Вы находитесь на странице: 1из 2

FOR INSTRUCZONS, SEE BACKOF FCq4

T
DISCLOSURE
SUMMARYPAGE RRO
CA
FI
r'€ NAfUE(Mustbe same as ondtatement&

fiIPORTANT: Indlcate typo ot commttbe you arc:epoilngtn


( I )State$ideAegislative Candidate ( 2 pAC
p '"-*,,-,fr*ft
)Statorftte ( 3 )State party (4
(! lcountvPAc ( 6 )Baflotrssue,FrancNrbe
comrnittee(-z icountvlcit'j tlnGi
( I )SupportSlateotCandidats

/2- 772_ 70 /'t.s- 77


person filing r€port) ffi
PenaltiesDue For Late Flled ReportsRangefrom g10 to $+OO" nr-i r--']1
nlSCritqtrRE
sEEINSTRUCTIoNS
oruBAGKANp GoMpLETE
THEFoLLo$nNGsENTENCE: JA.N Z CI1998
TAMFfUNG
e !ap..-',u. /7, /?79 .RE'ORTFORAN/A(r)ELECTTON(2)NORt4lFGnOUy+ru+-
(repoftdate) Indicare
onulEl
trCHECKIF AMENDMENTTO
REPORTDATED LocalCommittees,enter Dateof Election
-
-
g Checkif this is final (termination)reportand attactrNoticeof DissolutionForm DR-3. countv@in
(Youmust continueto file reportsuntil a Noticeof Dissolutionis filed.) which Election b held

STATEMENTOF CASHON HAND


CASHoN HANDat the beginningof the reportingperiod. (Ihis is the totat
of all moniesheld by the committee.This amountMUSTbe the
sameas the cashon handat the end of the last reportingperiod,
or mustbe zeroif thisis firstreportfiled.)................. .................$ /2q7.27
ADD TOTALTUONEY TAKENtN THISPERIOD
ScfieduleA Cash Contributionstotat (AttactrScfreduleA) e-
ScfieduleC: Fund-raisingEventstotal(AttactrSctreduteC)................. +
ScfieduleF: LoansReceivedtotal(AttachScfieduleF)...............-. +
ScheduleH: TotatSatesof Campaignproperty(AttachSctreduteH) ................ +
(ScheduleH applies to Candidates'CommlfreesOntvl
SUB.TOTAL.....$
| 2 ?7,27
SUBTRACTTOTAL MONEYSPENTTTIISPERIOD
ScheduleB: Expendih.rres
total (AttacfiSctreduleB) 3:. cro '/'
ScheduleF: Loan Repaymentstotal (AttachSctreduteF) 4-
GASHoN HANDat the end of this reportingperiodGffinat report,balancemust /
bezero)(AnachDR-3)........... ...........$ / ? /9, 27 ,./

UNPAID BILLS (From SclreduleD - Attach ScheduteD)................ .........$ e-


(FromScheduteE - AnachScfredute
lN KINDCONTRIBUTIONS E)................. ..-........$ -d-
OUTSTANDING F - AttacfiSctredute
LOANS(FromSctredute F).........._..... ................$ +-
CANDIDATECOMMITTEES
ONLY:
CONSULTANT
BREAKDOWN(ScfreduleG Attacfied?) NO
_YES x
VALUEOF CAMPAIGNPROPERW(FromScfreduleH - AttachScheduteH) a--
FOR'NSTRUCI'ONS, SEEBACK OF FORM
SoHEDULE| ..
- MONEYSPENTFROMCOMMTTTEE
EXPENDITURES ACCOUNT B I ruro*Erenv
(Rev.02l96) | EXPENDTTURES
STATE PAC COMUITTEES:. NOTE: FOR CONTRIBUNONSIVIADETO STATEWIDE
OR LEGISIANVE
CANDTDATES.LIST THE CANDTDATEIDENTIF|CATIONNUMBER lN THE DEStcf\tATEO
COLUMNAND THE E CHECKTHTS
BOXtF
PAc cHEcK NUMBERFoR EACH EXPENDITURE. A LlsT oF tD NUMBERSrs evarr-a,eue
FRoM THE lowA AMENDING
ETHICS& CAMPAIGNDISCLOSUREBOARD. FORM
coMMfrrEENAME(Mustbe sarneason sta@
/.1
TrietAs 16 E/e* Ba-ss
(jANUIOATE rvAMEANDADDRESS ro wHoM g<peroruRil FURPOSE AMOUNT
DATE ID NUMBER (Dlsbursr,ment)
WASirADE (CAND|DATES
E)(PENDED (if applicable) SEE E(PENDED
(MM/DD/YR) BELOW&ENTER
AIID PAC r,2,3)
CHECKNUMBER
lD# _
tt luhT Lidd".. dn(e Posf o€Qze-
P"t/n1,
cl(# Lldde,.d--(e , ton,o- sft-15t( | ) $ 32.oo
S/ t/s)-
tD#

cr(# ()

tD#

cKr ()

IH

ct(F ( )
tD#

ct(# ()

tffi

o(# ( )
t#
ct$ ()

$ 3z.a
TOTAL lff last page of thls schedute) $
32.oO
THIS BOX APPUES TO CAT{DIOATES'COMMITTEES
ONLY:
Campaignfunds may be usedonly for:
(l) campaignpurposes,
(2) constituencyexpsnses,and
(3f educationatand otherexpensEsassocialedwith dutiesof offce.

Pleaseinsertlhe applicabtenumberin the purposecolumnfor each expenditure.

Purcfiasesof certaincampaignpropedy costing$500 or monemust also be inventoriedon scheduleH. (Rehr to ScheduleH instructions.)

Erpendituresto prsons/enlities providingconsulting,advertising,fund-raising,polling,managing,organizingservies must also be


detdil itemizedon
scheduleG bvthesmount,putpose,anddateof eachtypeof eipenditure
maG oyti! persirdtity-;n oe'iran
ScheduleG instrucdons comminee.(Referto
of ne candidateb
andlora Code56.66)m.)

ease / ot /
- -.-$orScheduleB)

Вам также может понравиться