i-OR NSTHUCTIONS, SEE- BACK OF t-OHM FORM

DISCLOSURE SUMMARY PAGE DR-2 DISCLOSURE -

COMMITTEE NAME (Must be same as on Statement of Organization) (Rev . 07/2003) REPORT
'x a~nn~tvae.KgliS LOCAL jj~~~crfcfy(_ eouch-rt oN FU/%J[)
For Office Use Onl

IfviPORTAN I': Indicate type of committee you are reporting for: Comm . #
Logged In __ _. ___ ___ ._____. . .~_
( 'I )Slatewloe/Legislative Candidate ( 2 )Sialewlde PAC ( 3 )Stale 1'nrly ( 4 )County/Local Candidate
( 5 )County PAC (6 )Ballot Issue/Franchise Cornmillee ( 7 )County/City Central Committee Scanned
( 8 )Support Slate of Candidates Computer
CANDIDATE COMMITTEES ONLY :
Audited
Candidate Name Political Party
__ _ ._
--__
Office Sought r ct (if Senate or House)

ps _ / I?- on y
EASURER (or person filing this report) DATE SIGNED

Laite filed reports are subject to possible civil and criminal penalties .
SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE:
I AM FILING A
REPORT O , FOR AN/A (1) LECTION /(2)NON-ELECTION YEAR .
(TpW dale) , ~-
Indicate one
Local Committees, enter Date of Election
CHECK IF AMENDMENT TO REPORT DATED

County & Local Committees, enter County in

Check if ibis is final (termination) report and attach Notice of Dissolution Form DR-3 . which Election is held
(YOU must continuo to file reports until a Notice of Dissolution is filed .)

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period . (This is the total of all monies held
by the committee . This amount MUST be the same as the cash on hand at the end
of the last reporting period, or must be zero if this Is first report filed .) . . . . . . . . . . . . . . . . . . .  , ., . .  .  $
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A : Cash Contributions total (Attach Schedule A) ('also see in-kind below) . . . . . . . . . . ------------------------
Schedule F : Loans Received total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . ---------- -----------
Schedule H : Total Sales of Campaign Property (Attach Schedule li) . . . . . . . . . . . . . . . . . . . . . . . ., ., . . . . . . .
(Schedule H applies to Candidates' Committees O nly)

SUB-TOTAL . . . . . $
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B : Expenditures total (Attach Schedule B) (""also see debts and loans below) . . . .
Schedule F : Loan Repayments total (Attach Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _, . ., .,
CASH OIV HAND at the end of this reporting period (if final report, balance must
be zero) (Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
r_-1,-

"UNPAID BILLS (From Schedule D - Attach Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

`IN KIND CONTRIBUTIONS From Schedule E - Attach Schedule E . . ... . .. ... ... . ... .. . ... .. . . .. . . . . .. ... . .. ... . .
"OUTSTANDING LOANS From Schedule F - Attach Schedule F . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Schedule G Attached?) DYES L]NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $ --------- -___
10/08/21 @04 08 : a5 31935532285 IPOH1,0OPKEPS LOCAL

I-OR INS IHOCTl0id,5 SEt; hhtC K Q1= F0 :gItd ,'Itc sct Yom, ~..FORM
'.r,.."
09SGL0SURIC S(AhIWIAWY PAGL DR-2
(Rev . 0712003) RCAORT
( ;OMMITTEE . NAINE (Adult hA same as orl Sfellorw)n1 n1
t21_u.." ?+% 5h .s LOC~L t ~L .'4 cTa(AL. ._C-1 v
( 1" 't .-F~ .V~~
1
l)d
U. . .__ . . .. . . For Off lc~n I r r~~y
f~t:mrr, il
. VRTAr,IT : Inc11ralo lyl, b of convnlllun yau
:
r!,, .11 k, rwwrtllnfl P0r . r-~
l,n;)tlf~rl ly
( I)ftlnlY.w+rlorl rlgal9ll~'n C:r,nd)nnln ( 2 ) iPI~wICIy ~)AC; (. ? )S)mln " ,nr+Y ( " i )f:p nly,, .nonl (', ",nrIIC1F,l9
( ci )Ccmnly ON, (6 )t1C1101 laot)wrlranr;hlun rnmrrdtl~n ( 1 )(;nurty)Gily (7oldru) (.o'~vnilir,n
( f) )F, nnpcrt 51710 of Ga1"lrlld ;l!rc "c ~' ' . .__ Cornfllilnr _ ., ._
CANDIDATE COMM1 TEFS ONLY : Auulhnd
(Andlrinte lg)rre

Office Soughl Di ;arir;} (if SF;-nAlo or HOUSO)

EASURER (or .porson filing thIF roport) TELEPHONE ' DATE SIGNED

(Late filed reports we subject to possibfu civil and criminal penalties.

SE E IN STF( UC - ION$ ON ..Pfi (: < ANty C7M 1?LETF THl_ FO LLOWI NG SENTENCE:.
I AM FILING REPORT r-nR AN/A i1) t ECTION 1(2)NON-ELECTION YEAR .

one
~i.nnel Cornrnltlees, nnlar Dllto oft lectl<>n
ME NOMENT To REPOR ( I~ATCD

County f. L .oralCommlllow;, .gnler County In

whir :h'Elecana Is hold
~~ Chcal;k if IN, le anal (iorlnlnw)on) capon yr+d attach Notice of DISSOIu11Un Form DR-3
(Yr)u must etmtinua to filo luporls unlit a Notice of Dissolution is (fled )

STATEMENT OF CASH ON HAND

CASIA ON HAND at the beginning of the mporfog perlorl . (Tills Is the tr>ttU of all months held
by ll)e commillae 7hls Amount MUST be the same es the cash ()rl hrlnd at the and
of the last reporllng period, or met he zero If this Is first rEgwrt

ADD TOTAL MONEY TAKEN IN TI(IS PERIO(l

Scherir)lo A: Cash Gonlrll)ullom tglal (Allych Schedule A) ('also soe in-kind below)  .. /?&c
. . 85

Schedule 1=' : Loens Received total (All 5r:hedule F)

Srherl0e F1 : Total Sales of Campeign Proporty (Allo(l) Scharllde H) . . . .. ,

S8ch9(lille appligB to Condidato z' Committ(tos,Onl, y) G'

SU13-TOTAL . . . . .S 11-S-3--
1-49 2
SU13TRACT TO TAI_ MONEY SPEN'r T ms PER for)

Scherk)le B: Ex endltures total Allactl SChedul6 R also see (lebts and loans below ~~ ' O C)
5Chedula r_ . Loon Roi)ayments total (Aliach Schodulo 1-) . . .. . . . . . . . . , . , . ., _. ._ . . ._. ..___ _. . . -_.. ._ . .._
(;ASFII OIJ FIANO At tho enrl of this roportlnq period (if flnyl rof)prli, balarv:a rrwgt Lo
r' ) " '
~ lt'
ho law) (/\ttzirh DR-3) . . . . . . . . . . . . . . .. ... . . . . .. . . ... . . . . . ., , . ., . . . . . . . .. . . . . . . . . :~ . .a. .c-.
;.+r-r-:anr! . :.a,~cro+ar~tsu a +eramrc .
"UNPAID HILLS (From Schedt .d o D - Attncal Schedule [)) . .  , .

`IN WND CONTRIBUTIONS (From Sct)e(l(ilA E - Altew.h Srhwlulo I-) ,

"OUTSTANDING LOANS (Fmrn Schedule F - Allach Srhefll)le F),

CANDIUn T[ CO MMITfEE5 OFJLY :

CONSULTANT BREAKDOWN (Schedule G Allachod?) L-]YF_S Dr ,10

VALUE OF CAMPAIGN PROPERTY (From Schedule Ii -Attach Srhodlllo H) TI