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01/28/2014 22 : 37 Image# 14940137633PAGE 1 / 22REPORT 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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Candidates for federal office, political parties, and political committees that receive or spend above a certain threshold are required to file this report.

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The report must include information on individual contributions, total expenditures, debts, and the names and addresses of donors.

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