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04/15/2014 14 : 06
Image# 14960709095PAGE 1 / 139REPORT 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 1 139 is a tax form used for reporting income and expenses for a specific tax year.
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