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FOR I NSTRUCT I ONS, SEEBACK OF?MDI SCLOSURE SUMMARY PAGE
COMMTTEE NAME ( Mu s t
s ame a s o n t a t e m e p ( o f O r g a n i z a t i o n )
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I MPORTANT: I n d i c a t e t y p e o f c o mm i t t e e y ou a r e r e p o r t i n g f o r .( 1 ) S t a t e w i d e / L e g i s l a t i v e C a n d i d a t e ( 2 ) S t a t e w i d e PAC ( 3 ) S t a t e P a r t y ( 4 ) C o u n t y / L o c a l C a n d i d a t e( 5 ) C ou n t y PAC ( 6 ) B a l l o t I s s u e / F r a n c h i s e C o mm i t t e e ( 7 ) C o u n t y / C i t y C e n t r a l C o mm i t t e e( 8 ) S u p p or t S l a t e A f C a n d i d a t e s
OF TREASURER ( o r p e r s on f i l i n g t h i s r e p o r t )Rou t i n e P e n a l t i e s Du e Fo r L a t e F i l e d Re p or t s Ra n g e f r o m $ 2 0 t o $ 8 0 0
SEE I NSTRUCTI ONS ON BACK ANDCOMPLETE THE FOLLOWI NG SENTENCE :I AM FI L I NG A
REPORT FORAN/ A ( 1 ) EL ECT I ON I ( 2 ) NOWELECT I ON YEAR.
( r e p o r t d a t e )OCHECK I F AMENDMENT TO REPORT DATED
Ch e c k i f t h i s i s f i n a l ( t e r m i n a t i o n ) r e p o r t a n d a t t a c h N o t i c e o f D i s s o l u t i o n F or m DR- 3 .( Y o u mus t c o n t i n u e t o f i l e r e p o r t s u n t i l a N o t i c e o f D i s s o l u t i o n i s f i l e d . )
I n d i c a t e on e
/
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L o c a l C o mm i t t e e s , e n t e r D a t e o f E l e c t i o nC o u n t y & L o c a l C o mm i t t e e s , e n t e r C o u n t y i nw h i c h E l e c t i o n i s h e l d
STATEMENT OF CASH ON
CASH ON HAND a t t h e b e g i n n i n g o f t h e r e p o r t i n g p e r i o d . ( T h i s i s t h e H%f f 2t o t a l 2 2 0 0 2o f a l l mon i e s h e l d b y t h e c ommi t t e e . T h i s amou n t MUST b e t h es ame a s t h e c a s h on ha n d a t t h e e n d o f a s t r e p o r t i n g p e r i o d ,o r mu s t b e z e r o i f t h i s i s f i r s t r e p o r t f i l e d . ) t h e. . . . i 6 l t / 4 2 . 7 a4 . ' - Q. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . 5 Ul r ] Q
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ADD TOTAL MONEYTAKEN I N T HI S PERI OD
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Sc h e du l e A : Ca s h
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Fo r I n s t r u c t i o n s , See Back o f Fo r mCONTRI BUTI ONS - - MONEYTAKEN I N
( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )COMMI TTEE NAME Mu s t be s ame a s o n St a t e me n t o f Or g a n i z a t i o n)
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STATE CANDI DATES NOTE: I F A CONTRI BUT I ON I S RECEI VED FROM A STATE PAC ( P OL I T I C A L ACT I ON COMMI TTEE) , L I S T THE PAC I DE NT I F I C AT I ONNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVA I LABLE FROMTHE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .CAUTI ON : S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Code , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s a n d s t a t e me n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c o mme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .
SCHEDULEA MONETARY( Re v . 0 6 / 9 7 ) RECE I PTS0 CHECK T HI S BOX I FAMENDI NG FORM
DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONSHI P AMOUNT d I F FORRECE I VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECE I VED FUND-( MM1DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOME
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CONTRI BUTI ONS - MONEY TAKEN ~ . .( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COM I T TEE NAME ( Mu s t be s ame a s o n S t a t e me n t o f Or g an i z a t i on)t
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STATE CANDI DATES NOTE: I F ACONTR I BUT I ON I S R ECE I V ED FROM ASTATE PAC ( POL I T I CA L ACT I ON COMMI T TEE ) , L I ST THEPAC I DE NT I F I CA T I ONNUMBER AND THEPAC CHECKNUMBER I N THEDESI GNATED COLUMN . A L I ST OF I D NUMBERS I S A VA I L A BL E FROMTHE I OWA E T HI CS AND CAMPAI GNDI SCLOSURE BOARD .CAUTI ON : Sec t i on 6 8 B . 3 2 A ( 6 ) , I o wa Code, p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s and s t a t e me nt s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r an y c omme r c i a l p u r p os e b y an y p e r s o n o t h e r t h an s t a t u t o r y p o l i t i c a l c o mmi t t e es . -
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NUMBER I NCOME
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CONTRI BUTI ONS - - MONEY TAKEN( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI
EENAME ( Mu s t e s ame a s o n St a t e me n o f Or g a ni Z a ' o n )
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CHECK T HI S BOX I FAMENDI NG FORM
STATE CANDI DATES NOTE: I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P OL I T I C A L ACTI ON COMMI TTEE) , L I S T THE PAC I DENTI FI CATI ONNUMBER AND THEPACCHECKNUMBER I N TH E DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROMTHEI OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .CAUTI ON: Se c t i o n 6 8 6 . 3 2 A ( 6 ) , I o wa Code, p r o h i b i t s t h e u s e o f i n f o r ma t i o n c op i e d f r o m r e p o r t s a n d s t a t e me nt s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c o mmer c i a l p u r p o s e b y a n y p e r s o n o t h e r t h an s t a t u t o r y p o l i t i c a l c o mmi t t e es . -
DATE PAC I D NUMBER NAMEAND ADDRESS OF CONTRI BUTOR REL ATI ONSHI P AMOUNT d I F FORRECEI VED ( i f a p p l i c a b l e ) TOCANDI DATE' RECEI V ED FUND-( MM/ DD/ YR) AND PACCHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOMEI D# - b6g ~ ~o t (.l 2 ( v J b 6 ~ t o l s r ~ k r / b , 3 ) ( GS' 7 $CK# Q 5 M 5 z > g o 3 (
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CONTRI BUTI ONS - MONEY TAKEN u v( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
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STATE CANDI DATES NOTE: I F A CONTRI BUTI ON I S RECEI VED FROMA STATEPAC ( POL I T I CA L ACTI ON COMMI TTEE) , L I STTHE PAC I DENT I F I CATI ONNUMBER ANDTHEPACCHECKNUMBER I N THE DESI GNATED COLUMN . A L I ST OF I D NUMBERS I S AVA I LABLE FROMTHE I OWA ETHI CS ANDCAMPAI GNDI SCLOSURE BOARD.CAUTI ON : Se c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Co d e , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s a n d s t a t e me n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c o mme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h an s t a t u t o r y p o l i t i c a l c o mmi t t e e s .
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CONTRI BUTI ONS - MONEY TAKEN . .( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t e me n t o f Or g a ni z a t i o n)
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CHECK THI S BOX I FAMENDI NG FORM
STATE CANDI DATES NOTE: I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( P OL I T I C A L ACTI ON COMMI TTEE) , L I S T THE PAC I D ENT I F I CA T I O NNUMBER AND THE PACCHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROMTHE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .CAUTI ON: Se c t i o n 6 8B . 3 2 A ( 6 ) , I o wa Code, p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i ed f r o m r e p o r t s and s t a t e me nt s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r any c o mmer c i a l p u r p o s e by an y p e r s o n o t h e r t h an s t a t u t o r y p o l i t i c a l c o mmi t t e es .
DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOUNT 4 I F FORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SER
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CONTRI BUTI ONS - MONEY TAKEN I( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
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STATE CANDI DATES NOTE : I F A CONTRI BUT I ON I S RECEI VED FROM A STATE PAC ( POL I T I CA LAC TI ON COMMI TTEE) , USTTHE PAC I DENT I F I C AT I ONNUMBER AND THE PACCHECK NUMBER I N THEDESI GNATED COLUMN. A L I ST OF I D NUMBERS I S AVA I LAB LE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD.CAUTI ON : Se c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Code , p r o h i b i t s t h e u s e o f i n f o r ma t i o n c op i e d f r o m r e p o r t s a n d s t a t e me nt s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a ny c o mme r c i a l p u r p os e b y a n y p e r s o n o t h e r t h an s t a t u t o r y p o l i t i c a l c o mmi t t e e s .
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CONTRI BUTI ONS - MONEY TAKEN( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )
COMMI TT EE NAME ( Mu s t b e s ame a s o n S t a t e me n t o f Or g an i z a t i o n )
A MONETARY( R e v . 0 6 / 9 7 ) RECEI PTSQCHECK T HI S BOX I FAMENDI NG FORM
STATE CANDI DATES NOTE : I F A CONTRI BUTI ON I S RECEI VED FROMA STATE PAC ( P OL I T I C A L ACTI ON COMMI TTEE) , L I S T THE PAC I DENT I F I CAT I ONNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATEDCOLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROMTHE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .
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CAUTI ON: S e c t i o n 6 8 B . 3 2 A ( 6 ) , I o wa Code , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c op i e d f r o m r e p o r t s an d s t a t e me nt s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r an y c o mmer c i a l p u r p o se by a n y p e r s o n o t h e r t h an s t a t u t o r y p o l i t i c a l c o mmi t t e es .
DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELAT I ONSH I P AMOUNT J I F F ORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MWDD/ YR) ANDPAC CHECK ( f a p p l i c a b l e ) RAI SER
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Fo r I n s t r u c t i on s , See Back o f Fo r mCONTRI BUTI ONS - - MONEYTAKENI N
( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )COMMI TTEE NAME ( Mu s t be s a e as on S t a t
e t o f
e/,~oe9o4w- j&Or gan)STATE CANDI DATES NOTE: I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P OL I T I C A L ACTI ON COMMI TTEE) , L I S T THE PAC I DE NT I F I C AT I ONNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .CAUTI ON : S e c t i o n 6 8B . 3 2 A ( 6 ) , I o wa Code, p r o h i b i t s t h e u s e o f i n f o r m a t i o n c op i e d f r o m r e p o r t s an d s t a t e me nt s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c o mme r c i a l p ur p o s e b y an y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e es .
SCHEDULEA MONETARY( Re v . 0 6 / 9 7 ) RECEI PTSCHECK THI S BOX I FAMENDI NG FORM
DATE PAC I D NUMBER NAMEAND ADDRESS OF CONTRI BUTOR RELAT I ONSH I P AMOUNT 4 I F FORRECE I VED ( i f a p p l i c a b l e ) TOCANDI DATE' RECE I VED FUND-( MM/ DD/ YR) AND PACCHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOME
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F o r I n s t r u c t i o n s , Se e B a c k o f Fo r mCONTRI BUTI ONS - - MONEY TAKEN I N
( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )COMMI TTEE NAME ( Mu s t b e s am a s
S t a t e
t o f O r g a n i z a t i o n )
STATE CANDI DATES NOTE: I F A CONTRI BUTI ON I S RECEI VED FROM A STATE PAC ( P OL I T I C A L ACTI ON COMMI TTEE) , L I S T THE PAC I D E NT I F I C A T I O NNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .CAUTI ON : S e c t i o n 6 8B . 3 2 A ( 6 ) , I o wa Code , p r o h i b i t s t h e u s e o f i n f o r ma t i o n c o p i e d f r o m r e p o r t s a n d s t a t e me nt s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c o mme r c i a l p u r p o s e b y an y p e r s o n o t h e r t h an s t a t u t o r y p o l i t i c a l c o mmi t t e e s .
SCHEDULEA MONETARY( Re v . 0 6 1 9 7 ) RECEI PTS
CHECK THI S BOX I FAMENDI NG FORM
DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELAT I ONSHI P AMOUNT v I F FORRECEI VED ( i f a p p l i c a b l e ) TOCANDI DATE' RECEI VED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOME
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l - U t - f l NS ! HUGI I UNb ; St t t f AGK OF i - . - ? M SCHEDULEEXPENDI T URES - - MONEY SPENT FROM COMMI T T EE ACCOUNT B MONETARY( R e v . 0 9 / 9 7 ) EXPENDI TURES
S T A T E PAC COMMI TTEES : NOTE : FOR CONTRI BUTI ONS MADE TO STAT EWI DE OR LEGI S LA T I V ECANDI DATES, L I S T T HE CANDI DATE I DENT I F I CA T I ON NUMBER I N THE DES I GNATED COLUMNAND T HE CHECK T HI S BOX I FPA C CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI L ABLE FROM T HE I OWA AMENDI NG FORMETHI CS & CAMPA I GN D I SCLOSURE BOARD .COMMI TTEENAME ( Mu s t b e s ame a s o n S t a t e me n t o f Or g a ni z a t i o n)~-
CANDI DATE NAME AN ADDRESS T4 WHOM PURPOSE AMOUNTDATE I D NUMBER ( DE SCRI B E TRANSACT I ON ) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e m e n t ) WAS MADE( MM/ DD/ YR) AND PACCHECKNUMBERI D # G ~ DdnAT o , J
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1 - U H I NS 1 HUGI 1UNS , SEE BAUK OF i _ I M SCHEDUL EEXPENDI TURES - - MONEY SPENT FROMCOMMI TTEE ACCOUNT B MONETARY( Re v . 0 9 / 9 7 ) EXPENDI TURES
STATE PAC COMMI TTEES : NOTE : FOR CONTR I BUT I ONS MADE TOSTATEWI DEOR L EGI S L AT I VECANDI DATES, L I S T THE CANDI DATE I DENT I F I CATI ON NUMBER I N THE DESI GNATED COLUMN AND T HE CHECKTHI S BOX I FP AC CHECKNUMBER FOR EACH EXPENDI TURE . A UST OF I D NUMBERS I S AVA I L ABLE FROMT HE I OWA AMENDI NG FORMETHI CS & CAMPA I GN DI SCLOSURE BOARD.COMMI TTEE NAME ( Mu s t b e s ame a s o n St a t e me n t o f Or g a n i d os
CANDI DATE NAME AN ADDRESS WHOM PURPOSE AMOUNTDATE I D NUMBER RE ( DESCR I BE TRANSACT I ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e m e n t ) WAS MADE( MM/ DD/ YR ) AND PACCHECKNUMBERI D# 5 7 p a T - S1 / CK# l a d o ,
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FOR I NS TRUCT I ONS , SEE BACK OF FORM SCHEDULEEXPENDI TURES - - MONEY SPENT FROMCOMMI TTEE ACCOUNT B MONET ARY( R e v . 0 9 1 9 7 ) EXPENDI TURES
STATE PAC COMMI T T EES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E G I S L A T I V ECANDI DATES, L I S T T HE CANDI DATE I D E N T I F I C A T I ON NUMBER I N T HE DESI GNATED COL UMN AND THE CHECK T HI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROM T HE I OWA AMENDI NG FORME T HI C S i CAMPAI GN DI SCLOSURE BOARD .COMMI TTEE NAME ( Mu s t b e s ame a s o n S t a t e me n t o f Or g an i z a t i o n)
CANDI DATE NAME AND ?DDRES~S J OWHOM PURPOSE AMOUNTDATE I D NUMBER EX P f URE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e me n t ) WAS MADE( MM/ D D/ Y R) AND PACCHECKNUMBER
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FOR I NSTRUCT I ONS , SEE BACKOF FORMCOMMI TTEE NAME( Mus t b e same s on S t a t e me n t o f O r g a n i z a t i o n )~ A l C ~ ' )~ t ZS - I ~ T e ~ e - p
NOTE T h i s s c h e d u l e r e p o r t s money l o a n e d t o t h e c o mmi t t e e wh i c h i s d e p o s i t e d i n t h e c o mmi t t e e a c c ou n t
TOTAL UNPAI D LOANS FROM L A ST REPORT I NGPERI OD $PART 1 - MONETARY LOANS RECEI VED T H I S , REPORTI NG PERI OD
( O r i g i n a l s o ur c e o f l o a n , s u c h a s a b a n k , must b e s hown i f a t h i r d p a r t y i si n v o l v e d I n c l u d e l o a n s f r o m c a n d i d a t e ' s p e r s o n a l f u n d s . )
TOTAL ( PARTQ
$
* D i s c l o s u r e l a w r e q u i r e s c a n d i d a t e c o mmi t t e e s t o d i s c l o s e t h e r e l a t i o n s h i p o f an y r e l a t i v ema k i n g a c o n t r i b u t i o n t o t h e c o mmi t t e e R e l a t i o n s h i p mus t b e shown t o t h e t h i r d d e g r e e o fc o n s a n g u i n i t y ( b l o o d r e l a t i v e s ) a nd a f f i n i t y ( r e l a t i v e s b y m a r r i a g e ) ( S ee Pa g e 2 o f f o r m sp a c k e t . ) I f s u r n ame o f c o n t r i b u t o r i s t h e same a s c a n d i d a t e , b u t t h e r e i s n o f a mi l i a lr e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e " i n t h e r e l a t i o n s h i p c o l u mn whe n i t a p p l i e s
PART 1 1 - MONETARY LOAN REPAYMENTS MADE T HI S REPORT I NGPER I OD( l o a n s f o r g i v e n must b e r e p o r t e d o n Sc h ed u l e E - - I n - k i n d C o n t r i b u t i o n s , )
TOTAL CASH REPAYMENTS ( PART / 1 )F r o m S c he d ul e E - TOTAL LOANS FORGI VEN
$Oa~ D ? aTOTAL OUTSTANDI NG LOANS END OF REPORT PERI OD
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p a g e 1 o f( f o r S ch e d u l e F )
SCHEDULEF LOANS( Re v 0 8 / 9 6 ) RECEI VED& REPAI D[ ] CHECK T HI S BOX I FAMENDI NG FORM
DATERECEI VEDMM/ DD/ YR)NAME AND ADDRESS OF LENDERE n d o r s e r ' s I f( I n c l u d e Name, A p p l i c a b l e ) RELAT I ONSH I PTO CANDI DATE
I f A I l c a b l e *AMOUNTOF LOAN DATE PA I D( MM/ DD/ YR) NAME AND ADDRESS OF LENDER( I n c l u d e E n d o r s e r ' s Name, I f A p p l i c a b l e ) RELAT I ONSH I PTO CANDI DATE*
I f A I i c a b i eAMOUNTREPAI D
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FOR I NSTRUCTI ONS, SEE BACK OF FORM
T HI S FORM I S USEDBY CANDI DATES' COMMI TT EES ONLY
COMMI TTEE NAME ( Mu s t b e same a s o n S t a t eme n t o f O r g a n i z a t i o n )A
PART 1 1 - I T EMI Z E DBREAKDOWN OF UNREI MBURSED EXPENSES P AI D BY CONSULT ANTTO OTHERS I N PERFORMI NG SERV I CES OF CONTRACT ( T h e s e e x p e n s e s s h ou l d NOT b e
PART I - NAME AND ADDRESS OF CONSULTANT
r e p o r t e d o n Sc h e d u l e B , a s t h ey a r e d i r e c t p a yme n t f r o m t h e c o n s u l t a n t . )
Name o f Co n s u l t a n t
Ma i l i n g Ad d r e s s
1JES f i t o 1 4 1 6 5
5& 3 c - ) i
C i t y
S t a t e
Z i p Co d e
TOTAL ANT I C I P AT E DCOMPENSATI ON FOR
CONTRACT PERI OD ( MMI DDNR)
PERFORMANCE
F r o mT o - T Aq ' " 01170
$
/ j 00
EST I MATES OF PERFORMANCE
r ~ A1 ) r 41 5 1) 1 4 t I C c - T ' n ~~ ~ d I 3 , 4 5 c , L a ~~~ ~ ' t r i t P d l f , " )
Pa g e o f S( f o r Sc h e d u l e G)
SCHEDULEG BREAKDOWNOF MONETARY( R e v . 0 2 / 9 6 ) EXPENDI TURESBY CONSULTANT
El CHECK T HI S BOX I FAMENDI NG FORM
DATEEXPENDEDMMI DDI YR NAME AND ADDRESS TOWHOM EXPENDI TUREDi s b u r s e me n WAS MADE AMOUNTPURPOSE EXPENDE
SUB- TOTAL $
TOTAL ( I f l a s t p a g e o f t h i s s c h e d u l e ) $