Ironworkers Local 89_Political_Education_Fund_9670

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  • 8/7/2019 Ironworkers Local 89_Political_Education_Fund_9670

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    FOR I NSTRUCTI ONS, SEE BACK ' JRM R e s e t t ~ . &

    C a n d i d a t e Name P o l i t i c a l P a r t y

    D i s t r i c t ( i f S e n a t e o r H o u s e )

    SI GNATUREOF_REASURER ( o r p e r s o n f i l i n g t h i s r e p o r t ) 3/ 1 . 3I S. f 4 : I ULI I 6 63

    ( r e p o r t d a t e )I n d i c a t e o n e

    [ CHECK I F AMENDMENT TO REPORT DATED

    TELEPHONE

    Che c k i f t h i s i s f i n a l ( t e r m i n a t i o n ) r e p o r t a n d a t t a c h N o t i c e o f D i s s o l u t i o n F o r m DR- 3 .( Y o u m u s t c o n t i n u e t o f i l e r e p o r t s u n t i l a N o t i c e o f D i s s o l u t i o n i s f i l e d . )

    b e z e r o ) ( A t t a c h DR- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

    F ORM

    DATE SI GNEDL a t e f i l e d r e p o r t s a r e s u b j e c t t o p os s i b l e c i v i l a n d c r i m i n a l p e n a l t i e s

    SEE I NSTRUCTI ONS ON BACKAND COMPLETE THE F OLL OWI NG SENTENCE :I AM F I L I N G A SUL ~ 1 I ' J 1 63 REPORT FORAN/ A ( 1 ) ELECTI ON / ( 2 ) NON- ELECTI ON YEAR .

    " UNPA I D B I L LS ( F r o m S c h e d u l e D - A t t a c h S c h e d u l e D ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $' I N K I ND CONTRI BUTI ONS ( F r o m S c h e d u l e E - A t t a c h S c h e d u l e E ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ -_-" OUTSTANDI NG LOANS ( F r o m S c h e d u l e F - A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _ -CANDI DATE COMMI TTEES ONLY :CONSULTANT BREAKDOWN ( S c h e d u l e GA t t a c h e d ? )VALUE OF CAMPAI GN PROPERTY ( F r o m S c h e d u l e H - A t t a c h S c h e d u l e H ) $ __

    YES

    L o c a l Co mm i t t e e s , e n t e r D a t e o f E l e c t i o nC o u n t y & L o c a l C o mm i t t e e s , e n t e r C o u n t y i nw h i c h E l e c t i o n i s h e l d

    STATEMENT OF CASH ON HAND J 1 - oCASH ON HAND a t t h e b e g i n n i n g o f t h e r e p o r t i n g p e r i o d . ( T h i s i s t h e t o t a l o f a l l m o n i e s h e l db y t h e c o m m i t t e e . T h i s amou n t MUST b e t h e s ame a s t h e c a s h o n h a n d a t t h e e n d ~~o f t h e l a s t r e p o r t i n g p e r i o d , o r m u s t b e z e r o i f t h i s i s f i r s t r e p o r t f i l e d . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ADD TOTAL MONEY TAKEN I N THI S PERI OD SS c h e d u l e A: Cash C o n t r i b u t i o n s t o t a l ( A t t a c h S c h e d u l e A ) ( " a l s o s e e i n - k i n d b e l o w ) . . . . . . . . . 7, 52- ~---S c h e d u l e F : L o a n s R e c e i v e d t o t a l ( A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S c h e d u l e H: T o t a l S a l e s o f Campa i g n P r o p e r t y ( A t t a c h S c h e d u l e H ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    ( S c h e d u l e H a p p l i e s t o C a n d i d a t e s ' Commi t t e e s On l y )SUB- TOTAL . . . . . $ , ` Z ?1/ ; 2 . ' y q , 2) 113

    SUBTRACT TOTAL MONEY SPENT THI S PERI ODS c h e d u l e B : E x p e n d i t u r e s t o t a l ( A t t a c h S c h e d u l e B ) ( " a l s o s e e d e b t s a n d l o a n s b e l o w ) . . . .S c h e d u l e F : L o a n Repa y me n t s t o t a l ( A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    CASHON HAND a t t h e e n d o f t h i s r e p o r t i n g p e r i o d ( i f f i n a l r e p o r t , b a l a n c e m u s t a3YA - ' YZJ : ~ Uw3

    NO

    DI SCLOSURE SUMMARY PAGECOMMI TT EE NAME ( M u s t b e s a m e a s o n S t a t e me n t o f O r g a n i z a t i o n )=R0A41woa . K FRS LOCAL$qP t 2 L C 7 1 C A L B ) OCA' ? t OAJ FVND

    DR- 2( R e v . 0 7 / 2 0 0 3 )F o r O f f i c e

    DI SCLOSURE1 REPORTU s e O n l

    I MPORTANT: I n d i c a t e t y p e of c o m m i t t e e y o u a r e r e p o r t i n g f o r. Comm . # NL o g g e d I( 1 ) S t a t e w i d e / L e g i s l a t i v e C a n d i d a t e ( 2 ) S t a t e w i d e PAC ( 3 ) S t a t e P a r t y ( 4 ) C o u n t y / L o c a l Ca n d i d a t e S c a n n e d( 5 ) C o u n t y P A C ( 6 ) B a l l o t I s s u e / F r a n c h i s e Co m m i t t e e ( 7 ) C o u n t y / C i t y C e n t r a l Co m m i t t e e 46( S ) S u p p o r t S l a t e o f C a n d i d a t e s - C o mp u t e r I Z SCANDI DATE COMMI TTEES ONLY : A u d i t e d v

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