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01/31/2014 21 : 12 Image# 14940316248 PAGE 1 / 76 REPORT OF RECEIPTS AND DISBURSEMENTS FEC FORM 3 1. For An Authorized Committee NAME OF COMMITTEE (in full) OFCE Use Only Example: If typing, type
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Page 1 76 is a form used for reporting income and expenses related to business activities.
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Page 1 76 must be filled out with accurate information regarding income and expenses from business activities.
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The purpose of page 1 76 is to report income and expenses related to business activities for tax purposes.
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Information such as income, expenses, and other relevant financial data related to business activities must be reported on page 1 76.
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