Full Text
SCHEDULE A ITEMIZED CONTRIBUTIONS of more than Fifty Dollars ($50.00) this period Name of Candidate or Committee: Date Received Full Name, Mailing Address and Zip Code of Contributor Cash or Check $ $ Calendar Year-To-Date o Primary o General 9. $ $ Calendar Year-To-Date o Primary o General 8. $ $ Calendar Year-To-Date o Primary o General 1. $ $ Calendar Year-To-Date o Primary o General 2. $ $ Calendar Year-To-Date o Primary o General 3. $ $ Calendar Year-To-Date o Primary o General 4. $ $ Calendar Year-To-Date o Primary o General 5. $ $ Calendar Year-To-Date o Primary o General 6. $ $ Calendar Year-To-Date o Primary o General 7. $ $ Calendar Year-To-Date o Primary o General 10. Total This Page: $ Page of Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2. Click here to clear form. 0.00