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10/15/2009 13 : 54
REPORT OF RECEIPTS
FEC
AND DISBURSEMENTS
FORM 3
For An Authorized Committee
Office Use Only
1.NAME OF
USE FEC MAILING LABEL
COMMITTEE (in full)
OR TYPE OR PRINT
.
Example:If typing, typeover the linesADDRESS (number and street)
.
Check if differentthan previouslyreported. (ACC)2.
FEC IDENTIFICATION NUMBER
....
CITYSTATEZIP CODESTATE
.
NEWAMENDED
OR
(N)(A)DISTRICT3.IS THISREPORT
4.TYPE OF REPORT
(Choose One)(b)12-Day
PRE
-Election Report for the:(a)Quarterly Reports:Primary (12P)General (12G)Runoff (12R)April 15 Quarterly Report (Q1)Convention (12C)Special (12S)July 15 Quarterly Report (Q2)in theOctober 15 Quarterly Report (Q3)Election onState ofJanuary 31 Year-End Report (YE)(c)30-Day
POST
-Election Report for the:General (30G)Runoff (30R)Special (30S)in theTermination Report (TER)Election onState of5.Covering PeriodthroughI certify that I have examined this Report and to the best of my knowledge and belief it is true, correct and complete.Type or Print Name of TreasurerElectronically Filed bySignature of TreasurerDateNOTE : Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 2 U.S.C 437g.
FEC FORM 3
OfficeUse
(Revised 02/2003)
Only
FE5AN018
Tim Griffin for Congress Campaign Committee
Image# 29992938511
X
C00468116P.O. Box 7526Little RockAR72217AR02
X
0 9 2 1 2 0 0 90 9 3 0 2 0 0 9Todd HartTodd Hart1 0 1 5 2 0 0 9
 
SUMMARY PAGE
of Receipts and Disbursements
Write or Type Committee NameFEC
Form 3
(Revised 02/2003)
MMMMDDDDYYYYYYYYMMMMDDDDYYYYYYYY
Report Covering the Period:From:To:
COLUMN ACOLUMN BThis PeriodElection Cycle-to-Date
6.Net Contributions (other than loans)(a)Total Contributions(other than loans) (from Line 11(e))......(b)Total Contribution Refunds(from Line 20(d))..................................(c)Net Contributions (other than loans)(subtract Line 6(b) from Line 6(a)).........7.Net Operating Expenditures(a)Total Operating Expenditures(from Line 17)....................................(b)Total Offsets to OperatingExpenditures (from Line 14)................(c)Net Operating Expenditures(subtract Line 7(b) from Line 7(a))........8.Cash on Hand at Close ofReporting Period (from Line 27).................9.Debts and Obligations Owed
TO
the Committee (Itemize all onSchedule C and/or Schedule D)................10.Debts and Obligations Owed
BY
the Committee (Itemize all onSchedule C and/or Schedule D)................
For further information contact:
Federal Election Commission999 E Street, NWWashington, DC 20463Toll Free 800-424-9530Local 202-694-1100
FE5AN018
0 9 2 1 2 0 0 90 9 3 0 2 0 0 9
Image# 29992938512
Tim Griffin for Congress Campaign Committee
2 / 47
130305.000.00130305.001603.580.001603.58128701.420.000.00130305.000.00130305.001603.580.001603.58
 
DETAILED SUMMARY PAGE
of Receipts
FEC
Form 3
(Revised 12/2003)Write or Type Committee Name
MMDDYYYYMMDDYYYY
Report Covering the Period:From:To:
COLUMN ACOLUMN B
I. RECEIPTS
Total This PeriodElection Cycle-to-Date
11.CONTRIBUTIONS (other than loans) FROM:(a)Individuals/Persons Other ThanPolitical Committees(i)Itemized (use Schedule A)..............(ii)Unitemized.....................................(iii)TOTAL of contributionsfrom individuals......................
.
(b)Political Party Committees...................(c)Other Political Committees(such as PACS).................................(d)The Candidate....................................(e)TOTAL CONTRIBUTIONS(other than loans)(add Lines 11(a)(iii), (b), (c), and (d))12.TRANSFERS FROM OTHERAUTHORIZED COMMITTEES.....................13.LOANS(a)Made or Guaranteed by theCandidate...........................................(b)All Other Loans....................................(c)TOTAL LOANS(add Lines 13(a) and (b)).....................14.OFFSETS TO OPERATINGEXPENDITURES(Refunds, Rebates, etc.)............................15.OTHER RECEIPTS(Dividends, Interest, etc.)............................16.
TOTAL RECEIPTS
(add Lines
.
11(e), 12, 13(c), 14, and 15)(Carry Total to Line 24, page 4)............
FE5AN018
0 9 2 1 2 0 0 90 9 3 0 2 0 0 9Tim Griffin for Congress Campaign Committee
Image# 29992938513
3 / 47
115905.004100.00120005.000.0010300.000.00130305.000.000.000.000.000.000.00130305.00115905.004100.00120005.000.0010300.000.00130305.000.000.000.000.000.000.00130305.00
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