + or - balance) <br />I, EV Ar',} D~~N (name of candidate or treasurer), hereby certity that the above <br />statement and the attached supporting reports are true and correct. <br /> 6l~~ '1. / ;). " 05 <br />Signature of candidate or treasurer Date signed <br /> <br />2"d <br /> <br />00Sv-1Sv-lv5 <br /> <br />UOWO I oS ...fej ~ uuer <br /> <br />dS5:10 50 21 des <br />