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Little Roberts, AnneCAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) I Rev. 10 Name of Candidat of Political Committeee and Chairperson Oe)ffice Sought (if candidate) Seat (if any) nnc L. �ert�5 l acing Address � 1 5. E 1 Kit w� and lip g3L q;? ome one Work 1`110-6 ame of P01010Mtreasurer JDri acing Address City, and Zip liome Phone Work Phone E bili dAd Zt a ,z 33 VS --T71- 5533 Change of address for: Candidate or Political Committee 0 Political Treasurer ❑ Section II TYPE OF REPORT This filing is an: LT'Original ❑ Amendment This report is for the period from l a01g through r a / 31 /X8. ❑ October 10 Pee -General Report E Annual Report Is this a Termination Report: E] Yes ❑ 7 Day Pre -General Report No ❑ 30 Day Post -General Report Section III STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES Directions: If you had no contributions or expenditures during this reporting period, check the box next to the statement below and sign this repor Be sure to carry forward the appropriate 'Calendar Year to Date" figures in Column II, Section IV. El'I hereby certify that I have received no contributions and have made no expenditures during this reporting period. Section IV SUMMARY To reach your Calendar Year to Date figure: Add this report's Column I figures to the Column II figures of your previous report (except on line 6). Line 1: Cash on Hand January 1, This Calendar Year` Line 2: Enter Beginning Cash Balance" Line 3: Total Contributions (Enter amount from line 5, page 2) Line 4: Subtotal (Add lines 1, 2 and 3) Line 5: Total Expenditures (Enter amount from line 11, page 2) Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4) Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2) COLUMN I COLUMN II This Period Calendar Year to Date g XXXXXX s 33l,1D XXXXXX 'This same figure should be entered on line 1 of all reports filed this calendar year. "This is the figure on line 6 of the last Campaign Financial Disclosure Report filed. If this Is your first report, this amount is 0. Note: The closing cash balance for the current reporting period appears on the next report as the beginning cash on hand. Section V 1, a4Rer'%-�-- J p r9 3 , hereby certify that the information in this Name of Political Treasurer report is a true, complete and correct Campaign Financial Disclosure Report as required by law. Page 1