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07/15/2014 22 : 27
Image# 14961633609PAGE 1 / 65REPORT 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 165 is a form used to report information related to certain tax matters for individuals, estates, and trusts.
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