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FEC FORM 3
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CITY 3. IS THIS REPORT NEW (N) OR STATE AMENDED (A) ZIP CODE STATE DISTRICT
F E C IDENTIFICATION N U M B E R T
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4. T Y P E O F R E P O R T (Choose One)
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(b) (a) Quarterly Reports: I I 'i J V 1 ; I I v' f i{ K April 15 Quarteriy Report (Ql) :i i; July 15 Quarteriy Report (Q2) October 15 Quarteriy Report (Q3) January 31 Year-End Report (YE) (c) Election on so-Day POST-Election Report for the: in the State of Convention (12C) Special (12S) Primary (12P) X General (12G) i \ Runoff (12R) 12-Day PRE-Election Report for the:
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General (SOG) I Termination Report (TER) Election on
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covering Period
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/ cert/fy that I have examined this Report and to the best of my knowledge and belief it is true, correct and complete. Type or Print Name of Treasurer ^ ^ \ \ ' ^ ' Q J ^ K ^ ^ C Ac^S^^T^H^l T^^/V^lC^bcVe,^
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Signature of Treasurer
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Date
NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 2 U.S.C. 437g.
FEC FORM 3
(Revised 02/2003) _
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FESANOia
SUMMARY PAGE
FEC Form 3 (Revised 02/2003)
Page 2
From:
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COLUMN A .This Period 6. Net Contributions (other than loans) (a) Total Contributions (other than loans) (from Line 11 (e)).... (b) Total Contribution Refunds (from Line 20(d)).... (c) :.: . p.3-^..v.. .-^v^^^^
Net Contributions (other than loans) (subtract Line 6(b) from Une 6(a))
7.
Net Operating Expenditures (a) Total Operating Expenditures (from Line 17) (b) Total Offsets to Operating Expenditures (from Line 14) (c) Net Operating Expenditures. (subtract Une 7(b) from Line 7(a)) L&a=.,..>:.c pv'>ir-^- Ljt.AW5fe. .^..n. pf-.5.^^.., = . 4r,^^i.^JtoSfij .^j^^^^^^j^s p^^ff-^.-T; ^ S.Lv3s&2sfi!
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Debts and Obligations Owed TO the Committee (Itemize all on Schedule C and/or Schedule D)
10. Debts and Obligations Owed BY the Committee (Itemize all on Schedule C and/or Schedule D)
For further Information contact: Federal Election Commission 999 E Street, NW Washington, DC 20463 Toll Free 800-424-9530 Local 202-694-1100
FE5AN018
of Receipts
Page 3
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COLUMN A Total This Period
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To:
I. RECEIPTS
11. CONTRIBUTIONS (other than loans) FROM: (a) Individuals/Persons Other Than PoliticalCommittees (i) Itemized (use Schedule A) (") unitemized Oii) TOTAL of contributions from individuals (b) (c) Political Party Committees Other Political Committees (such as PACs) (d) (e) The Candidate TOTAL.CONTRIBUTIONS (other than loans) (add u n e s 11(a)(iii). (b). (c). and (d)).. 12. T R A N S F E R S F R O M OTHER AUTHORIZED COMMITTEES IS. LOANS: (a) Made or Guaranteed by the CandMate (b)
(C)
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15. OTHER RECEIPTS (Dividends, Interest, e t c ) 16. TOTAL R E C E I P T S (add Unes 11(e), 12, 1S(c), 14, a n d 15) (Carry Total to Une 24, page 4) ^ ^
FESANOIS
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17.
of Disbursements
COLUMN A Total This Period
II. DISBURSEMENTS
OPERATING EXPENDITURES
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19.
LOAN REPAYMENTS: (a) Of Loans Made or Guaranteed by the Candidate (b) Of All Other Loans (c) TOTAL LOAN REPAYMENTS (add Unes 19(a) and (b)), ^<^^>:^^. L^.w.?k, 1 J . .-..-.,.4%..I ^ t : ^ ^ : ^ ,Z'^tK^^'T^f^ L . s i . . . . . ^ >. ^ A S . i s . i i . l s^.i::::.:^.r^|
20.
REFUNDS OF CONTRIBUTIONS TO: (a) individuals/Persons Other Than Political Committees (b) Poiiticai Party Committees (c) Other PoiiticarCommittees (such as RACs) (d) TOTAL CONTRIBUTION REFUNDS (add Unes 20(a), (b), and (c))
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21. OTHER DISBURSEMENTS 22. TOTAL DISBURSEMENTS (add Unes 17, 18, 19(c), 20(d), and 21) ^
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26. TOTAL DISBURSEMENTS THIS PERIOD (from Une 22)..., 27. CASH ON HAND P\T CLOSE OF REPORTING PERIOD (subtract Line 26 from Line 25) |-'--S-'-T^
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FESANOia
Federal Election Commission ENVELOPE REPLACEMENT PAGE FOR INCOMING DOCUMENTS The FEC added this page to the end of this filing to indicate how it was received. Date of Receipt Hand Delivered Postmarked USPS First Class Mail Postmarked (R/C) USPS Registered/Certified Postmarked USPS Priority Mail Delivery Confirmation or Signature Confirmation Label | Postmarked USPS Express Mail
Postmark Illegible
No Postmark Shipping Date Overnight Delivery Service (Specify): Next Business Day Delivery I Date of Receipt Received from House Records & Registration Office Date of Receipt Received from Senate Public Records Office Date of Receipt Received from Electronic Filing Office Date of Receipt or Postmarked Other (Specify): I
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PREPARER (3/2005) DATE PREPARED