SCHEDULE A ITEMIZED CONTRIBUTIONS Of more than fifty dollars ($50.00) this period Name of Candidate or Committee: Date Received Full Name, Mailing Address and Zip Code of Contributor/Lender Cash or Check 1. $ __ __ __ __ /_ _/_ __ Primary $ _____ _ General Calendar year To Date 2. $ __ ____ __ /_ _/_ __ Primary $ _ _____ General Calendar year To Date 3. $ __ _ _ __ /_ _/_ __ Primary $ __ ___ General Calendar year To Date 4. $ _ _ ___ __ /_ _/_ __ Primary $ __ ___ General Calendar year To Date 5. $ _ _ ___ __ /_ _/_ __ Primary $ _ _ ___ General Calendar year To Date 6. $ _ _ ___ __ /_ _/_ __ Primary $ __ ___ General Calendar year To Date 7. $ _ _ ___ __/_ _/_ __ Primary $ _ _ ___ General Calendar year To Date 8. $ _ _ ___ _/_ _/_ __ Primary $ _ _ __ General Calendar year To Date 9. $ _ _ __ __ /_ _/___ Primary $ _ _ __ General Calendar year To Date 10. $ _ _ ___ __ /_ _/_ __ Primary $ _ __ General Calendar year To Date Total This Page: $ Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2, line 2
SCHEDULE A ITEMIZED CONTRIBUTIONS Of more than fifty dollars ($50.00) this period Name of Candidate or Committee: Date Received Full Name, Mailing Address and Zip Code of Contributor/Lender Cash or Check __ /_ _/_ __ 1. $ __ __ __ Primary General $ _____ _ Calendar year To Date __ /_ _/_ __ 2. $ __ ____ Primary General $ _ _____ Calendar year To Date __ /_ _/_ __ 3. $ __ _ _ Primary General $ __ ___ Calendar year To Date __ /_ _/_ __ 4. $ _ _ ___ Primary General $ __ ___ Calendar year To Date __ /_ _/_ __ 5. $ _ _ ___ Primary General $ _ _ ___ Calendar year To Date __ /_ _/_ __ 6. $ _ _ ___ Primary General $ __ ___ Calendar year To Date __/_ _/_ __ 7. $ _ _ ___ Primary General $ _ _ ___ Calendar year To Date _/_ _/_ __ 8. $ _ _ ___ Primary General $ _ _ __ Calendar year To Date __ /_ _/___ 9. $ _ _ __ Primary General $ _ _ __ Calendar year To Date __ /_ _/_ __ 10. $ _ _ ___ Primary General $ _ __ Calendar year To Date Total This Page: $ Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2, line 2
2016-Campaign-Disclosure-Manual-Final.docx