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SEP-12-2005 07:38 PM P.03 ---- PC I Summary Statement of Contributions and Expenditures RfV. 12101 Please type or print legibly in black ink, Page 2 of2 Candidate or P-rlitical Committee Name: ~IL C~~I'JJ J Committee 10 Number: -:-- t- ~'r C9 J..-'~~}- , t.~ 4r<- o Original o Primary 20 o General 20~ o Other ---- - ~Amendment o 181 Pre-election o 2nd Pre-election o POiit-election ~eptember Supplemental LOAN SUMMARY -- FOR OFFICE USE ONLY 21, Begmning Outstanding Loans II 1-~ "'.1' (Total Outstanding Loans from previous report) 22. Loans Received (Non-Exempt) + (line 2) 23, Loans Received (Exempt) + (line ] 4) 24. LOANS RECEIVED SUBTOr AL .. II ':f-~ if" ~. (lines 21 + 22 + 23) 25. Loan Payments (Non-Exempt) (line 7) 26, Loan Payments (Exempt) + /(:r'i II (line 18) 27, Forgiven Loans + (Totll.lloat\8 forgiven during this accounting periOd) 28, LOAN PAYMENT SUB TOT AL = Ilr ,. ~& (lines 2S ,- 26 +27) 29, TOTAL OUTSTANDI!\iG LOANS :;;; 0 (line 24 minus line 28) PERSONAL EXPENDITURE SUMMARY .- 30, Begmning Outstandil1g Personal Expenditures (line 36 of previous report) -- 31. Personal Expenditures + (Accounting Perj~l from PC 3A) 32, PERSONAL EXPENDITURE SUBTOTAL '" (lines 30 ~. 31 ) 33, Personal Expenditure Reimbursements (Total expenditures on PC 3 with Purpose code R) -- 34. Forgiven Personal Expendjtures + (T otal perscmalllxpenditures forRiven this acctg, period) 35, REIMBURSEMENT SUBTOTAL '" (lines 33 + 34) 36. OUTSTANDING P~:RSONAL EXPENDlTUH,ES ;;;; (line 32 minus line 35) FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD 37, Ending Cash Balance 0 (line 20) 38. Accounts Receivable + (Accounting Period Total from PC ') 39. SUBTOTAL ;;;; r5 RECE\VED (lines 37 ... 38) 40. Total Outstanding L<mns (line 29) SEP 13 2005 4 I, Outstanding Personal ExpendItures of. {line 36) 42. Accounts Payable + CiTY RECORDEF (Accounting Period Totul from PC IS) -- 43, SUBTOTAL .. () (lines 40 + 41 -I- 42) } <1A. Q,....\.......~I,t.lWi.H<.:\1' w:: U (line 39 minus line 43: ~Idicate + or - balance) \, -::1 c H-- 95,/r'N KA (name of candidate or treasurer), hereby c(rtify that the above Statement and the Pttnched supporting reports are true and Correct. I s;~...?!~ <1/12/0J- I Date signed