DEBT SETTLEMENT PLAN
PART III
NAME OF COMMITTEE
FEC I.D. NUMBER
PAGE
OF
LIST REMAINING DEBTS
A. FULL NAME, MAILING ADDRESS AND ZIP CODE OF CREDITOR
AMOUNT OWED
AMOUNT EXPECTED
TO CREDITOR
TO PAY/OFFER
TYPE OF CREDITOR:
INCORPORATED
UNINCORPORATED
CANDIDATE
COMMERCIAL VENDOR
COMMERCIAL VENDOR
COMMITTEE EMPLOYEE
OTHER INDIVIDUAL
IS THIS A DISPUTED DEBT?
YES
NO
AMOUNT OWED
AMOUNT EXPECTED
B. FULL NAME, MAILING ADDRESS AND ZIP CODE OF CREDITOR
TO CREDITOR
TO PAY/OFFER
TYPE OF CREDITOR:
INCORPORATED
UNINCORPORATED
CANDIDATE
COMMERCIAL VENDOR
COMMERCIAL VENDOR
COMMITTEE EMPLOYEE
OTHER INDIVIDUAL
IS THIS A DISPUTED DEBT?
YES
NO
C. FULL NAME, MAILING ADDRESS AND ZIP CODE OF CREDITOR
AMOUNT OWED
AMOUNT EXPECTED
TO CREDITOR
TO PAY/OFFER
TYPE OF CREDITOR:
INCORPORATED
UNINCORPORATED
CANDIDATE
COMMERCIAL VENDOR
COMMERCIAL VENDOR
COMMITTEE EMPLOYEE
OTHER INDIVIDUAL
IS THIS A DISPUTED DEBT?
YES
NO
AMOUNT OWED
AMOUNT EXPECTED
D. FULL NAME, MAILING ADDRESS AND ZIP CODE OF CREDITOR
TO CREDITOR
TO PAY/OFFER
TYPE OF CREDITOR:
INCORPORATED
UNINCORPORATED
CANDIDATE
COMMERCIAL VENDOR
COMMERCIAL VENDOR
COMMITTEE EMPLOYEE
OTHER INDIVIDUAL
IS THIS A DISPUTED DEBT?
YES
NO
AMOUNT OWED
AMOUNT EXPECTED
E. FULL NAME, MAILING ADDRESS AND ZIP CODE OF CREDITOR
TO CREDITOR
TO PAY/OFFER
TYPE OF CREDITOR:
INCORPORATED
UNINCORPORATED
CANDIDATE
COMMERCIAL VENDOR
COMMERCIAL VENDOR
COMMITTEE EMPLOYEE
OTHER INDIVIDUAL
IS THIS A DISPUTED DEBT?
YES
NO
DOES THE COMMITTEE HAVE SUFFICIENT FUNDS TO PAY THE REMAINING AMOUNTS TO BE PAID OR OFFERED?
YES
NO
IF NO, WHAT STEPS WILL BE TAKEN TO OBTAIN THE FUNDS?
FE1AN061.PDF