Fec Form 3 - Report Of Receipts And Disbursements Page 2

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SUMMARY PAGE
of Receipts and Disbursements
2
FEC Form 3
Page
(Revised 05/2016)
Write or Type Committee Name
M
M
/
D
D
/
Y
Y
Y
Y
M
M
/
D
D
/
Y
Y
Y
Y
Report Covering the Period:
From:
To:
COLUMN A
COLUMN B
This Period
Election Cycle-to-Date
6.
Net Contributions (other than loans)
(a)
Total Contributions
,
,
.
,
,
.
(other than loans) (from Line 11(e)) ....
(b) Total Contribution Refunds
,
,
.
,
,
.
(from Line 20(d)) ..................................
(c)
Net Contributions (other than loans)
,
,
.
,
,
.
(subtract Line 6(b) from Line 6(a)) ......
7.
Net Operating Expenditures
(a)
Total Operating Expenditures
,
,
.
,
,
.
(from Line 17) ......................................
(b) Total Offsets to Operating
,
,
.
,
,
.
Expenditures (from Line 14) ................
(c)
Net Operating Expenditures
,
,
.
,
,
.
(subtract Line 7(b) from Line 7(a)) ......
8.
Cash on Hand at Close of
,
,
.
Reporting Period (from Line 27) .................
Debts and Obligations Owed TO
9.
the Committee (Itemize all on
,
,
.
Schedule C and/or Schedule D) ................
10. Debts and Obligations Owed BY
the Committee (Itemize all on
,
,
.
Schedule C and/or Schedule D) ................
For further information contact:
Federal Election Commission
999 E Street, NW
Washington, DC 20463
Toll Free 800-424-9530
Local 202-694-1100

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