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Image# 10990835109
REPORT OF RECEIPTS
FEC
FORM 3
AND DISBURSEMENTS
For An Authorized Committee
.
Office Use Only
1. NAME OF USE FEC MAILING LABEL Example:If typing, type
COMMITTEE (in full) OR TYPE OR PRINT over the lines
.
ADDRESS (number and street) 5907 GARDNER ROAD
Check if different
than previously
reported. (ACC) ALTAMONT NY 12009
January 31 Year-End Report (YE) (c) 30-Day POST-Election Report for the:
in the
Termination Report (TER) Election on State of
I certify that I have examined this Report and to the best of my knowledge and belief it is true, correct and complete.
NOTE : Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 2 U.S.C 437g.
M M D D Y Y Y Y M M D D Y Y Y Y
Report Covering the Period: From: 04 01 2010 To: 06 30 2010
COLUMN A COLUMN B
This Period Election Cycle-to-Date
6. Net Contributions (other than loans)
M M D D Y Y Y Y M M D D Y Y Y Y
Report Covering the Period: From: 04 01 2010 To: 06 30 2010
COLUMN A COLUMN B
I. RECEIPTS Total This Period Election Cycle-to-Date
.
3710.00 3710.00
(ii) Unitemized.....................................
(iii) TOTAL of contributions
15360.00 15360.00
from individuals......................
0.00 0.00
(b) Political Party Committees...................
(c) Other Political Committees 0.00 0.00
(such as PACS).................................
0.00 0.00
(d) The Candidate....................................
(e) TOTAL CONTRIBUTIONS
(other than loans)
15360.00 15360.00
(add Lines 11(a)(iii), (b), (c), and (d))
13. LOANS
(a) Made or Guaranteed by the 0.00 0.00
Candidate...........................................
0.00 0.00
(b) All Other Loans....................................
(c) TOTAL LOANS 0.00 0.00
(add Lines 13(a) and (b)).....................
FE5AN018
Image# 10990835112 DETAILED SUMMARY PAGE
of Disbursements
FEC Form 3 (Revised 02/2003) 4 / 14
24. TOTAL RECEIPTS THIS PERIOD (from Line 16, page3)....................................................... 15360.00
FE5AN018
Image# 10990835113
TOTAL This Period (last page this line number only) .......................................................
TOTAL This Period (last page this line number only) .......................................................
TOTAL This Period (last page this line number only) .......................................................
TOTAL This Period (last page this line number only) .......................................................
TOTAL This Period (last page this line number only) .......................................................
TOTAL This Period (last page this line number only) .......................................................
TOTAL This Period (last page this line number only) .......................................................
11650.00
TOTAL This Period (last page this line number only) .......................................................
TOTAL This Period (last page this line number only) .......................................................
FE5AN018 FEC Schedule B ( Form 3 ) (Revised 02/2009)
Image# 10990835122
TOTAL This Period (last page this line number only) ....................................................... 7319.53
FE5AN018 FEC Schedule B ( Form 3 ) (Revised 02/2009)