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Fill I dates <br />Maa+b <br />DO <br />Yer <br />M " <br />osto <br />y <br />Reporting Period Beginnin <br />t <br />C> i <br />c ti <br />Ending 12- <br />3 1 <br />2 0 1 z <br />Type of report: (Check one) <br />018th day preceding preliminary C18th day preceding election 030 day aftor election year -end report ❑dissolution <br />Full Name of Candidate (if applicable) <br />Office Sought and District <br />e; v C-,) b Ij L <br />Residential Address es )� LA <br />Committee Name <br />Name of Committee Treasurer <br />Committee Mailing Address <br />Tel. No. (optional) <br />Tel. No. (optional) <br />SUMMARY BALANCE INFORMATION: <br />Line 1: Ending balance from previous report <br />Line 2: Total receipts this period (page 2, line 11) $ . <br />Line 3: Subtotal (line I plus line 2) $ �' <br />Line 4: Total expenditures this period (page 3, line 14) $ <br />Line 5: Ending balance (tine 3 minus lino 4) $ „� w <br />Line 6: Total in -ki11d contributions tW perriod (page 4) $ <br />Line 7: Total (all) outstanding liabilities (page 4) $ <br />Line 8: Name of bank(s) used <br />AiMidavit of Co maditee Treswrert <br />I oa* that I have examined this report including anadwd sttl"les and it it, to the best of my krtowiedgo and belief, a true and oomplate statment of all campaign <br />fuwwo activtty, including all oortributionn, loans, reoetpts, expenditures, disbun owns, b kind contributions and liabilities for this repoAing period and represents the <br />campaign finance activity of sit persons acting under the authority or on behalf of this owunittos in woordawo with the requirements of M.0,1. o, 33. <br />Sued under the penalties of perjury: <br />Treeaumts signature (in ink) pate <br />FOR CAND>(DATE MMGS ONLY (CANDIDATE MUST SIGN BELOW) <br />Ainuot of Candidate: (4*4 t box only) <br />O Candidate with Cotnmttlee and no activity independent of rise committee <br />I oa 4 that I have examined this report including attached schedules and it is, to Ow best of my l=wledge and belief a true and complete state mad of 4 eampargn <br />Hnatwo activity, of all pesurs acting under the authority or on behalf of this oomnittee in accordance with the requirements of M.o.L o. 5!1. 1 have sot rvWvod any <br />oa>zribudons, incurred airy liabilities not made any expenditures on my behalf durtng this reporting period, <br />rutdldste hMhout Committee Q$ Candidate with independent activity !flint separate report <br />I certify that 1 have examined 04 report including attached schedules and it b4 to the best of my knowledge and belief a true and coavtde rtato t r;t of all Campaign <br />ihaame activity, inoludhtg contributions, loans, receipts, expenditures, d in.kind oon tributionn and liabilities for this reporting period and ropreserM the <br />activity of persons acting under the a ry or on of this cornmittoe in aocordauuco with the Irem s of M.O.L c. SS. <br />7 . 4�" $I der the ties of perjury, <br />D/ to X01 <br />andWa ` ai Wc) Da <br />