You are on page 1of 3
05/28/2008 12:44 563-386-5907 OFFICEMAX 43 Pace aL tA ETHICS a FOR INSTRUCTIONS, SEE BACK OF FORM DISCLOSURE SUMMARY PAGE Comanet he Zo Te Yast Shean Memer lack Fenierrcorae ERS fednc mem easy cares Conus youre Cove) Can (7 cto Ss. Siew Condon (aang PRE (9 Fy PRC (10 abo Bower rr Poel Sebeaon PR ( systems rr 740 [EANDIDATE COMMITTEES ONLY: Emagen hare " oticy Paryifarpaaim) | lace Shane Homerliack ome Seg x Hose) 20MAY 28 PH 217 CHECK iF AMENOMENT TO REPORT DATED [D1 check thi is na erination) report and attach Notice of Disslution Form DF. {You rt conc wth oports uns DRS ed.) SS ce ‘STATEMENT OF GASH ON HAND GASH ON HAND atte begining ofthe reporting period. (Total of al funds held bythe ‘mite. Thi argrt MUST bs fe sare ote cash on ang ate en ‘ofthe lat reporting pare or rust be xaro tia fet report led) [ADO TOTAL MONEY TAKEN IM THIS PERIOD ‘Schedule A: Cath Conwrbwone tral (Atach Schedule A) (‘leo exe indnd below). ‘Schedule F: Lone Received total atacn Schedule F. ‘Schule H: Tota anc Campaign Propet (tach Sched Hn sSchmcuin H anole to Candidates’ Commitiaes One) ‘SUB-TOTAL... SUBTRACT TOTAL MONEY SPENT THIS PERIOD Schedule B: Expendtres total (Atach Schedule €) (ets see debts and lens below)... ‘Schedule F: Loen Repayments total (Atacn Sereda) ‘CARH ON HAND atthe end of tis epoting period (fr report balance must be 2ere). “UNPAID BILLS (From Seneduie D- Attach Schedule D).. NN 05/28/2008 12:44 — §63-386-5907 OFFICEMAX 43 Page 82 For instructions, See Back of Form [SCHEDULE A MONETARY (Rev. 07m3) | RECEPTS (nung candte's penal Kets) CONTRIBUTIONS —- MONEY TAKEN IN TD check Ts bax iF AMENDING FORO Fak Spams rs SON OI "Comer thae WLlect Shun onertinck SS SHES SE SS SoTSO PLS EN US TA STR SREP SE ea DiscLosune eoaro, NOTE: ANY PERSON, OTHER THAN AN INDIVIDUAL, THAT CONTRIBUTES MORE THAN $750 TO YOUR CAMPAIGN MAY HAVE FILING. RESPONSIBILTIES AND SHOULD IMMEDIATELY CGNTACT THE BOARD. CAUTION: Secdan 688.324(6), prohibits te use of information copied rom reports and statements for soleing contibutons oF for ony ‘commercial purpose by ary peraan other than statutory pomicl commiioes. Ea Oy $500.00 GSS | Zowens for Bx r-— :208|°* vag 20. fos 207 S200] oF ab, som 20 cy ogy | gees ae ohne" ¢00 oF Y Cokeae 97 SOF -t008| ox wt 25016 ia bee, %s5,00\|— wow CEM Leach 08-2008 | CX# ag yy Sole Fi Prive: 43.00 [_] [| binge beh Jr. J Sab 2008 x 3273 Apert up 0.00 oxe TF —} oxe oF _ To xe SU TOTAL (if last page of this schertate) a reques canta commits te dacose the relationship of any reletve making a conaion othe conmee hang mat coun te neo canary nears) sn ay CUO imarage_ sumeame of coreuo se same as cand, DA ere 8 P00 er bert f relationship, enter ‘not applcable”n te relationship cckume. i ereauie Ay 05/28/2088 12:44 563-386-5907 OFFICEMAK 43 PAGE 03 FOR INSTRUCTIONS, SEE BACK OF FORM soe EXPENDITURES — MONEY SPENT FROM COMMITTEE ACCOUNT ate li cemenee STATE pac conmrreRs: nowt: ror conrmsrins wiot 79 STATEWIDE OR: Ot A DD creck ris 80x iF PAG ChEOR NowcR Fon GACH EXTRNOITURE. A LST OF 1 MMIOERS 16 AVALAGLE PROM TE OWA "AMENDING FORM TOTAL (tet page oft screatnFa7 7] [Wra5 BOX APPLIES TO CANDIEATES’ COMTTEES ONLY! Purchases ot ain campaign propery coun $300 or mare must kobe Ineired on Schmit io Schade H runs) rdturesto paronwaraiesproucng cone, advert, ingteing. ole, manag. crane eevee rut ais ba dt arzed on Schoaue yt nore prpca, nants of aath ype ox ade by he preity ora om canada res, (ah Sowaute G eure and Torn Cove 684-403) roe__L_a_f (or sched B)

You might also like