ITEMIZED EXPENDITURES FOR ELECTIONEERING COMMUNICATIONS Name of Person/Entity 1. Date Expended 3. Name (last, first) _ _/_ __/_ _ 4. Address 5. City/State/Zip 2. Amount 6. Method of Communication(s) $ 7. Name of Candidate(s) referred to  Cash 8. Support Oppose 9. Purpose of Expenditure  In-Kind 1. Date Expended 3. Name (last, first) _ _/_ _/_ _ 4. Address 5. 2. Amount 6. Method of Communication(s) $ 7. Name of Candidate(s) referred to Cash 8. Support Oppose  9. Purpose of Expenditure  In-Kind 1. Date Expended 3. Name (last, first) _ __/_ __/_ __ 4. Address 5. 2. Amount 6. Method of Communication(s) $ 7. Name of Candidate(s) referred to Cash 8. Support Oppose  9. Purpose of Expenditure  In-Kind
ITEMIZED EXPENDITURES FOR ELECTIONEERING COMMUNICATIONS Name of Person/Entity 1. Date Expended _ _/_ __/_ _ 2. Amount $  Cash  In-Kind 3. Name (last, first) 4. Address 5. City/State/Zip 6. Method of Communication(s) 7. Name of Candidate(s) referred to 8. Support Oppose 9. Purpose of Expenditure 1. Date Expended _ _/_ _/_ _ 2. Amount $  Cash  In-Kind 3. Name (last, first) 4. Address 5. 6. Method of Communication(s) 7. Name of Candidate(s) referred to 8. Support Oppose 9. Purpose of Expenditure 1. Date Expended _ __/_ __/_ __ 2. Amount $  Cash  In-Kind 3. Name (last, first) 4. Address 5. 6. Method of Communication(s) 7. Name of Candidate(s) referred to 8. Support Oppose 9. Purpose of Expenditure
2016-Campaign-Disclosure-Manual-Final.docx