FOR INSTRUCTIONS.

SEE BACK OF FORM FORM

DR-2 DISCLOSURE
DISCLOSURE SUMMARY PAGE (Rev. 01/98) REPORT
For Office Use Only

COMMITTEE NAME (Must be same as pon,Statement of Organizzationj- Comm. a So 9a

if .
r A v:=' r- ''~ Indexed
a-~
Audited ~~ t) -0 `1
IMPORTANT: Indicate type of committee you are reporting for: Computer (- 11.1
( t )Statewide/Legislative Candidate ( 2 )Statewide PAC ( 3 )State Party ( 4 )County/Local Candidate
( 5 )County P ( 6 )B Issue/Franchise Committee ( 7 )County/City Central Committee
( 6 )Su late- didat . - ,-- J

NATURE TR' kIRER (o~p~erson iling this report) TELEPHONE DATE SIGNED

Routine Penalties Due For Late Filed Reports Range from $20 to $800

SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE :

I AM FILING A - - (1) ELECTION /(2)NON-ELECTION YEAR.

(rreporidate) 01181MA6m 80m Indicate one

OCHECK IF AMENDMENT TO REPORT DATED Local Committees, enter Date of Election

,Tr-frr~v
t - ~~

0 Check if this is final (termination) report and atta~ d Dissolution Form -3. County 8 Local Committees, enter County in
which Election is held
(You must continue to file reports until a N

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting period. (This is the total
of all monies held by the committee . This amount MUST be the
same as the cash on hand at the end of the last reporting period,
or must be zero if this is first report filed.) ................ ............................... .............................$
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) ............................................ .....
Schedule F: Loans Received total (.Attach Schedule F) . ............ .. ............... ............ .. ...........
Schedule H: Total Sales of Campaign Property (Attach Schedule H) .... .. .. .. .... ........ .. .. .. ......
(Schedule H applies to Candidates' Committees Only)
SUB-TOTAL ......S
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) ............... ........... . ......... .. .....................
Schedule F: Loan Repayments total (Attach Schedule F) ...................... .. ...................... .. .. .

CASH ON HAND at the end of this reporting period (if final report, balance must . . . . . .
be zero) (Attach DR-3) ..... ..... .... ...... ...... ......... .. ..... .................... .. ............ ....... .... ...... .............$

UNPAID BILLS (From Schedule D - Attach Schedule D) .. .. ..... ........... .... ..... . ... . .... ......... .. ............ ......$
IN KIND CONTRIBUTIONS (From Schedule E - Attach Schedule E) . .. .. .. . ....... .. .. .. .. .... . ...... .. .......... ..$
OUTSTANDING LOANS (From Schedule F - Attach Schedule F) .... ......... .. .. ... .. .. .. .. .... .i.. .... .. .. .. .. .. .. .$
CANDIDATE COMMITTEES ONLY:
CONSULTANT BREAKDOWN (Schedule G Attached?) YES NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) $
FOR 1NSTHUG1IONS, ;Lt UACK OF FORM
SCH~ EDULE

COMMITTEE NAME (Must be same as on Statement of Organsradon)- ..." F LOANS

~a~"'~-l (Rev . 08/96)
..a, ~~1x-`¬~-'tom-. RECEIVED
3 REPAID

NOTE : This schedule reports money loaned to the committee which is deposited in the committee account . [] CHECK THIS BOX IF
AMENDING FORM
TOTAL UNPAID LOANS FROM LAST REPORTING PERIOD $ - __ .-- .- .- . .-

PART I - MONETARY LOANS RECEIVEDMS REPORTING PERIOD PART 11- MONETARY LOAN REPAYMENTS MADETI REPORTING PERIOD
(Onginal source of loan, such as a bank, must be shown it a third party is (Loans forgiven must be reported on Schedule E -- In-kind Contributions . I
involved . Include loans from candida te's personal funds-)
DATE NAME AND ADDRESS OF LENDER RELATIONSHIP AMOUNT DATE PAID NAME AND ADDRESS OF LENDER RELATIONSHIP AMOUNT
RECEIVED (Include Endorser's Name, It Applicable) TO CANDIDATE OF LOAN (MMDD/YR) (Include Endorser's Name, If Applicable) TO CANDIDATE' REPAID
MNUDD/YR II A If Applicable)

TOTAL (PART 1) TOTAL CASH REPAYMENTS (PART 11)

From Schedule E -- TOTAL LOANS FORGIVEN

TOTAL OUTSTANDING LOANS END OF REPORT PERIOD $ bd

l
'Disclosure law requires candidate committees to disclose the relationship of any relative
`making a contribution to the committee. Relationship musl be shown to the third degree of
consanguinity (blood relatives) and affinity (relatives by marriage) . (See Page 2 of forms
packet .) If surname of contributor is the same as candidate, but there is no familial
relationship, enter "not applicable" in the relationship column when it applies . Page __ of
(for Schedule F)
 SCHEDULE
D )NCURRED
(Rev. 08M INDEBTEDNESS

O CHECK THIS BOX

IF AMENDING
NOTE : Debts previously reported that remain unpaid must be inclined on this FORM
Schedule, as well as any new obligations incurred in this period .

An 'incurred debt' is a debt for

DEHTSJOBLIGATIONS REMAINING THIS REPORTING PERIOD goods or services ordered or
{DO NOT INCLUDE LOANS - SHOW LOANS ON SCHEDULE F) received, but not paid for by the
and of the reporting period. .
regardless of wMthar an invoice
has boon received,
DATE DESCRIPTION OF GOODS OR BALANCE OWED AT
INCURRED NAME AND ADDRESS OF PERSON SERVICES PROVIDED OR CLOSE OF
(MWDDIYR) TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
PERIOD'

~l 141 q

_-
SUBTOTAL S

TOTAL DEBTS OWED BY COMMTTEEE AT THE END OF THIS REPORTING PERIOD S

13 1

'it actual figure is unknown, show 'estimated beside the figure .

Page (ton Schedule 0)

CANDIDATE COMMITTEES NOTE :

- Incurred indebtedness also includes each persorventity with whom the candidaWs committee has entered into a contract during the reporting period for future
or continuing performance. Enter the name of the consultant who provides or procures services for items such as advertising. fund-raising, polling. managing .
or organizing servic es Report on Schedule G the natu re of performance and the estimated performance reasonably expected of the consultant.