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Lz.-Lt2 - Looz-: Dr-2 Dtsclosure Suitilfary Page
Lz.-Lt2 - Looz-: Dr-2 Dtsclosure Suitilfary Page
Lz.-Lt2 - Looz-: Dr-2 Dtsclosure Suitilfary Page
SEEBACKOF FONM
FORU
DTSCLOSURE DR-2
SUitilfARy PAGE (Rev.01/1981
lz.-lt2 . lOoz-
TREASURER
1orperaonn[nl nrleffiij
Routne PenalfiesDueFor Late Flted Repons Rangefrom
$20 to $g(X)
SEETNSTHUGTTONS
OIBAGK ANp coMpl€TETHEFOLLOIilTNG
sENTENCE,
TAMFtLfNG
o }cf' tQ,looo REpoRTFoRAir/A(rlEr-EcrpN(2rNoir-ELEcnoN'EAR.
' r
(reporrdde) ,rdcare;itr'Es"Y'!
ECTCCT IF AMENOMENT
TO REPORTOATED LocalCommnees.srUrDateotEecUon_-
STATEMENT
OF CASHON TIAND
cAsH oN HANDat thebeginning of therepoflingpedod.clhtsis he totat
of a[ moniesherdbythecornminoe. mis'amount-uusrT b€rhe-
samsasthEcas!onhandattheendof$etd,€portqgpedod,
or muslbezeroI thb b lirstrepoilffed.) ___.*.._......
ADDTOTALIIONETTAKENtNI}IIS PMloD
SctrsduleA CashContributionstotial(AfiachScheduteA) ^o
ScheduleF: LoansReeived total (AttactrSctraduleF) -o ^
Schedute Satesof Campaignpropsfiy(Afiad,ScheduteH1.................
H: Totrat -o
SUB.TOTAf_.-S, n ,5,
SUBTRACTTOTALI'ONEY SPENTT}|ls PESIOD ery
ScheduleB: Ergenditurestotat (AttachSchettuteBf
ScheduleF: LoanRepayrylents tolal (AnachScheduleF) -o -
cAsH oN HANDat thEend ol this reportingperiod(il tinafrepon.balancemusr
be zero)(Attach
DR.3)........................-. .s /Alg. A7/
lN KIND CONTRTBUTTONS
(FromScheduteE . AnachScheduleE)............
.........$
OUTSTANDINGLOANS(FromScheduleF - Alach Schedute
F) ................. ..............S
CANDIDATE COMiIITTEES ONLY:
CONSULTANT SFEAKDOIVil (ScheduteG Atrached?)
_YES X NO
VALUE oF CAMPATGNpRopERTy
lFrom SchedureH - AnachscheduteH) - -o -