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CAMPAIGN FINANCIAL REPORT <br />(All of the information in this report is public information) <br />ZA <br />Name of candidate, committee, or corporation f (n <br />Office sought or ballot question r District o a*o1 11� <br />Type of report <br />x <br />Candidate report <br />Campaign committee report <br />Association or corporation report <br />Final report <br />Period of time covered by report. <br />from IN I b f t le Z2 Z 1 0 <br />CONTRIBUTIONS <br />Give the total for all contributions received during the period of time covered by this re port. Contributions should be listed <br />by type (money or in- kind) rather than contributor. See note on contribution limits on the bank of this form. Use a separate <br />shut to itemize all contributions from a single source that exceed 100 during the calendar year. This itemization must <br />include name, address, employer or occupation if self employed, amount, and date for these contributions. <br />CASH I <br />1N -KIND <br />W <br />c <br />Q) <br />E <br />M <br />TOTAL AMOUNT RECEIVED 2 <br />EXPENDITURES <br />CORPORATE EXPENDITURES <br />Corporations must list any media project or corporate message project for which contribution(s) or ex penditure(s) total <br />more than $200. Submit a separate report for each project. Attach additional sheets if necessary. <br />Project title or description <br />Date Purpose Name and Address Expenditure or <br />of Recipient Contribution <br />Amount <br />a� <br />a� <br />c� <br />0 <br />L_ <br />U_ <br />Total <br />1 certify that this is a full and true statement. <br />Printed Tare q.:&ej� <br />Signature <br />Date <br />Telephone G' Email (if available) �sn 0 <br />Address 'L F� W) <br />F <br />Revised May, 2008 <br />Include the amount, date, and purpose for all expenditures made during the period of time covered by this report. <br />Attach additional sheets if necessary. <br />