Professional Documents
Culture Documents
Donor Information
1. Employer or Business (If Corporate/Company Donor: N/A)
2. Type of Business(If Corporate Donor Type of Business)
3. Business Location
1.
2.plastic products
3.Warrenton, VA
Date
Received
Contribution Aggregate
This Period To Date
01/14/2016
$3,000.00
$3,000.00
$3,000.00
Item or Service
Name of
Person
Date of
Amount
Authorizing Expenditure Paid
Expenditure
$18.04
$600.39
$89.51
$95.77
$522.29
Schedule D: Expenditures
Person or Company Paid and Address
$1,326.00
Date
Received
Amount of
Loan This
Period
Remaining
Loan
Balance
01/05/2016
$500.00
$500.00
Pupose of Obligation
Amount
Remaining
Unpaid
01/05/2016
$500.00
$500.00
Number of
Contributions
Amount
$3,000.00
$0.00
$488.00
$0.00
5. Total
$3,488.00
$0.00
$0.00
$0.00
9. Schedule D [Expenditures]
$1,326.00
$1,326.00
$0.00
$500.00
13. Subtotal
14. Subtract: Loans repaid this period [from Schedule E-Part2]
15. Ending loan balance
$500.00
$0.00
$500.00
$0.00
$3,488.00
$0.00
$500.00
$3,988.00
$3,988.00
$1,326.00
$0.00
$0.00
$1,326.00
$2,662.00
$500.00
$0.00
$0.00
$3,988.00
24. Total Receipts this Election Cycle [Add lines 22 and 23]
$3,988.00
$3,988.00
$0.00
$1,326.00
$1,326.00
$2,662.00