Amazon Creek Political Action Committee

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PC I Rev. 11/99 Summary Statement of Contributions and Expenditures Please type or print legibly in black ink. Page 2 of2 Candidate or Political Committee Name: Committee ID Number: Amazon Creek Political Action Committee o Original o Primary 2000 o General 20_ ~ Other _ o Amendment o 1 st Pre-election o 2nd Pre-election o Post -election ~ September Supplemental LOAN SUMMARY 21. Beginning Outstanding Loans 0 FOR OFFICE USE ONL Y (Total Outstanding Loans from previous report) 22. Loans Received (Non-Exempt) 0 (line 2) + 23. Loans Received (Exempt) 0 (line 14) + 24. LOANS RECEIVED SUBTOTAL (lines 21 + 22 + 23) = 0 25. Loan Payments (Non-Exempt) 0 (line 7) + 26. Loan Payments (Exempt) 0 (line 18) + 27. Forgiven Loans 0 (Total loans forgiven during this accounting period) + 28. LOAN PAYMENT SUBTOTAL (lines 25 + 26 +27) = 0 29. TOTAL OUTSTANDING LOANS (line 24 minus line 28) = 0 PERSONAL EXPENDITURE SUMMARY 30. Beginning Outstanding Personal Expenditures 0 (line 34 of previous report) 31. Personal Expenditures + 0 (Accounting Period Total from PC 3A) 32. PERSONAL EXPENDITURE SUBTOTAL 0 (lines 30 + 31) = 33. Personal Expenditure Reimbursements 0 (Total expenditures on PC 3 with purpose code R) - 34. OUTSTANDING PERSONAL EXPENDITURES = 0 FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD 35. Ending Cash Balance 0 (line 20) 36. Accounts Receivable 0 (Accounting Period Total from PC 5) + 37. SUBTOTAL 0 (lines 35 + 36) = 38. Total Outstanding Loans 0 RECEIVED (line 29) 39. Outstanding Personal Expenditures + 0 APR 0 3 2006 (line 34) 40. Accounts Payable + 0 (Accounting Period Total from PC 6) CITY RECORDER 41. SUBTOTAL 0 (lines 38 + 39 + 40) = 42. BALANCEIDEFICIT 0 (line 37 minus line 41: indicate + or - balance) = I, Robert E. Siegmund (name of candidate or treasurer), hereby certify that the above statement and the attached supporting reports are true and correct. Q~ ~.~~u. A:2 :c\ ~ ~LO ~ . . ~ .. . ......... ... '" " ~....\.tI>~N'~ ' ~ "'9.......r_r,t_-