Form 8872 - Political Organization Report Of Contributions And Expenditures Page 3
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3Form 8872 (Rev. 11-2013)
Schedule B
Itemized Expenditures
Schedule B page
of
Name of organization
Employer identification number
Name of recipient's employer
Recipient's name, mailing address and ZIP code
Amount of expenditure
$
Date of expenditure
Recipient's occupation
Purpose of expenditure
Name of recipient's employer
Recipient's name, mailing address and ZIP code
Amount of expenditure
$
Date of expenditure
Recipient's occupation
Purpose of expenditure
Recipient's name, mailing address and ZIP code
Name of recipient's employer
Amount of expenditure
$
Date of expenditure
Recipient's occupation
Purpose of expenditure
Recipient's name, mailing address and ZIP code
Name of recipient's employer
Amount of expenditure
$
Date of expenditure
Recipient's occupation
Purpose of expenditure
Recipient's name, mailing address and ZIP code
Name of recipient's employer
Amount of expenditure
$
Date of expenditure
Recipient's occupation
Purpose of expenditure
Name of recipient's employer
Recipient's name, mailing address and ZIP code
Amount of expenditure
$
Date of expenditure
Recipient's occupation
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
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8872
Form
(Rev. 11-2013)
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