Laserfiche WebLink
<br />., . <br /> <br />Name of candidate, committee, or corporation <br />Office sought or ballot question -Jf\t ~ b , <br /> <br />Type of report <br /> <br />)( <br /> <br />Candidate report <br />Campaign committee report <br />Association or corporation report <br />Final report <br /> <br />Period of time covered by report: <br /> <br />from ~'lS ~to (0\ '1.~\ 03 <br /> <br />CONTRIBUTIONS RECEIVED <br /> <br />.... <br />~ <br />o <br />Co <br />Q) <br />a::: <br /> <br />Give the total for all contributions received during the period of time covered by this report. Contributions should <br />be listed by type (money or in-kind) rather than contributor. (See note on contribution limits on the back of this form. <br />Use a separate sheet to itemize all contributions from a single source that are equal to or greater than $500 during <br />the calendar year.) <br /> <br />CASH <br />IN-KIND <br /> <br />$ <br /> <br />\ , ,1 01> <br /> <br />+ <br /> <br />= <br /> <br />$ <br />$ -11,1 DO <br /> <br />TOTAL AMOUNT RECEIVED <br /> <br />EXPENDITURES <br /> <br />Q) <br />(J <br />5: <br />o <br /> <br />Include every disbursement made for a political purpose during period of time covered by report. Attach additional <br />sheets if necessary. <br /> <br />Date I> Purpose Amount <br /> ( l)t.t !J..1+,. ... \. . A ""\ <br /> - <br /> TOTAL rl., S)~. \').. <br /> <br />CORPORATE PROJECT EXPENDITURES <br /> <br />Corporations must list any media project or corporate message project for which contribution(s) or expenditure(s) <br />total more than $200. Submit a separate report for each project. Attach additional sheets if necessary. <br /> <br />Project title or description <br /> <br />Q) <br />E <br />(\l <br />z <br /> <br />Date Purpose Name and Address Expenditure or <br /> of Recipient Contribution Amount <br /> - TOTAl <br /> I \ f\ I... ! n <br />I certify that this is a full and true statement. ~1,~. J.-\ It.. ,/1)J)\' lob.)\l>~ <br /> <br />Address _ ~ 1 b_W I~ <br /> <br />~i' \'1(,. <br /> <br />Signature <br /> <br />tl)~l\\'l <br /> <br />rvcN ~l~ate <br /> <br />~ <br />c <br />o <br />CD <br />III <br />::J <br />CD <br />(.) <br />IE <br />o <br />.. <br />o <br />LL <br /> <br />01FINRPT <br /> <br />Rev. 12/01 <br />