236                             LAWS OF MARYLAND                      CH. 187]

The following is the form of the report or statement of expendi-
tures and contributions required by this subtitle to be filed:

REPORT OR STATEMENT OF CAMPAIGN AND ELECTION
CONTRIBUTIONS AND EXPENDITURES

Registration No.

to be completed by
Secretary of State

or
Clerk of Court

A. Report:                    B. Report period:

1.—Candidate                 4.—7 days prior to election

day                                    (—P.—G.)

2.—Organization            5.—30 days post election

day                                    (—P.—G.)

3.—Individual                6.—60 days post election

(mark one only)             (if necessary)                     (—P.—G.)

7.—6 month post election

(if necessary)                     (—P.—G.)

8.—1 year post election

(if necessary)                     (—P.—G.)

C.  Date of this report:................................................................................

day          month          year

D.  Candidate, organization, group, individual, or for whom this
report is filed:

Name:......................................................................................................

Address:..................................................................................................

No., Street, City or Post Office, State, Zip Code.

Phone No......................................................

Area Code Number

E.  Party Affiliation:

9.—Name of Party:............................................................................

(e.g., Democrat, Republican)

10.—If nonparty, specify:....................................................................

(e.g., Independent, COPE, Bar Assn., LWV, PTA)

F.  If organization or group, activities of organization filing report
are:

11.—National

12.—State-wide

13.—Congressional District

14.—City (specify)................................................................................

15.—County (specify)..........................................................................

16.—Other (specify)............................................................................