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Taylor, Thomas W. CAMPAIGN FINANCIAL DISCLOSURE STATEMENT For State and Local Candidates Tor Single-Candidate Committees 1. DATE OF REPORT 2.a. NAME OF CANDIDATE ORCOMM(TTEE T cv 2 ZD/ s -tam 2.b. IF COMMITTEE, NAME OF CANDIDATE 3. ELECTION DATE ~ a v ~ Z-D 4.a. CAMPAIGN ADDRESS AND PHONE Street or Rural Route city state Zip Code Phone 13 S TAtJLE AJL IMA2 Q c, - f N 80.3 s-9g4-8s8 4.b. CANDIDATE'S HOME ADDRESS (d different than 4.a.) Street or Rural Route city state Zip Code Phone 5. OFFICE SOUGHT (include district number, if applicable) 6. NAME OF POLITICAL TREASURER (may be candidate) MA-(2,Y V ILL-C- C( -ty © rjQ L 7. CATEGORY OR REPORT (Check one) F 11 ~ FIRST SECOND THIRD FOURTH PRE- a MI YEAR YEAR-END QUARTER OLIAR GENc ;VL SUPPLEMENTAL SUPPLEMENTAL 8.a. BEGINNING DATE OF REPORTING PERIOD 8.b. ENDING DATE OF REPORTING PERIOD 9. (Check one) a. [ This campaign is exempt from detailed disclosure because contributions (including in-kind) received total $1,000 or less AND expendi- tures total $1,000 or less for this reporting period. (Complete items 12d., 12e. and 121.) b. ❑ This campaign is required to fie a detailed financial disclosure because contributions (including in4dnd) received total more than $1,000 and/or expenditures total more than $1,000 for this reporting period. 10. Uwe do solemnly swear or affirm that the information contained in this campaign financial disclosure report is true and that this report is an accurate accounting of campaign contributions and expenditures required to be reported by the candidate committee by the Campaign inancal Disclosure Act. Additionally Uwe swear or affirm that no campaign contributions have been expended for the personal financial b efi o e candidat or~orjny other nonpolitical purpose as defined by the federal internal revenue code. O.7- ZL1a/G _ signs of ca id to date signature of political treasurer date 11. WITNESS SIG TORE signature of witness cat ignature of witness date 1 12. SUMMARY a. BALANCE ON HAND LAST REPORT $ b. TOTALRECEIPTSTHISPERIOD y c. TOTAL DISBURSEMENTS THIS PERIOD d. BALANCE ON HAND (12.a. plus 12.b. minus 12.c.) S e. TOTAL LOANS OUTSTANDING $ /tom V L TOTAL OBLIGATIONS OUTSTANDING $ AML 2 ~Ul SS-1109 (Rev. 2/06) n Y' Pape 1 of RDA 1159