c,~mpai(;n wsci,osijrefinanc141, rem siimmai~y page ... · c,~mpai(;n wsci,osijrefinanc141, rem...

5
C,~MPAI(;N FINANC141, WSCI,OSIJRE Rem SIIMMAI~Y PAGE (Please Print or I ype) - _- ._ 4”‘“ i . -ai (‘ iI), and Lip .aw w I’ (2 indicate the type c)frcport being filed, fill in the tqrprolvi:k? dat om&l &JiU-J~Jd for reporting: perio& md due daks. This report is for the p~~iod from : _ . . _ . ,.. V”._,,. ropriatc box(esJ. See~rti I’ CD P Dq Pre-Primsry Report 3 7b’briy Post-Primary Report 0&.&r 10 PrC-J3Clll~l~iIl KcpWt 0 7 rhy r+c~(kfll~~d fifp3t-t 0 cwil 30) llot measure commh Cl 30 Day Post-(knrral Repon 0 Annual I<cpw cl Yes M NO Is this a Tenths [email protected] OF NO C’ON-I’RIUITIONS OR tr.X ; ifyou had no ccjntrihutiow 0) eupendirurcs durirr~ this Irporting period. c I In 1he sldlrmcnttJ& e cjatcs and sign thi:; report, & sure to carry Itward I!W ~ppmpri:ltc “C’ 0 I.)ate” figuw in Culu+n !@j b \I ,, ruy rhk trporting pii fiwrl .Abl..W,v-’ I tv . StIMMARY #? y&r Ciilendnr YcJr to natc figure: Add this rt‘port’c (‘olumt) I p lb Cc:‘olumn II figure\ of ywr previoirs report (cuccpl or! lirw 6) iQQ cm Hand January I. This Ywr* 7 r.S: 91 4 XX@J#@~$ ..- --- % El! $ ,n5??!!4i~ \w E.ntw Gash Balance at Close of L,ssr Reporting Period’+ %. xxxxm J:,, T&&I Contributions (Entrr amouni from page 2) fi 9; Bwltil (Add lines I,‘ .? WJ 3) % 9; .l _. , -. ..-... .----ul. PC!& @qxmdi!-urcs (I:.ntcr amount fiwn pug’ 1) fi f _ _. : :y &Ilance at C’ losc of Pwiodl (SHW4cI linr 5 from tinv 4 )** !r# fi _. .., .I yffJ 8~~$i$~~ should be entct-vd on liter 1 of alI repcw~ fiktl 1111% L :Ilcndilr yc:ar. 5 .: : 4 $t rqptrrt the cash on IwnJ nt both rhc bc*ginnin}; 01’ rhl: rclwrlin!> period e reponing period. I.‘ : 4 C: closing wsh hnlancc for tht cwrcnt reporting period :\JJPI:,W nn th innme cash on hsnd. ; p (,. .‘ ly CONT~tDIWTIONS I’LElXEl~ INC‘t~RRFI) kX”t 3 b&hs Plcdyed during thil; ropwting period hut not vcr rccclwd ) (a ?\I,;$ @INone (SW nmched ~c&&UiWk ~xpenditurcs during thic; ~e$wting pcrio I.- 5 ,v;i “,, ,’ ,: 1 required hy law

Upload: others

Post on 06-Aug-2020

2 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: C,~MPAI(;N WSCI,OSIJREFINANC141, Rem SIIMMAI~Y PAGE ... · C,~MPAI(;N WSCI,OSIJREFINANC141, Rem SIIMMAI~Y PAGE (Please Print or ‘ I ype) - _- ._ 4”‘“ i. -ai (‘ iI), and

C,~MPAI(;N FINANC141, WSCI,OSIJRE RemSIIMMAI~Y PAGE

(Please Print or ‘I ype)

- _- ._ 4”‘“i

. -ai(‘iI), and Lip

.aw w

‘I’(2 indicate the type c)frcport being filed, fill in the tqrprolvi:k? datom&l &JiU-J~Jd for reporting: perio& md due daks.

This report is for the p~~iod from :_ . . _ . ,.. V”._,,.

ropriatc box(esJ. See~rti ”

I’

CD P Dq Pre-Primsry Report

3 7b’briy Post-Primary Report

0&.&r 10 PrC-J3Clll~l~iIl KcpWt

0 7 rhy r+c~(kfll~~d fifp3t-t 0 cwil 30)llot measure commh

Cl 30 Day Post-(knrral Repon

0 Annual I<cpw

cl Yes MNO Is this a Tenths

[email protected] OF NO C’ON-I’RIUITIONS OR tr.X

; ifyou had no ccjntrihutiow 0) eupendirurcs durirr~ this Irporting period. c I In 1he sldlrmcnttJ&e cjatcs and sign thi:; report, & sure to carry Itward I!W ~ppmpri:ltc “C’ 0 I.)ate” figuw in Culu+n !@j

b\I ,,

ruy rhk trporting piifiwrl

.Abl..W,v-’I tv ‘. StIMMARY#? y&r Ciilendnr YcJr to natc figure: Add this rt‘port’c (‘olumt) Ip lb Cc:‘olumn II figure\ of ywr previoirs report (cuccpl or! lirw 6)

iQQ cm Hand January I. This Ywr*7 r.S: 91 4

XX@J#@~$..- ---% El!

$ ,n5??!!4i~\wE.ntw Gash Balance at Close of L,ssr Reporting Period’+ %. xxxxm J:,,T&&I Contributions (Entrr amouni from page 2) fi 9;Bwltil (Add lines I,‘.? WJ 3) % 9; .l

_. , -. ..-....----ul.

PC!& @qxmdi!-urcs (I:.ntcr amount fiwn pug’ 1) fi f _ _. : :y&Ilance at C’losc of Pwiodl (SHW4cI linr 5 from tinv 4 )** !r# ‘fi _. .., .I yffJ

8~~$i$~~ should be entct-vd on liter 1 of alI repcw~ fiktl 1111% L :Ilcndilr yc:ar.5 .:: 4

$t rqptrrt the cash on IwnJ nt both rhc bc*ginnin}; 01’ rhl: rclwrlin!> period e reponing period. I.‘: 4C: closing wsh hnlancc for tht cwrcnt reporting period :\JJPI:,W nn th innme cash on hsnd.

; p” ‘(,. .‘ly

CONT~tDIWTIONS I’LElXEl~ INC‘t~RRFI) kX”t3

b&hs Plcdyed during thil; ropwting period hut not vcr rccclwd) (a ?\I,;$

@INone (SW nmched ~c&&UiWk

~xpenditurcs during thic; ~e$wting pcrio

I.-5 ,v;i“,, ,’ ‘,: 1

required hy law

Page 2: C,~MPAI(;N WSCI,OSIJREFINANC141, Rem SIIMMAI~Y PAGE ... · C,~MPAI(;N WSCI,OSIJREFINANC141, Rem SIIMMAI~Y PAGE (Please Print or ‘ I ype) - _- ._ 4”‘“ i. -ai (‘ iI), and

f i,E .I. ..--

_ e*,.- - . . ..e- -.--w .,.,w 1.

4 &&Ii: or Cornm~llc~*‘I,L _.-.._ &A-n&L.)A. . . ̂

I*_, _ ___.-_..-.. . . . .._-. _ .._.

I Olill1’ Numtw 1b - -- .--- _. -r. I..“.. .-...----- ..-- ---- e,-.,.. -.,.,,. (__ _____.__. ,._____.._ .._ . .._.._.__.w_ - .__^_::I~; IJNI’I’EMI%EI) I;,XP~Nl~1T’UR’

~:~ptyi~l~r~ri5 of I .CYS htn I‘wnty b’iw Ibdlarc (I25.0 d

I {!lZil 1-1.Iclllrrh~l es

,I

1_. .----!

,,1 ifi

.__. _

_.__-__

- __.__.. -

:~ . . . ..__. .._ ..__. ~_. ..r.+”

. ..--.__.....-. .-. . . . . . . . ..- -,..-,., ._-..

C’orrrribuliorrs..,. -._ __A__ __. . . . ..^.. ̂ I. - “,._ . . . .-..- --.. . __.._ . _ _._- . . . . _ . .

,, 1 I’$’. . _-.-- --.---..-.-.-- - d

! , ,A(-. .-_.._.__ -.._ . . . .-- .j I ‘,(

IYi’hr1.,1) g:‘,

1 :i’i:.._ “.“..~.-,-.l--.“.wl.- 1 1: < L.;j*

IJniletnid (‘i~nlril~utirtlIS (%50 and ICSS) .Ij.rwl IOp OI‘pdgC ! ‘fl. .*-..-.-v-.--e..- .._- . _- ._, - _- -- . , - -.. .---.-- - . .__. . ._ -. .- ̂ . . ..-

lfcmized ~onrrilrurions @Xal all SChfdulC h ShCClS) -----gg_-_. I^1c.m---.--. . .._--._. _.. . ._.. __..” ..__...- ..-*. .., . 1..... ._--_._ _-. .--q .’,‘l’@ (.km~ributi~~lrs (also anter this ligurc on pqq* 1. ~4~ IV, lint 2),_,. r “.,,__. _..l.. ” “. , . . . . . .._.__--_ -.*-.

1,._ _,._-_-- .-...--. - ., . .

_ __.. . “_ _..,_v __ -_ se.-...--. _.. ..--. .^! .-._,- _--_ _^..,.. ..” , -- ._- I-. . . . __ . . .._ ,,__ ..-J i

Numbw of ‘ichcilule I.3 pagcs Auachcd.,.C _.__. -1” .-e.. --.-. .- ___..-.-. -...-..- . .._..__..,.._.--- ._-.--*-

-_,_-- -_.- -_.__._..._. -.- ._.__-_.-,e., VT.- -c--I_- WV . . . . - .-. - .-.-.._-__

,I

~jaitetnircd k+mti~nrs (ICSF lhml $25) l’mm t”p i)l’t)c~gc.+.._-I - - - I-. ---.-.- ._- _.__-. _._^. . _.-..w, 4.--I

:’

” ‘:‘--.‘-i

Ircm~zcd I ~pcndilurbr ([oral all Schcdutr‘ I\ \;hw~)-_____.____ ^ -__.__. -- ___.-- .., __.____ .--l- - -IOI~I I;xpentllIl~r~:c (illSO tnlw ahis I’IyIIrLI 01) p;lr I, Swlicfn IV. lilac S,__. . --.- .

:t‘,.a

:,\

‘EI’;l)‘c ?

Page 3: C,~MPAI(;N WSCI,OSIJREFINANC141, Rem SIIMMAI~Y PAGE ... · C,~MPAI(;N WSCI,OSIJREFINANC141, Rem SIIMMAI~Y PAGE (Please Print or ‘ I ype) - _- ._ 4”‘“ i. -ai (‘ iI), and

* i’d ;k 4f”w (’ 9’4@

i ‘,SCIIEDlJl.,E A

IllXM IZKD CONTHIBUTIO

oPmorc than Fifty IMlars ($50.00) thi&,,,-,,- ‘y”.yw” - - - _---.-, .~I’(,~t3Pillltit~’ or C‘orwnillcc

-_.-._. ---+y,, ,.. .- . r-W ._.” .I-- ~ ._. ___~ ___. _. __c .___-___, ,_ ._,,_ , ._ , _bortti&vti hr

I -

I:trll Name, Mnilittg.Addrcss ml Lip (‘odr 1

p. ,*. ,,-. -I.- ~,_. ,-‘, MI

0f C’olrtrlb0for!IaIrccr. __. -g&.&m ‘Fs;;& fq r

__. _ ..-_ ^_- . . . “. , 1, .--

‘qoq I;, P~.fwpmCI-

BOk&Q) s&la& EVQQ 9

b,.

1% . . . -- _. ,..i ‘nlmdu, \ c”, I \, lhk

. -. .._. -

. i., .,,^ . . . ..-e -mTz, ~~~ -p r’L .

l&rts- QMILA, c -4-d.-4% 1

%&QJ(! J&Q $ ‘3769~ 1:. ---

I33703e-,-.___.. .-... -,., _ . /.I.. ,, -._ - .

i JI/I?,,Il”I \cnr 1 /I nm._.- ..-. --se

. . .+I, , *I, 1 ,I IhW-. .-_..- ..-..-

-1 1’. A+&.$ fILl&bmrd- /m

7; ,$,I 1c ”,x / ?mB.ii?

p4&&&7&&+ 94py$ :

3; .:i. .., .- -::..‘-~:-.l’ ” $ . ,.. ,~.‘/wryiwrrd ii&1 i hh,’ ‘r a, lo o;i;: +II “..bM.--.-- ._-..--. - _ ,-r>q ,,‘-$,$ -ii &&A&$

,. . . .-*- /08’ /* fJ&.p )&:

cTJf$l

“#p A.AA”dL,18x ~cc1~. . -- __,^~ -,-e -- __ _ __Ix ,,. .,., &,. ‘4

:mr ar>mrrrw~ ivfa”n 1 csd jc%m 1% ,_. :_ ,. .

1

~.0z%$?,,“A- 1, .

fiUb\(ltdl$ Of~.‘l~hI~I~~ A. ti & t,-.__~_“_ _.. . _._ -,..v,i. ,._. - ..,- -._ --...-. ..- . _. . .

TornI This Page (add cwlumnr A. I3 & (‘)

Page 4: C,~MPAI(;N WSCI,OSIJREFINANC141, Rem SIIMMAI~Y PAGE ... · C,~MPAI(;N WSCI,OSIJREFINANC141, Rem SIIMMAI~Y PAGE (Please Print or ‘ I ype) - _- ._ 4”‘“ i. -ai (‘ iI), and

8’ ,S C H E D U L E A

i $G. h

4

1.f;:: 4 I

i ’i:,I' _'

I'I'EMIZE:DCC)N'T'RIRUTIO

of&ore than Fit’tv IMlrrr~ 1S50.00) thhu IJ-

Z” “_L. ^_ .-___.w “_ ” . . . . . .“_ ._._...... *_._.*.._.- --.-~----------- .- -. ---.- -_- “, _ . . .”__.~@@&L~r conlrllitlcc PI e

aoa b;I (/

k&lk3&1ns, 7- b b. , s; ,” 1 d ~L-3-..-.. .” . -,-Jqzg . :. Y- L . ..--.---- -- .----L--- . . ..--. ^_ ..I I ..“_.” ..-.--_ -.

; >:. l”.,la.t,~n A\,“._..... , -I\ i,:’ .’ --._.__.- --_- _.“_ .-... .__. - ..~

li3------

---.“-.----.“---r- .” . . --&,’ ;I

Full Numc. Mailiqg &&~Iw~ wntl Zip Cbi~ (‘wh or InfContt~r/Lendcr ’,., ---." . .-".

L ". . - . - - -

_

!#a

t ~;,_"-~ ._....._

a".;' g r.f ': ;A ;-,.::-...2. l? 0 3 L-0 ’ T ,____ ..G”Q. -I.“:~~: %-v~~ ) ai&@ g 3 -7oz 15 (,,,,;, ,,,, -;, j< ’_.. . . . . - _. _--- -_~.““; .,.:. j. ,-..*.’ ._ _> ____-, I___,_,.__.. ; ,, .Ids., +$-b*~-; 1-$-- 1

A Ib-- . .

I

,_ _

. ..!( --m. _ .-.-) .“_. .25*s.-.^---“-I. “..._...___-_^_-_“__...... I...._.--.-’ 1:’ ,’ : ,, 1.A ”I’ ”!kP

f-?j/ru~~2&‘&” ”f..

@$.&

-1

f3iTx Erlb

I

v-4&&&&

:&&&I 3tldL * ) 3f ‘,‘-$c-

..&‘@ 5. pgy-$jjT~~

~~~~~~~~--,. -...I .-.,

______ ~ . -..-c-- ._._. -‘. . . . . . . . _” -.^ --“, . .“.------

..“,. . ..‘ .~...”Qy.;pr.<,)..,&&.&!“&&I 1 -

‘)- *-A.5 VfAW/slzo d%Jd N&y “,1 . . .. !+ cx?cB.._ .-..__. I_

‘“P-J! ‘Ij370% s!fF! __._ 1-z __._ ._,. . . . . . . ,, . “- .“_.._.. ____ . _ . . . .._ ,. _I . . . .

I s . . . . ..-@+&w

,g&& ‘6:

“1 __I-.I,” “r;-L” “.” ._ . ..-. --I----,.- _-.--- ._ . .,m. ..-“__

-. . ..- A , ..,“V

.‘L,.~:l.,: ~‘.;-;.” ”

.,;Subtotals OF C:olumns A, 13 8~ ('

.*&,. __._._._.^._ _ -sm..--.. ""._.__ - "... WC_-"-_ -..-- - . . - .._ _".".. ",

Js I

--.A-

t, ToI~I ‘1 hi,\ I’;\~c (~&d.tMlunll~s A, R & Cl.-a”‘,,,- _,._..__ ___-l_.l_,-” - “_ -.- __ ____.___ __,._ -. _., -. . . .-_- _“.S.^ -7

‘. iY, 1’1

Page 5: C,~MPAI(;N WSCI,OSIJREFINANC141, Rem SIIMMAI~Y PAGE ... · C,~MPAI(;N WSCI,OSIJREFINANC141, Rem SIIMMAI~Y PAGE (Please Print or ‘ I ype) - _- ._ 4”‘“ i. -ai (‘ iI), and

SCIIFDCJLE B

1TKNlIZED E X P E N D I T U R E

$!), ‘, Ihllsrs C625.001 or more tl d__

.-...- .,,. . .“.._._,,mw”.___._-. _ ___._- I--I--.““.--r-. . ..-. -

:&dirletc of ( ‘ommi\lcc

- - -

.---.--- --“.-

, -. . . . ..-.. . .-‘-r----m---’

Je--qYW..

‘., I\: 11 ,:~.$&&wc Expenditure:- cc” 5&y$#,wyyL@ 5” ..- .-- “. . - _..” -----C.- -- ._-_--((, a,’f,,;, .;I :fi i : “-I-mLQ.5J .Pd t!!AJSii@“-lrw’̂ f.., ____ Tf&“.t..r~. _ ,2 .‘~.~..r?.! .

,, J-n*..$

; if,,,“I $i

- .-.

I

. ..-

_ --__ _ _.---...-. , ,_.-_. --.- .--.-__.- _._ -_- . .-_. - ..- _ “._ -- _- ___-...-- --‘-

I-

,, . . .,Tlb! Y?TLl _._-.._. ---,-1 I._-.---_ - -f’ .- .._....,.,. ._, . . . . . ..- . . -. - .-_.____-_. -_.

b~f&&&v~fa Expcnditura:-xTy -,I.__._C,. “. _- ,” .._ __,.&-.,.,.-... ._..--..- . ..-. .._ . -._... _ _ . “. ..-.-.-. ..-- -- -.-.-.-_,..*

ICIiv-e----. ..-. .-

‘I ,:.

ii7

Expenditure!L.r.&.b,.d .-_ ..- . ._.c.ik,

‘i, ,,’.“& i

0

&%)a~vc Expenditure: ,... ~- .-. .--.-_.,_ _ -. .,- . . . I... w.. -..

_.__-_.-_... ̂ “__ “. .I. - .-

_“.. . - ,. . - . . . _. . . . . . . ..-

I, ----d

_ .- ” ^.I -T-v