Ironworkers Local 89_9670

8/7/2019 Ironworkers Local 89_9670

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F Oi t I NSTRUCTI ONS, SEE BACK ' ) ) RMDI SCLOSURE SUMMARYPAGE

I COMMI TTEE NAME ( Mu s t b e same a s o n St a t e me n t o f O r g a n i z a t i o n )LaA t , 8 9 POL r t I C - A L &ar e - A t w F UMJ )I MPORTANT : I n d i c a t e t y p e o f c o mm i t t e e y o u a r e r e p o r t i n g f o r :( 1 ) S t a t e w i d e / L e g i s l a t i v e Ca n d i d a t e ( 2 ) S t a t e w i d e PAC ( 3 ) S t a t e P a r t y ( 4 ) C o u n t y / L o c a l C a n d i d a t e( 5 ) C o u n t y PAC ( 6 ) B a l l o t I s s u e / F r a n c h i s e C o mmi t t e e ( 7 ) C o u n t y / C i t y C e n t r a l C o mmi t t e e( 8 ) S u p p o r t S l a t e o f C a n d i d a t e sCANDI DATE COMMI TT EES ONLY :

J E C " L - 3 2 " 3 Q 1 P o l i t i c a l P a r t y~$ .

D i s t r i c t ( i f Se n a t e a r , : H o u u s e )_ A

Ch e c k i f t h i s i s f i n a l ( t e r mi n a t i o n ) r e p o r t a n d a t t a c h N o t i c e o f D i s s o l u t i o n F o r m DR- 3 .( Y ou mus t c o n t i n u e t o f i l e r e p o r t s u n t i l a N o t i c e o f D i s s o l u t i o n i s f i l e d . )

STATEMENT OF CASHON HAND

3/ q - 3 65 8675 3TELEPHONE DATE SI GNED

CASH ON HAND a t t h e b e g i n n i n g o f t h e r e p o r t i n g p e r i o d . ( T h i s i s t h e t o t a l o f a l l mo n i e s h e l db y t h e c o mmi t t e e . T h i s amou n t MUST b e t h e same a s t h e c a s h o n h a n d a t t h e e n do f t h e l a s t r e p o r t i n g p e r i o d , o r mus t b e z e r o i f t h i s i s f i r s t r e p o r t f i l e d . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ADDTOTALMONEY TAKEN I N T HI S PERI ODSc h e d u l e A : Cash C o n t r i b u t i o n s t o t a l ( A t t a c h Sc h e d u l e A) ( * a l s o s e e i n - k i n d b e l o w ) . . . . . . . .Sc h e d u l e F : L o a n s Re c e i v e d t o t a l ( A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h e d u l e H : T o t a l Sa l e s o f Campa i g n P r o p e r t y ( A t t a c h Sc h e d u l e H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

( Sc h ed u l e H a pp l i e s t o Ca n d i d a t e s ' Co mmi t t e e s On l y )SUB- TOTAL . . . . . . $

SUBTRACT TOTAL MONEY SPENT T HI S PERI ODSc h e d u l e B : E x p e n d i t u r e s t o t a l ( A t t a c h Sc h e d u l e B ) ( * * a l s o s e e d e b t s a n d l o a n s b e l o w) . . .Sc h e d u l e F : L o a n Re p ay me n t s t o t a l ( A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CASH ON HAND a t t h e e n d o f t h i s r e p o r t i n g p e r i o d ( i f f i n a l r e p o r t , b a l a n c e mus tb e z e r o ) ( A t t a c h DR- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 26

* * UNP AI D BI L L S ( F r o m Sc h e d u l e D - A t t a c h Sc h e d u l e D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $* I N K I ND CONTRI BUTI ONS ( F r o m S ch ed u l e E - A t t a c h Sc h e d u l e E ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $* * OUTSTAND I NG LOANS ( F r o m Sc h ed u l e F - A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $CANDI DATE COMMI TTEES ONLY :CONSULTANT BREAKDOWN ( Sc he d u l e G A t t a c h e d? )VALUE OF CAMPAI GN PROPERTY ( F r o m Sc h e d u l e H - A t t a c h Sc h e d u l e H) $

Ro u t i n e P e n a l t i e s Du e F o r L a t e F i l e d Re po r t s Ra n g e f r o m $2 0 t o $ 8 0 0SEE I NSTRUCTI ONS ON BACK AND COMPLET E THE FOLLOWI NG SENTENCE :I AM F I L I NG A / 1 11 41 l ! j 2, 05 REPORT FOR AN/ A ( 1 ) E LECT I ON / ( 2 ) NON- EL ECT I ON YEAR.

( r e p o r t d a t e ) I n d i c a t e o n eHECK I F AMENDMENT TOREPORT DATED L o c a l C o mmi t t e e s , e n t e r Da t e o f E l e c t i o n

C o u n t y & L o c a l C o mmi t t e e s , e n t e r C o u n t y i nw h i c h E l e c t i o n i s h e l d

19 ? 15 r , f r a 3 a

~27/ 6391 .

YES F - 1 NO


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F o r I n s t r u c t i o ns , Se e Ba d( o f Fo r mCONTRI BUTI ONS - MONEY TAKEN I N

p ml o d l n a o u ndl d ul u ' a I wr u o n u l l u n d u )COMMI TTEENAME ( A l u s l h u uanw a u O i l Si u l umun l Of 0 4) " f i l l a l i u l l )f - 1 I OJ UL Up r I ( ER1 OChta. ~Lt ' i ! L / ~' ( ( ) G~~ I I C I A - ) l L .W

Sl 1 B- TOTAL _TOTAL_ ( I f I a s i pa 0 , : o f t h i s a c l l u f h r l u )

Dl a c l o n t w o l a w r u q u l f u u c uml kwu cunu~d14uua t o d a c b u u I l k u r a l u l b r n u l l l p o f u n y ~ u l a l l v o ma4k ~p u c u n l i l l u u u u 1 l u Owc o u u r 1 l l l u o . R u l a l b n a l l l p u s u a l L u u l wwu t o I I I . d I d d d au l u u o f c o o au n u' An l l y t h l u . " i I b l u l i v u a ) - 1 1 4 1 u l h n i l y ( , " I . , i l v u a b ya u u ul u p u) ( f i a u Faeu 2 o f l wr n o p a c k u l . ) . I t u l l r l n a t n u o f c u n l d h u t o l I n I h u u a n w . w r u l u l l d a l u , I r l d I l w 1 u i u I wl a m i l l u l r u l a l l o n n l l i p , u n l u r " n u t a p p l l c a l i i a " I n I l l s r u l a l l o n u l d p c u l u r l m .

SCI I I _ nUt _ cI 1 4ONETARY

( I I u v . I X ) H l 7 ) I I i ECE I l ' 1 8f = I 1 : l I E CK 1 1 1 1 8 s o x I FAMENDI NG FORM

s T AT f l OA t 4 0 1 0 A TES NOTH: I F AOD141R I RUTI ON I s RECEDED FROM A8 J AI L PAC ( [ I N I 1 J C A I A C1 1 c ) 1 4 a ) 1 A I A I I I E E ) , I I S l 1 1 1 E PACI D E 1 4 1 1 1 = 1 C A T I O NNUMBERANDT I I E PACGI I ECK N U I A GE I I 1 1 4 T I I E Ol : 1 3 K I N A I E l ) ( Y ) 1 UM11 . A 1 1 1 1 ( OF I l ) I 1 0 1 , 1 1 1 1 : 1 1 : 1 I c i A VA I L A l l l t = I I l l t 1 A 1 1 1 1 : K I V J A EI I T I C S A l l l ) ~ : A M I I A I ( i l 4D I SCLOSUREWAND .CAUTI ON: Se c t i o n e 8B. 3 2 A ( 8 ) , l o ws Coda , p r o h l b l l u l i e u u n u o f I n l u n n u l l o n f : o p l u d hum l u p o l t u a t u l s u t l u mo n l a ( o f u o l l a l l l n p c u n l d l n l l l o n u o ff o r a n y c o m m a r c l a l p u r p o a u I ) y a n y p a r s o n o l l l w Man e l a l u l o r y I w l d l c u l c o n u n l l l u u u .

P a p a 13 '( f o r S c f l o d u l o A)

DATE PAC I D I J UMBER NAME Al i FADDRESS OF CO1 1 T RI R I I T CR RELAT I ONSHI P AMOI I I I T ' I F F OI LRECEI VED ( I l e p p l l o u b l o ) 1 0 CA ND I OA ' f h ' RECE I VED FUND-( MM/ OD / YR ) AND PACCI I ECK ( I I u l t p l l c a l d u ) RA I SERNUMBER I N COME_I D I I j f t i f " u SF l e OF V~L U, I T T ` ( ) ~

c vl e , K OFF FR6w- C~- I I ~/ i ' Cl ~ bC I C I I 1 1 ' 73 g- d we2 vl rGL~ S7~~ c _ / . 7Ft~/ 2 c l < x

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Ironworkers Local 89_9670

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