Professional Documents
Culture Documents
Date Received Name and Address Relationship to Description of In-Kind Estimated if for
(MM/DD/YR) Of Contributor Candidate Contribution Fair Market fund-raiser
* (if applicable) Value contribution
Sub-total $171636.67
Total (if last page of
this schedule) $
*Disclosure law requires candidates to disclose the relationship of any relative making an in-kind contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives
by marriage). (See Page 2 of forms packet.) If surname of contributor is the same as candidate, but there is no Page 1 of 3
familial relationship, enter “not applicable” in the relationship column. (for Schedule E)
SCHEDULE
COMMITTEE NAME (Must be same as on Statement of Organization)
E In-Kind
Chet Culver Committee (Rev. 06/97) Contributions
Date Received Name and Address Relationship to Description of In-Kind Estimated if for
(MM/DD/YR) Of Contributor Candidate Contribution Fair Market fund-raiser
* (if applicable) Value contribution
Sub-total $243565.24
Total (if last page of
this schedule) $
*Disclosure law requires candidates to disclose the relationship of any relative making an in-kind contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives
by marriage). (See Page 2 of forms packet.) If surname of contributor is the same as candidate, but there is no Page 2 of 3
familial relationship, enter “not applicable” in the relationship column. (for Schedule E)
SCHEDULE
COMMITTEE NAME (Must be same as on Statement of Organization)
E In-Kind
Chet Culver Committee (Rev. 06/97) Contributions
Date Received Name and Address Relationship to Description of In-Kind Estimated if for
(MM/DD/YR) Of Contributor Candidate Contribution Fair Market fund-raiser
* (if applicable) Value contribution
Sub-total $118770.05
Total (if last page of
this schedule) $533,971.96
*Disclosure law requires candidates to disclose the relationship of any relative making an in-kind contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives
by marriage). (See Page 2 of forms packet.) If surname of contributor is the same as candidate, but there is no Page 3 of 3
familial relationship, enter “not applicable” in the relationship column. (for Schedule E)