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FOR INSTRUCTIONS, SEE BACK OF rORM FORM

DR-2 DISCLOSURE
DISCLOSURE SUMMARY PAGE (Rev . 02/96) REPORT
JAN 16 2002
F r office Use O

COMMITTEE NAME (Must be same as on Statement of Organization) - C mm . #


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Sh_jV rM .L e-; -16% !~!. O w. y,w %'ftt .sQ ,~.-,-. .
Audited
IMPORTANT : Indicate type of committee you are reporting for. 51
Computer
( 1 )Statewide/Legislative Candidate ( 2 )Statewide PAC (3 )State Party (4 )County/Local Candidate
( 5 )County PAC ( 8 )Ballot Issue/Franchise Committee ( 7 )County/City Central Committee
( 8 )Support Slate of Candidates

5\5-qb1- W310 +c.~~ .370 54tr%%a av sk 16 61 &a


SIGNATURE OF TREASURER (or person filing this report) TELEPHONE DATE SIGNE

Penalties Due For Late Filed Reports Range from $10 to $400

SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE :

I AM FILING A 1Ja.GQtr~ leav %a%\ REPORT FOR AN/A (1) ELECTION /(2)NON-ELECTION YEAR .
(report date) 3_ 7 Indicate one

pCHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

County & Local Committees, enter County in


O Check if this is final (termination) report and attach Notice of Dissolution Form DR-3 . which Election is held
(You must continue to file reports until a Notice of Dissolution is filed.)

STATEMENT OF CASH ON HAND


CASH ON HAND at the beginning of the reporting period . (This is the total
of all monies held by the committee. This amount MUST be the
same as the cash on hand at the end of the last reporting period,
or must be zero if this is first report filed.) .. .. . .. .. ........ ...... .. . .. ..... .. ... .. ..... .. .. .. .. ... .. .. ..... .... .. ..... $ a q C " ~~
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) .. ..... .. ... .. ... .. .. .. .. ..... .. .. .. ... .. .. .. ... . O

Schedule C: Fund-raising Events total (Attach Schedule C) . .. ..... ....... ....... .. .. .. .. . .. .. .. ....... ....
Schedule F: Loans Received total (Attach Schedule F) ... .. ... .. ..... .............. .. .. ......... .. ...........
Schedule H: Total Sales of Campaign Property (Attach Schedule H) .. .. .. .. ..... .. ........... .......
(Schedule H applies to Candidates' Committees Only)
SUB-TOTAL ..... $

SUBTRACT TOTAL MONEY SPENT THIS PERIOD


Schedule B: Expenditures total (Attach Schedule B) .. .. ..... .. . .. .. .. ... .. ..... .. .. .............. ......... .. ..
Schedule F : Loan Repayments total (Attach Schedule F) . .. . .. .. .. . .. .. . .. .. .. .. ....... ......... .. .. .. ... ..

CASH ON HAND at the end of this reporting period (if final report, balance must
be zero) (Attach DR-3) . .. . .. . .. .. ... .. .. . .. .. . . . . . . . .. ..... .. .. .. ..... .. .. ... .. ..... ... .. .. . .. .. . . . . . . . . . . . .. .. . .. .. .. .. .. ..... . $ Q %I 0

0
UNPAID BILLS (From Schedule D - Attach Schedule D) . .. .. .. .. .... .. . . . .. .. .. . .. .. . .. .. .. . .. .. .. .. . .. .. .. .. .... .. ... .. ..$
IN KIND CONTRIBUTIONS (From Schedule E-Attach Schedule E) .. .. .. . .. .. .. . .. .. .. ..... .. .. .. .. ... .. .. .. .. ... ..$ "_4

OUTSTANDING LOANS (From Schedule F - Attach Schedule F) ..... .. .. . .. .. . .. .. . .... .. .. .. .. .. . .. .. .. . . . .. .. .. .. . $


- a -
CANDIDATE COMMITTEES ONLY:
CONSULTANT BREAKDOWN (Schedule G Attached?)
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $

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