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05/18/2012 13 : 16 Image# 12951800316PAGE 1 / 40REPORT OF RECEIPTS AND DISBURSEMENTS FEC FORM 3XFor Other Than An Authorized Committee Office Use Only1.TYPE OR PRINTABLE OF COMMITTEE (in full)Example:

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Page 1 40 is a tax form used to report a taxpayer's income, deductions, and credits for the year.

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