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FEB . 6 .2002 1 :22PM
f:~El~-et-2002 10 :36 '^ ETHICS CAMPAIGN DISCLO 2813701 P .03
FOR INSTRUCTIONS, SEE BACK Ot , ORM FORM
DR-2 DISCILSUaE
(Rev . 01!98) REPORT
DISCLOSURE SUMMARY PAGE
For afes U. il 0
Comet.
COMMITTEE NAME (Adust bgsente as an Statement pf OrganizahFon)
Indexed
Audited ~-0P-; ~0
IMPORTANT: Indlcas 4fpe of cotmnlttm you are reporting for. Computer tll~
u e Penalties Due For Late Filed Rep it Range from $20 to $800
T UCTI N ON SA ET E azrlo:
1 AM F1UNG A -:T'An a REPORT F s R AN/A (1) ELECTION /(2)NON-ELECTION YEAR.
(report dace) Indicate one r7
CASH ON HAND at the end of this reporting period (if final report, balance m st
be zero) (Attach DR-3).................... .. ..... ..... ........ .. ............... _ ... ..........
UNPAID BILLS (From Schedule D - Attach Schedule D) .... . ........... .... ... . ...... I.. .. ..... . ., . . ................... . $
. . .S , "S,~!IJr
IN fCND CONTRIBUTIONS (From Schedule E - Attach Schedule E) ............... .................... . -.... . .
OUTSTANDING LOANS (From Schedule F - Attach Schedule F) ....... .. ........... ................ .._ ..... ... $
CAN131DATE CgWITMS ONLY:
YES NO
CONSULTANT BREAKDOWN (Schedule G Attached?)
VALUE OF CAMPAIGN PROPERTY (From Schedule H -Attach Schedule H)
FOR INSTRUCTIONS, SEE BACK OF .-ORM
IN KIND I
CCMMIiiEE NAME,,&Iustbe same as on Statement of Organfzaifon) (Rev. Q6/87)1 CONTRIBUTIONS
rn ~ a m ~ ~ Se ~ ~,~ ~_
0 CHECK THIS BOX IF
AIViE~'VDjNi3 FORM
SUB-TOTAL
TOTAL Of last
page of this
schedule)
'Disclosure law requires candidates to disclose the relationship of any relative making an in kind contribution to the
committee. Relationship must be shown to the third degree of consanguinity (blood relatives) and affinity (relatives
by marriage). (See Page 2 of forts packet.) If surname of contributor is the same as candidate, but there is no
familial relationship, enter 'not applicable' in the relationship column .
rIJK IIVb IKUU I IUIVJ, SCk tfAUK UP VUKM
SCHEDULE
COMMITTEE NAME(Must be same as on Statement of Organizatio ) LOANS
(Rev, 08196) RECEIVED
NOTE : This schedule reports money loaned to the committee which is deposited in the committee account. [] CHECK THIS BOX IF
TOTAL UNPAID LOANS FROM LAST REPORTING PERIOD $ q3 1 JJ57. L17 AMENDING FORM
PART I - MONETARY LOANS RECEIVED ItIS_ REPORTING PERIOD PART II - MONETARY LOAN REPAYMENTS MADE Jj& REPORTING PERIOD
(Original source of loan, such as a bank, must be shown If a third party is (Loans forgiven must be reported on Schedule E -- In-kind Contributions.)
involved. Include bans from candidate's personalfunds.)
MGM
DATE NAME AND ADDRESS OF LENDER RELATIONSHIP AMOUNT DATE PAID NAME AND ADDRESS OF LENDER RELATIONSHIP AMOUNT
RECEIVED (include Endorser's Name, If Applicable) TO CANDIDATE OF LOAN (MM/DD/YR) (Include Endorser's Name, If Applicable) TO CANDIDATE* REPAID
MM/DD/YR if Applicable') If A licable) $
*Disclosure law requires candidate committees to disclose the relationship of any relative
making a contribution to the committee. Relationship must be shown to the third degree of
consanguinity (blood relatives) and affinity (relatives by marriage) . (See Page 2 of forms
packet.) If surname of contributor Is the same as candidate, but there is no familial
relationship, enter "not applicable" In the relationship column when it applies . Page of
(for Schedule F)