Oct 10 Pre General JokiCAMPAIGN FINANCIAL DISCLOSURE REPORT
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Change of address for Cand date or Pol t ca Colrmll;ee ❑ PoAical T•easu•er
Section I TYPE OF REPORT
Ths filing is an: Orgnal ❑ Amendment -��1
Tins report :$ for the per od f•om �i� �hro-gi � �l3
October 10 Pre -General Report ❑ 7 Cay o•e-Gene al Repo,[ C] 30 Day Posl,Genera Ri
0 Annua Report
's Ih's a Te•m nation Report. _ Yes F/ No
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Section I I STATEMENT OF NO CONTR BUT ONS OR EXPENDITURES
Drechons- J you had no contribut=ons o• expenditu'es Jur rg ti s reocr'ng pe•iod c�eck the box next to the statenent below and sign tlrs report
Be sure to carry fonva•d tie app•opr'ate Calendar Yea, to Date figures n Co umn I Section"
I hereby certify that I have received no coitrbuhons an J nave rade io exoeidifures during [n s repot ng period
To reach your Calendar Year to Date fiaure Add In s report s Colimn I
figures to the Co'umn I figures of your previois ,eporl except or I ie 6:
L re 1 Cash on Hand January 1. Th s Calendar Yea,'
L no 2 Enter Beginning Casn Ba ante"
L ne 3 Total Contributions (Este• amouit from I re 5 page 21
L ne 4 Subtotal IAdd Ivies 1. 2 and 3:
L ne 5 Total Expendhues ! Ente• amount from file N page 2.
L ne 6 Enter Ending Casn Balance iSittract line 5 hom lne d
L re 7 Outstandna Debt to Date iEnter amount from me 19 page 21
COLUMN
COLUMN
T< s Perod
Ca endar Year
to Date
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5 XXXXXX
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'This same figure should be entered on line 1 of a:l reports filed this calendar yea,
"This s the figure or I ne 6 of the last Campaign F naicia D sc osire Report filed. If this s your fist epd.1 this amount is 0
Note The closing cash balance for tie cdrrent reporting period appears of the next repot• as the beginmig cash on nand
Sectors `d
Ithereby certify Inat the nlormat oil in this
•eporl s a Irue compete and collect CaritiNKI Flnanc al Dls,.,osu•e Reno•t as requrea by aw.
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Signature or Pol Ical Treasurer
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