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_.W..__------------ --.._._..------_---------_.—� <br />CI� UF RtiSEVIlLE <br />---------CAMPAIGiV FiIVA►t�CE REPORT FORM..__._� <br />Cc�mrnittee Narne: <br />C)ffice sc�ughi or� held by c�ni�i��ate � <br />or pi�r�ose of p�litical cc�rnmitt:ee:._.---..__—....�.. <br />r�� _ _ __ ����----�'���: i,�( <br />Type of Or�ganiz,ation: C:anc�it�ate t;c�mmitEee <br />ZY��� of r�pc-�ri: .___.�_..Inii,ial repori <br />________�_ Pre prir�tary <br />_..._.�,_._._. Pre.gerieral <br />Period nf t-ime c:c�vered by repnr�l:: Frc�m <br />i t___, .__ ��`�`C� � �i�a � ' <br />Paliiical {Action} Committee <br />Pc�st.genera! <br />Year�-end {January} repc�r� <br />..._.. �Ell�t C2(Jt3t"�: (clases committee account — <br />see M S C'h 211F�,.Q3 for requrrements) <br />t t) <br />.,> � � ; <br />Tt�t:�l For .This Tc�ta) �ro�t7 .iotai Tc� <br />Repori Previ�us Report Dat.� <br />� <br />� <br />� <br />.,, <br />_ � . � ._ .y~.- <br />NIA1(.)R CC)N TR18UTt`�R5 . �._' �.��_—.__...._._. �� _..._.__._....,,--.--.......__._ - _.__....._____�.�_.......—.�� <br />� � � <br />,� L L t31 H E R C.0 �1 T R! BiJ il O N� R E CE I V� D _.__._._ �__._ ._�._.._ +._._....._...._. __....._ .................. =.._...._.�_....�..._...._.��.._�.�..���- <br />:Z.'�s --�_fi>-� "� '� g �� <br />EXPE3��ITtJRE� �ca�t.��-rc�� ':..�.�_�� � ..._........._. _ ��-...v,. ��'� ,���,.. <br />._..__..._.__..__._._ _._ _..__,,.�._W__.e.� <br />�'�7�11.. -_�_ $ �.�9 �..� <br />Sll�liii!l�4�Y �F EXPE�1�IiU�ES At�i� CL?iU7'�I�llT6��VS F�� T'�4iS �E�I�D <br />Itemize a#I cmniributions made durang th� pravious 365 days by an individu�! ar corr�mi�te� tha# are greater tha�s $50 in the <br />��gregat� on a separate sheet. Itemixation m�ast prr�vide amaunt, date, name, a�idress, emplayer or accupation if self- <br />empioyed for all contributors. <br />An item'sz�d list of all �xp�nditures must also be provid�d. This rnust include date, purpose, and amaunt far eaeh <br />expenditure. <br />Contrib«tions iess than/equal tx� $50 <br />Ccsntributiot7s betweer� $5� and $3{�0 1��'�_..1��.�,�''11�... �e�.�_� ct,e�kn�r��fw�rn;r,tt,epr�v�ot�5ye�� <br />no individual, eorrrmiitee or �rganizatio� h�as rnac�e one or more contrib��tions that in the aggre�;a[e are greaterthan $50. <br />Expenc�3tures �%s � ���w�t��....��.. �€.�8�� = 12.���`�� <br />C��rrent �aiance t�o,�R,��rt�__.._�CL��t" <br />�t-�� y � I �. �. � �.._.w <br />t.ist the name and address af al( depositories <br />holding this corrfm'sttee' dep its.,__ �1���-�-� <br />�. _--- <br />C.ommittee treasurer <br />��� �� <br />Date <br />Em�ii (note if you want it redacted befare form becomes publicj: _/�� �°�C.�i p�� <br />�.�.�-_ s� � i� <br />