
Committee to Elect David Henkin (X) 2ND PRELIMINARY PRIMARY
P.O. Box 897 ( ) AMENDED ( ) SHORT FORM (11-212)
Kaneohe, HI 96744 ( ) SHORT FORM (11-213) ( ) FINAL
TOTALS
COLUMN A COLUMN B
THIS ELECTION
PERIOD PERIOD
1. Cash on Hand at Beginning of Election Period 0.00
2. Cash on Hand at Beginning of this Reporting Period 0.00
3. Total Receipts with Loans (From line 15) 33422.00 33422.00
4. Subtotal (Add lines 2 and 3 for Column A and Lines 1 and 3 for Column B) 33422.00 33422.00
5. Subtotal Disbursements (From line 21, Column A and B) 9440.22 9440.22
6. Cash on Hand at Closing of this Reporting Period (Subtract Line 5 from Line 4 for 23981.78 23981.78
Columns A and B)
7. Total Loans at the Closing of this Reporting Period 28000.00
8. Total Unpaid Expenditures of this Reporting Period 0.00
9. Debts Owed at Closing of this Reporting Period 28000.00
10. Surplus/Deficit(subtract Line 9 from Line 6) -4018.22
11. Contributions from:
(a) Individuals/Other Entities/Noncandidate Committees/Political Parties
(i) Monetary and Non-Monetary Contributions of $100 or Less 422.00 422.00
(ii) Monetary and Non-Monetary Contributions of More Than $100 1000.00 1000.00
(iii) Subtotal(add lines 11(a)(i)and 11(a)(ii) 1422.00 1422.00
(b) Candidate and Candidate's Immediate Family
(i) Monetary and Non-Monetary Contributions of $100 or Less 0.00 0.00
(ii) Monetary and Non-Monetary Contributions of More Than $100 2000.00 2000.00
(iii) Subtotal(add lines 11(b)(ii)) 2000.00 2000.00
12. Total Contributions (Add Lines 11(a)(iii) and 11(b)(iii)) 3422.00 3422.00
13. Public Funds and Other Receipts 0.00 0.00
14. Loans 30000.00 30000.00
15. Total Receipts (Add Lines 12 through 14) 33422.00 33422.00
DISBURSEMENTS
16. Expenditures 7440.22 7440.22
17. Loans Repaid or Forgiven 2000.00 2000.00
18. Unpaid Expenditures Paid or Forgiven 0.00 0.00
19. Subtotal Disbursements (Add Lines 16 through 18) 9440.22 9440.22
20. Unpaid Expenditures 0.00 0.00
21. Total Disbursements (Add lines 21 through 22 for Columns A and B) 9440.22 9440.22

