Missouri Ethics Commission Committee Disclosure Report Cover Page Page 2
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1
2COMMITTEE DISCLOSURE REPORT
COVER PAGE
INSTRUCTIONS
PURPOSE:
Form CD includes the Cover Page, Summary Page and numbered CD Forms. Form CD is used for reporting the receipts and
disbursements of a committee as required by the Campaign Finance Disclosure Law. NOTE: Supplemental CD Forms are
printed separately from this packet and may be obtained from the Missouri Ethics Commission or your appropriate officer.
CONTENT OF FORM:
Item 1:
Enter the date the report is submitted.
Item 2:
Enter the full name of the committee as reported on the Statement of Organization (Form CO-1).
Item 3:
Enter the committee's mailing address (if any).
Item 4:
Enter the committee's telephone number (if any).
Item 5:
Enter the full name of the committee treasurer.
Item 6:
Enter the committee treasurer's full mailing address.
Item 7:
Enter the full name of the deputy treasurer (if any).
Item 8:
Enter the treasurer's home and business telephone numbers.
Item 9:
Enter the deputy treasurer's full mailing address.
Item 10:
Enter the deputy treasurer's home and business telephone numbers.
Item 11:
Enter the date of the election for which the report is being filed.
Item 12:
Check the correct box for the type of election for which the report is being filed.
Enter the opening and closing dates of the period covered by this report.
Item 13:
Candidate committees only: List the name of the candidate, address, phone, the office they are seeking,
Item 14:
the political subdivision, and political party affiliation.
Check the appropriate box indicating the type of report your committee is filing.
Item 15:
The treasurer must sign this report.
Item 16:
Candidate committees only: The candidate must sign the report.
Item 17:
MISSOURI ETHICS COMMISSION
Campaign Finance
Post Office Box 1254
Jefferson City, Missouri 65102
helpdesk@mec.mo.gov
(573) 751-2020
(800) 392-8660
CONTACT THE MISSOURI ETHICS COMMISSION OR YOUR LOCAL ELECTION AUTHORITY FOR FURTHER INFORMATION
MO 300-1310 (10-06)
CD Cover Page
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