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SCHEDULE C: "IN -KIND" CONTRIBUTIONS <br />Please itemize contributors who have made in -kind contributions of more than'$50. In -kind contributions $50 and under may be <br />addPA tnaP.thP1r frnm the rnmmittem.'c rermrds and inclnded in line 16. <br />Date <br />Received <br />From Whom Received* <br />Residential Address <br />Description of <br />Contribution <br />Value <br />I J <br />f <br />Enter on page 1, line 6 <br />Din 15: I n -kind over $50 <br />Line 16: In -kind $50 and under <br />Line 17: Total In -kind <br />Line 18: OUTSTANDING LIABILITIES (ALL) <br />• if an in -kind contribution is received from a person who contributes more than $50 in a calendar year, you must report the name <br />and address of the contributor, in addition, if the contribution is $200 or more, you must also report the contributor's occupation and <br />employer, <br />SCHEDULED: LIABILITIES <br />M.G.,L. c, 55 requires committees to report ALL liabilities which have been reported previously and are still outstanding, as well as <br />those liabilities incurred during this reporting period <br />Date <br />Incurred <br />To Whom Due <br />Address <br />Purpose <br />Amount <br />Enter on page 1, line 7 <br />Line 18: OUTSTANDING LIABILITIES (ALL) <br />This page may be copied if additional pages are required to report all activity. Please include your committee name and a page <br />number on each page. ` te a printed on recycled paper page 4 <br />