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Amendment <br />at 7 ❑ Ya M No <br />Use this form to report expenditures frnm the commimee for operating expenses, contnNWous to candidatelpnlifical <br />crannnthm-A anrt mipnMitmteA mrty r-Trwm litiuy-e <br />1. ComanttteeFoR Name (and =if a <br />Ili Number <br />Lrrn1;1k,'e— *b �Ejec.- R'...:_. BAOUs OJeIK OF CD�,LRT <br />. Type of Disbursement LPieuse use seixrrato CRO-1310 Loans for each tyre of & bursemer�] <br />U Caar&naaed Party <br />. Payee information <br />U Add U Remove <br />Full Name, Mailing Address & Phone <br />CRY, aftdr, &zip) <br />b. Coordinated Com Otee Name <br />d. Caameatu <br />+' R►N-Ts *77-444 -'7? <br />1 1 G a vywn NBC S {" <br />d 1 ItA V jG 31k;w <br />�cxk�l�asF,, WI 54901 <br />Gbevel [fir) <br />0 Federal 13 County: <br />❑ state ❑ Munic4aW. <br />e. Election Sum to Date <br />$ -, , q�? <br />1 1 <br />Account code <br />& t+ww or PAymaat <br />h. Purpose Code <br />i. male (mruiddlym) <br />. Amount <br />L > *d Remarks <br />�a�` i <br />t4I J r oZ(ja 7 <br />P� n5 <br />a <br />. Payee Information <br />Add U Ren►ove <br />. FOR Name, MmWmg Address & Pbme <br />[ city, .&zip) <br />b. Coordweted Committee Name <br />d. Coammms <br />InPL0 }'"qr C�� CF G'3 i T- UW,V W <br />��►zc , N c a ea r <br />104- -1W--3.j-4.4 <br />e. Level Re� (Sy) <br />Federal 0 Cor w. <br />❑ stm p Mtm cipd , <br />le. Elea don Stem to Mft <br />1 $ 1,110,0 <br />Account Code <br />gr Form of Paywaat <br />h. Purpose Cade . <br />i. Mute (mnbMdlyyyy) <br />j. Amoom <br />k. Required Remsrlrs <br />a <br />0,010 <br />$ 1. <<' <br />�k �CP- <br />1 <br />os 13.�Oas <br />$ j "X' <br />�cax.k sec- <br />. Payee Information <br />E3 Add 0 Remove <br />Fall Name, Maift Address & Phone <br />andade city, state, & sip) <br />h. Coordinated Conmlittee Nanw <br />d. Cow <br />S"MPLES <br />co"Cc cd S*Ve <br />1480 covlcvfr PKW, &L, <br />COO.1001A 1A C r <br />G Level Regider'ed (9peeity) <br />r <br />❑ staw ~❑ Mr v. <br />r-Mcd nSumatoDate <br />$ 58.713 <br />Auer Code <br />&- Form or PAvmN* <br />h. Pm ose cede <br />L Date ( M) <br />j.Anowd <br />It Regalred Remaris <br />� . 9� <br />"1 � ,• r <br />. Total only this Page $ a4ss S�f <br />Total of ALL CRO-1310 Pages <br />M* Une So- - lima I.;a OfDowed SXMWW]r Page CRa-Its ifOp B$> j <br />(M gwa go a iu isa .fib of Ind 5nmmary Pfte CRQ-lId@ ff c,m" tv ---. --Pa cd Caduwl <br />gees in iiwe Me ofDak6md CRI-II®B 11CROVIffientedparft 1knendrhum) <br />. FWpose Codes (List detailed expenditure code in (h.) above) <br />* - Media S* - PABtpng C* - F undiraisiutg D - To Another Candidate <br />Salaries F* - FAPAPMMt G - Politics[ Party H* - Holding Public Office Rqwnm <br />- Postage 7 - penalties H* - Office Fames Q* - Donation to Legal Expense Fund <br />Qtber <br />* Codes renuire detailed exWanation in renuired, remarks field <br />LKV-1.71V NL: State Board of Wections December 2009 <br />