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10/29/2015 15 : 31 Image# 201510299003253513 PAGE 1 / 58 REPORT OF RECEIPTS AND DISBURSEMENTS FEC FORM 3X For Other Than An Authorized Committee OFCE Use Only 1. TYPE OR PRINT NAME OF COMMITTEE (in
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Page 1 58 is a specific form used for reporting financial information.
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Individuals and businesses with certain financial transactions may be required to file page 1 58.
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