f- OR SEz BACK OF FORM

DISCLOSURE SUMMARY PAGE VDISCIOSUR,',E

(Rev, 07/2004) REP ORI
!COMMITTEE NAME (Must he same as on St atemen t of Organization) L
For Office
;7,~TF7
C 4i ea5 6- 0 P __EP rtrm ~, d ~ 4- Comm fl
AN I indicate by # tyre of committee you are reporting for . L I Logged In
idell-egisiairve/ .judge aanduip for Retention Candidate (2 )State PAC ()State Party Scanned
4) ."'ounty Central cunlrnltfer-~ 5)County Candidate (6)C4y Candidate (7 ) >dVol Boarc1 o? Other ; _1 0417-
lof incal Subdivision Candidate 8 )County PAC ,' 9 )City PAC 10 )School Board or CA her Political lConiputei
'Subdivisyn PA( .' ( ', 1 ) 1, ucsl 13,fllol Issue- -
1 Ati(fited
CANDIDATE COMMITTEES ONLY .

; Ca nd 0 a I e Na n) (-,,
Late reports are subject to
- - ---- - ------ "FIV -7 __ possible civil and criminal
Sought fistrict (if Senate or House) tie naltie.s .

NATURE OF PERSON FILING REPORT TELEPHONE DATE SIGNED

REPORT FOR (1) ELECTION 1 (2) NON-ELECTION YEAR

F-7
(wpm,, -,.Imej Indicate by # L_ j

Local Committees, enter Date of Election

IF A .MENDMFN"l 1, ,-) REPOR I DATE[ :

f d o 1 pammanion) report acrd attach Notice of Dissolution Form DR-3 ~ County & L
I which Election is field
ntinue to file reports until a DR-3 is filed .)
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STATEMENT OF CASH ON HAND

13S,
CASH ON HAND at We beg nnmg of the reporting period (Total of all funds held by fry
This amount MUST be the same as the cash on hand at the end
of the last reporting period or must be zero if this is first report filed

ADD TOTAL, MONEY TAKEN IN THIS PERIOD

Sr-,he,,duleA CnntribUtions total (Attach Schedule A) (*also see in-kind below)

Sc hedulo, F loariske,-ceivedtotal (Attach Schedule F
SMemw r t' SMalC)f Property (Attach Schedule H)

ASchedy!e jjMpfits to C4jildidates' Committees Only)

SUB-TOTAL OA
0 LU
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
le B ExDenditures total (Attach Schedule B) (**also see debts and loans below,

7ic"reduie F . Loan Repayments total (Attach Schedule F ;

CASH ON HAND at tree end of this reporting period (if final report balance mus ; v/
be "Fro) (Altach DR 3, )

om Sdmhb D Attach Schedule D)

IONS iron Schedule F . -Attach Schedulef-) , ,
- OUTSTANDING LOANS (F- um Schedule F -Attach Schedule F)
CANDIDATE CO MMITTEES ONLY .
CONSULTANT BREAKDOWN (Schedule C Attached?)
VALUE OF CAMPAIGN PROPERTY & A" Sdwdule H - fdtadi ,fit ( - Mde 11)