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<br />Summary Statement of Contributions and Expenditures <br /> <br />PC I <br />Rev. 12.03 <br /> <br />Please type or print legibly in black ink. <br />Candidate or Political Committee Name: PO g:;:~ €. I Committee lD Number: <br />Et.{6;e,()€ POUtJE;. E~Lcl./E'e5; ~SSO (!//'Jr/OAJ <br />o Original 0 Primary 20_ 0 General 20_ 0 Other <br />o Amendment 0 1st Pre-election 0 2nd Pre-election gJ>ost-election <br />LOAN SUMMARY <br /> <br />Page 2 of2 <br /> <br />020 <br /> <br />September Supplemental <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 /> <br />-e- <br />e- <br />-€T <br />'€r- <br />% <br /><=er <br />~ <br /><e- <br />"€r <br /> <br />FOR OFFICE USE ONLY <br /> <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 = c:e- <br />EXPENDITURES <br /> <br />FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD <br /> <br />37. Ending Cash Balance e- <br />(line 20) <br />38. Accounts Receivable + cS...- <br />(Accounting Period Total from PC 5) --0- <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. BALANCE/DEFICIT <br />(line 39 minus line 43: indicate + or - balance) <br /> <br />+ <br /> <br />-€r- <br />"6- <br /> <br />= <br /> <br />6- <br /> <br />e- <br /> <br />= <br /> <br />ce- <br />"'€T <br /> <br />c:e- <br /> <br />+ <br /> <br />~ <br />-e- <br />ce- <br /> <br />+ <br /> <br />= <br /> <br />= <br /> <br />.~ <br /> <br />I, t:: R / ,i:: C I I-Iu. m P I-I-,e GY. (name of candidate o~erebY certifY that the above <br />statement and the attached supporting reports are trut and correct. <br /> <br />~Q ~ /1-30- ZooS <br /> <br />S;gnanrre of eand;~ Ire",,,,,,,, Date ';gned <br />