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07/15/2014 23 : 15 Image# 14961636792 PAGE 1 / 16 REPORT OF RECEIPTS AND DISBURSEMENTS FEC FORM 3 1. For An Authorized Committee NAME OF COMMITTEE (in full) OFCE Use Only Example: If typing, type
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0715 23 15 image is a tax form used for reporting certain information to the tax authorities.
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