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FOR INSTRUCTIONS, SEE BACK OF FORM [Reeveoagl [ Forw DISCLOSURE SUMMARY PAGE DR-2 DisctosuRE ‘COMMITTEE NAME (Must be same as on Statement of Organization) Rev. 0712003)| _ REPORT Eocottce Use ont MPoRtaNt: nde ype otconmitee ou report to [[ conn lola | Legged in {3 )StatewiaLepave Candide (2)Statewite PAC (3)Sate Pry (4 Caan ocal Canta {3)eounty PAC (6)atat suePranctse Commas (7 Joountpy Corgal Coomenes Seanveg (3}Sopon dine ot Candeates computer [CANDIDATE COMMITTEES ONLY: a = Candicate Name Poftcat Party TAM) To Whe wee Jofice Sought District (if Senate or House) House Des Te jet 2y laut (Big) 264-5002 L ‘SIGNATURE OF TREASURER (or person fling this tepor) TELEPHONE Dare fia Late filed reports are subject to possible civil and criminal penalties. SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE: VAM ILINGA_Ti4dsw doy 14 201] REPORT FOR ANA (1) ELECTION /2)NON-ELECTION YEAR {report date} Indicate one CicHECK IF AMENOMENT To REPORT DATED. Local Gorwitias, enter Date of Elecon ee Sami & seal Commies, enter County in CO check it this is final (termination) report antrattach Notice of Dissolution Form DR-3. | Wtieh Election is els (You must continue toe reports untl a Notice of Clssolution is fled) STATEMENT OF CASH ON HAND CASH ON HAND at the beginning of the reporting period. (This isthe total ofall monies held by the committee. This amount MUST be the same as the cash on hand at the end of the last reporting period, or must be zero if this is frst report filed.) $ T2077 [ADD TOTAL MONEY TAKEN IN THIS PERIOD ‘Schedule A: Cash Contributions total (Attach Schedule A) (“also see in-kind below) a Schedule F: Loans Received total (Attach Schedule F). a= ‘Schedule H: Total Sales of Campaign. Property (Attach Schedule H). 2 = (Schedule i applies to Candidates’ Committees Only) SUB-TOTAL ‘SUBTRACT TOTAL MONEY SPENT THIS PERIOD ‘Schedule B: Expenditures total (Attach Schedule 6) (“also see debts anid loans below), oo Schedule F: Loan Repayments total (Attach Schedule). ‘CASH ON HAND at he end of tis reporting period (fal report, balance must + bbe zero) (Attach OR-3), s ZZlo IT UNPAID BILLS (From Schedule D = Atach Schedule). : = “IN KIND CONTRIBUTIONS (From Schedule & - Atach Schedule E) s =e “OUTSTANDING LOANS (From Schedule F- Atach Schedule F) s => — -ANDIDATE COMM EES ONLY: CONSULTANT BREAKDOWN (Schedule G Attached?) Ives No. VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) s —+—

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