4043 screenshots_Revised April 2021

Reportable Events

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1212-0013 can be found here:

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Evidence of any amount paid related to the missed contribution (cancelled check, wire transfer, asset statement)

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File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author	Cibinic Stephanie
File Modified	0000-00-00
File Created	2021-08-02