GI UNTA ,_ PAGE 01

07/14/2005 11 :42 5635565236"

FOR INSTRUCTIONS, SEE BACK OF FORM

DISCLOSURE SUMMARY PAGE
COMMITTEE NAME (Must be same as on Statement o(Organ)JANnn)

~OVhM ,U ~~r)onls Ale09s of IfMktI(h Z0c11L.7)/0

#9a~E Ful~A . 10
IMPORTANT, Indicate by it type of committee you are reporting for, L2
( 1 )StatemdelLegislativel-ludge Standing for Retention Candidate ( 7 )State PAC ( 3 )Stale Party
( a )County Central Committee ( 5 )County Candidate, (it JCay Carndid to ( 7 )School Board or Other
PoIttleot Subdivision Candidate ( 8 )Courtly PAC (S )City PAC t. .lo )5~hool doe rd or Other PolitiCal
Subdivision PAC t11 ) Local Ballot ISSue . A-
CANDIDATE COMMITTEES ONLY : -,
Candidate Name Pc~tcal Party (if applicable)
c1
Late reports are subject to
t

possible civil and criminal

Offloc sought " blstrict (if Senate or House) penalties .

L ~6,¢. 5~3 5SG~5a3~ '7 - ~ -05

SIGNATURE OF\PERSON FILING REPORT TELEPHONE DATE SIGNED

I AM FILING A _~U- V I II 1 REPORT FOR (1) ELECTION 1(2)NON-ELECTION YEAR

(report date) Indicate by It 13

Local Committees, enter Date of Election

UCHECK IF AMENDMENT TO REPORT DATED

C Check if this is final(termination) report and attach Notice of Dissolution Form OR-3 . County 8 Local Committees, enter County in
which Election is held
(You must continue to file reports until a DR-3 is filed .)

STATEMENT OF CASH ON HAND

CASH ON HAND at the beginning of the reporting penod (Total of all funds 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 fret report filed .) . . . . . . . , . . . . . .  . . . $
ADD TOTAL MONEY TAKEN IN THIS PERIOD
Schedule A : Cash Contributions total (Attach Schedule A) ('also see in-kind below) . ., . . .
Schedule F Loans Received total (Attach Schpdlde F) . . .  , . . . . ., . . . . . .
Schedule H Total Sales of Campaign Property (Attach Schedule H) , . . . . . . . . . . . . . . .
(Schedule H applies to Candidates' Committees Onlyl
SUB-TOTAL . . . . . S
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 . . . .  .  . . .  .  . . .  , . .  ,
CASH ON HAND at the end of this reportinp period (if final report halnnr* must
.~s
be zero) (Attach DR-3), . . . . .. . . . . . . .. . S «a

"UNPAID BILLS (From Schedule 0 -Attach Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , .  . . . '' S

"IN KIND CONTRIBUTIONS (From Schedule E -Attach Schedule E) . . . . . . . . . .. . . . .. . . . . . .. . . . . ... . . . . L
"OUTSTANDING LOANS (From Schedule F -Attach Schedule F) . . . . . . . . . . . . . . . . .  , ,_ . . . . . . . . .  . . . . $
CANDIDATE COMMITTEES ONLY :
CONSULTANT BREAKDOWN (Srharltlle C: Attachod9)
VALUE OF CAMPAIGN PROPERTY (From Schedule H - Attach Schedule H) S