Fec Form 3 - Report Of Receipts And Disbursements Page 3
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10DETAILED SUMMARY PAGE
of Receipts
3
FEC Form 3
Page
(Revised 05/2016)
Write or Type Committee Name
M
M
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D
D
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Y
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M
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Y
Report Covering the Period:
From:
To:
COLUMN B
COLUMN A
I. RECEIPTS
Total This Period
Election Cycle-to-Date
11. CONTRIBUTIONS (other than loans) FROM:
(a)
Individuals/Persons Other Than
Political Committees
,
,
.
,
,
.
(i) Itemized (use Schedule A) ...........
,
,
.
,
,
.
(ii) Unitemized ....................................
(iii) TOTAL of contributions
,
,
.
,
,
.
from individuals .......................
,
,
.
,
,
.
(b) Political Party Committees .................
(c)
Other Political Committees
,
,
.
,
,
.
(such as PACs) ...................................
,
,
.
,
,
.
(d) The Candidate ....................................
(e)
TOTAL CONTRIBUTIONS
(other than loans)
,
,
.
,
,
.
(add Lines 11(a)(iii), (b), (c), and (d)) ..
12. TRANSFERS FROM OTHER
,
,
.
,
,
.
AUTHORIZED COMMITTEES ....................
13. LOANS:
(a)
Made or Guaranteed by the
,
,
.
,
,
.
Candidate ............................................
,
,
.
,
,
.
(b) All Other Loans ...................................
(c)
TOTAL LOANS
,
,
.
,
,
.
(add Lines 13(a) and (b)) ....................
14. OFFSETS TO OPERATING
EXPENDITURES
,
,
.
,
,
.
(Refunds, Rebates, etc.) ............................
15. OTHER RECEIPTS
,
,
.
,
,
.
(Dividends, Interest, etc.) ...........................
16. TOTAL RECEIPTS (add Lines
11(e), 12, 13(c), 14, and 15)
,
,
.
,
,
.
(Carry Total to Line 24, page 4) ............
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