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01/05/2015 20 : 55
Image# 15950006240PAGE 1 / 87REPORT OF RECEIPTS
AND DISBURSEMENTS FEC
FORM 3
1. For An Authorized Committeeman OF
COMMITTEE (in full)Office Use OnlyExample: If typing, type
over
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Page 1 87 is a form used to report certain financial information.
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The purpose of page 1 87 is to report financial information accurately to the IRS.
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