Form 8872 - Political Organization Report Of Contributions And Expenditures Page 3
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3Form 8872 (11-2002)
Schedule B
Itemized Expenditures
Schedule B page
of
Name of organization
Employer identification number
Recipient’s name, mailing address and ZIP code
Name of recipient’s employer
Amount of expenditure
$
Recipient’s occupation
Date of expenditure
Purpose of expenditure
Recipient’s name, mailing address and ZIP code
Name of recipient’s employer
Amount of expenditure
$
Recipient’s occupation
Date of expenditure
Purpose of expenditure
Recipient’s name, mailing address and ZIP code
Name of recipient’s employer
Amount of expenditure
$
Recipient’s occupation
Date of expenditure
Purpose of expenditure
Recipient’s name, mailing address and ZIP code
Name of recipient’s employer
Amount of expenditure
$
Recipient’s occupation
Date of expenditure
Purpose of expenditure
Recipient’s name, mailing address and ZIP code
Name of recipient’s employer
Amount of expenditure
$
Recipient’s occupation
Date of expenditure
Purpose of expenditure
Recipient’s name, mailing address and ZIP code
Name of recipient’s employer
Amount of expenditure
$
Recipient’s occupation
Date of expenditure
Purpose of expenditure
Subtotal of expenditures reported on this page only. Enter here and also include this amount in the total on
line 10 of Form 8872
$
8872
Form
(11-2002)
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