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Form SCE-P

COMMISSION ON ELECTIONS
DATE OF ELECTION

Statement of Contributions & Expenditures (Party)

May 09, 2016

PART A: PERSONAL INFORMATION OF THE PARTY & ITS TREASURER


A.1.

PARTY TREASURER'S NAME:

A.2.

PARTY TYPE:
(Use "X" in appropriate box)

A.3.

NAME OF PARTY:

(SURNAME)

(FIRST NAME)

(MIDDLE NAME)

PARTY-LIST ORGANIZATION
POLITICAL PARTY
(COMPLETE NAME OF THE PARTY)

A.4.

(ACRONYM)

CONSTITUTENCY OF THE POLITICAL PARTY: (Indicate "NA" if not applicable, as in the case of national parties or certain party-list groups)
(DISTRICT) Indicate "LONE" if only 1

(CITY/MUNICIPALITY)

A.5.

CONTACT DETAILS OF PARTY:

A.6.

PERMANENT ADDRESS OF PARTY:

(PROVINCE/REGION)

MOBILE/PHONE NOS.:
E-MAIL ADDRESS:
(HOUSE NO./UNIT)

(BARANGAY)

A.7.

(NAME OF BUILDING/SUBDIVISION)

(STREET NAME)

(CITY/MUNICIPALITY)

(PROVINCE)

(DISTRICT/AREA)

Taxpayer Identification No. (TIN)

(Refers to the TIN of the party itself & NOT the personal TIN of party treasurer)

PART B: CONTRIBUTIONS RECEIVED (Itemized entries in Form SCR, indicate "0.00" if none received)
B.1.

CASH CONTRIBUTIONS RECEIVED FROM OTHER SOURCES/NON-MEMBERS:

0.00

B.2.

IN-KIND CONTRIBUTIONS RECEIVED FROM OTHER SOURCES/NON-MEMBERS:

0.00

B.3.

CASH CONTRIBUTIONS RECEIVED FROM PARTY MEMBERS:

0.00

B.4.

IN-KIND CONTRIBUTIONS RECEIVED FROM PARTY MEMBERS:

0.00
0.00

TOTAL CONTRIBUTIONS RECEIVED

PART C: EXPENDITURES INCURRED (Itemized entries in Form SOE)


C.1.

EXPENDITURES PAID OUT OF PARTY FUNDS (EXISTING OR MEMBER CONTRIBUTIONS):

C.2.

EXPENDITURES PAID OUT OF CASH CONTRIBUTIONS FROM OTHER SOURCES/NON-MEMBERS:

C.3.

EXPENDITURES INCURRED USING IN-KIND CONTRIBUTIONS FROM MEMBERS:

C.4.

EXPENDITURES INCURRED USING IN-KIND CONTRIBUTIONS FROM OTHER SOURCES:


0.00

TOTAL EXPENDITURES INCURRED

PART D: CERTIFICATION & ACKNOWLEDGMENT


The undersigned party treasurer, after being duly sworn to, hereby depose and state that:
(1) This Statement and its attached Schedules, which are supported by receipts, vouchers, and other documents reflecting the full, true, accurate, and complete
contributions received and expenditures incurred by the party and its duly authorized representative;
(2) The expenditures incurred are for lawful purposes and the contributions were not received from persons or entities prohibited by law to give contributions.
IN WITNESS WHEREOF, the undersigned hereunto affix his/her signature on [date signed].
AFFIX SIGNATURE HERE
Err:511
SUBSCRIBED AND SWORN TO before me on

date notarized
issued by

(Type of identification document)

(ID Number)

Doc. No.:
Page No.:
Book No.:
Series of

, affiant exhibiting his/her


expiring on [date of expiry].

(Government Agency issuing the ID)

(Place Notarial Seal & Signature here)

THIS SECTION IS FOR COMELEC USE ONLY - DO NOT ENCODE / WRITING ANYTHING BEYOND THIS LINE
Indicate "" beside form code/document name if submitted, " " if not.
SCR (Sched of Contributions Rcvd)
SOE (Sched of Expenditures)
SUO (Sched of Unpaid Obligations)
SLE (Sum. Report of Lawful Exp.)
Others: pls. specify:

Contribution Receipts
Expenditure Receipts
Obligations Payable
NO. OF PAGES: _________
(This space is for the receiving date/time stamp of the receiving office)

Form SCR-P

COMMISSION ON ELECTIONS
DATE OF ELECTIONS

Schedule of Contributions Received (Party)

May 09, 2016

PARTY'S TIN:

NAME OF PARTY:
(COMPLETE NAME OF PARTY)

DATE RECEIVED

RECEIPT
NUMBER

FULL NAME OF
CONTRIBUTOR

ADDRESS OF CONTRIBUTOR

(ACRONYM)

Contribution TYPE &


SOURCE

DESCRIPTION
(for in-kind contributions)

Contributor's TIN

TOTAL CONTRIBUTIONS RECEIVED


CERTIFICATION

AMOUNT/VALUE OF
CONTRIBUTION

0.00

ACKNOWLEDGMENT

SUBSCRIBED AND SWORN TO BEFORE ME this


[date of oath]
I hereby certify that: (1) the contributions listed above were made to me as party treasurer; (2) all entries affiant exhibiting his/her
0
0
specified above are true & correct; (3) they are supported by the official receipts issued by me upon
[date of expiry].
issued by the
[issuing office]
expiring on
acceptance; (4) the contributions are from sources not prohibited by the Omnibus Election Code and other
pertinent laws.
Doc. No. ________;
Page No. ________;
Book No. ________;
DATE SIGNED
Series of ________.
NOTARY PUBLIC

Form SOE-P
Schedule of Expenditures (Party)

COMMISSION ON ELECTIONS
DATE OF ELECTIONS May 09, 2016
NAME OF PARTY:
DATE INCURRED

RECEIPT NUMBER

(COMPLETE NAME OF PARTY)

FULL NAME of BUSINESS FIRM OR


CONTRACTOR

ADDRESS OF BUSINESS FIRM OR


CONTRACTOR

(ACRONYM)

TIN OF CONTRACTOR or
BUSINESS FIRM

PARTY'S TIN:
DESCRIPTION
(if contributions are in-kind)

Exp Type
(A-K)

TOTAL EXPENDITURES INCURRED


CERTIFICATION

AMOUNT/VALUE OF
EXPENDITURE

0.00

ACKNOWLEDGMENT

I hereby certify that: (1) the expenses listed above were incurred by me as party treasurer or by my duly authorized
representative/s; (2) all entries specified above are true & correct; (3) they are supported by the official receipts, invoices
or other similar documents; (4) the expenses comply with Section 102 of the Omnibus Election Code.

DATE SIGNED

SUBSCRIBED AND SWORN TO BEFORE ME this


affiant exhibiting his/her
0
issued by the
[issuing office]
Doc. No. ________;
Page No. ________;
Book No. ________;
Series of ________.

[date of oath]
0
[date of expiry].
expiring on

NOTARY PUBLIC

Form SLE-P

COMMISSION ON ELECTIONS
DATE OF ELECTION

Summary Report of Lawful Expenditures (Party)

May 09, 2016

PART A: PERSONAL INFORMATION OF THE PARTY & ITS TREASURER


A.1.

PARTY TREASURER'S NAME:

(SURNAME)

A.2.

PARTY TYPE:
(Use "X" in appropriate box)

A.3.

NAME OF PARTY:

(FIRST NAME)

(MIDDLE NAME)

PARTY-LIST ORGANIZATION
POLITICAL PARTY
0

(COMPLETE NAME OF THE PARTY)

A.4.

CONSTITUTENCY OF THE POLITICAL PARTY: (Indicate "NA" if not applicable, as in the case of national parties or certain party-list groups)
0

(DISTRICT) Indicate "LONE" if only 1

A.5.

(ACRONYM)

(CITY/MUNICIPALITY)

Taxpayer Identification No. (TIN)

(PROVINCE/REGION)

0 (Refers to the TIN of the party itself & NOT the personal TIN of party treasurer)

PART B: SUBTOTAL OF LAWFUL EXPENDITURES PER EXPENSE TYPE/CATEGORY


A

Travel expenses of party's candidates & campaign personnel during the campaign & incidental personal expenses

0.00

Compensation of campaigners, clerks, stenographers, messengers, & other persons employed in the campaign

0.00

Telephone, mobile phone usage fees, prepaid phone load, internet access, postages, freight & courier charges

0.00

Stationery, printing & distribution of printed materials relative to candidacy;

0.00

Employment of watchers at the polls

0.00

Rent, maintenance & furnishing of campaign headquarters, office or place of meetings

0.00

Political meetings & rallies & the use of sound systems, lights & decorations during said meetings & rallies

0.00

Newspaper, radio, TV & other advertisements to promote the candidacy, including website/internet ad placements

0.00
0.00

SUBTOTAL

PART C: EXPENDITURES INCURRED (Itemized entries in Form SOE)


I

Employment of counsel

0.00

Copying & classifying lists of voters, investigating & challenging the right to vote of persons registered in the lists

0.00

Printing of sample ballots in such color, size & maximum number as may be authorized by the Commission

0.00
0.00

TOTAL EXPENDITURES INCURRED

PART D: CERTIFICATION & ACKNOWLEDGMENT


The undersigned party treasurer, after being duly sworn to, hereby depose and state that:
(1) This Statement and its attached Schedules, which are supported by receipts, vouchers, and other documents reflecting the full, true, accurate, and complete
contributions received and expenditures incurred by the undersigned candidate and his/her duly authorized representative;
(2) The expenditures incurred are for lawful purposes and the contributions were not received from persons or entities prohibited by law to give contributions.
IN WITNESS WHEREOF, the undersigned hereunto affix his/her signature on [date signed].
AFFIX SIGNATURE HERE
Err:511

SUBSCRIBED AND SWORN TO before me on

Date Notarized
, issued by

(Type of identification document)

Doc. No.:
Page No.:
Book No.:
Series of

(ID Number)

, affiant exhibiting his/her


expiring on [date of expiry].

(Government Agency issuing the ID)

(Place Notarial Seal & Signature here)

Form SUO-P

COMMISSION ON ELECTIONS
DATE OF ELECTIONS

Schedule of Unpaid Obligations (Party)

May 09, 2016

PARTY'S TIN:

NAME OF PARTY:
(COMPLETE NAME OF PARTY)

DATE INCURRED

Contract / Loan No.

NAME OF CREDITOR

ADDRESS OF CREDITOR

(ACRONYM)

Taxpayer ID No. (TIN) of


CREDITOR

Description of the Obligation (i.e.


loan, etc.)

Purpose (for incurring


obligation)

AMOUNT/VALUE OF
OBLIGATION

TOTAL UNPAID OBLIGATIONS


CERTIFICATION

0.00

ACKNOWLEDGMENT
SUBSCRIBED AND SWORN TO BEFORE ME this

I hereby certify that: (1) the obligations listed above were incurred by me in my capacity as party treasurer or affiant exhibiting his/her
issued by the
with my authority by my duly authorized representative; (2) all entries specified above are true & correct; (3)
they are supported by contracts, promissory notes & other similar documents.

[date of oath]

0
[issuing office]

0
expiring on

Doc. No. ________;


Page No. ________;
DATE SIGNED

Book No. ________;


Series of ________.

NOTARY PUBLIC

[date of expiry].

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