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12/04/2014 16 : 52 Image# 14952891975PAGE 1 / 31REPORT 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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Individuals or entities who have been involved in financial transactions or activities that require reporting to the Federal Election Commission.

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The docqueryfecgov pdf 975statement is a financial disclosure form filed with the Federal Election Commission.

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The docqueryfecgov pdf 975statement must report contributions, expenditures, loans, and other financial activities related to federal elections.

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