HomeMy WebLinkAboutKay KT Jacobs- Final Report(A
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Name of candidate, committee or corporation
Office sought or ballot guestion (t 7f Citot,rlt<
CAMPAIGN FINANCIAL REPORT
(Atl ol the in this rcport is
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Candidate report
campaign committee repon
Association or corporation report
Final report
Disrrict ( 0a adtu* 4 l/filqr
Period of time covered by report:Type of
report
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?cX?sI CONTRIBUTIONS RECEIVED
Give the total for all contributions received during the period of time covered by this report. Contributions should be listed by type
{rnoney or in-kind) rather than ccntributor. See note on contribution limits on the back of this form. Use a separate sheet to itemize ail
contributions from a single source that exceeded 5100 during the calendar year. This itemization must include name, address, employer
or occupation if self-employed, amount and date for the5e contributions.oo-aE TOTAL CASH-ON.HAND S 7tt DdCA5H S
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TOTAL AMOUNT RECEIVED =
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DISBURSEMENTS
lnclude the amount, date and purpose for all disbursements made during the period of time covered by report.
Attach additional sheets if necessary.
Dote Amount
tl
TOTAL
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CORPORATE PROJECT EXPENDITURES
Corporations must list any media project or corporate mesgage project for which contribution(s) or expenditure(s) totai
more than 5200. Subrnit a separate repoft for each project. Attach additional sheets if necessary.
Project title or description
Dote Purpose Nome ond Address
of Recipient
Expenditure or
Contribution
Amount
TOTAL
I ceftify thar this is a full and true statement.
Signature Date
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7 )1) 1, i(,' /e mair (if avaitaorcl 4,"i R r/ 4 c.1.1 ePrinted
Address
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