Fec Form 10 24-Hour Notice Of Expenditure From Candidate'S Personal Funds

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FEC FORM 10
24-HOUR NOTICE OF EXPENDITURE FROM CANDIDATE’S PERSONAL FUNDS (11 CFR 400.21 and 400.22)
(Millionaires’ Amendment)
1. Name of Candidate
2. Office Sought
3. State
4. District
5. Candidate ID Number
6. Name of Principal Campaign Committee
7. Committee ID Number
C
8. Address
9. City, State and ZIP Code
10. Expenditures of Personal Funds (If the candidate has made expenditures for different elections, submit a separate Form 10 for
each election.)
,
,
.
Aggregate Expenditures Previously Reported During the Election Cycle
DATE
ELECTION
AMOUNT
CHECK IF
LOAN/DEBT
Primary
M
M
/
D
D
/
Y
Y
Y
Y
,
,
.
General
A.
Other
Primary
M
M
/
D
D
/
Y
Y
Y
Y
,
,
.
General
B.
Other
Primary
M
M
/
D
D
/
Y
Y
Y
Y
,
,
.
General
C.
Other
Primary
M
M
/
D
D
/
Y
Y
Y
Y
,
,
.
General
D.
Other
,
,
.
11. Total Expenditures This Notice
,
,
.
12. Total Expenditures Election Cycle To Date
13. 48 Hour Notice of Last-Minute Contributions
a) Check box if this filing satisfies Form 6
filing requirements (see instructions)
b) Name of Employer:
c) Occupation
TYPE OR PRINT NAME OF COMMITTEE TREASURER
SIGNATURE OF COMMITTEE TREASURER
DATE
For further information contact:
Federal Election Commission, 999 E Street, NW, Washington, DC 20463
Toll Free 800-424-9530, Local 202-694-1100
FEC Form 10 - 09/2005
5PG020

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