SCHEDULE OF ELECTION CONTRIBUTION AND EXPENDITURES SOCE

Type of Contribution
Schedule of Contributions Received
DESCRIPTION
DATE RECEIVED RECEIPT NUMBER FULL NAME OF CONTRIBUTOR ADDRESS OF CONTRIBUTOR AMOUNT/VALUE OF CONTRIBUTION
(for in-kind contributions)

N/A N/A N/A N/A

(CashN/A
or In-kind) N/A N/A

TOTAL CONTRIBUTIONS RECEIVED N/A

(Note: Use additional sheets if necessary)

Schedule of Expenditures

RECEIPT/ INVOICE FULL NAME OF BUSINESS FIRM OR Exp Type AMOUNT/VALUE OF

DATE INCURRED ADDRESS OF BUSINESS FIRM OR CONTRACTOR DESCRIPTION OF EXPENSE
NUMBER CONTRACTOR (A-K) EXPENDITURE

N/A N/A N/A N/A N/A N/A N/A

N/A
TOTAL EXPENDITURES INCURRED N/A

(Note: Use additional sheets if necessary)

Schedule of Unpaid Obligations

DESCRIPTION OF THE OBLIGATION

PURPOSE REMAINING OBLIGATION AMOUNT/VALUE OF

DATE INCURRED CONTRACT / LOAN NO. NAME OF CREDITOR ADDRESS OF CREDITOR
(for incurring obligations) (partial payments were made) OBLIGATION

(i.e. loan, etc.)

N/A N/A N/A N/A N/A N/A N/A N/A

TOTAL UNPAID OBLIGATIONS N/A

(Note: Use additional sheets if necessary)