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PC 1 Summary Statement of Contributions and Expenditures
please type or print legibly in black ink
page 1 of 2
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mailing add'e.. as h appea,. on Statement of O,gl;"',a,,on po box oWreet, dty, state, z;p code
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name oft'easu'e, 4n. btf
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commitee type, measure number or office
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This filing is an: . Original
o Prim~ry 20__ e General 20J2~
C 1st pre-election 0 2nd pre-election
rev 1/06
committee id number---
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day phone number
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o Amendment
o other:
o Post-election
--
. 20~Sept. Suppl.
o Report of Initial Assets
A Totals for this
Accounting Period
B Cumulative Totals
for this Election
. cash contributions accounting period total from PC 2
. loans received (non-exempt) accounting period total from PC 2 +
. total cash contributions lines 1+2
. in-kind accounting period total from PC 2 +
. total contributions lines 3+4
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+
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+
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. cash expenditures accounting period total from PC 3
. loan payments (non-exempt) accounting period totalfrom PC 3 +
. total cash expenditures lines 6+7
. in-kind accounting period total from PC 2 +
. total expenditures lines 8+9
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+
+
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for office use only
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Ocr 2
~ C 6 2006
./'" ~1Y RECORDER J
3% 7- 87 l
. beginning cash balance line 20 of previous report
. total contributions line 5 +
. other receipts accounting period total from PC 4A +
. loans received (exempt) accounting period total from PC 4A +
. contribution subtotal lines 11+12+13+14
. total expenditures line 10
. other disbursements accounting period total from PC 48 +
. loan payments (exempt) accounting period total from PC 48 +
. expenditure subtotal lines 16+17+18
. ending cash balance line 15 minus line 19
PC 1
PC 1 Summary Statement of Contributions and Expenditures
please type or print legibly in black ink
This filing is an:
OPrimary20_
o 1st pre-election
use full name
( 1
UII\. .It/~ (t
. Original
o General 20~
o 2nd pre-election
. 20flLSept. Suppl.
utJ,1.Ic', I
o Amendment
o other:
o Post-election
.
.
.
.
.
.
.
.
.
beginning outstanding loans line 29 of previous report
loans received (non-exempt) line 2
+
loans received (exempt) line 14
+
loans received subtotal lines 21+22+23
loan payments (non-exempt) line 7
loan payments (exempt) line 18
+
forgiven loans total loans forgiven during this acctg. period
+
loan payment subtotal lines 25+26+27
total outstanding loans line 24 minus line 28
.
.
.
.
.
.
.
beginning outstanding personal expenditures
line 36 of previous report
+
personal expenditures accounting period total from PC 3A
+
personal expenditure subtotal lines 30+31
personal expenditure reimbursements
total expenditures on PC 3 with purpose code R
forgiven personal expenditures total forgiven this acctg. period
+
reimbursement subtotal lines 33+34
. ending cash balance line20
. accounts receivable accounting period total from PC 5
. subtotal lines 37+38
. total outstanding loans line 29
. outstanding personal expenditures line 36
. accounts payable accounting period total from PC 6
. subtotal lines 40+41+42
. balance/deficit line 39 minus line 43; indicate + or - balance
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+
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+
+
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statement and the attached supporting reports are true and correct.
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signature of candidate or treasurer
I, name of candidate or treasurer
page 2 of 2
rev 1/06
committee id number
o Report of Initial Assets
for office use only
RtCt/1!J
OCI,g 'to
efr {/2008
YR[C
OIiD[fI
, hereby certify that the above
PC 1
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date signed