Professional Documents
Culture Documents
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DISCLOSURE SUMMARY PAGE
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A INoNETARY
CONTRIBUTIONS - MONEY TAKEN IN (mm 07m) RECI7P'TS
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CHECKTHIS BOX IF
COMMITTEE NAME (Mostbe same as on SWemer*ctOMmklbn) AMENOM FORM
IDs
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TO STATSMOIEOR LEGISLAWE
CANDIDATES, LIST CANDIDATEIOiITIRCAMN
R NUMSM INo
HE DES*~YATED COrit ANDTHE CHECK'ii-fIS BOX IF
PAC CHECK NUMBER FOR EACH EXPENDITURE. A LIST OF ID NUMBER IS AVAILABLE EROU i7_ "PA AJi11ENUNG FOW
ETHICS E CAMPAIGN DISCLOSURE BOARD.
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TH AE A P DESCRIPTION ESiWTED IF FOR
RECEIVED NAMEANDADORESS TOCAI`OIOATE OF IN IOND FAIR T FUND4*JSER
DC1R!R OF CONTRIBUTOR ` ' CONTRIBUTION VALUE Co"IlvauTION
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SUB-TOTAL I S
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committee_ R~AonshQ moat lie shawrr m tAe 11~rd of oonsarlqumi~l rela0res)andalTftaty (raf~ws oc S edule Ei
b1 maur'age). (3w Paige 2 of forms paciat) If sumams d oontrEbubr is Ine san e as carxidals, bit Is no
famRal robbonshQ, ~'wt appicahlfr' in ft rebbmM jp aulverae.
FOR 1NSTRUCTFOMt3, SEE BACK OF FORM
SCHEDLkE
Co WITTEE NA11E(Must be came as on Statement of CMenfiaUon) F LOANS
(Rev, 07103) RLClNlo
'vv-\ cr-'6S 0~ '~-)VenaY\ao o,) %c R ubt A REPAID
NOTE : This schedufs reports money loaned to the oommfttse which Is depoai%d In the oomnfe account. CHECK THIS BOX IF
AMENDING FORM
TOTAL UNPAID LOANS FROM LWREPORTING PERIODS none
PRAT I - MONETARY LOANS RECEIVED= REPORTING PERIOD PART p " MONETARY LOAN REPAYMENTS MMt: na RAPORTINO PERIOD
heal A'PMV of Foen, Such Is a bank mast be shown if a drtrd ps* IS (Lows faoWn must bs repwfsd on SohadWs E - ln4dnd 0anb*uhbne .)
h , ed, Incfude liana from ce nddeWs pertmel Auflds)
DATE NAME END CIORV- ESS OFLENDER O AMOUNT DATE P N A"& 314 SS OF LENDER RELA ION 1 Ah{OLINT
RECEIVED (fnclude Endorser's Name, If Applicable) TO CANDIDATE OF LOAN (MMIDD/YR) (Induds Endomr)s Name, It Applicable) TO CANDIDATE" REPAID
Mf.UDDYR ( Ioebk ( kable
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