Professional Documents
Culture Documents
Larson Chuck - 1287 - Scanned
Larson Chuck - 1287 - Scanned
F FOw FORMA
DR-2 DISCLOSURE
For02006 UM Only
Comet . w
C~NIT}¬E NAME (Must be same as on Statement, of Organization}
t' o w. rr. ', AAge- -1-h &sf
.ckv,4k, L are.. o Y6 indexed
Audited .
IMPORTANT : Indies% type of eotneNltee you are repo4trye for: Q Compute
-71A-3& l s- Z Acu&PH J. .-
W
SIGNATURE OF TREAWRER (or person W" Oft report) TELEPHONE DATE
Routine Penalties Due For Late Flied Reports Range from $20 to $800
[2 Check fl this Is Met, (termination) report and attach Notice of D tion Form OR-3- Counpr & Local CommMees, err County in
which Election s held
(You must corsirtue to file reports until a Notice of Dissolution is tiled-)
Iritinar
CASH ON HAND at the end of this reporting period (if final report, balance must
be zero) (Attach OR-3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . ., . . . . . . .. . . . . .. .. . . .$,
CANDIDATE C2MMEJUSONLY
vU~S 0
4`(`wSte- v-re~
wj ,44 e L -- I -7a 0
~w " .~ "" wr wrr rrlnyr\ Vr PLRTM SCHEDULE
D 1 INCURRED
{bmw1"m NAY! (aw be saim as an 8apwnev of ovsraSArt) (Rev. OaW INDEBTEDNESS
Lei'' ~-sru
i
II
i
I
f
I
I
SUB-TOTAL S
o`'~O O
-If actual figure is unknown, show "estimated" beside the figure. Page _~~of
(for Schedule D)