SEEC FORM 21 Short For Campin Finance Dissare Siatnent out pens s nsoN Mees cae ware Mkené aligns (sr uped (Rents FEED, \ me | eeu EL RUET. FE STRES fer oth YA nlsevey cr [Aekvo euichovanmnsna nar] « omncesovaur cal comme Doel aOl CMY Contes (srs cs a a 1 fmm Chany pee wimy TAGE ap ig norton winy — ASS lig rientn pee uo yay pedegscin Tenn = nn sds filo eston aia Nowe 1 span Senet Begining Date ding Date Lola ta _ ofA 7faesB —inccnccarion {hereby certify and sate, user penis ff statement the commieenaned above di not eeive contibations a othe: finds ‘rma or nw export ees $1,000 forthe pero covered by this Short Fors Campaign Finance Disclosure Sateen, ‘aaah PLEASE NOTE: ‘Tis ftw not be filed by Paty Commies al Political Commitee formed for Ongoing Poll Activites forthe Jann 10 fling date and the Mh iy precoding an election. For those ing dates, you must wse SEEC Form 20, Wemired Ca Aesth Gielee— by