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<br />~c 1 Summary Statement of Contributions and Expenditures <br />please type or print legibly in black ink <br /> <br />page 2 of 2 <br /> <br />rev 1/06 <br /> <br />J, name of committee use full name <br /> <br />H<t{,~ 5 ( /JJ lit c!lJdt <br />This filing is an: . Original 0 Amendment <br />o Primary 20__ ., General 20~ 0 other: <br />o 1st pre-election 1/1) 2nd pre-election 0 Post-election <br /> <br />committee id number <br /> <br /> <br />o 20_Sept. Suppl. <br /> <br />o Report of Initial Assets <br />for office use only <br /> <br />. beginning outstanding loans line 29 of previous report <br /> <br /> <br />. loans received (non-exempt) line 2 <br /> <br /> <br />. loans received (exempt) line 14 <br /> <br /> <br />. loans received subtotal lines 21+22+23 <br /> <br /> <br />. loan payments (non-exempt) line 7 <br /> <br />. loan payments (exempt) line 18 <br /> <br />. forgiven loans total loans forgiven during this acctg. period <br /> <br />. loan payment subtotal lines 25+26+27 <br /> <br />. total outstanding loans line 24 minus line 28 <br /> <br />+ <br /> <br />-- <br /> <br />+ <br /> <br />-- <br /> <br />f) <br /> <br />~ <br /> <br />+ <br /> <br />---- <br /> <br />+ <br /> <br />/"" <br /> <br />.------ <br /> <br />~" <br /> <br /> <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br /> <br />beginning outstanding personal expenditures <br />line 36 of previous report <br /> <br />+ <br /> <br />personal expenditures accounting period total from PC 3A <br /> <br />+ <br /> <br /> ...-- <br /> --- <br /> /' <br /> ~ <br /> /' <br /> ,/ <br /> 3{)59. 93 <br /> --- ~.t~ <br /> 10 5'1. 93 <br /> ---- OCt' '!i1/.tO <br /> --- CIty IT. ~ 8' <'006' <br /> ~ (:'CO..9, <br /> 305et. 93 l> ~J)> <br />f 3091. 'J <br /> <br />personal expenditure subtotal lines 30+31 <br /> <br />personal expenditure reimbursements <br />total expenditures on PC 3 with purpose code R <br /> <br />forgiven personal expenditures total forgiven this acctg. period <br /> <br />+ <br /> <br />reimbursement subtotal lines 33+34 <br /> <br />outstanding personal expenditures <br /> <br /> <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br /> <br />ending cash balance line 20 <br /> <br />accounts receivable accounting period total from PC 5 <br /> <br />+ <br /> <br />subtotal lines 37+38 <br /> <br />total outstanding loans line 29 <br /> <br />outstanding personal expenditures line 36 <br /> <br />+ <br /> <br />accounts payable accounting period total from PC 6 <br /> <br />+ <br /> <br />subtotal lines 40+41+42 <br /> <br />balance/deficit line 39 minus line 43; indicate + or - balance <br /> <br />I, name of candidate or treasurer <br /> <br />statement ~d~rting reports are true and correct. <br /> <br /> <br />signature of candidate or treasurer <br /> <br /> <br /> <br />p <br /> <br />, hereby certify that the above <br /> <br />I~ ,].;' -0(, <br /> <br />date signed <br /> <br />PC 1 <br />