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Jan 13 06 10 :03a Tom Gabrilson 5632886574

FOR INSTRUCTIONS, SEE &44K OF FORM


DISCLOSURE SUMMARY PAGE Reset Form
FORM
DR-2
(Rev. 0712003)
I DISCLOSURE
REPORT
COMMITTEE NAME (Must be same as on Statement of Organization)
For Office Use Only

_~au 1 ~ w~e~cr Jc- ~co-c~ S~ert -~ -F' Comm .


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IMPORTANT: Indkate type of comrnlKee you are mporUng for: Scanned
(t )StatewidelLegislative Candidate (2 )Stat;4 Sjp!~,PenSr ( 4)CountylLocal Candidate
_"PA0 ,)' Computer
Audited
CANDIDATE COMMITTEES ONLY.
nddate Name

5,3 ca-,~a~-_ 35~ i,- 1..7-


TELEPHONE DATE SIGNED

Late flied reports are subject to possible civil and criminal penalties .
SEE INSTRUCTIONS ON BACK AND COMPLETE THE FOLLOWING SENTENCE :
I AM FILING A % REPORT FOR AN/A (1 ELECTION /(2)NON-ELECTION YEAR.
(report date) Indicate one
CCHECKIF AMENDMENT TO REPORT DATED Local Comrre'l6eas, enter Date of Election
11 ~q t0 4
l~ Check if this is final (termination) report and attach Notice of Dissolution Form DR-3. County & Loral Committees, enter Courdy in
(You must continue to file reports until a Notice of Dissolution is filed.) which Election rs hel
~Yù~C 1

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.) ...... ........ ...... ... .. ... ..... $ . (o
ADD TOTAL MONEY TAKEN 1N THIS PERIOD
Schedule A: Cash Contributions total (Attach Schedule A) ('also see in-kind below) .. .... ....
Schedule F: Loans Received total (Attach Schedule F) .. ................ ........ . .... . ........ ... ..... ...... .
Schedule H : Total Sales of Campaign Property (Attach Schedule H) .......... .............. ..... .....
(Schedule H applies to Candidates' Comrnfees On[v)
SUB-TOTAL ..... $
SUBTRACT TOTAL MONEY SPENT THIS PERIOD
Schedule B: Expenditures total (Attach Schedule B) ('*also see debts and loans below)... .
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) ...... ..... . ..... .... . ...... ................ ... .. . ... .. ... .._ ..._ .... ..... .... ..... .............. .. ... .... $ -o

"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) ... ...... ........ .............. ..... ...... ........ . $
CANDIDATE COMMITTEES ONLY:
CONSULTANT BREAKDOWN (Schedule G Attached?) A YES F_] NO
VALUE OF CAMPAIGN PROPERTY (From Schedule H -Attach Schedule H)
_- u,abr i 1 son
5632886574
P .2

`FOR INSTRUCTIONS. SEE BACK OF FORM


SCHEDULE
COMMITTEE NAME (Must be same as on StetemeM ~Org'artization) D INCURRED
(Rev. COW) INDEBTEDNESS
u 1 w~:r ~._l ~ ,- She r t -~-F CHECK THIS Box
NOTE: Debts previously reported that remain unpaid must be included on this IF AMENDING
Schedule, as well as any new obligations incurred in this period. FORM

DEBTSIOBLIGATIONS REMAINING THIS REPORTING PERIOD go -dscurred debt" is a debt for


good or services ordered or
(DO NOT INCLUDE LOANS --SHOW LOANS ON SCHEDULE F) recehred, but not paid for by the
end of the reporting period.,
regardless of whetheran invoice
has been received .
DESCRIPTION OF GOODSOR BALANCE OWED AT
NAME AND ADDRESS OF PERSON SERVICES PROVIDED OR CLOSE OF
TO WHOM DEBT OR OBLIGATION IS OWED PURCHASED REPORTING
PERIOD"
Al he Co '. rxou-u-bc Cert--I
mr~;r~ee
Cjo ~pnu l~ ~a-u(5o .~
~45 3as ra ~e_*s I-.4-

THE END OF TMS REPORTING PERIOD


TOTAL DEBTS OWED BY COMMRTEE AT

Page . ~of
ial figure Is unknown, show 'eattmated" beside
the figure . (for Schedule D)

jATE COMMITTEES NOTE : period for future


with whom the candidate's e0nunlttae has entered into a contract during the reporting
Indebtedness also )ndudes each perseNentity who provides or Procures
Services for
tam such as advertising, fund-raising . pAn8 . managing, or
zing performance. Entartho name of the oonstftard reasonably expected of the consultant.
nature of performance arid the esUmated performance
33ervices. Report on Schedule G the

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