Professional Documents
Culture Documents
AND DISBURSEMENTS
FEC
FORM 3
1.
TYPE OR PRINT q
NAME OF
COMMITTEE (in full)
12FE4M5
CITY
3. IS THIS
REPORT
C00573832
4.
CA
92675
STATE
NEW
(N)
2.
Check if different
than previously
reported. (ACC)
ZIP CODE
STATEq DISTRICT
AMENDED
(A)
OR
CA
General (12G)
Convention (12C)
Special (12S)
Runoff (12R)
in the
State of
Election on
(c)
Runoff (30R)
D
Special (30S)
in the
State of
Election on
5.
Covering Period
10
01
2015
through
12
31
2015
I certify that I have examined this Report and to the best of my knowledge and belief it is true, correct and complete.
Type or Print Name of Treasurer
M
Signature of Treasurer
Date
NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 2 U.S.C. 437g.
Office
Use
Only
www.netfile.com
www.netfile.com
FEC FORM 3
(Revised 02/2003)
SUMMARY PAGE
of Receipts and Disbursements
Page 2
From:
10
01
2015
To:
COLUMN A
This Period
6.
12
31
2015
COLUMN B
Election Cycle-to-Date
,
s
,11,457.50
.
s
s
,
s
105,036.84
,
.
s
s
,
s
,
s
0.00
.
s
,
s
,
s
,
s
,11,457.50
.
s
s
,
s
105,036.84
,
.
s
s
,
s
,23,261.36
.
s
s
,
s
107,431.06
,
.
s
s
,
s
,
s
0.00
.
s
,
s
,
s
,
s
,23,261.36
.
s
s
,
s
107,431.06
,
.
s
s
8.
,
s
,
s
369.02
.
s
9.
,
s
,
s
0.00
.
s
,
s
,42,889.37
.
s
s
7.
0.00
.
s
www.netfile.com
0.00
.
s
Page 3
10
From:
01
2015
To:
31
2015
COLUMN B
Election Cycle-to-Date
COLUMN A
Total This Period
I. RECEIPTS
12
,