HomeMy WebLinkAboutFinal-Eason (2)Printed on recycled paper
Revised 05111/2000
CANDIDATE I FORC/OH FR
DESIGNATION OF FINAL REPORT
The Instruction Guide explains how to complete this form.
s• Complete only if "Report Type" on page 1 is marked "f=inal Report"
1
C/OH NAME
2 ACCOUNT#(EtNcscommissiontiiters)
3
SIGNATURE
I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designating
a report as a final report terminates my campaign treasurer appointment. I also understand that I may not accept any campaign
contributions or make any campaign expenditures without a campaign treasurer appointment on file.
Stature of Candidate i Officeholder
4
FILER WHO IS NOT AN OFFICEHOLDER
•• Complete A & B below only if you are a candidate -�
A. CAMPAIGN FUNDS
Check only one:
0 I do not have unexpended contributions or unexpended interest or income earned from political contributions.
I have unexpended contributions or unexpended interest or income earned from political contributions. i understand that i may not
convert unexpended political contributions or unexpended interest or income earned on political contributions to personal use. I
also understand that I must file an annual report of unexpended contributions and that I may not retain unexpended contributions
or unexpended interest or income earned on political contributions longer than six years after filing this final report. Further, I
understand that I must dispose of unexpended political contributions and unexpended interest or income earned on political
contributions in accordance with the requirements of Election Code, § 254.204.
B. ASSETS
C heck only one:
I do not retain assets purchased with political contributions or interest or other income from political contributions.
I do retain assets purchased with political contributions or interest or other income from political contributions. 1 understand that I
may not convert assets purchased with political contributions or interest or other income from political contributions to personal
use. i also understand that I must dispose of assets purchased with political contributions in accordance with the requirements of
Election Code, § 254.204.
Signature of Candidate
5
OFFICEHOLDER
-• Complete this section only if you are an officeholder ••
I am aware that I remain subject to filing requirements applicable to an officeholder who d s not have a campaign treasurer on file.
gnat o Officeholder
Printed on recycled paper
Revised 05111/2000