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PC 1 Summary Statement of Contributions and Expenditures
please type or print legibly in black ink
page 1 of 2
rev 1/06
J. name of committee use full name
Eugene Police Employees' Association Political Committee
mailing address as it appears on Statement of Organization po box or street, city, state, zip code
777 High Street - Suite 120, Eugene, Oregon 97401
name oftreasurer
Erik C. Humphrey
commitee type. measure number or office
Political Action Committee
committee id number
541-342-1814
day phone number
This filing is an:
o Primary 20_
01 st pre-election
o Original
o General 20_
o 2nd pre-election
o Amendment
o other: Final Report
o Post-election 0 20_Sept. Suppl.
o Report of Initial Assets
A Totals for this
Accounting Period
B Cumulative Totals
for this Election
o 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
+
+
$0.00
$0.00
$0.00
$0.00
$0.00
+ $0.00
$0.00
+ $0.00
$0.00
$0.00
+ $0.00
$0.00
+ $0.00
$0.00
for office use only
$0.00
. cash expenditures accounting period total from PC 3
. loan payments (non-exempt) accounting period total from PC 3
. total cash expenditures lines 6+7
. in-kind accounting period total from PC 2
o total expenditures lines 8+9
+
+
$0.00
$0.00
$0.00
$0.00
$0.00
. 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 totalfrom PC 48
. expenditure subtotal lines 16+17+18
. ending cash balance line 15 minus line 19
+
+
+
+
+
PC 1
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
RECEIVED
DEe
.z.[ 2006
I Ty R E C
ORDER
$0.00
PC 1 Summary Statement of Contributions and Expenditures
please type or print legibly in black ink
J. name of committee use full name
Eugene Police Employees' Association Political Committee
This filing is an: 0 Original 0 Amendment
o Primary 20_ 0 General 20_ 0 other: Final Report
01 st pre-election 0 2nd pre-election 0 Post-election
page 2 of 2
rev 1/06
committee id number
o 20_Sept. Suppl.
.
.
.
.
.
.
.
.
.
beginning outstanding loans line 29 of previous report
loans received (non-exempt) line 2
+
$0.00
$0.00
$0.00
loans received (exempt) line 14
+
loans received subtotal lines 21+22+23
--~~----- ----~~-~--~-~-----
loan payments (non-exempt) line 7
$0.00
$0.00
$0.00
$0.00
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
$0.00
.
.
.
.
.
.
.
beginning outstanding personal expenditures
line 36 of previous report
+
$0.00
personal expenditures accounting period total from PC 3A
+
$0.00
$0.00
personal expenditure subtotal lines 30+31
personal expenditure reimbursements
total expenditures on PC 3 with purpose code R
$0.00
forgiven personal expenditures total forgiven this acctg. period
+
$0.00
$0.00
reimbursement subtotal lines 33+34
outstanding personal expenditures line 32 minus line 35
$0.00
. ending cash balance line 20
. accounts receivable accounting period total from PC 5
. subtotal lines 37+38
I) total outstanding loans Iine29
. outstanding personal expenditures line36
. accounts payable accounting period total from PC 6
. subtotal lines 40+41+42
. balance/deficit line 39 minus line 43; indicate + or - balance
I, nameo'cand;d"eo",.a.u,., E-e./k C, IItUJ1fJ)/-~
statement and the attached supporting reports are true and c rrect.
';9~~~
PC 1
+
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
+
+
$0.00
o Report of Initial Assets
for office use only
l:--t r
I CE/I;{:
DEe 1
C/fy - J 2006
RfCORDE~
, hereby certify that the above
/01-8--0/0
date signed