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COMMISSION ON ELECTIONS

May 16, 2016 FORM

National and Local Elections


A
SOCE
Statement of Contributions and Expenditures
PART A: PERSONAL INFORMATION OF THE HEAD / TREASURER OF THE ELECTORAL PARTY
A.1. PARTY TREASURER'S NAME:
(SURNAME) (FIRST NAME) (MIDDLE NAME)

A.2. PARTY TYPE: PARTY-LIST ORGANIZATION


(Use "X" in appropriate box) POLITICAL PARTY
A.3. NAME OF PARTY:
(COMPLETE NAME OF THE PARTY) (ACRONYM)
A.4. CONSTITUTENCY OF THE POLITICAL PARTY: (Indicate "NA" if not applicable, as in the case of national parties or certain party-list groups)

(DISTRICT) Indicate "LONE" if only 1 (CITY/MUNICIPALITY) (PROVINCE/REGION)

A.5. CONTACT DETAILS OF PARTY: MOBILE/PHONE NOS.:


E-MAIL ADDRESS:
A.6. PERMANENT ADDRESS OF PARTY:
(HOUSE NO./UNIT) (NAME OF BUILDING/SUBDIVISION) (STREET NAME)

(BARANGAY) (DISTRICT/AREA) (CITY/MUNICIPALITY) (PROVINCE)

PART B: CONTRIBUTIONS RECEIVED (Itemized entries in the schedule of contributions, indicate "0.00" if none received)
B.1. CASH CONTRIBUTIONS RECEIVED FROM OTHER SOURCES/NON-MEMBERS: ₱0.00
B.2. IN-KIND CONTRIBUTIONS RECEIVED FROM OTHER SOURCES/NON-MEMBERS: ₱0.00
B.3. CASH CONTRIBUTIONS RECEIVED FROM PARTY MEMBERS: ₱0.00
B.4. IN-KIND CONTRIBUTIONS RECEIVED FROM PARTY MEMBERS: ₱0.00
TOTAL CONTRIBUTIONS RECEIVED ₱0.00

PART C: EXPENDITURES INCURRED (Itemized entries in the schedule of expenditures, indicate "0.00" if none received)
C.1. EXPENDITURES PAID OUT OF PARTY FUNDS (EXISTING OR MEMBER CONTRIBUTIONS):

C.2. EXPENDITURES PAID OUT OF CASH CONTRIBUTIONS FROM OTHER SOURCES/NON-MEMBERS:

C.3. EXPENDITURES INCURRED USING IN-KIND CONTRIBUTIONS FROM MEMBERS:


C.4. EXPENDITURES INCURRED USING IN-KIND CONTRIBUTIONS FROM OTHER SOURCES:
TOTAL EXPENDITURES INCURRED ₱0.00

PART D: CERTIFICATION & ACKNOWLEDGMENT


The undersigned candidate, after being duly sworn to, hereby depose and state that:
(1) This disclosure and its attachments, are supported by receipts, vouchers, and other documents reflecting the full, true, accurate, and complete
contributions received and expenditures incurred by the undersigned candidate and his/her duly authorized representative;
(2) The expenditures incurred are for lawful purposes and the contributions were not received from persons or entities prohibited by law to give
contributions.
(3) The undersigned consents on the general use and sharing of information obtained in this disclosure and its attachments for legitimate and
authorized purposes.
IN WITNESS WHEREOF, the undersigned hereunto affix his/her signature on [date signed].

AFFIX SIGNATURE HERE



NAME AND SIGNATURE

SUBSCRIBED AND SWORN TO before me on date notarized , affiant exhibiting his/her


issued by expiring on [date of expiry].
(Type of identification document) (ID Number) (Government Agency issuing the ID)

Doc. No.:
Page No.:
Book No.:
Series of (Place Notarial Seal & Signature here)

THIS SECTION IS FOR COMELEC USE ONLY - DO NOT ENCODE / WRITING ANYTHING BEYOND THIS LINE
Indicate "✓" beside form code/document name if submitted, "✗" if not.
☐ SCR (Sched of Contributions Rcvd) ☐ Contribution Receipts
☐ SOE (Sched of Expenditures) ☐ Expenditure Receipts
☐ SUO (Sched of Unpaid Obligations) ☐ Obligations Payable
☐ SLE (Sum. Report of Lawful Exp.) NO. OF PAGES: _________
☐ Others: pls. specify: (This space is for the receiving date/time stamp of the receiving office)
COMMISSION ON ELECTIONS FORM
May 13, 2019
National and Local Elections
B
SCR
Schedule of Contributions Received

NAME OF PARTY:
(COMPLETE NAME OF PARTY) (ACRONYM)

DATE FULL NAME OF DESCRIPTION AMOUNT/VALUE OF


RECEIPT NUMBER ADDRESS OF CONTRIBUTOR
RECEIVED CONTRIBUTOR (for in-kind contributions) CONTRIBUTION

TOTAL CONTRIBUTIONS RECEIVED ₱0.00


CERTIFICATION ACKNOWLEDGMENT
I hereby certify that: (1) the contributions listed above were made to me as party treasurer; (2) all SUBSCRIBED AND SWORN TO BEFORE ME this (date of oath)
entries specified above are true and correct; (3) they are supported by the official receipts issued by me affiant exhibiting his/her
upon acceptance; (4) the contributions are from sources not prohibited by the Omnibus Election Code issued by the [issuing office] [date of expiry].
and other pertinent laws.
DATA PRIVACY ACT
The undersigned consents on the general use and sharing of information obtained in this disclosure and its
attachments for legitimate and authorized purposes.
Doc. No. ________;
Page No. ________;
Book No. ________;
NAME AND SIGNATURE DATE SIGNED Series of ________. NOTARY PUBLIC
COMMISSION ON ELECTIONS FORM
May 13, 2019
C
National and Local Elections
SCE
Schedule of Expenditures

NAME OF PARTY:
(COMPLETE NAME OF PARTY) (ACRONYM)

RECEIPT /
DATE FULL NAME of BUSINESS ADDRESS OF BUSINESS FIRM OR TIN OF CONTRACTOR DESCRIPTION Type AMOUNT/VALUE OF
INVOICE
INCURRED FIRM OR CONTRACTOR CONTRACTOR or BUSINESS FIRM OF EXPENSE (A-K) EXPENDITURE
NUMBER

TOTAL EXPENDITURES INCURRED ₱0.00

CERTIFICATION ACKNOWLEDGMENT
I hereby certify that: (1) the expenses listed above were incurred by me as treasurer of the party or by my SUBSCRIBED AND SWORN TO BEFORE ME this [date of oath]
duly authorized representative/s; (2) all entries specified above are true and correct; (3) they are affiant exhibiting his/her
supported by the official receipts, invoices or other similar documents; (4) the expenses comply with issued by the [issuing office] expiring on [date of expiry].
Section 102 of the Omnibus Election Code.
DATA PRIVACY ACT
The undersigned consents on the general use and sharing of information obtained in this disclosure and its
attachments for legitimate and authorized purposes.
Doc. No. ________;
Page No. ________;
Book No. ________;
NAME AND SIGNATURE DATE SIGNED Series of ________. NOTARY PUBLIC
COMMISSION ON ELECTIONS FORM
May 13, 2019 D
National and Local Elections SLE
Summary Report of Lawful Expenditures
PART A: PERSONAL INFORMATION OF THE ELECTORAL PARTY HEAD OR TREASURER
A.1. PARTY TREASURER'S NAME: 0 0 0
(SURNAME) (FIRST NAME) (MIDDLE NAME)

A.2. PARTY TYPE: PARTY-LIST ORGANIZATION


(Use "X" in appropriate box)
POLITICAL PARTY

A.3. NAME OF PARTY: 0 0


(COMPLETE NAME OF THE PARTY) (ACRONYM)
A.4. CONSTITUTENCY OF THE POLITICAL PARTY: (Indicate "NA" if not applicable, as in the case of national parties or certain party-list groups)

0 0 0
(DISTRICT) Indicate "LONE" if only 1 (CITY/MUNICIPALITY) (PROVINCE/REGION)

PART B: SUBTOTAL OF LAWFUL EXPENDITURES PER EXPENSE TYPE/CATEGORY


Travel expenses of party's candidates & campaign personnel during the campaign & incidental
A personal expenses ₱0.00
Compensation of campaigners, clerks, stenographers, messengers, & other persons employed in
B the campaign ₱0.00
Telephone, mobile phone usage fees, prepaid phone load, internet access, postages, freight &
C courier charges ₱0.00

Stationery, printing & distribution of printed materials relative to candidacy;


D ₱0.00

Employment of watchers at the polls


E ₱0.00

Rent, maintenance & furnishing of campaign headquarters, office or place of meetings


F ₱0.00
Political meetings & rallies & the use of sound systems, lights & decorations during said
G meetings & rallies ₱0.00
Newspaper, radio, TV & other advertisements to promote the candidacy, including
H website/internet ad placements ₱0.00

SUBTOTAL ₱0.00

PART C: EXPENDITURES INCURRED (Itemized entries in Schedule of Expenditures)


Employment of counsel
I ₱0.00
Copying andclassifying lists of voters, investigating and challenging the right to vote of persons
J registered in the lists ₱0.00
Printing of sample ballots in such color, size and maximum number as may be authorized by the
K Commission ₱0.00

TOTAL EXPENDITURES INCURRED ₱0.00

PART D: CERTIFICATION & ACKNOWLEDGMENT


The undersigned candidate, after being duly sworn to, hereby depose and state that:
(1) This disclosure and its attachments, are supported by receipts, vouchers, and other documents reflecting the full, true, accurate, and
complete contributions received and expenditures incurred by the undersigned candidate and his/her duly authorized representative;
(2) The expenditures incurred are for lawful purposes and the contributions were not received from persons or entities prohibited by
law to give contributions.
(3) The undersigned consents on the general use and sharing of information obtained in this disclosure and its attachments for
legitimate and authorized purposes.
IN WITNESS WHEREOF, the undersigned hereunto affix his/her signature on [date signed].

AFFIX SIGNATURE HERE



Err:511

SUBSCRIBED AND SWORN TO before me on Date Notarized , affiant exhibiting his/her


, issued by expiring on [date of expiry].
(Type of identification document) (ID Number) (Government Agency issuing the ID)

Doc. No.:
Page No.:
Book No.:
Series of (Place Notarial Seal & Signature here)
COMMISSION O
May 13, 2019

National and L
Schedule of Unpa
NAME OF PARTY:
(COMPLETE NAME OF PARTY)

CONTRACT /
DATE INCURRED LOAN NAME OF CREDITOR
NUMBER

CERTIFICATION
I hereby certify that: (1) the obligations listed above were incurred by me in my
capacity as party treasurer or with my authority by my duly authorized
representative; (2) all entries specified above are true and correct; (3) they are
supported by contracts, promissory notes & other similar documents.
DATA PRIVACY ACT
The undersigned consents on the general use and sharing of information obtained in this
disclosure and its attachments for legitimate and authorized purposes.

NAME AND SIGNATURE DATE SIGNED


OMMISSION ON ELECTIONS

National and Local Elections


chedule of Unpaid Obligations PURPOSE

Description of the Obligation

REMAINING
ADDRESS OF OBLIGATION
CREDITOR (Partial Payments
were made)

(i.e. loan, etc.)

(for incurring
obligation)

TOTAL UNPAID OBLIGATIONS


ACKNOWLEDGMENT
SUBSCRIBED AND SWORN TO BEFORE ME this
affiant exhibiting his/her 0
issued by the 0
[issuing office] (expiring on)

Doc. No. ________;


Page No. ________;
Book No. ________;
Series of ________. NOTARY PUBLIC
FORM

E
SUO

(ACRONYM)

TOTAL AMOUNT/
VALUE OF
OBLIGATION

₱0.00

[date of oath]

[date of expiry].