REPORT OF RECEIPTS AND EXPENDITURES (CFA-4) OF A POLITICAL COMMITTEE Summary Sheet hn tr romeo 205 BEE [INSTRUCTIONS: Ploase pe or pant lealbly IN BLAGK INK al information on MTOTAL PAGES IN ENTIRE CFA-4 REPORT nis form. For essisiance in completing this form, 860 fnstructons on the lrverse sie, 13 THIS ANAMENDWENT? []¥os No EEE 1. Fullname of ommitee (as on Statement of Organzetor) — [_oheckir tis sanow namo Hoosiers for Richard Moutciook I Aerenya or ebbrovictod nam, frany "TS Connie aieptons nambar _ (812) 480-9764 SaTapanaes TeraIET —C] Check Fine a now adress Barly tan Wf apesioy Republican SIGE mo ofeandate Ura any neon) Richard Earl Mourdock sue Republican 8 ie eat Gn ltr aber, FTV. NEY RGR TOF SRRITATOY TOMTATNCAT | TD. Couny of laa ‘tate Treasurer Vanderburgh BE (VENTION CANDIDATES ONLY 12. Ghedk one Pee Comenton Peat convention - — Co OTT er “Tou (78: Gosh on hand and lnvosimenis al tha bapining of tis reporting period 4. Cash on hand ond inveatnenis January 1, cure year Gu 5.54270) M75,78010 | 176,780.10 16a, Komizee (use Sehodle A} 466. Untomlzed +60, Aad ngs 166, and 15b In bath columns SUBTOTAL +6, Ald ines 18 and 18 i Colurn A an lpas 14 and 152 Cohn 8 TOTAL GEESE Rasa oe atone ence reine soem ae “Ta, Hmized (use Sched B) (Puble Quosten: use Schedule C) 7b, Untomizee| ‘To. Aad nes 47a 2 __ 2838 0.0] {in both columns sustoral |___ 97,583.87 73.7 167,069.02 | 16706802) 18, Cash on hand and investments st cose of hs roportng parodisubvactt7e ftom {in both eounns) TOTAL 18, Dobts OWED BY tho committe (use Sthodule D) 0.00 20, Debis OWED TO tho comaioe (use Schedule E) 0.0 FOR OFFICE USE ONLY Filed: Online 19/10 10:59 am CERTIFY THAT | HAVE EXAMINED THIS STATEMENT, TO THE BEST OF MY KNOWLEDGE AND BELIEF ITS [PRUE CORRECT AND COMPLETE Slanature of Frosaurar [Sinaturs of Canaldate (app WARNING: Ary information contained Ini report may el ba caplod Tar sale or used for any commeral paps. [16 90-46) A poreon wie Knowingly Slee a mud epoc comme a Gass D Faery. (IC 314-1-19)Aporeen who tole a complet or accurats report as requ by the Indana Campaign Flnence Law commis a Case 8 Nesder-oancr (0c 3-44-14) ane may be subject CMs ponates 16 3-G4.16, 417, 3-04-18)REPORT OF RECEIPTS AND EXPENDITURES OF A POLITICAL COMMITTEE Se Fanaa an. tortion cen go 305-0) INSTRUCTIONS: ths form. For assistance lroverse sido. ISTHIS AN AMENDMENT? _[] Yeo Tio 1. Fu name ofc Hooslers for Richard Mourdock Toate fype oF pat legibly IN BLACK INK elt information 07 in coming this form, 862 instructions on the soa SEAN mites fs on Statement of Organization) [_]CheckIt hi ® anew reme (CFA-4) Summary Sheet GES Rerenym or abroad name, ony La ang adress ress whe PO Box 185, filets Gy, sate, 2 cade Inglefiold IN. 47648 Pra nome of canaeve (nctuce ary Mewar} aa Hes CATOGPUTIOTED BNA —[] Check vs anaw aos 3. Commitee eaphiens number (812) 480-3764 TPany afin OF apptcabio Republican ST Pay aiibabon or rcependen! Stale Treasurer i Annual Fa: Reparing pod a 3 Frome _ 07/04/2008 Be "Gaur hand ati nvenmens tre bean os repoing paved Cash on hand ed Investment. January 1, caront yea” Ceo ‘6a, Nomized (use Sohedule A) 489, Untoraized 480, Add Ines 46a, and 160 both comms +6, Se tmes 19 and #50. Cola an tes 14 and {Go in Cola ca TEN ira, hetrzed (use Schedule B)(Pubke Question: use Sched C) 1b, Untendzed ‘To, Adé ngs 178 ad 17 noth columns 19, Debts OWED BY tha comnitie (use Schade D} 20, Dobts OWED TO the commie (uee Sched E) I CERTIFY THAT HAVE HiRUE, CORRECT AND COMPLETE, Signatire of Treasurer fa Tie Richard Ee! Mourdock —_ Republica a Ls erner sua Unlae alnel riier, Fay Not required ar explore 7W- Coun of esas Vanderburgh ‘rrghs 12/94/2009 6 Caan on hand andl ywostment et cose ofthis reporting paroatubtrect 17 rom 16m bol oowmns) MAMINED THs STATEMENT, TO THE BEST OF MY KNOWLEDGE AND BELI roo SEED "2, Shack one E] Pre-convention Ei] Pes-convention Cy CTL) rt supToTat | oval ‘suarorat | TOTAL FOR OFFICE USE ONLY Filed: Online 4MGM0 10:59 am [eae | Signature of Candidate F applicable) | WARNING: [16 2-4-5) A person Wro knowing an my De Supt to ell penaliis (10 8-2-4 ec setae) Sifmatn cra nl repo ay nl be col fo sae of ed fey CONTE Pa figs e fairer epon connie a Cass D Feng. (C 8 eee A ee ov accurate report ae required by te ndana Campaign Finance LW eer oat? i416) Bae 1-13) Aperson vo fll i a Gens B Misdemeanor