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04/11/2014 19 : 24
Image# 14960656116PAGE 1 / 146REPORT 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 1 146 is a form used for reporting certain financial information to the relevant tax authorities.
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