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FEC Disclosure Form 3 for Forbes for CongressFEC Form 3 for Forbes for Congress

FEC FORM 3

REPORT OF RECEIPTS AND DISBURSEMENTS

For An Authorized Committee

FILING FEC-107152


1. Forbes for Congress

    PO Box 15100
    Chesapeake, Virginia 233285100

    State is Virginia in District: 4

2. FEC Committee ID #: C00365692

3. This report is NOT an AMENDMENT

4. Report Type = YEAR-END

Filed 01/31/2004

SUMMARY PAGE
DETAILED SUMMARY PAGE
Form 3Z-1
Schedule A Filings (ITEMIZED RECEIPTS)
Schedule B Filings (ITEMIZED DISBURSEMENTS)
Schedule D Filings (DEBTS AND OBLIGATIONS)

(End FEC FORM 3)


SUMMARY PAGE

Of Receipts And Disbursements

5. Covering Period 10/01/2003 Through 12/31/2003


Column A
This Period
Column B
Election
Cycle-To-Date
6. Net Contributions (other than loans)
    (a) Total Contributions (other than loans)116151.00453338.06
    (b) Total Contribution Refunds0.000.00
    (c) Net Contributions (6(a) - 6(b)) 116151.00453338.06
7. Net Operating Expenditures
    (a) Total Operating Expenditures51474.85292413.47
    (b) Total Offsets to Operating Expenditures0.008571.35
    (c) Net Operating Expenditures51474.85283842.12
8. Cash on Hand at Close of Reporting Period413351.16
9. Debts and Obligations Owed TO the Committee0.00
    Itemize all on SCHEDULE C or SCHEDULE D
10. Debts and Obligations Owed BY the Committee4557.80
    Itemize all on SCHEDULE C or SCHEDULE D
Treasurer: John G. Selph
Date Signed: 01/31/2004

(End Summary Page, FEC FORM 3)


DETAILED SUMMARY PAGE

Of Receipts And Disbursements


Column A
This Period
Column B
Election
Cycle-To-Date
Column C
Post-Election
I. RECEIPTS
11. Contributions (other than loans) From:
    (a) Individuals/Persons Other than Political Committees
        (i) Itemized79915.00
        (ii) Unitemized16261.00
        (iii) Total Of Contributions From Individuals96176.00238615.060.00
    (b) Political Party Commitees0.0098.000.00
    (c) Other Political Committees (such as PACS)19975.00214625.000.00
    (d) The Candidate0.000.000.00
    (e) Total Contributions (11(a)(iii) + (b) + (c))116151.00453338.060.00
12. Transfers From Other Authorized Committees0.000.000.00
13. Loans
    (a) Made Or Guaranteed By The Candidate0.000.000.00
    (b) All Other Loans0.000.000.00
    (c) Total Loans ((a) + (b))0.000.000.00
14. Offsets to Operating Expenditures (Refunds, Rebates, etc) 0.008571.350.00
15. Other Receipts804.742918.570.00
16. Total Receipts (11(e) + 12 + 13(c) + 14 + 15) 116955.74464827.980.00
II. DISBURSEMENTS
17. Operating Expenditures51474.85292413.470.00
18. Transfers to Other Authorized Committees0.000.000.00
19. Loan Repayments:
    (a) Of Loans Made or Guaranteed by the Candidate0.000.000.00
    (b) Of All Other Loans0.000.000.00
    (c) Total Loan Repayments ((a) + (b)) 0.000.000.00
20. Refunds of Contributions To:
    (a) Individuals/Persons Other Than Political Committees0.000.000.00
    (b) Political Party Committees0.000.000.00
    (c) Other Political Committees (such as PACs) 0.000.000.00
    (d) Total Contribution Refunds (28(a) + (b) + (c)) 0.000.000.00
21. Other Disbursements1000.0023025.000.00
22. Total Disbursements (17 + 18 + 19(c) + 20(d) + 21) 52474.85315438.470.00
III. CASH SUMMARY
23. Cash On Hand At Beginning Of Reporting Period348870.27
24. Total Receipts This Period (line 16) 116955.74464827.980.00
25. Subtotal (23 + 24) 465826.01
26. Total Disbursements This Period (line 22) 52474.85315438.470.00
27. Cash On Hand At Close Of The Reporting Period (25 - 26) 413351.16

(End Detailed Summary Page, FEC FORM 3)


Form 3Z-1

Consolidated Report of Gross Receipts for Authorized Committees
(11 CFR 104.19 Millionaires' Amendment)


Name of Candidate: J. Randy Forbes

Candidate ID: H2VA04052

Report Code: D31

PrimaryGeneral
1. Gross receipts of authorized committees408627.9856200.00
2. Aggregate amount of contributions from personal funds of the candidate0.000.00
3. Gross receipts minus the candidate's personal contributions408627.9856200.00

(End Form 3Z-1, FEC FORM 3)


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