Fec Form 3 - Report Of Receipts And Disbursements Page 10
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10FEC FORM 3Z (File with Form 3)
CONSOLIDATION REPORT OF RECEIPTS AND DISBURSEMENTS
(To Be Used By A Principal Campaign Committee)
Report Covering Period:
Name of Principal Campaign Committee (In Full)
From:
To:
M
M
/
D
D
/
Y
Y
Y
Y
M
M
/
D
D
/
Y
Y
Y
Y
(a)
(b)
Line No. 11(a)
Line No. 11(b)
Total Contributions From
Total Contributions
Committee Name
Indiv./Persons Other Than
From Political Party
Political Committees
Committees
A
B Column Total Last Page Only.............................................................................................................
(c)
(d)
(e)
(f)
(g)
(h)
Line No. 11(c)
Line No. 11(d)
Line No. 11(e)
Line No. 12
Line No. 13(a)
Line No. 13(b)
Total Contributions
Total Contributions
Total
Total Transfers
Total Loans Made or
Total All
From Other Political
From The
Contributions
From Other Authorized
Guaranteed by
Other Loans
Committees
Candidate
Committees
the Candidate
A
B
(i)
(j)
(k)
(l)
(m)
(n)
Line No. 13(c)
Line No. 14
Line No. 15
Line No. 16
Line No. 17
Line No. 18
Total
Total Offsets to
Total
Total
Total
Total Transfers to
Loans
Operating
Other
Receipts
Operating
Other Authorized
Expenditures
Receipts
Expenditures
Committees
A
B
(o)
(p)
(q)
(r)
(s)
(t)
Line No. 19(a)
Line No. 19(b)
Line No. 19(c)
Line No. 20(a)
Line No. 20(b)
Line No. 20(c)
Total Loan Repayments
Total Loan Repayments
Total Loan
Total Contribution
Total Contribution
Total Contribution
of Loans Made or
of All Other Loans
Repayments
Refunds to
Refunds to Political
Refunds to Other
Guaranteed by The Can-
Individuals/Persons
Party Committees
Political Committees
didate
A
B
(u)
(v)
(w)
(x)
(y)
(z)
Line No. 20(d)
Line No. 21
Line No. 22
Line No. 23
Line No. 27
Line No. 9
Total
Total Other
Total
Cash on Hand
Cash on Hand
Debts & Obligations
Contribution
Disbursements
Disbursements
Beginning of
Close of
Owed TO the
Refunds
Reporting Period
Reporting Period
Committee
A
B
(aa)
(bb)
(cc)
Line No. 10
Line No. 6(c)
Line No. 7(c)
Debts & Obligations
Net Contributions
Net Operating
Owed BY the
Expenditures
Committee
A
B
FE6AN023
FEC Form 3Z (Revised 02/2003)
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