Section III - SUMMARY OF RECEIPTS AND
DISBURSEMENTS
(Complete Section IV of this form Before Completing This Section)
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COLUMN A
TOTAL THIS PERIOD
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COLUMN B
ELECTION PERIOD
TOTAL TO DATE
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1.
Cash on Hand at the Beginning of the Election Period
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$19,995.86
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2.
Cash on Hand at the Beginning of this Reporting Period
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$22,456.11
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3.
Total Receipts (From line 15)
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$150.00
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$7,400.00
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4.
Subtotal (Add Lines 2 and 3 for Column A and Lines 1 and 3 for
Column B) |
$22,606.11
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$27,395.86
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5.
Total Disbursements (Not including Unpaid Expenditures) (From
Line 19) |
$1,370.83
|
$6,160.58
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6.
Cash on Hand at the Closing of this Reporting Period (Subtract
Line 5 from Line 4) |
$21,235.28
|
$21,235.28
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7.
Total Loans at the Closing of this Reporting Period
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$0.00
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8.
Total Unpaid Expenditures at the Closing of this Reporting Period
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$0.00
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9.
Debts Owed at the Closing of this Reporting Period (Add Lines 7
and 8) |
$0.00
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10.
Surplus / Deficit (Subtract Line 9 from Line 6) |
$21,235.28
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Section IV - DETAILED SUMMARY OF RECEIPTS AND
DISBURSEMENTS
(If Necessary, Complete Schedules A through E Before Completing This
Section)
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RECEIPTS |
COLUMN A
TOTAL THIS PERIOD
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COLUMN B
ELECTION PERIOD
TOTAL TO DATE
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11.
Contributions From: |
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(a) Individuals / Non-candidate Committees / Other Entities
/ Political Parties |
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(i) Monetary and Non-Monetary Contributions of $100 or less |
$150.00
|
$550.00
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(ii) Monetary and Non-Monetary Contributions of More Than $100
(Schedule A) |
$0.00
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$6,850.00
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(iii) Subtotal (Add Lines 11(a)(i) and 11(a)(ii)) |
$150.00
|
$7,400.00
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(b) Candidate's Immediate Family |
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(i) Monetary and Non-Monetary Contributions of $100 or
less |
$0.00
|
$0.00
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(ii) Monetary and Non-Monetary Contributions of More Than $100
(Schedule A) |
$0.00
|
$0.00
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(iii) Subtotal (Add Lines 11(b)(i) and 11(b)(ii)) |
$0.00
|
$0.00
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12.
Total Contributions (Add Lines 11(a)(iii) and 11(b)(iii)) |
$150.00
|
$7,400.00
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13.
Other Receipts (including Candidate's Own Funds) (Schedule C) |
$0.00
|
$0.00
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14.
Loans (Schedule D) |
$0.00
|
$0.00
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15.
Total Receipts (Add Lines 12 through 14) |
$150.00
|
$7,400.00
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DISBURSEMENTS |
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16.
Expenditures Made (Schedule B) |
$1,370.83
|
$6,160.58
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17.
Loans Repaid or Forgiven (Schedule D) |
$0.00
|
$0.00
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18.
Unpaid Expenditures Paid or Forgiven (Schedule E) |
$0.00
|
$0.00
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19.
Subtotal Disbursements (Add Lines 16 through 18) |
$1,370.83
|
$6,160.58
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20.
Unpaid Expenditures (Schedule E) |
$0.00
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$0.00
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21.
Total Disbursements (Add Lines 19 through 20) |
$1,370.83
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$6,160.58
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