fec received form 3 and disbursements for an authorized...

16
r FEC FORM 3 REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee RECEIVED AH!0:i46 Office Use Only ^^f-tUMAlLCENTER 12FE4M5 n 1. NAME OF COMMITTEE (In full) TYPE OR PRINT Example: If typing, type over the lines. n/liKiKi l^'?|i^l^l^lilVlA|^^l \F\n\N IC.|<?INI/;I^|/:H^.^I i i i i i i i i 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 ADDRESS (number and street) iPi/Oi \l\l\3\ 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 ADDRESS (number and street) i i 1 1 1 1 1 . 1 1 Ill 1 1 1 1 i Ill Check if different than previously reported. (AGO) !Di<?iA/i / iPi/Vi>\iWi 1 1 1 i 1 1 1 1 1 1 IA/,£1 1 i\ 0 3 ii 0 2. FEC IDENTIFICATION NUMBER c oo S i 10 / i CITY STATE 3. IS THIS REPORT y NEW (N) OR AMENDED (A) 4. TYPE OF REPORT (Choose One) (a) Quarterly Reports: April 15 Quarterly Report (Q1) July 15 Quarterly Report (Q2) ^ October 15 Quarterly Report (Q3) January 31 Year-End Report (YE) Termination Report (TER) (b) 12-Day PRE-Election Report for the: Primary (12P) General (12G) Convention (12C) Special (12S) M M / D D / Y Y Y Y Election on (c) 30-Day POST-Election Report for the: General (3GG) Runoff (30R) M M/DD/YYYY Election on ZIP CODE STATE DISTRICT \0i3. Runoff (12R) in the State of Special (30S) in the State of M M/DD/YYYY 5. Covering Period 0 1 O I Jl. O I through M U / n, D / Y Y Y Y, O H 3o A 6 ! H- I certify that I have exam/ned this Report and to the best of my knowledge and belief it is true, correct and complete. Type or Print Name of Treasurer P/LLc! E \S 111 V /I ^ Signature of Treasurer Date yp > 3 ' J a/"^ NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 2 U.S.C. §437g. L FE5AN018 Office Use Only FEC FORM 3 , (Revised 02/2003) j

Upload: others

Post on 19-Apr-2020

4 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: FEC RECEIVED FORM 3 AND DISBURSEMENTS For An Authorized ...docquery.fec.gov/pdf/921/14031302921/14031302921.pdf · r FEC FORM 3 REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized

r FEC

FORM 3

REPORT OF RECEIPTS AND DISBURSEMENTS

For An Authorized Committee

RECEIVED

AH!0:i46 Office Use Only

^^f-tUMAlLCENTER 12FE4M5

n

1. NAME OF COMMITTEE (In full)

TYPE OR PRINT Example: If typing, type over the lines.

n/liKiKi l^'?|i^l^l^lilVlA|^^l \F\n\N IC.|<?INI/;I^|/:H^.^I i i i i i i i i 1

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

ADDRESS (number and street) iPi/Oi \l\l\3\ 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

ADDRESS (number and street)

i i 1 1 1 1 1 . 1 1 Ill 1 1 1 1 i Ill Check if different than previously reported. (AGO) !Di<?iA/i / iPi/Vi>\iWi 1 1 1 i 1 1 1 1 1 1 IA/,£1

1 i\ 0 3

ii 0

2. FEC IDENTIFICATION NUMBER

c oo S i 10 / i

CITY STATE

3. IS THIS REPORT

yNEW (N) OR

AMENDED (A)

4. TYPE OF REPORT (Choose One)

(a) Quarterly Reports:

April 15 Quarterly Report (Q1)

July 15 Quarterly Report (Q2)

^ October 15 Quarterly Report (Q3)

January 31 Year-End Report (YE)

Termination Report (TER)

(b) 12-Day PRE-Election Report for the:

Primary (12P) General (12G)

Convention (12C) Special (12S)

M M / D D / Y Y Y Y

Election on

(c) 30-Day POST-Election Report for the:

General (3GG) Runoff (30R)

M M/DD/YYYY

Election on

ZIP CODE STATE • DISTRICT

\0i3.

Runoff (12R)

in the State of

Special (30S)

in the State of

M M/DD/YYYY

5. Covering Period 0 1 O I Jl. O I through M U / n, D / Y Y Y Y,

O H 3o A 6 ! H-

I certify that I have exam/ned this Report and to the best of my knowledge and belief it is true, correct and complete.

Type or Print Name of Treasurer P/LLc! E \S 111 V /I ̂

Signature of Treasurer Date yp • > 3 ' J a/"^

NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 2 U.S.C. §437g.

L FE5AN018

Office Use Only

FEC FORM 3 , (Revised 02/2003) j

Page 2: FEC RECEIVED FORM 3 AND DISBURSEMENTS For An Authorized ...docquery.fec.gov/pdf/921/14031302921/14031302921.pdf · r FEC FORM 3 REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized

li

1 5 0

2: 9

r FEC Form 3 (Revised 02/2003)

SUMMARY PAGE of Receipts and Disbursements

n Page 2

Write or Type Committee Name

^hLL/yAM

M

Report Covering the Period: From: ^

1 M/DO/Y YYY MM/DO/XY Y YI

7 OJ To: 3 0 <Xo l -H-

COLUMN A This Period

COLUMN B Election Cycle-to-Date

6. Net Contributions (other than loans)

(a) Total Contributions

(other than loans) (from Line 11(e)).... , 1,E3>S.

(b) Total Contribution Refunds (from Line 20(d))

6 ̂ 0 O/ 5 ' 5 • .

(c) Net Contributions (other than loans) (subtract Line 6(b) from Line 6(a))

7. Net Operating Expenditures

(a) Total Operating Expenditures

(from Line 17) , ;<?,/<?

(b) Total Offsets to Operating

Expenditures (from Line 14) 0 ^

1 J •

o ̂ 3 3 •

(c) Net Operating Expenditures (subtract Line 7(b) from Line 7(a))

8. Cash on Hand at Close of Reporting Period (from Line 27)

9. Debts and Obligations Owed TO

the Committee (Itemize all on

Schedule C and/or Schedule D) , (Day

y "5 » ' •

10. Debts and Obligations Owed BY

the Committee (Itemize all on

Schedule C and/or Schedule D) , / ^,S6

For further information contact:

Federal Election Commission 999 E Street, NW

Washington, DC 20463

Toll Free 800-424-9530 Local 202-694-1100

L FE5AN018

J

Page 3: FEC RECEIVED FORM 3 AND DISBURSEMENTS For An Authorized ...docquery.fec.gov/pdf/921/14031302921/14031302921.pdf · r FEC FORM 3 REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized

r FEC Form 3 (Revised 12/2003)

DETAILED SUMMARY PAGE of Receipts

n Page 3

Write or Type Committee Name

SULLiyAN F/iR naNA/iESS

MM/OO/YYYY

Report Covering the Period: From: O "} O I ^ O I To: M M / D D

0^ So <^0/.^

1 I] Q 5 1 3 G 2 9 2 3

I. RECEIPTS

11. CONTRIBUTIONS (other than loans) FROM:

(a) Individuals/Persons Other Than Political Committees (i) Itemized (use Schedule A)

(ii) Unitemized

(ill) TOTAL of contributions from individuals ^

(b) Political Party Committees

(c) Other Political Committees (such as PACs)

(d) The Candidate (e) TOTAL CONTRIBUTIONS

(other than loans) (add Lines 11(a)(iii). (b), (c), and (d))..

12. TRANSFERS FROM OTHER

AUTHORIZED COMMITTEES

13. LOANS: (a) Made or Guaranteed by the

Candidate

(b) All Other Loans

(c) TOTAL LOANS

(add Lines 13(a) and (b))

14. OFFSETS TO OPERATING

EXPENDITURES (Refunds, Rebates, etc.)

15. OTHER RECEIPTS

(Dividends, Interest, etc.)

16. TOTAL RECEIPTS (add Lines 11(e), 12, 13(c), 14, and 15) ^ (Carry Total to Line 24, page 4)

COLUMN A Total This Period

COLUMN B Election Cycle-to-Date

, ./ ^,^7 S, t 111.^- , . y 5,^' /

, / 7 9.^^

c> ̂ J 5 '

5 ) •

7 7

, 3 3.,\

O 5 5 ' •

- O J ) •

, / 0,0 0 0.''^ ,, . / ^,5-^3

o ̂ J J •

• , ./ 0,0 QO.J^ , 7

O ̂ O ^

' J • ? - J "

o ̂ 5 5 •

o ^ 5 J •

L FE5AN018

J

Page 4: FEC RECEIVED FORM 3 AND DISBURSEMENTS For An Authorized ...docquery.fec.gov/pdf/921/14031302921/14031302921.pdf · r FEC FORM 3 REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized

r FEC Form 3 (Revised 02/2003)

DETAILED SUMMARY PAGE of Disbursements

n Page 4

1 A 0

I 1 2 A

II. DISBURSEMENTS COLUMN A Total This Period

17. OPERATING EXPENDITURES

18. TRANSFERS TO OTHER

AUTHORIZED COMMITTEES

19. LOAN REPAYMENTS:

(a) Of Loans Made or Guaranteed

by the Candidate

(b) Of All Other Loans

(c) TOTAL LOAN REPAYMENTS (add Lines 19(a) and (b))

20. REFUNDS OF CONTRIBUTIONS TO:

(a) Individuals/Persons Other Than Political Committees

(b) Political Party Committees

(c) Other Political Committees (such as PACs)

(d) TOTAL CONTRIBUTION REFUNDS

(add Lines 20(a), (b), and (c))

21. OTHER DISBURSEMENTS

22. TOTAL DISBURSEMENTS (add Lines 17, 18, 19(c), 20(d), and 21) ^

tS',1 SI

I S. I^J

a

0^

o ̂

0 ̂

o ̂

0(^

o o

COLUMN B Election Cycle-to-Date

Si-,D S-

1,0 OO

1,0 0 0

3,e &

o

O

d^

o

o

O

III. CASH SUMMARY

23. CASH ON HAND AT BEGINNING OF REPORTING PERIOD.

24 TOTAL RECEIPTS THIS PERIOD (from Line 16, page 3)

25. SUBTOTAL (add Line 23 and Line 24)

26. TOTAL DISBURSEMENTS THIS PERIOD (from Line 22)

27. CAS^H ON HAND AT CLOSE OF REPORTING PERIOD (subtract Line 26 from Line 25)

I 1,0 sg.

I 1,S3

Ig'.l St.

/ ^,7 / 3. o 9.

L FE5AN018

J

Page 5: FEC RECEIVED FORM 3 AND DISBURSEMENTS For An Authorized ...docquery.fec.gov/pdf/921/14031302921/14031302921.pdf · r FEC FORM 3 REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized

SCHEDULE A (PEG Form 3) ITEMIZED RECEIPTS

Use separate schedule(s) for each category of the Detailed Summary Page

FOR LINE NUMBER; (check only one)

PAGE /

11a lib 11c

12 13a .13b

lid

li- MS Any Information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

hAfi-K ^ULLI\/AN FnH A-aNAkEfi 2.

J 0 ? 1 3 G

2: 9 2 E:

Full Name (Last, FIrsL Middle Initial)

^KKOUJ , Mailing Address '

CH state Zip Code

A/£ FEC ID number of contributing c federal political committee.

Name of Employer Occup^lon

&e.H TiSr nn Receipt For:

Primary V General

Other (specify)

Election Cycle-to-Date

. .<XSo.^

Date of Receipt M M y n D / Y y V V

0 7 / / Xo ! f

Amount of Each Receipt this Period

. : ,XSO.

Full Name (Last, First, Middle Initial)

B. Mailing Address

17a OlC £. J—OaJryj KPJ

Uor) iphan

State . Zl(

NX L 3 Code

Prf-rf ?2-FEC ID number of contributing federal political committee. c Name of Employer

Hati \e^ -SorAy/' rc.

Occupation

fc.oh

Date of Receipt

M M / D D / Y y y Y

o e OQ, xo / f

Amount of Each Receipt this Period

,'ioo.y'

Full Name (Last, First, Middle Initial)

Mailing Address

^ laH- P/z City

Orr\a.h^ state

N£ Zip Code

FEC ID number of contributing federal political committee. c Name of Employer Occupation

/A: (vy

Date of Receipt

M M ! D D i V - Y Y • Y

o I Xo / f

Amount of Each Receipt this Period

, .XSo. oo ̂

Receipt For: Primary

Election Cycle-to-Date General

Other (specify) ^ J 6 O Go

SUBTOTAL of Receipts This Page (optional). o

TOTAL This Period (last page this line number only).

FEC Schedule A (Form 3) (Revised 02/2009)

Page 6: FEC RECEIVED FORM 3 AND DISBURSEMENTS For An Authorized ...docquery.fec.gov/pdf/921/14031302921/14031302921.pdf · r FEC FORM 3 REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized

SCHEDULE A (PEG Form 3) ITEMIZED RECEIPTS

Use separate schedule(s) for each category of the Detailed Summary Page

FOR LINE NUMBER: | PAGE ^ OF (check only one)

11a lib 11c 12 13a 13b

lid

14 n 15 Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

hAI^K, Sui^LjyAN

1 A 0

1 3 G

2: 9 2 G

Full Name (Last, First. Middle Initial)

A. 2;ye-rn,., rarJ Maitinn AHHroce ^ Mailing Address '

Po Eo/ City _ ,

Dunn State Zip Code

FEC ID number of contributing federal political committee.

Name of Employer

Receipt For:

Primary Q^eneral Other (specify)

Occupation

1 n Election Cycle-to-Dati

,S8 I • / o

Date of Receipt M ; D 0 / Y V y Y

ol 3 I X6 I i-

Amount of Each Receipt this Period

• , , ."i i-.oS

Full Name (Last, First, Middle Initial)

B. \Nf.ar\i'.ir I nmy Mailing A^ress /

1 f6S \A/ ///ir- n 3-f- A pi 5 0)1 City

pyarir!

' State Zip Code

FEC ID number of contributing federal political committee. c Name of Employer

^-F Occupation

rllre c3r>

Date of Receipt

M M / D O / Y Y Y Y .

7 :^2 3^ I ^

Amount of Each Receipt this Period

s'o.od:

Receipt For: Primary •4

Election Cycle-to-Date General

Other (specify) ,53 f.^ XD Full Name (Last, First, Middle initial)

C. lui / /TO Mailing Address '

/11 XS' ShaJo P)e.r^2 RcJ City 7 state Zip Code

Lfc^JX FEC ID number of contributing federal political committee. c Name of Employer

v./f Occupation

Date of Receipt

M M / o D / • y y y Y

0 <?. 0 5 P-0 / -y-

Amount of Each Receipt this Period

, 3.0 0,

Receipt For:

Primary General Other (specify)

Election Cycle-to-Date

SUBTOTAL of Receipts This Page (optional).

TOTAL This Period (last page this line number only).

FEC Schedule A (Form 3) (Revised 02/2009)

Page 7: FEC RECEIVED FORM 3 AND DISBURSEMENTS For An Authorized ...docquery.fec.gov/pdf/921/14031302921/14031302921.pdf · r FEC FORM 3 REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized

SCHEDULE A (PEG Form 3) ITEMIZED RECEIPTS

Use separate schedule(s) for each category of the Detailed Summary Page

FOR LINE NUMBER: (check only one)

PAGE 3 OFo'

11a lib 11c lid

12 13a 13b 14 Ms Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

hA(^K ^U^LiyAN

1 ^1 0 5

J, 3 Gl

2 91 '•^1 L 1

Full Name (Last, First, Middle Initial)

A. A nc. n Mailing Address

City

2- in<L^<iln. I V

State Zip Code

FEC ID number of contributing federal political committee.

Name of Employer

KLU^T- r\j Receipt For:

Primary fpf" General Other (specify)

Occupation

Date of Receipt M M / D-D / Y V y y

0^11 Xo ! "/-

Amount of Each Receipt this Period

1,0 0 0.

Full Name (Last, First, Middle Initial)

B. Mailing Address '

iH-o^ vj K 31 City

LkkVD T^L^ANJI State

ME Zip Code

)oEEO\ FEC ID number of contributing federal political committee. C

Name of Employer

Al£ D^pio-f Occupation

prc^rtim 3 irccfoi^

Date of Receipt

M M/DD/yyyy

O ^ I i-

Amount of Each Receipt this Period

, . ' \XI 3

Primary Other (specify)

[^( Election Cycle-to-Date

General

,3 ! Full Name (Last, First, Middle Initial)

C. Mailing Address

City State Zip Code

FEC ID number of contributing federal political committee. c Name of Employer Occupation

Date of Receipt

MM / 0 0 / Y y y y

Amount of Each Receipt this Period

Receipt For:

Primary Q General Other (specify)

Election Cycle-to-Date

SUBTOTAL of Receipts This Page (optional).

TOTAL This Period (last page this line number only)

FEC Schedule A (Form 3) (Revised 02/2009)

Page 8: FEC RECEIVED FORM 3 AND DISBURSEMENTS For An Authorized ...docquery.fec.gov/pdf/921/14031302921/14031302921.pdf · r FEC FORM 3 REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized

SCHEDULE B (PEG Form 3) ITEMIZED DISBURSEMENTS

Use separate schedule(s) for each category of the Detailed Summary Page

FOR LINE NUMBER: (check only one)

PAGE OF

17 18 19a

20a 2ab 20c

19b

21

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMrrrEE (In Full)

SUI^LI\JAN

1 4 Q

1 3 Q

9 2 8

Full Name (Last, First, Middle Initial)

A. hULi.l AAN KATr Mailing Address

/111 £. .2^^ Si City

na s state

Nd. Purpose of Disbarsement

rr c,6NSnUi-r!N r.

Zip Code

Candidate Name

Office Sought:

State: N t.

LLIKJ A Kl vK House Disbur;

DO } Category/

Type House

Senate

President

District: Q 3

Disbursement For Primary General Other (specify)

Date of Disbursement

M . / 0' 0 /' V Y Y V

^ s. • ^ .! "f. Amount of Each Disbursement this Period

5".. ̂

Full Name (Last, First, Middle Initial)

B.

Mailing Address

City State Zip Code

Purpose of Disbursement

Candidate Name Category/ Type

Date of Disbursement

• M M / D D . Y • V • Y Y

/Vmount of Each Disbursement this Period

Office Sought:

State:

House Senate President

Disbursement For Primary General

Other (specify)

District:

Full Name (Last, First, Middle Initial)

C.

Mailing Address

City State Zip Code

Purpose of Disbursement

Candidate Name Category/ Type

Date of Disbursement

M ' ' M ; O D / Y ' Y V Y

Amount of Each Disbursement this Period

Office Sought:

State:

House Senate President

District:

Disbursement For Primary General Other (specify)

SUBTOTAL of Disbursements This Page (optional). .s 8- 5. e a.

TOTAL This Period (last page this line number only).

FE5AN018 FEC Schedule B (Form 3) (Revised 02/2009)

Page 9: FEC RECEIVED FORM 3 AND DISBURSEMENTS For An Authorized ...docquery.fec.gov/pdf/921/14031302921/14031302921.pdf · r FEC FORM 3 REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized

SCHEDULE B (PEG Form 3) ITEMIZED DISBURSEMENTS

Use separate schedule(s) for each category of the Detailed Summary Page

FOR LINE NUMBER: (check only one)

PAGE OF

17 18 19a 19b

20a 20b 20c 21

Any Information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

Full Name (Last, Rrst, Middle Initial)

Cnos/ Date of Disbursement

.S-, '.A / D c ; 7- V Y V

0 .?. b s A- 0 ! At Mailing AddrAs ^

Date of Disbursement

.S-, '.A / D c ; 7- V Y V

0 .?. b s A- 0 ! At 01^ Statj Zip Code

/IrAn.cl d-slahr! A/AT Amount of Each Disbursement this Period

OO^ . Purpose of Disbursement

C^eirr\p/i nr\/i Ae. r 161 Lc: 6 P If Category/

Type

Amount of Each Disbursement this Period

OO^ .

Candidate Nkme v_/ ^

A ̂ r\, 6 P If Category/

Type

Amount of Each Disbursement this Period

OO^ .

1 4 0

Senate

President H Primary "v'j General

i Other (specify)

Full Name (Last, First, Middle Initial)

2: B. Date of DIsbursemeilt

r.;' M / • Li 0 -• V V Y

2' Mailing Address

i\

Date of DIsbursemeilt

r.;' M / • Li 0 -• V V Y

City State Zip Code Amount of Each Disbursement this Period

Purpose of Disbursement

Category/ Type

Amount of Each Disbursement this Period

Candidate Name Category/ Type

Amount of Each Disbursement this Period

Office Sought:

State:

House

Senate

President

Disbursement For: Primary

Other (specify)

General

District:

Full Name (Last, Rrst, Middle Initial)

C,

Mailing Address

City State Zip Code

Purpose of Disbursement

Candidate Name Category/ Type

Date of Disbursement

. U i , O O ' i • V V Y Y

Amount of Each Disbursement this Period

Office Sought:

State:

House

Senate

President

Primary

Other (specify)

General

District:

SUBTOTAL of Disbursements This Page (optional). 00^

TOTAL This Period (last page this line number only).

FESAN018 FEC Schedule B (Form 3) (Revised 02/2009)

Page 10: FEC RECEIVED FORM 3 AND DISBURSEMENTS For An Authorized ...docquery.fec.gov/pdf/921/14031302921/14031302921.pdf · r FEC FORM 3 REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized

SCHEDULE B (PEG Form 3) ITEMIZED DISBURSEMENTS

Use separate schedule(s) for each category of the Detailed Summary Page

FOR LINE NUMBER: (check only one)

PAGE OF

17 18 19a 20a 20b 20c

19b 21

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

MAg/< SULI-I\JAN Full Name (Last, First, Middle Initial)

k K\j N RaJin Mailing Address

City

^k: (?„.)/ / state Zip Code

Purpose of Disbursement ^

raaio /A a !s ! a Oof Category/

Type

Candidate Name V

Mark. ^eA}li\/an

Oof Category/

Type

Date of Disbursement

MM/OD/ YYYY

0 ^ 17 J.0 I ^

1 4 Q

1 3 0

2;

Amount of Each Disbursement this Period

L.,7 3'5:

Office Sought:

State: t-

/House Senate President

District: Q N3

Disbursement For: Primary [^^eneral Other (specify)

9

1

Full Name (Last, First, Middle Initial)

B. knrr FM Date of Disbursement

Mailing Address

t-'f- H-ih ; 7'ih) k

City

Purpose of Disbursement ry irseme

State Zip Code

5-2, Amount of Each Disbursement this Period

Irc^cJlo ndidate Name >J Candidate I

U>~k

state:

ice Sought:

Al£

oo f Category/

Type

1,0 ^

House Senate President

Disbursement For:

Primary

District: 0 3

0 General

Other (specify)

C.

Full Name (Last, First, Middle Initial)

Ai R ^ ^ArWn Mailing Address <-> r-i

3 5-3A Ave. ] PO S/Ok: City ' State ' Zip Code

Date of Disbursement

M M, / D D I I Y Y Y

/ 7 ^6 ! ^

Purpose of Disbursement

State Zip Code

Candidate tAtjln / n f

lidate Name yj

Office Sought:

State: Ai ^

House

Senate

president

District: ^

Disbursement For: Primary

Amount of Each Disbursement this Period

OOy

Oof Category/

Type

J ! O.

0 i2 General Other (specify)

SUBTOTAL of Disbursements This Page (optional). .^,55 1:^

TOTAL This Period (last page this line number only).

FE5AN018 FEC Schedule B (Form 3) (Revised 02/2009)

Page 11: FEC RECEIVED FORM 3 AND DISBURSEMENTS For An Authorized ...docquery.fec.gov/pdf/921/14031302921/14031302921.pdf · r FEC FORM 3 REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized

SCHEDULE C (PEG Form 3) LOANS

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OF

FOR LINE NUMBER: (check only one) 13a

13b

NAME OF COMMITTEE (In Full)

MAIl^^ AULLI\IAt4 FOR. LOAN SOURCE Full Name (Last, First, Middle Initial)

Mailing Address

City Stat.

Election:

Primary

General

Other (specify) ^

Original Amount of Loan Cumulative Payment To Date Balance Outstanding at Close of This Period

TERMS Date Incurred Date Due Interest Rate Secured:

MM/DD/ YYYY MM/OD/YY YY

. % (apr) Yes No

List All Endorsers or Guarantors (if any) to Loan Source

1. Full Name (Last, First, Middle Initial) Name of Employer

Mailing Address Occupation

City State ZIP Code

Amount Guaranteed Outstanding:

2. Full Name (Last, First, Middle Initial) Name of Employer

Mailing Address Occupation

City State ZIP Code

Amount Guaranteed Outstanding:

3. Full Name (Last, First, Middle Initial) Name of Employer

Mailing Address Occupation

City State ZIP Code

Amount Guaranteed Outstanding:

4. Full Name (Last, First, Middle Initial) Name of Employer

Mailing Address Occupation

City State ZIP Code Amount Guaranteed Outstanding:

SUBTOTALS This Period This Page (optional).

TOTALS This Period (last page in this line only).

Carry outstanding balance only to LINE 3. Schedule D. for this line. If no Schedule D, carry forward to appropriate line of Summary.

FE5AN018 FEC Schedule C (Fortn 3) (Revised 02/2003)

Page 12: FEC RECEIVED FORM 3 AND DISBURSEMENTS For An Authorized ...docquery.fec.gov/pdf/921/14031302921/14031302921.pdf · r FEC FORM 3 REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized

SCHEDULE C-1 (FEC Form 3) LOANS AND LINES OF CREDIT FROM LENDING INSTITUTIONS Federal Election Commission, Washington, D.C. 20463

Supplementary for

Information found on

Page of Schedule C

NAME OF COMMITTEE (In Full)

Al/)^/; SULLIVAN FaK

FEC IDENTIFICATION NUMBER

C 0 OS 1 7 O 1 J

LENDING INSTITUTION |LENDER) Full Name

Amount of Loan

) )

Interest Rate (APR)

% • Mailing Address J

k cite Incur#® i or Established

M

1 M / D D / Y Y Y Y

1 M / D D / Y Y Y Y

City State Zip Code / V Date Du^-^

1 M / D D / Y Y Y Y

1 M / D D / Y Y Y Y

J

1

1 2 9

!

B. If line of credit. Total Outstanding

Amount of this Draw: , , . Balance: J' J

C. 1 (^re other p

No

art! ies secondarily liable for the debt incurred?

Yes (Endorsers and guarantors must be reported on Schedule C.)

A. Has loan been restructured? No ^ Yes If yes, date originally incurred

D. Are any of the following pledged as collateral for the loan: real estate, personal property, goods, negotiable instruments, certificates of deposit, chattel papers, stocks, accounts receivable, cash on deposit, or other similar traditional collateral?

If yes, specify: No Yes

What is the value of this collateral?

Does the lender have a perfected security

interest in it? No Yes

E. Are any future contributions or future receipts of interest income, pledged as

collateral for the loan? No Yes If yes, specify: What is the estimated value?

A depository account must be established pursuant to 11 CFR 100.82(e)(2) and 100.142(e)(2).

Location of account:

Date account established: M M / D D / Y

Address:

City, State, Zip:

F. If neither of the types of collateral described above was pledged for this loan, or if the amount pledged does not equal or exceed the loan amount, state the basis upon which this loan was made and the basis on which it assures repayment.

G. COMMITTEE TREASURER

Typed Name DATE MM/DO /YYVV

Signature

DATE MM/DO /YYVV

H. Attach a signed copy of the loan agreement.

TO BE SIGNED BY THE LENDING INSTITUTION: I. To the best of this institution's knowledge, the terms of the loan and other information regarding the extension of the loan

are accurate as stated above. II. The loan was made on terms and conditions (including interest rate) no more favorable at the time than those imposed for

similar extensions of credit to other borrowers of comparable credit worthiness. III. This institution is aware of the requirement that a loan must be made on a basis which assures repayment, and has

complied with the requirements set forth at 11 CFR 100.82 and 100.142 in making this loan.

AUTHORIZED REPRESENTATIVE

Typed Name

Signature Title

DATE M M /

FE5AN018 FEC Schedule 0-1 (Form 3) (Revised 02/2003)

Page 13: FEC RECEIVED FORM 3 AND DISBURSEMENTS For An Authorized ...docquery.fec.gov/pdf/921/14031302921/14031302921.pdf · r FEC FORM 3 REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized

SCHEDULE D (PEG Form 3) DEBTS AND OBLIGATIONS Excluding Loans

(Use separate schedule(s)

for each numbered line)

PAGE OF

FOR LINE NUMBER: (check only one) 9

10

NAME OF COMMITTEE (In Full)

1 A Q

], '£ G

3

City State

POMlPHAN ALt

A. Full Name (Last, First, Middle Initial) of Debtor or Creditor

tAatk •s9)ulh\/a.. LZk_

Nature of Debt (Purpose):

Mailing Address

90S" H\fjv :L Zip Code

Outstanding Balance Beginning This Period

O O O .

Amount Incumed This Period Payment This Period

I 0,0 o o. o

Outstanding Balance at Close of This Period

O I 1 ^ ^ oo^ , ! X,Soo. B. Full Name (Last, First, Middle Initial) of Debtor or Creditor

Mailing Address

City State Zip Code

Nature of Debt (Purpose):

Outstanding Balance Beginning This Period

> j "

Amount Incurred This Period Payment This Period Outstanding Balance at Close of This Period

C, Full Name (Last, First, Middle Initial) of Debtor or Creditor

Mailing Address

City State Zip Code

Nature of Debt (Purpose):

Outstanding Balance Beginning This Period

J J •

Amount Incumed This Period Payment This Period Outstanding Balance at Close of This Period

1) SUBTOTALS This Period This Page (optional).

2) TOTALS This Period (last page this line number only).

3) TOTAL OUTSTANDING LOANS from Schedule C (last page only)..

4) ADD 2) and 3) and carry forward to appropriate line of Summary Page (last page only)

/ 0.

3

/ ^,5-0 O.

o ̂

O o.

FEC Schedule D (Form 3) (Revised 02/2003)

FE5AN018

Page 14: FEC RECEIVED FORM 3 AND DISBURSEMENTS For An Authorized ...docquery.fec.gov/pdf/921/14031302921/14031302921.pdf · r FEC FORM 3 REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized

FEC FORM 3Z (File with Form 3) CONSOLIDATION REPORT OF RECEIPTS AND DISBURSEMENTS (To Be Used By A Principal Campaign Committee)

Name of Principal Campaign Committee (In Full)

tAKe-K SU.LLIVAN

Pof. tONt^ESS

Report Covering Period: From;

MM;DD/YYVY

0 1 0 ! J i-

To:

M M / D 0 ' / Y Y Y Y

o'f 3(3 Xoz-i-

Committee Name

(a) Line No. 11 (a)

Total Contributions From Indiv./Persons Other Than

Political Committees

(b) Line No. 11(b)

Total Contributions From Political Party

Committees

A 1^33.25 0^

B Column Total Last Page 0 nlv 3X,n^.Xf 0^ B Column Total Last Page 0 3X,n^.Xf 0^

(c) Line No. 11(c)

Total Contributions From Ottier Political

Committees

(d) Une No. 11(d)

Total Contributions From The Candidate

(e) Line No. 11(e)

Total Contributions

(f) Line No. 12

Total Transfers From Other Authorized

Committees

(g) Line No. 13(a)

Total Loans Made or Guaranteed by the Candidate

(h) Line No. 13(b)

Total All Other Loans

A 0^ 18 3^,3 5 0^ lo^ooo.oo 00^

B 0^ n^.Xf 0^ (TOO, 00 0^

(i) Line No. 13(c)

Total Loans

G) Line No. 14

Total Offsets to Operating

Expenditures

(k) Line No. 15

Total Other

Receipts

(1) Line No. 16

Total Receipts

(m) Line No. 17

Total Operating

Expenditures

(n) Line No. 18

Total Transfers to Other Authorized

Committees

A ! 0,000. oo 0^ 0^ /7, 835.35 181.00 0^

B 5Oo,0d 0^ cy fH-, ^ 7 0^ (0)

Line No. 19(a) Total Loan Repayments

of Loans Made or Guaranteed by Ttie Can­

didate

(P) Line No. 19(b)

Total Loan Repayments of All Other Loans

(q) Line No. 19(c)

Total Loan Repayments

(r) Line No. 20(a)

Total Contribution Refunds to

Individuals/Persons

(S)

Line No. 20(b) Total Contribution Refunds to Political Party Committees

(t) Une No. 20(c)

Total Contribution Refunds to Other

Political Committees

A 00^ 00^ 0^ fOO/

B 00^

/,ooo.oo 1,000,00 0^^ 00^

(u) Line No. 20(d)

Total Contribution

Refunds

(V)

Line No. 21 Total Other

Disbursements

(w) Line No. 22

Total Disbursements

(X)

Line No. 23 Cash on Hand Beginning of

Reporting Period

(y) Line No. 27

Cash on Hand Close of

Reporting Period

(z) Une No. 9

Debts & Obligations Owed TO the

Committee

A 0^ 0^ /f", 18 hoo /7, OS8. It /4, 7/3 .oc, OOy'

B 0^ 00^

(aa) Line No. 10

Debis & Obligations Owed BY ttie

Committee

(bb) Line No. 6(c)

Net Contributions

(cc) Line No. 7(c) Net Operating Expenditures

A 5 00-OO 7, 18, m. 00

B /p., soo.oo 0 i-5, XOi

FE5AN018 FEC Form 3Z (Revised 02/2003)

Page 15: FEC RECEIVED FORM 3 AND DISBURSEMENTS For An Authorized ...docquery.fec.gov/pdf/921/14031302921/14031302921.pdf · r FEC FORM 3 REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized

u

3 O w ^ O W

ti <U

;= § 3=3

(11 ®

£ @ V (A o; •J S Q.

O '•5 TO «, ex.' <D a. > ® X

• M 1^ ®

< « 5 >•.•2 ^ " 5 sT Q > TO " "o Q

C 0)

tJUi TO TO

• M 1^ ®

< « 5 >•.•2 ^ " 5 sT Q > TO " "o Q

un Ic 4—*

TO2 C/) 5

• M 1^ ®

< « 5 >•.•2 ^ " 5 sT Q > TO " "o Q (P c "O

*< S ̂ a» o e to 3

s •= o O

2 5 «N *-•' O

M

3 CO m 5 (/)(/) 1/) c C/1 c/> C/» CO 0.0.0. o a. a. a. a. 3 3 3 o 3 3

V •O • H

lO lA

0 lA

c 01 E 3. w o

"O M

i/i

o.

.<

RECEIVtri

?i|l)OCT II. flMiO-to

f'EC MAIL CEHTEi,

u> V o> lO

I

CO CO

S o u

CO CO

CM

O

<r ® skco ^ _|"3 lu uj'-^ ze atoo; zoo . Q

sSSco^ ^ I u.O^ SCMU-CCCO UJOOOfO —

£^CO55

ii<ii

2io 0 1-2 ̂ a o (_ rp^ ^ UJUJ CS ^ —Jill —

1 "JtnS rr _l I- ̂ a><co S <ooc -CO

o s3-"'"'Ier

M§is X CO

£ s • en Q.

(A •> r>. 00 tn I

rg •> o o CO

® f/t a. 3

a. I

o o 00

CO c I

CM

AS

OC 5

9

as CO

m CO

XM p • a

col o

I OC

.1^: •

•s ^ I .E|| ro t •£ c T3 w O c 2i u fo € >. ^ 00

fo ® 'S S S 5 a; fc e

S s ii S ai B £

•E .i"! S ~ 3

: 8 = :<s s il o-g !• ™ 5:« i a = =

i i»o i" g S-i I -o ^ c

;; tc io 2«

•S . OJ

E

i|i U > *0

° g-S 1 ii=

OJ

E •

o gj .y

03

: u is E-g S J irt Tj U fO ^ O „ CO •S .2 •-»_ *0 "S O ^ s

"s .y .9-

m _g «,r

s;s 33

o' —

>5° s" £ I

Si

§ _. M-s <u C »- o o Q

S E E a

CL o Q) >

_ £• s

aS — ro •o a -s-e !i E s i o» E ^ o

•i= ^ •= o ^

%A f/i Q)

E S 03 ID *3

= S's;

S o S "u

S O

•p §.

/

.1 2 C.O *- S 2. S-

ro <->

•c t ••s 3 S o-E o iS r

i °-s ! o o; I 00 .a

E ~Si S 03 o S S£

:§• K 8 iS i" r=

1 I lA A I A f— S 03 ^ .2 JO ^ e

^ . Q « 3 03 u

I-

O To g

i| ll ° 2 i-i. 3L2

JS

§i a. E

_ 03 _ 03 .2 ^ — ro

C 03 ro ' ro g trt JA

11^ i£ 3; s £ > <U 3 S. 00 o-

•2 1^ 115

°2 io =

w«^® O I

5Si £T ^5 oz Eg o>

"3 I CO

""CC •:« oS

P w s s

SI

O s.§ (D

si ^2

•3 "*— -

c o CJ (U

4-3 •C TO

vt 'a. TO 'TO (U E (0. _o TO TO > c TO

4-> O' C TO

» Q) >

4-> O' C TO o

Ic •B .o 4-1 •g fU

00 •g a..

c UP •2 'cA o 3 >N

a "O

c o.

•JO c (A

0) c: «/) o

TO o c

'«S3 VJ 3. *4-

TO a CA

Q. TO Q.

•£ ' o

c TO (A

TO 4-p3 3 U TO 3 0^ k.

3 TO TO TO

Qi C/^

100.

•— . "S tJ« ^ s ̂ <u > w 5= -o cu

i! <u

# o ̂

s s

_2 (J Si e TO u

TO TO Is C O.

CU 00 C i/> 1 =

03 03

^ E E O

o • ̂ m vo U 03 o

•> c

3 -O TO

TO TO O. _o

j/i to Q.

.O TO

_C TO > C

ZS "TO TO lA

c 3 CA 44

TO TO O TO

CJ 44 a.

c *3 (A E

o .k_ TO 3 X '»A a. TO

'TO t— o-TO 3 O Q O- Li.

<*= u

_g £ TO -O

E TO .i2 a>

n? "TO

1

li »1

o

•-» z. p? ^ Q-

o o T- CO

®

3 s

I I

•E L3 I S •| i/>

TO

Page 16: FEC RECEIVED FORM 3 AND DISBURSEMENTS For An Authorized ...docquery.fec.gov/pdf/921/14031302921/14031302921.pdf · r FEC FORM 3 REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized

Federal Election Commission ENVELOPE REPLACEMENT PAGE FOR INCOMING DOCUMENTS

The FEC added this page to the end of this filing to indicate how it was received.

Date of Receipt Hand Delivered

Postmarked USPS First Class Mail

Postmarked (R/C) USPS Registered/Certified

Postmarked USPS Priority Mail

Postmarked USPS Priority Mail Express

Postmark Illegible

No Postmark

\/

/ Shipping Date Overnight Delivery Service (Specify):

Next Business Day Delivery

Date of Receipt Received from House Records & Registration Office

Date of Receipt Received from Senate Public Records Office

Date of Receipt Received from Electronic Filing Office

Date of Receipt or Postmarked Other (Specify):

^ tolifh-f P)REPARER DATE PREPARED (8/2013)