Professional Documents
Culture Documents
As required by the Alabama Fair Campaign Practices Act, I hereby Sworn to and subscribed before me this ________ day of
swear or affirm to the best of my knowledge and belief that the
________ of the year ________. My commission expires
attached report(s) and the information contained herein are true and
correct and that this information is a full and complete statement of the ________ day of ________ of the year ________.
all contributions, expenditures, and other required information
during the applicable period of time.
When total contributions from a single source exceed $100.00, the FCPA requires all contributions from that source to be itemized.
DO NOT LIST in-kind contributions or loans on this form. Use forms 3 and 4 for those listings.
SOURCE OF
CONTRIBUTION
(CHECK ONE)
Individual
Business or
Returned
Corporation
(INCLUDE FULL NAME) (ADDRESS SHOULD INCLUDE CONTRIBUTION CONTRIBUTION
Other
PAC
STREET OR P.O. BOX, CITY, STATE, AND ZIP) RECEIVED
(mo/day/yr)
When total contributions from a single source exceed $100.00, the FCPA requires all contributions from that source to be itemized.
DO NOT LIST in-kind contributions or loans on this form. Use forms 3 and 4 for those listings.
SOURCE OF
CONTRIBUTION
(CHECK ONE)
Individual
Business or
Returned
Corporation
(INCLUDE FULL NAME) (ADDRESS SHOULD INCLUDE CONTRIBUTION CONTRIBUTION
Other
PAC
STREET OR P.O. BOX, CITY, STATE, AND ZIP) RECEIVED
(mo/day/yr)
When total contributions from a single source exceed $100.00, the FCPA requires all contributions from that source to be itemized.
DO NOT LIST in-kind contributions or loans on this form. Use forms 3 and 4 for those listings.
SOURCE OF
CONTRIBUTION
(CHECK ONE)
Individual
Business or
Returned
Corporation
(INCLUDE FULL NAME) (ADDRESS SHOULD INCLUDE CONTRIBUTION CONTRIBUTION
Other
PAC
STREET OR P.O. BOX, CITY, STATE, AND ZIP) RECEIVED
(mo/day/yr)
When total contributions from a single source exceed $100.00, the FCPA requires all contributions from that source to be itemized.
DO NOT LIST in-kind contributions or loans on this form. Use forms 3 and 4 for those listings.
SOURCE OF
CONTRIBUTION
(CHECK ONE)
Individual
Business or
Returned
Corporation
(INCLUDE FULL NAME) (ADDRESS SHOULD INCLUDE CONTRIBUTION CONTRIBUTION
Other
PAC
STREET OR P.O. BOX, CITY, STATE, AND ZIP) RECEIVED
(mo/day/yr)
When total contributions from a single source exceed $100.00, the FCPA requires all contributions from that source to be itemized.
DO NOT LIST in-kind contributions or loans on this form. Use forms 3 and 4 for those listings.
SOURCE OF
CONTRIBUTION
(CHECK ONE)
Individual
Business or
Returned
Corporation
(INCLUDE FULL NAME) (ADDRESS SHOULD INCLUDE CONTRIBUTION CONTRIBUTION
Other
PAC
STREET OR P.O. BOX, CITY, STATE, AND ZIP) RECEIVED
(mo/day/yr)
When total contributions from a single source exceed $100.00, the FCPA requires all contributions from that source to be itemized.
DO NOT LIST in-kind contributions or loans on this form. Use forms 3 and 4 for those listings.
SOURCE OF
CONTRIBUTION
(CHECK ONE)
Individual
Business or
Returned
Corporation
(INCLUDE FULL NAME) (ADDRESS SHOULD INCLUDE CONTRIBUTION CONTRIBUTION
Other
PAC
STREET OR P.O. BOX, CITY, STATE, AND ZIP) RECEIVED
(mo/day/yr)
When total contributions from a single source exceed $100.00, the FCPA requires all contributions from that source to be itemized.
DO NOT LIST in-kind contributions or loans on this form. Use forms 3 and 4 for those listings.
SOURCE OF
CONTRIBUTION
(CHECK ONE)
Individual
Business or
Returned
Corporation
(INCLUDE FULL NAME) (ADDRESS SHOULD INCLUDE CONTRIBUTION CONTRIBUTION
Other
PAC
STREET OR P.O. BOX, CITY, STATE, AND ZIP) RECEIVED
(mo/day/yr)
When total contributions from a single source exceed $100.00, the FCPA requires all contributions from that source to be itemized.
DO NOT LIST in-kind contributions or loans on this form. Use forms 3 and 4 for those listings.
SOURCE OF
CONTRIBUTION
(CHECK ONE)
Individual
Business or
Returned
Corporation
(INCLUDE FULL NAME) (ADDRESS SHOULD INCLUDE CONTRIBUTION CONTRIBUTION
Other
PAC
STREET OR P.O. BOX, CITY, STATE, AND ZIP) RECEIVED
(mo/day/yr)
When total contributions from a single source exceed $100.00, the FCPA requires all contributions from that source to be itemized.
DO NOT LIST in-kind contributions or loans on this form. Use forms 3 and 4 for those listings.
SOURCE OF
CONTRIBUTION
(CHECK ONE)
Individual
Business or
Returned
Corporation
(INCLUDE FULL NAME) (ADDRESS SHOULD INCLUDE CONTRIBUTION CONTRIBUTION
Other
PAC
STREET OR P.O. BOX, CITY, STATE, AND ZIP) RECEIVED
(mo/day/yr)
When total contributions from a single source exceed $100.00, the FCPA requires all contributions from that source to be itemized.
DO NOT LIST in-kind contributions or loans on this form. Use forms 3 and 4 for those listings.
SOURCE OF
CONTRIBUTION
(CHECK ONE)
Individual
Business or
Returned
Corporation
(INCLUDE FULL NAME) (ADDRESS SHOULD INCLUDE CONTRIBUTION CONTRIBUTION
Other
PAC
STREET OR P.O. BOX, CITY, STATE, AND ZIP) RECEIVED
(mo/day/yr)
When total contributions from a single source exceed $100.00, the FCPA requires all contributions from that source to be itemized.
DO NOT LIST in-kind contributions or loans on this form. Use forms 3 and 4 for those listings.
SOURCE OF
CONTRIBUTION
(CHECK ONE)
Individual
Business or
Returned
Corporation
(INCLUDE FULL NAME) (ADDRESS SHOULD INCLUDE CONTRIBUTION CONTRIBUTION
Other
PAC
STREET OR P.O. BOX, CITY, STATE, AND ZIP) RECEIVED
(mo/day/yr)
When total contributions from a single source exceed $100.00, the FCPA requires all contributions from that source to be itemized.
DO NOT LIST in-kind contributions or loans on this form. Use forms 3 and 4 for those listings.
SOURCE OF
CONTRIBUTION
(CHECK ONE)
Individual
Business or
Returned
Corporation
(INCLUDE FULL NAME) (ADDRESS SHOULD INCLUDE CONTRIBUTION CONTRIBUTION
Other
PAC
STREET OR P.O. BOX, CITY, STATE, AND ZIP) RECEIVED
(mo/day/yr)
When total contributions from a single source exceed $100.00, the FCPA requires all contributions from that source to be itemized.
DO NOT LIST in-kind contributions or loans on this form. Use forms 3 and 4 for those listings.
SOURCE OF
CONTRIBUTION
(CHECK ONE)
Individual
Business or
Returned
Corporation
(INCLUDE FULL NAME) (ADDRESS SHOULD INCLUDE CONTRIBUTION CONTRIBUTION
Other
PAC
STREET OR P.O. BOX, CITY, STATE, AND ZIP) RECEIVED
(mo/day/yr)
When total contributions from a single source exceed $100.00, the FCPA requires all contributions from that source to be itemized.
DO NOT LIST in-kind contributions or loans on this form. Use forms 3 and 4 for those listings.
SOURCE OF
CONTRIBUTION
(CHECK ONE)
Individual
Business or
Returned
Corporation
(INCLUDE FULL NAME) (ADDRESS SHOULD INCLUDE CONTRIBUTION CONTRIBUTION
Other
PAC
STREET OR P.O. BOX, CITY, STATE, AND ZIP) RECEIVED
(mo/day/yr)
When total contributions from a single source exceed $100.00, the FCPA requires all contributions from that source to be itemized.
DO NOT LIST in-kind contributions or loans on this form. Use forms 3 and 4 for those listings.
SOURCE OF
CONTRIBUTION
(CHECK ONE)
Individual
Business or
Returned
Corporation
(INCLUDE FULL NAME) (ADDRESS SHOULD INCLUDE CONTRIBUTION CONTRIBUTION
Other
PAC
STREET OR P.O. BOX, CITY, STATE, AND ZIP) RECEIVED
(mo/day/yr)
When total contributions from a single source exceed $100.00, the FCPA requires all contributions from that source to be itemized.
DO NOT LIST in-kind contributions or loans on this form. Use forms 3 and 4 for those listings.
SOURCE OF
CONTRIBUTION
(CHECK ONE)
Individual
Business or
Returned
Corporation
(INCLUDE FULL NAME) (ADDRESS SHOULD INCLUDE CONTRIBUTION CONTRIBUTION
Other
PAC
STREET OR P.O. BOX, CITY, STATE, AND ZIP) RECEIVED
(mo/day/yr)
When total contributions from a single source exceed $100.00, the FCPA requires all contributions from that source to be itemized.
DO NOT LIST in-kind contributions or loans on this form. Use forms 3 and 4 for those listings.
SOURCE OF
CONTRIBUTION
(CHECK ONE)
Individual
Business or
Returned
Corporation
(INCLUDE FULL NAME) (ADDRESS SHOULD INCLUDE CONTRIBUTION CONTRIBUTION
Other
PAC
STREET OR P.O. BOX, CITY, STATE, AND ZIP) RECEIVED
(mo/day/yr)
When total contributions from a single source exceed $100.00, the FCPA requires all contributions from that source to be itemized.
DO NOT LIST in-kind contributions or loans on this form. Use forms 3 and 4 for those listings.
SOURCE OF
CONTRIBUTION
(CHECK ONE)
Individual
Business or
Returned
Corporation
(INCLUDE FULL NAME) (ADDRESS SHOULD INCLUDE CONTRIBUTION CONTRIBUTION
Other
PAC
STREET OR P.O. BOX, CITY, STATE, AND ZIP) RECEIVED
(mo/day/yr)
When total contributions from a single source exceed $100.00, the FCPA requires all contributions from that source to be itemized.
DO NOT LIST in-kind contributions or loans on this form. Use forms 3 and 4 for those listings.
SOURCE OF
CONTRIBUTION
(CHECK ONE)
Individual
Business or
Returned
Corporation
(INCLUDE FULL NAME) (ADDRESS SHOULD INCLUDE CONTRIBUTION CONTRIBUTION
Other
PAC
STREET OR P.O. BOX, CITY, STATE, AND ZIP) RECEIVED
(mo/day/yr)
When total contributions from a single source exceed $100.00, the FCPA requires all contributions from that source to be itemized.
DO NOT LIST in-kind contributions or loans on this form. Use forms 3 and 4 for those listings.
SOURCE OF
CONTRIBUTION
(CHECK ONE)
Individual
Business or
Returned
Corporation
(INCLUDE FULL NAME) (ADDRESS SHOULD INCLUDE CONTRIBUTION CONTRIBUTION
Other
PAC
STREET OR P.O. BOX, CITY, STATE, AND ZIP) RECEIVED
(mo/day/yr)
S T DYES P O BX 2308
TUCALOOSA, AL 35403 X 07/30/2018 $25.00
When total contributions from a single source exceed $100.00, the FCPA requires all contributions from that source to be itemized.
DO NOT LIST in-kind contributions or loans on this form. Use forms 3 and 4 for those listings.
SOURCE OF
CONTRIBUTION
(CHECK ONE)
Individual
Business or
Returned
Corporation
(INCLUDE FULL NAME) (ADDRESS SHOULD INCLUDE CONTRIBUTION CONTRIBUTION
Other
PAC
STREET OR P.O. BOX, CITY, STATE, AND ZIP) RECEIVED
(mo/day/yr)
When total contributions from a single source exceed $100.00, the FCPA requires all contributions from that source to be itemized.
DO NOT LIST in-kind contributions or loans on this form. Use forms 3 and 4 for those listings.
SOURCE OF
CONTRIBUTION
(CHECK ONE)
Individual
Business or
Returned
Corporation
(INCLUDE FULL NAME) (ADDRESS SHOULD INCLUDE CONTRIBUTION CONTRIBUTION
Other
PAC
STREET OR P.O. BOX, CITY, STATE, AND ZIP) RECEIVED
(mo/day/yr)
When total contributions from a single source exceed $100.00, the FCPA requires all contributions from that source to be itemized.
DO NOT LIST in-kind contributions or loans on this form. Use forms 3 and 4 for those listings.
SOURCE OF
CONTRIBUTION
(CHECK ONE)
Individual
Business or
Returned
Corporation
(INCLUDE FULL NAME) (ADDRESS SHOULD INCLUDE CONTRIBUTION CONTRIBUTION
Other
PAC
STREET OR P.O. BOX, CITY, STATE, AND ZIP) RECEIVED
(mo/day/yr)
When total contributions form a single source exceed $100.00, the FCPA requires all contributions from that source to be itemized.
DO NOT LIST cash or loans on this form. Use Forms 2 and 4 for those listings.
Business/ Corporation
Transportation
Administrative
Consultants/ Polling
(INCLUDE FULL (ADDRESS SHOULD INCLUDE CONTRIBUTION OF
Advertising
Equipment
NAME) STREET OR P.O. BOX, CITY, RECEIVED CONTRIBUTION
Individual
STATE, AND ZIP) (mo./day/yr.)
Other
Other
Food
Rent
PAC
FRANK 3715 OLD LEEDS RD
MCPHILLIPS MOUNTAIN BROOK, AL 35213 X X 07/25/2018 $2721.40
950 DAUPHIN ST
BRIDGEBUILDER MOBILE, AL 36604 X X 07/31/2018 $1200.00
S MANAGEMENT
FLORA SIGN 5708 UNIVERSITY BLVD
AND GRAPHICS TUSCALOOSA, AL 35404 X X 07/31/2018 $350.00
PO BOX 3242
YELLOWHAMME TUSCALOOSA, AL 35403 X X 07/31/2018 $816.00
R, LLC
FORM REVISED
11.29.2012
TOTAL IN-KIND CONTRIBUTIONS $6979.33
ALABAMA FAIR CAMPAIGN PRACTICES ACT - CAMPAIGN FINANCE REPORT FOR CANDIDATE/ELECTED
OFFICIAL
FORM 4: Receipts from Other Sources loans, interest, and other sources of income
When total contributions from a single source exceed $100.00, the FCPA requires all contributions from that source to be itemized
DO NOT LIST cash or in-kind contributions on this form. Use Forms 2 and 3 for those listings.
Lending Institution
Source Individual
Source Business
Source Other
Form Interest
Source PAC
Form Other
Form Loan
GUARANTORS
SOURCE OF ADDRESS
[FCPA REQUIRES FULLE NAME
RECEIPT (ADDRESS SHOULD INCLUDE DATE AMOUNT OF
AND COMPLETE ADDRESS OF
(INCLUDE FULL STREET OR P.O. BOX, CITY, RECIEVED RECEIPT
INDIVIDUAL(S) ENDORSING OR
NAME) STATE, AND ZIP)
GUARANTEEING A LOAN]
When total expenditures to a single recipient exceed $100.00, the FCPA requires all expenditures to that recipient be itemized.
PURPOSE OF EXPENDITURE
(CHECK ONE)
Charitable Contributions
Consultants/Polling
Loan Repayment
Transportation
Administrative
Fundraising
ADDRESS OTHER
Advertising
Lodging
PERSON/GROUP/BUSINESS (ADDRESS SHOULD DATE OF AMOUNT
Food
RECEIVING EXPENDITURE INCLUDE STREET OR GIVE EXPENDITURE OF
(INCLUDE FULL NAME) P.O. BOX, CITY, BRIEF (mo./day/yr.) EXPENDITURE
STATE, AND ZIP EXPLANATION
When total expenditures to a single recipient exceed $100.00, the FCPA requires all expenditures to that recipient be itemized.
PURPOSE OF EXPENDITURE
(CHECK ONE)
Charitable Contributions
Consultants/Polling
Loan Repayment
Transportation
Administrative
Fundraising
ADDRESS OTHER
Advertising
Lodging
PERSON/GROUP/BUSINESS (ADDRESS SHOULD DATE OF AMOUNT
Food
RECEIVING EXPENDITURE INCLUDE STREET OR GIVE EXPENDITURE OF
(INCLUDE FULL NAME) P.O. BOX, CITY, BRIEF (mo./day/yr.) EXPENDITURE
STATE, AND ZIP EXPLANATION
When total expenditures to a single recipient exceed $100.00, the FCPA requires all expenditures to that recipient be itemized.
PURPOSE OF EXPENDITURE
(CHECK ONE)
Charitable Contributions
Consultants/Polling
Loan Repayment
Transportation
Administrative
Fundraising
ADDRESS OTHER
Advertising
Lodging
PERSON/GROUP/BUSINESS (ADDRESS SHOULD DATE OF AMOUNT
Food
RECEIVING EXPENDITURE INCLUDE STREET OR GIVE EXPENDITURE OF
(INCLUDE FULL NAME) P.O. BOX, CITY, BRIEF (mo./day/yr.) EXPENDITURE
STATE, AND ZIP EXPLANATION
When total expenditures to a single recipient exceed $100.00, the FCPA requires all expenditures to that recipient be itemized.
PURPOSE OF EXPENDITURE
(CHECK ONE)
Charitable Contributions
Consultants/Polling
Loan Repayment
Transportation
Administrative
Fundraising
ADDRESS OTHER
Advertising
Lodging
PERSON/GROUP/BUSINESS (ADDRESS SHOULD DATE OF AMOUNT
Food
RECEIVING EXPENDITURE INCLUDE STREET OR GIVE EXPENDITURE OF
(INCLUDE FULL NAME) P.O. BOX, CITY, BRIEF (mo./day/yr.) EXPENDITURE
STATE, AND ZIP EXPLANATION
When total expenditures to a single recipient exceed $100.00, the FCPA requires all expenditures to that recipient be itemized.
PURPOSE OF EXPENDITURE
(CHECK ONE)
Charitable Contributions
Consultants/Polling
Loan Repayment
Transportation
Administrative
Fundraising
ADDRESS OTHER
Advertising
Lodging
PERSON/GROUP/BUSINESS (ADDRESS SHOULD DATE OF AMOUNT
Food
RECEIVING EXPENDITURE INCLUDE STREET OR GIVE EXPENDITURE OF
(INCLUDE FULL NAME) P.O. BOX, CITY, BRIEF (mo./day/yr.) EXPENDITURE
STATE, AND ZIP EXPLANATION
When total expenditures to a single recipient exceed $100.00, the FCPA requires all expenditures to that recipient be itemized.
PURPOSE OF EXPENDITURE
(CHECK ONE)
Charitable Contributions
Consultants/Polling
Loan Repayment
Transportation
Administrative
Fundraising
ADDRESS OTHER
Advertising
Lodging
PERSON/GROUP/BUSINESS (ADDRESS SHOULD DATE OF AMOUNT
Food
RECEIVING EXPENDITURE INCLUDE STREET OR GIVE EXPENDITURE OF
(INCLUDE FULL NAME) P.O. BOX, CITY, BRIEF (mo./day/yr.) EXPENDITURE
STATE, AND ZIP EXPLANATION
When total expenditures to a single recipient exceed $100.00, the FCPA requires all expenditures to that recipient be itemized.
PURPOSE OF EXPENDITURE
(CHECK ONE)
Charitable Contributions
Consultants/Polling
Loan Repayment
Transportation
Administrative
Fundraising
ADDRESS OTHER
Advertising
Lodging
PERSON/GROUP/BUSINESS (ADDRESS SHOULD DATE OF AMOUNT
Food
RECEIVING EXPENDITURE INCLUDE STREET OR GIVE EXPENDITURE OF
(INCLUDE FULL NAME) P.O. BOX, CITY, BRIEF (mo./day/yr.) EXPENDITURE
STATE, AND ZIP EXPLANATION
When total expenditures to a single recipient exceed $100.00, the FCPA requires all expenditures to that recipient be itemized.
PURPOSE OF EXPENDITURE
(CHECK ONE)
Charitable Contributions
Consultants/Polling
Loan Repayment
Transportation
Administrative
Fundraising
ADDRESS OTHER
Advertising
Lodging
PERSON/GROUP/BUSINESS (ADDRESS SHOULD DATE OF AMOUNT
Food
RECEIVING EXPENDITURE INCLUDE STREET OR GIVE EXPENDITURE OF
(INCLUDE FULL NAME) P.O. BOX, CITY, BRIEF (mo./day/yr.) EXPENDITURE
STATE, AND ZIP EXPLANATION
When total expenditures to a single recipient exceed $100.00, the FCPA requires all expenditures to that recipient be itemized.
PURPOSE OF EXPENDITURE
(CHECK ONE)
Charitable Contributions
Consultants/Polling
Loan Repayment
Transportation
Administrative
Fundraising
ADDRESS OTHER
Advertising
Lodging
PERSON/GROUP/BUSINESS (ADDRESS SHOULD DATE OF AMOUNT
Food
RECEIVING EXPENDITURE INCLUDE STREET OR GIVE EXPENDITURE OF
(INCLUDE FULL NAME) P.O. BOX, CITY, BRIEF (mo./day/yr.) EXPENDITURE
STATE, AND ZIP EXPLANATION
When total expenditures to a single recipient exceed $100.00, the FCPA requires all expenditures to that recipient be itemized.
PURPOSE OF EXPENDITURE
(CHECK ONE)
Charitable Contributions
Consultants/Polling
Loan Repayment
Transportation
Administrative
Fundraising
ADDRESS OTHER
Advertising
Lodging
PERSON/GROUP/BUSINESS (ADDRESS SHOULD DATE OF AMOUNT
Food
RECEIVING EXPENDITURE INCLUDE STREET OR GIVE EXPENDITURE OF
(INCLUDE FULL NAME) P.O. BOX, CITY, BRIEF (mo./day/yr.) EXPENDITURE
STATE, AND ZIP EXPLANATION
When total expenditures to a single recipient exceed $100.00, the FCPA requires all expenditures to that recipient be itemized.
PURPOSE OF EXPENDITURE
(CHECK ONE)
Charitable Contributions
Consultants/Polling
Loan Repayment
Transportation
Administrative
Fundraising
ADDRESS OTHER
Advertising
Lodging
PERSON/GROUP/BUSINESS (ADDRESS SHOULD DATE OF AMOUNT
Food
RECEIVING EXPENDITURE INCLUDE STREET OR GIVE EXPENDITURE OF
(INCLUDE FULL NAME) P.O. BOX, CITY, BRIEF (mo./day/yr.) EXPENDITURE
STATE, AND ZIP EXPLANATION
When total expenditures to a single recipient exceed $100.00, the FCPA requires all expenditures to that recipient be itemized.
PURPOSE OF EXPENDITURE
(CHECK ONE)
Charitable Contributions
Consultants/Polling
Loan Repayment
Transportation
Administrative
Fundraising
ADDRESS OTHER
Advertising
Lodging
PERSON/GROUP/BUSINESS (ADDRESS SHOULD DATE OF AMOUNT
Food
RECEIVING EXPENDITURE INCLUDE STREET OR GIVE EXPENDITURE OF
(INCLUDE FULL NAME) P.O. BOX, CITY, BRIEF (mo./day/yr.) EXPENDITURE
STATE, AND ZIP EXPLANATION
When total expenditures to a single recipient exceed $100.00, the FCPA requires all expenditures to that recipient be itemized.
PURPOSE OF EXPENDITURE
(CHECK ONE)
Charitable Contributions
Consultants/Polling
Loan Repayment
Transportation
Administrative
Fundraising
ADDRESS OTHER
Advertising
Lodging
PERSON/GROUP/BUSINESS (ADDRESS SHOULD DATE OF AMOUNT
Food
RECEIVING EXPENDITURE INCLUDE STREET OR GIVE EXPENDITURE OF
(INCLUDE FULL NAME) P.O. BOX, CITY, BRIEF (mo./day/yr.) EXPENDITURE
STATE, AND ZIP EXPLANATION
When total expenditures to a single recipient exceed $100.00, the FCPA requires all expenditures to that recipient be itemized.
PURPOSE OF EXPENDITURE
(CHECK ONE)
Charitable Contributions
Consultants/Polling
Loan Repayment
Transportation
Administrative
Fundraising
ADDRESS OTHER
Advertising
Lodging
PERSON/GROUP/BUSINESS (ADDRESS SHOULD DATE OF AMOUNT
Food
RECEIVING EXPENDITURE INCLUDE STREET OR GIVE EXPENDITURE OF
(INCLUDE FULL NAME) P.O. BOX, CITY, BRIEF (mo./day/yr.) EXPENDITURE
STATE, AND ZIP EXPLANATION