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CANDIDATE
FOR STATEWIDE AND GENERAL ASSEMBLY CANDIDAANS1 6 2002 For office use only
r W Comm . No ., .,
CANDIDATE'S COMMITTEE NAME (Must be same as on Statement of anization) Indexe d. .:"
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R""""", NATURE . J
1fR'ASURER (or person filing this report)'
CAUTION: Penalties Due For Late Filed Reports Range From $10 to $400
TEL PHONE DATE SIGNED
0 Friday preceding primary May 16 - Tuesday preceding O 14th day prior to election Current thru 19 days prior
(See Note) primary I 1 ' 19 to election
0 Friday preceding election 18th day preceding election
0 July 20, 19 May 16 or Wednesday preceding
(See Note) thru Tuesday preceding
primary - July 15,19-
19 election
0 Oct . 20, 19 July 16 - Oct . 15, 19
0 Friday preceding general Oct . 16 - Tuesday NONELECTION YEAR REPORTING DATES
(See Note) preceding general Report Due Covered Period - Inclusive
0 Jan . 20, 19 Oct . 16 or Wednesday preceding 0 Jan . 20, 19 Oct . 16- Dec. 31, 19
general-Dec . 31, 19 or
Tues . Preceding Election thru
Dec. 31, 19
or
Jan . 1 - Dec. 31, 19
NOTE : These supplemental reports are required If contributions received In the covered period equal $10,000 or more for governor, $5,000 or more for other statewide candidates;
$1,000 or more for general assembly candidates .
0 Check if Amendment to report dated 19-
0 Check if final (termination) report . (Attach Notice of Dissolution Form DR-3)
SUB-TOTAL
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B : Expenditures total (Attach Schedule B) . . . . . . . .. . . . . . . . . . . . . . .. .. ~1
Schedule F : Loan Repayments total (Attach Schedule F) . . ... .... .. ...... . .... T~
CASH ON HAND at the end of this reporting period (if final report, balance must be zero) t~p
(Attach DR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... .. .. ........ . .. .. $
'REMINDER : The law places responsibility solely upon the candidate for the timeliness and accuracy of reports filed by the committee
treasurer. 140-0034/CPK-020522 (Rev. 1993)