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May-29-2008 06:47 PM DONNA IBANEZ sessezs222 P.02 @ TA ETHICS AND 20BMAY 29 AM 8 18 FOR INSTRUCTIONS, SEE BACK OF FORM DISCLOSURE SUMMARY PAGE | COMMITTEE NAME (Must be same a2 on Stetement of Orgentzation) PORTANT? Tate by # ype o commie you a aporng (3 Jattvise.agatetvelaige tang or Retarton Ganda ( 27H PAC (LSet cee Sea oS sea Saree Tone asec eaNoanTe cont TOT nae Party Of epptcebe) Dia 6f Sanat or House) Sed 3 gasa Sg io taurunen PVaaje 20 a0? F_reonr ron aucnonspuonssecnon ean Anoata by # | CICHECK IF AMENDMENT TO REPORT DATED, Cheheck thie eat toination report and attach Notoe of Dachion Form OR, Seam al aioe ie AT ‘Yourmuet cone he report ntl DRS led) ones wich econ eid ‘STATEMENT OF CASH ON HAND. ‘CASH ON HAND atthe begining ofthe reporting parted. (Total otal funds Nel by the ‘commitiee, Tis amount MUGT be Be same ae the cee on hand a the and ‘ofthe test reporting period or must be zero thi la fatroprt led)... ‘ADD TOTAL MONEY TAKEN IN THIS PERIOD SSenedue A: aah Conttbutons total (tach Gohedule A) Calso see n-Knd Below. Schedule F: Loans Received total (Attach Schedule F) é Sehedule H: Total Gales of Campaign Property (Attach chads). Mishadule H appiien to Candidates’ Commies Ooh ‘SUB-TOTAL... SUBTRACT TOTAL MONEY SPENT THIB PERIOD ‘Schedule 8: Expondtures total (Attach Scheive B) (*alo toe detts and cans below) cheduleF: Loan Repaymants total (Attach Schedule F). [GABH ON HAND at the end of hie reporting pecod(f nl report balance must be zo) “UNPAID BILLS (From Schedule D- Attach Schedule 0) “IN KIND CONTRIBUTION (Prom BcheduleE - Attach BcheduleB “OUTSTANDING LOANS (From Schedule F-Attoh Schedule F) ‘CONOULTANT BREAKDOWN (echedule @ Atached?) ‘SANDIDATE COMMITTEES ONLY: ‘VALUE OF CAMPAION PROPERTY (Prom Schedul H - Altach @choduie H) STATE.COMMITTERS: Submit a reconciled campaign account bank staernantn January ofeach year, may-29-2000 06:48 PM DONNA IBANEZ sesse26222 P.es For Instructions, See Back of Form (SCHEDULE CONTRIBUTIONS ~ MONEY TAKIN IN (Indu candle prvonal n} CHECK TH BOXF COMM! NAME (Muat be seme as on Statement of ”) Oggecraeecn Stare ware canpoaras SOITRILTON a RBCAYED PROM A TATE | TS MTTED, Ue Pe pen eA Mie AnD Te bX Codex MoMBER THE ORBNATEO EOLOMN, ALBT OF © ROMDERG io KURLASLE PRON Ka Tv ETMEE ANG ESPON DecLosuRE Bonn NOTE Nov PERQON, THER THAN AN NXVUAL, THAT CONTRIBUTES MORE THAN #720 TO YOUR CAMPAION MAY HAVE FILNG RESPONSIBILTIES AND SHOULD PAMEDIATELY CONTACT THE BOARD. cauTION: 32A(6), prohibits the use of information copied from reporta and statements for saleting eontbuvone e fet any Sonmeranl prone y ny paso oer an say pote oemtaen, +m comin en Sty attra ating woven te comune sale most hoon tee nscopee connpee rucvan aa ety (eevee PY TERT eae me omer tn ame eendaen ekbonto o ot appt te meta PAO ar ed MAY-29-2000 06:49 PM DONNA IBANEZ sezze26222 Pee For Instructions, See Back of Form 5 [SCHEDULE CONTRIBUTIONS — MONEY TAKEN IN rots | “OSE (ada cnt’ pres) TD ocox ras poxir |COMMI a) NAME (Must be same a8 on Statement of Organization) AMENDING FORM Peand mn are, Nousz TATECHNDOATES NTE, a gomMeUpO EAEVED aN AMTATE ng QaUTEN con cOMMTE ue Te Phe eITECATON SLIGO SE RASEN TNT ERS LIN ATT MTR a ON OS oS NOTE: ANY PERSON, OTHER THAN AN INDIVIDUAL, THAT CONTRIBUTES MORE THAN 8780 TO YOUR CAMPNGN MAY HAVE FILING [RESPONSIBILITIES AND SHOULD IMMEDIATELY CONTACT THE BOARD. AUTION eaten 608.324), roti veo tran cig a eaten staat sling conus or wy ny any pareon ober than statory patel commitaea, SO ey eet An peas Wimpoo aut seth Are aria acannon in a rn yen gna : senna rate erase ogersememgt even We Goo Feet i rate a ae ee eeeancnia oes ne Pee eae Sea etn se St pee Be nado son ; pey-29-2000 99:51 Pn DONNA IBANEZ sessezez22 P.02-02 For instructions, See Back of Form rm CONTRIBUTIONS ~ MONEY TAKEN IN IR ETHICS Anolading oandidata's personal turds) PA AATATE CANDIDATES. NOTE: fA CONTRALTION1& RECKIVED FROM A OTATE PAC (POTION, ACTION COMMUTER 18 1 PAG IDENTIIGATION tum A Pac ocx hoe Geno TeD LAN. ALT OF NUMUERG H AVARLE FROM DiecLoBURE Boao, NOTE: ANY PEREON, OTHER THAN [RESPONSIGLITIES AND BHOULD INMBDIATELY CONTACT THE BOARD. on EYUN, THAT CONTRIBUTES MORE THAN 8719 TO YOUR CAPA MAY AVE PND ‘CAUTION: Becton 808324(), pronto ue of rman copied Fm coor and sat fr aeling conosco any ‘eommercial purpose by any person other than ateiutory patie! Anoran Nimrod 930 (SSth Ave an Nigel iy | Ban’ Be. Me Pareicia, Slater SS: 12 ME OF401. % Ravine, re ae . ™ se sandy Fires cal Listed 300.“ BS, ing cnt ma nies a tra ny at aig enn ne PN ree” htt tte tere ts ange pig Ques aro sony Sevag, Wat fcr tore nano oa ree est ree gual tareion ata May-29-2008 06:49 PM DONNA IBANEZ sessez6222 P.e5 FOR INSTRUCTIONS, SEE BACK OF FORM EXPENDITURES -- MONEY SPENT FROM COMMITTEE ACCOUNT ‘STATE PAC COMMITTEES: NOTE: FOR CONTRIBUTIONS MADE TO STATEWIDE OR LEGISLATIVE SAODATES. UBT Toe caNorOATE Bevrincanon WuBan W Tht BesowrES eo at Te Te PAG CHECK NUNBER FOR EACH EXPENDITURE. A LIST OF ID NUMBERS [8 AVAILABLE FROM THE OWA, (ETHICS & CAMPAIGN DIBGLOSURE BOARD. vine KNEL Raoio PBs tee TOTAL (if test page of thie schedule) [THis BOX APPLIES TO CANDIOATES’ COMMITTEES ONLY: Purcheees of anal campaign property sowtng 8800 or more mutt lao be Invenvied on Sedo H, (Refer to Schade H nections) Erase pranwerne rovarg ret, svete. nn, garage, own erica ua an aa ain See @y te amount. bone, an alo ech ype ot xpacre rae he pareonverty on behalf tw cance commis. (Refer to (for Schade 8) May-29-2000 06:49 PM DONNA IBANEZ sess026222 Pies FOR INSTRUCTIONS, SEE BACK OF FORM Monetary : EXPENDITURES — MONEY SPENT FROM COMMITTEE ACCOUNT ee | meres STATE PAc commrraga: wort: rox conTmeuTs WADE To staTEMDH on EEL aes oal CANDDATE®, Cer tr caNDNONTE DENTIPGRTION GOMER hi That DEMORNTED COUR AT 1D) creck THis 20x he Sex anna A AGERE AT OPC MOMOERS le OMAGLE PN OA “AMENDING FORM. el Post marta s2ie) Deerah Qn Bae wo. b) ae binah se sau | = Postmas ee Desmok. 94 sae F COMMITTEES ONLY: Plschesee of certan campaien prapaty costing S600 or more must ako be Inverterted on Schade H. (Refer o Sched H intone pane to pacman proving cone, dvi, Unda, lg, manage rena seca mob dt Rac scree by arp, ar gf eu se expr mae y Pps ono he crguae cena” ae

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