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FEC EEC HA!L CEHiEh
FORM 3
AND DISBURSEMENTS
For An Authorized Committee ?OI9FEBffire7us#Siy8: 53
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STATE • DISTRICT
January 31 Year-End Report (YE) (c) 30-Day POST-Election Report for the:
Office
Use FEC FORM 3 ,
L Only (Revised 05/2016) |
r FEC Form 3 (Revised 03/2016)
SUMMARY PAGE
of Receipts and Disbursements
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Write or Type Committee Name„ ^ ^ A li ,
fC wiv/(y foiz
Report Covering the TO: ; 2,'^
COLUMN A COLUMN B
This Period Election Cycle-to-Date
6. Net Contributions (other than loans)
• ; .: •
(other than loans) (from Line 11(e))...,
9
(b) Total Contribution Refunds
(from Line 20(d)) .. : , b-oo .. . :. o:o: (r
(c) Net Contributions (other than loans)
D (subtract Line 6(b) from Line 6(a))
0
(b) Total Offsets to Operating
Expenditures (from Line 14) , On t) . : , o.oo
D
1S (c) Net Operating Expenditures
(subtract Line 7(b) from Line 7(a)) ; , O.ao , .: MO
8 8. Oash on Hand at Close of
2
0
Reporting Period (from Line 27) MO
9. Debts and Obligations Owed TO
the Committee (Itemize all on
Schedule C and/or Schedule D) O.Od
10. Debts and Obligations Owed BY
the Committee (Itemize all on
Schedule C and/or Schedule D) 0.6 6
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r FEC Form 3 (Revised 05/2016)
DETAILED SUMMARY PAGE
of Receipts Page 3
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Write or Type Committee Name - , , //T / y.
COLUMN A COLUMN B
I. RECEIPTS Total This Period Election Cycle-to-Date
0
2
(iii) TOTAL of contributions
from individuals ^ . ,. , :uo
(b) Political Party Committees : , : ,' :D.O6
-, , : aos
(c) Other Political Committees
(such as PACs) • , ., 0.0 6
(d) The Candidate , , 0.0 0 , O.f.0
(e) TOTAL CONTRIBUTIONS
(other than loans)
(add Lines 11(a)(iii), (b). (c), and (d))..
......
I 13. LOANS:
(a) Made or Guaranteed by the
Candidate ,- , o.ao . ,• , -0.0 6
(b) All Other Loans , • , -Opo : : i • : . 0.06
(C) TOTAL LOANS
(add Lines 13(a) and (b)) , , .'';oo 6-.00
14. OFFSETS TO OPERATING
EXPENDITURES
(Refunds. Rebates, etc.) . . , . . , , .6-O.0 AAO.
15. OTHER RECEIPTS
(Dividends, Interest, etc.) . , .0.00 M0
16. TOTAL RECEIPTS (add Lines
11(e), 12, 13(c), 14, and 15) ^
(Carry Total to Line 24, page 4) p.id
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r FEC Form 3 (Revised 05/2016)
DETAILED SUMMARY PAGE
of Disbursements Page 4
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II. DISBURSEMENTS COLUMN A COLUMN B
Total This Period Election Cycle-to-Date
0
2
0
(a) Individuals/Persons Other
Than Political Committees
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Federal Election Commission
ENVELOPE REPLACEMENT PAGE FOR INCOMING DOCUMENTS
The PEG added this page to the end of this filing to indicate how it was received.
Date of Receipt
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Postmarked (R/C)
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X Overnight Delivery Service (Specify): (J ^ -1
Date of Receipt
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Date of Receipt
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4
PRE;F^RER DATE PREPARED
(3/2015)