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<br />PC 1 Summary Statement of Contributions and Expenditures <br />please type or print legibly in black ink <br /> <br />,!. name of committee use full name <br />Alan Zelenka for City Council <br />This filing is an: 0 Original <br />o Primary 20_ 0 General 20~_ <br />o 1st pre-election 0 2nd pre-election <br />loan .um....ry <br /> <br />. beginning outstanding loans line 29 of previous report <br /> <br />. loans received (non-exempt) line 2 <br /> <br />. loans received (exempt) line 14 <br /> <br />. loans received subtotal lines 21+22+23 <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 Jines 25+26+27 <br /> <br />. total outstanding loans line 24 minus line 28 <br /> <br />o Amendment <br />o other: <br />o Post-election <br /> <br />page 2 of 2 <br /> <br />rev 1/06 <br /> <br />committee id number <br /> <br />o 20__Sept. Suppl. <br /> <br />+ <br /> <br />$300.00 <br />$0.00 <br />$0.00 <br />$300.00 <br /> <br />+ <br /> <br />+ <br /> <br />$232.41 <br />$0.00 <br />$67.59 <br />$300.00 <br /> <br />+ <br /> <br />$0.00 <br /> <br />personal expenditure summary <br /> <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br /> <br />beginning outstanding personal expenditures <br />line 36 of previous report <br /> <br />+ <br /> <br />$0.00 <br /> <br />personal expenditures accounting period total from PC 3A <br /> <br />+ <br /> <br />$0.00 <br /> <br />personal expenditure subtotal lines 30+31 <br /> <br />$0.00 <br /> <br />personal expenditure reimbursements <br />total expenditures on PC 3 with purpose code R <br /> <br />$0.00 <br /> <br />forgiven personal expenditures total forgiven this acctg. period <br /> <br />+ <br /> <br />$0.00 <br />$0.00 <br /> <br />reimbursement subtotal lines 33+34 <br /> <br />outstanding personal expenditures line 32 minus line 35 <br /> <br />$0.00 <br /> <br />financial .g'ue at close of accounting period <br /> <br />. ending cash balance line 20 <br /> <br />. accounts receivable accounting period total from PC 5 <br /> <br />. subtotal lines 37+38 <br /> <br />. total outstanding loans line 29 <br /> <br />. outstanding personal expenditures line 36 <br /> <br />. accounts payable accounting period total from PC 6 <br /> <br />. subtotal lines 40+41+42 <br /> <br />. balance/deficit line 39 minus line 43; indicate + or - balance <br /> <br />+ <br /> <br />-$421.86 <br />$0.00 <br />-$421.86 <br />$0.00 <br />$0.00 <br />$0.00 <br /> <br />+ <br /> <br />+ <br /> <br />$0.00 <br /> <br />-$421.86 <br /> <br />A t.A--J\J <br /> <br />.2: E_.LEIVkft <br /> <br />--, hereby certify that the above <br /> <br />I, name of candidate or treasurer <br />statement and the attare~supportifjJ JPorts are true and correct. <br /> <br />.~:; '--'L~.. ~ -c- _ __ __ <br /> <br />signature of candidate or t~r <br /> <br />PC 1 <br /> <br />o Report of Initial Assets <br />I for office use only <br />I <br />I <br />I <br />I <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />DEe 0 7 2006 I <br /> <br />CITY RECORDER i <br />I <br />'------------___J <br /> <br />RECEIVED <br /> <br />it - &; /'()~_____ <br /> <br />date signed <br />