DEBT SETTLEMENT PLAN
NAME OF COMMITTEE
ADDRESS
CITY, STATE AND ZIP CODE
FEC I.D. NUMBER
PART I -- COMMITTEE SUMMARY INFORMATION
1. CASH ON HAND AS OF __________________ 2. TOTAL ASSETS TO BE LIQUIDATED 3. TOTAL (ADD 1 AND 2) 4. YEAR TO DATE RECEIPTS 5. YEAR TO DATE DISBURSEMENTS 11. IS THE COMMITTEE TERMINATING ITS ACTIVITIES? YES NO IF YES, WHEN DOES THE COMMITTEE EXPECT TO FILE A TERMINATION REPORT? IF NO, COMMITTEE IS NOT ELIGIBLE TO FILE A DEBT SETTLEMENT PLAN (SEE INSTRUCTIONS). 6. TOTAL AMOUNT OF DEBTS OWED BY THE COMMITTEE 7. TOTAL NUMBER OF CREDITORS OWED 8. NUMBER OF CREDITORS IN PART II OF THIS PLAN 9. TOTAL AMOUNT OF DEBTS OWED TO THE CREDITORS IN PART II OF THIS PLAN 10. TOTAL AMOUNT TO BE PAID TO CREDITORS IN PART II OF THIS PLAN
12. IF THIS IS AN AUTHORIZED COMMITTEE, DOES THE CANDIDATE HAVE OTHER AUTHORIZED COMMITTEES? YES NO IF YES, LIST BELOW.
13. DOES THE COMMITTEE HAVE SUFFICIENT FUNDS TO PAY THE TOTAL AMOUNT INDICATED IN THIS PLAN? YES NO IF NO, WHAT STEPS WILL BE TAKEN TO OBTAIN THE FUNDS?
14. HAS THE COMMITTEE FILED PREVIOUS DEBT SETTLEMENT PLANS? YES NO
15. AFTER DISPOSING OF ALL THE COMMITTEE`S DEBTS AND OBLIGATIONS, WILL THERE BE ANY RESIDUAL FUNDS? YES NO IF YES, HOW WILL THE FUNDS BE DISBURSED?
I certify, to the best of my knowledge, that the information contained in this Debt Settlement Plan is true, correct and complete.
SIGNATURE OF TREASURER OF COMMITTEE
FE1AN061.PDF
DATE
FEC FORM 8
(Revised 1/2001)
DEBT SETTLEMENT PLAN
PART II
NAME OF COMMITTEE FEC I.D. NUMBER PAGE OF
CREDITOR SUMMARY INFORMATION
(FILL OUT FOR EACH CREDITOR IN PLAN) FULL NAME AND MAILING ADDRESS OF CREDITOR DATE INCURRED AMOUNT OWED TO CREDITOR AMOUNT OFFERED IN SETTLEMENT
TYPE OF CREDITOR: INCORPORATED COMMERCIAL VENDOR UNINCORPORATED COMMERCIAL VENDOR CANDIDATE COMMITTEE EMPLOYEE OTHER INDIVIDUAL
A. TERMS OF THE INITIAL EXTENSION OF CREDIT AND NATURE OF THE DEBT
B. EFFORTS MADE BY THE COMMITTEE TO PAY THE DEBT
C. STEPS TAKEN BY THE CREDITOR TO COLLECT THE DEBT
CREDITOR SECTION
(TO BE FILLED OUT BY CREDITOR) D. WAS THE EFFORT MADE BY THE CREDITOR TO COLLECT THE DEBT SIMILAR TO OTHER DEBT COLLECTION EFFORTS AGAINST NONPOLITICAL DEBTORS? YES NO IF NO, PLEASE EXPLAIN
E. ARE THE TERMS OF THE DEBT SETTLEMENT COMPARABLE TO OTHER SETTLEMENTS MADE BY THE CREDITOR WITH OTHER NONPOLITICAL DEBTORS? YES NO IF NO, PLEASE EXPLAIN
As a representative of the creditor, I hereby accept the settlement offer made to me by the committee and upon payment agree to consider the debt satisfied (or attach a copy of the signed settlement).
SIGNATURE OF CREDITOR OR REPRESENTATIVE
FE1AN061.PDF
DATE
DEBT SETTLEMENT PLAN
PART III
NAME OF COMMITTEE FEC I.D. NUMBER PAGE OF
LIST REMAINING DEBTS
A. FULL NAME, MAILING ADDRESS AND ZIP CODE OF CREDITOR AMOUNT OWED TO CREDITOR AMOUNT EXPECTED TO PAY/OFFER
TYPE OF CREDITOR:
INCORPORATED COMMERCIAL VENDOR COMMITTEE EMPLOYEE
UNINCORPORATED COMMERCIAL VENDOR OTHER INDIVIDUAL
CANDIDATE
IS THIS A DISPUTED DEBT?
YES
NO AMOUNT OWED TO CREDITOR AMOUNT EXPECTED TO PAY/OFFER
B. FULL NAME, MAILING ADDRESS AND ZIP CODE OF CREDITOR
TYPE OF CREDITOR:
INCORPORATED COMMERCIAL VENDOR COMMITTEE EMPLOYEE
UNINCORPORATED COMMERCIAL VENDOR OTHER INDIVIDUAL
CANDIDATE
IS THIS A DISPUTED DEBT?
YES
NO AMOUNT OWED TO CREDITOR AMOUNT EXPECTED TO PAY/OFFER
C. FULL NAME, MAILING ADDRESS AND ZIP CODE OF CREDITOR
TYPE OF CREDITOR:
INCORPORATED COMMERCIAL VENDOR COMMITTEE EMPLOYEE
UNINCORPORATED COMMERCIAL VENDOR OTHER INDIVIDUAL
CANDIDATE
IS THIS A DISPUTED DEBT?
YES
NO AMOUNT OWED TO CREDITOR AMOUNT EXPECTED TO PAY/OFFER
D. FULL NAME, MAILING ADDRESS AND ZIP CODE OF CREDITOR
TYPE OF CREDITOR:
INCORPORATED COMMERCIAL VENDOR COMMITTEE EMPLOYEE
UNINCORPORATED COMMERCIAL VENDOR OTHER INDIVIDUAL
CANDIDATE
IS THIS A DISPUTED DEBT?
YES
NO AMOUNT OWED TO CREDITOR AMOUNT EXPECTED TO PAY/OFFER
E. FULL NAME, MAILING ADDRESS AND ZIP CODE OF CREDITOR
TYPE OF CREDITOR:
INCORPORATED COMMERCIAL VENDOR COMMITTEE EMPLOYEE
UNINCORPORATED COMMERCIAL VENDOR OTHER INDIVIDUAL
CANDIDATE
IS THIS A DISPUTED DEBT?
YES
NO
DOES THE COMMITTEE HAVE SUFFICIENT FUNDS TO PAY THE REMAINING AMOUNTS TO BE PAID OR OFFERED? YES NO IF NO, WHAT STEPS WILL BE TAKEN TO OBTAIN THE FUNDS?
FE1AN061.PDF