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10/15/2014 18 : 51
Image# 14978345296PAGE 1 / 107REPORT 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 1 107 is a form used for reporting certain types of income to the IRS.
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The purpose of page 1 107 is to report specific types of income to the IRS for tax purposes.
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