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  • 8/3/2019 FMC CORPORATION GOOD GOVERNMENT PROGRAM to Portman

    1/37

    FE6AN026

    FEC FORM 3XRev. 12/2004

    Office

    Use

    Only

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

    4. TYPE OF REPORT

    (Choose One)

    (a) Quarterly Reports:

    12-Day Primary (12P) General (12G) Runoff (12R)

    PRE-Election

    Report for the: Convention (12C) Special (12S)

    30-Day

    POST-Election General (30G) Runoff (30R) Special (30S)

    Report for the:

    (b) MonthlyReportDue On:

    Feb 20 (M2) May 20 (M5) Aug 20 (M8)

    Mar 20 (M3) Jun 20 (M6) Sep 20 (M9)

    Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE)

    FEC

    FORM 3X

    REPORT OF RECEIPTS

    AND DISBURSEMENTSFor Other Than An Authorized Committee

    1. NAME OFCOMMITTEE (in full)

    ADDRESS (number and street)

    Check if differentthan previouslyreported. (ACC)

    TYPE OR PRINT

    CITY STATE ZIP CODE2. FEC IDENTIFICATION NUMBER

    5. Covering Period through

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

    Type or Print Name of Treasurer

    Signature of Treasurer Date

    April 15Quarterly Report (Q1)

    July 15Quarterly Report (Q2)

    October 15Quarterly Report (Q3)

    January 31Year-End Report (YE)

    July 31 Mid-YearReport (Non-electionYear Only) (MY)

    Termination Report(TER) in the

    Election on State of

    in the

    Election on State of

    Office Use Only

    C

    3. IS THIS NEW AMENDED

    REPORT (N) OR (A)

    (c)

    Nov 20 (M11)(Non-ElectionYear Only)

    Dec 20 (M12)(Non-ElectionYear Only)

    Example: If typing, typeover the lines.

    (d)

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    12FE4M5

    18

    20004

    10

    Judith H Smeltzer

    Judith H Smeltzer

    2011

    [Electronically Filed]

    C00033704

    PAGE 1 / 37

    201109

    WASHINGTON DC

    FMC CORPORATION GOOD GOVERNMENT PROGRAM

    1101 PENNSYLVANIA AVENUE, NW

    10/20/2011 16 : 0

    Image# 11971747504

    2011

    01 3009

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    FE6AN026

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    M M / D D / Y Y Y Y M M / D D / Y Y Y Y

    Y Y Y Y

    COLUMN B

    Calendar Year-to-Date

    COLUMN A

    This Period

    6. (a) Cash on Hand

    January 1,

    (b) Cash on Hand at

    Beginning of Reporting Period............

    (c) Total Receipts (from Line 19) .............

    (d) Subtotal (add Lines 6(b) and

    6(c) for Column A and Lines

    6(a) and 6(c) for Column B) ...............

    7. Total Disbursements (from Line 31) ...........

    8. Cash on Hand at Close of

    Reporting Period

    (subtract Line 7 from Line 6(d)) .................

    9. Debts and Obligations Owed TO

    the Committee (Itemize all on

    Schedule C and/or Schedule D) ................

    10. Debts and Obligations Owed BY

    the Committee (Itemize all on

    Schedule C and/or Schedule D) ................

    For further information contact:

    Federal Election Commission

    999 E Street, NWWashington, DC 20463

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

    FEC Form 3X (Rev. 02/2003 ) Page 2

    SUMMARY PAGEOF RECEIPTS AND DISBURSEMENTS

    This committee has qualified as a multicandidate committee. (see FEC FORM 1M)

    Report Covering the Period: From: To:

    Write or Type Committee Name

    18582.35

    201110216.11

    11582.35

    7673.48

    0

    2011

    64800.00

    201109

    10908.87

    66166.24

    FMC CORPORATION GOOD GOVERNMENT PROGRAM

    Image# 11971747505

    76382.35

    11582.35

    01 30

    7000.00

    09

    0

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    FE6AN026

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    M M / D D / Y Y Y Y M M / D D / Y Y Y Y

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    Report Covering the Period: From: To:

    COLUMN BCalendar Year-to-Date

    COLUMN ATotal This Period

    11. Contributions (other than loans) From:

    (a) Individuals/Persons Other

    Than Political Committees

    (i) Itemized (use Schedule A)............

    (ii) Unitemized .....................................

    (iii) TOTAL (add

    Lines 11(a)(i) and (ii).................

    (b) Political Party Committees ..................

    (c) Other Political Committees

    (such as PACs)....................................

    (d) Total Contributions (add Lines

    11(a)(iii), (b), and (c)) (Carry

    Totals to Line 33, page 5) ..............

    12. Transfers From Affiliated/Other

    Party Committees........................................

    13. All Loans Received .....................................

    14. Loan Repayments Received.......................

    15. Offsets To Operating Expenditures

    (Refunds, Rebates, etc.)

    (Carry Totals to Line 37, page 5) ...............16. Refunds of Contributions Made

    to Federal Candidates and Other

    Political Committees....................................

    17. Other Federal Receipts

    (Dividends, Interest, etc.) ............................

    18. Transfers from Non-Federal and Levin Funds

    (a) Non-Federal Account

    (from Schedule H3) .............................

    (b) Levin Funds (from Schedule H5) .........

    (c) Total Transfers (add 18(a) and 18(b)) ..

    19. Total Receipts (add Lines 11(d),

    12, 13, 14, 15, 16, 17, and 18(c)) .........

    20. Total Federal Receipts

    (subtract Line 18(c) from Line 19) .........

    DETAILED SUMMARY PAGEof Receipts

    Write or Type Committee Name

    I. Receipts

    FEC Form 3X (Rev. 06/2004 ) Page 3

    7673.48

    7673.48

    0

    0

    0

    0

    0

    0

    66166.24

    2011

    0

    7673.48

    0

    0

    1848.86

    0

    2011

    7673.48

    33212.57

    09

    32953.67

    0

    0

    0

    0

    0

    66166.24

    FMC CORPORATION GOOD GOVERNMENT PROGRAM

    66166.24

    0

    5824.62

    66166.24

    Image# 11971747506

    0

    0

    0

    01 30

    0

    09

    0

    0

  • 8/3/2019 FMC CORPORATION GOOD GOVERNMENT PROGRAM to Portman

    4/37

    FE6AN026

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    , , . , , .

    , , . , , .

    21. Operating Expenditures:(a) Allocated Federal/Non-Federal

    Activity (from Schedule H4)

    (i) Federal Share .............................

    (ii) Non-Federal Share......................(b) Other Federal Operating

    Expenditures .......................................

    (c) Total Operating Expenditures

    (add 21(a)(i), (a)(ii), and (b)) .............

    22. Transfers to Affiliated/Other Party

    Committees.................................................23. Contributions to

    Federal Candidates/Committeesand Other Political Committees.................

    24. Independent Expenditures

    (use Schedule E) .......................................25. Coordinated Party Expenditures

    (2 U.S.C. 441a(d))(use Schedule F)........................................

    26. Loan Repayments Made............................

    27. Loans Made................................................28. Refunds of Contributions To:

    (a) Individuals/Persons OtherThan Political Committees .................

    (b) Political Party Committees .................

    (c) Other Political Committees

    (such as PACs)...................................

    (d) Total Contribution Refunds

    (add Lines 28(a), (b), and (c))...........

    29. Other Disbursements .................................

    30. Federal Election Activity (2 U.S.C. 431(20))

    (a) Allocated Federal Election Activity

    (from Schedule H6)

    (i) Federal Share ................................

    (ii) "Levin" Share.................................

    (b) Federal Election Activity Paid Entirely

    With Federal Funds .................

    (c) Total Federal Election Activity (add ..

    Lines 30(a)(i), 30(a)(ii) and 30(b)) ....

    31. Total Disbursements (add Lines 21(c), 22,

    23, 24, 25, 26, 27, 28(d), 29 and 30(c)) ..

    32. Total Federal Disbursements

    (subtract Line 21(a)(ii) and Line 30(a)(ii)

    from Line 31)..............................................

    COLUMN B

    Calendar Year-to-Date

    COLUMN A

    Total This PeriodII. Disbursements

    DETAILED SUMMARY PAGE

    of DisbursementsFEC Form 3X (Rev. 02/2003 ) Page 4

    0

    0

    0

    0

    64600.00

    0

    0

    7000.00

    0

    200.00

    0

    0

    0

    0

    0

    7000.00

    0

    0

    0

    0

    0

    0

    64800.00

    0

    0

    0

    7000.00

    0

    0

    64800.00

    0

    0

    0

    0

    0

    0

    Image# 11971747507

    0

    0

    0

    0

    0

    0

  • 8/3/2019 FMC CORPORATION GOOD GOVERNMENT PROGRAM to Portman

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    FE6AN026

    , , . , , .

    , , . , , .

    , , . , , .

    , , . , , .

    , , . , , .

    , , . , , .

    COLUMN B

    Calendar Year-to-Date

    COLUMN ATotal This Period

    DETAILED SUMMARY PAGEof Disbursements

    FEC Form 3X (Rev. 02/2003 ) Page 5

    III. Net Contributions/Operating Ex-penditures

    33. Total Contributions (other than loans)

    (from Line 11(d), page 3) ..........................

    34. Total Contribution Refunds

    (from Line 28(d)) ........................................

    35. Net Contributions (other than loans)

    (subtract Line 34 from Line 33) ................

    36. Total Federal Operating Expenditures

    (add Line 21(a)(i) and Line 21(b)) .........

    37. Offsets to Operating Expenditures

    (from Line 15, page 3)...............................

    38. Net Operating Expenditures

    (subtract Line 37 from Line 36) ................

    66166.247673.48

    0

    66166.24

    0

    7673.48

    0

    0

    0

    0

    Image# 11971747508

    0 0

  • 8/3/2019 FMC CORPORATION GOOD GOVERNMENT PROGRAM to Portman

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    FE6AN026

    , , .

    , , .

    , , .

    Aggregate Year-to-Date

    , , .

    C

    , , .C

    , , .

    C

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor 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)

    SUBTOTAL of Receipts This Page (optional)............................................................................

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    Payroll Deduction

    Payroll Deduction

    Payroll Deduction

    ($40.00 Monthly)

    ($60.00 Monthly)

    ($25.00 Monthly)

    40.00

    300.00

    210.00

    60.00

    25.00

    NY

    MA

    61 W 62nd St Apt 21L

    2323 Race St Unit 1009

    10 Stoddard Ln

    225.00

    FMC CORPORATION GOOD GOVERNMENT PROGRAM

    02186-3924Transaction ID : 3404-P15400

    10023-7022

    PAPhiladelphia

    Milton

    New York

    FMC Corporation

    FMC Corporation

    Transaction ID : 3404-P15590

    19103-1089

    Transaction ID : 3404-P15596

    FMC Corporation

    30

    30

    30

    125.00

    6

    Image# 11971747509

    09

    09

    09

    37

    Brennen Arndt

    2011

    2011

    Erick Ask

    2011

    Sara Alekseev

    Financial Auditor Sr.

    Investor Relations Dir

    Raw Materials Development Mgr

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    FE6AN026

    , , .

    , , .

    , , .

    Aggregate Year-to-Date

    , , .

    C

    , , .C

    , , .

    C

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor 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)

    SUBTOTAL of Receipts This Page (optional)............................................................................

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    Payroll Deduction

    Payroll Deduction

    Payroll Deduction

    ($50.00 Monthly)

    ($25.00 Monthly)

    ($23.06 Monthly)

    50.00

    225.00

    450.00

    25.00

    23.06

    WY

    PA

    853 Burr Dr

    2475 W Teton Blvd

    11 Longmeadow St

    219.07

    FMC CORPORATION GOOD GOVERNMENT PROGRAM

    18940-2623Transaction ID : 3404-P15575

    82901-4473

    WYGreen River

    Newtown

    Rock Springs

    FMC Corporation

    FMC Corporation

    Transaction ID : 3404-P15402

    82935-6138

    Transaction ID : 3404-P15414

    FMC Corporation

    30

    30

    30

    98.06

    7

    Image# 11971747510

    09

    09

    09

    37

    Thomas Barker

    2011

    2011

    John Bartholomew

    2011

    Roberta Avery

    Safety & Health Representative

    Process Control Associate Fellow

    Operations Dir BioPolymer

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    FE6AN026

    , , .

    , , .

    , , .

    Aggregate Year-to-Date

    , , .

    C

    , , .C

    , , .

    C

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

    , , .

    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor 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)

    SUBTOTAL of Receipts This Page (optional)............................................................................

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    Payroll Deduction

    Payroll Deduction

    Payroll Deduction

    ($75.00 Monthly)

    ($25.00 Monthly)

    ($50.00 Monthly)

    75.00

    225.00

    675.00

    25.00

    50.00

    PA

    NJ

    Unit 13g 1420 Locust Street

    7495 Point Bluff Lane

    PO Box 1860

    250.00

    FMC CORPORATION GOOD GOVERNMENT PROGRAM

    08034-0115Transaction ID : 3404-P15372

    19102

    NCDenver

    Cherry Hill

    Philadelphia

    FMC Corporation

    FMC Corporation

    Transaction ID : 3404-P15463

    28037

    Transaction ID : 3404-P15509

    FMC Corporation

    30

    30

    30

    150.00

    8

    Image# 11971747511

    09

    09

    09

    37

    George Bojko

    2011

    2011

    W Brawn

    2011

    Enrique Bertran

    Operations Development Dir

    Business Development Dir

    Global Cosmetic Mgr

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    FE6AN026

    , , .

    , , .

    , , .

    Aggregate Year-to-Date

    , , .

    C

    , , .C

    , , .

    C

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

    , , .

    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor 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)

    SUBTOTAL of Receipts This Page (optional)............................................................................

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    Payroll Deduction

    Payroll Deduction

    Payroll Deduction

    ($23.08 Monthly)

    ($416.66 Monthly)

    ($25.00 Monthly)

    23.08

    3749.94

    219.26

    416.66

    25.00

    PA

    WY

    1418 Monk Rd

    200 N Wynnewood Ave Apt B505

    1050 Indian Hills Dr

    225.00

    FMC CORPORATION GOOD GOVERNMENT PROGRAM

    82935-5389Transaction ID : 3404-P15406

    19035-1315

    PAWynnewood

    Green River

    Gladwyne

    FMC Corporation

    FMC Corporation

    Transaction ID : 3404-P15577

    19096-1410

    Transaction ID : 3404-P15595

    FMC Corporation

    30

    30

    30

    464.74

    9

    Image# 11971747512

    09

    09

    09

    37

    Pierre Brondeau

    2011

    2011

    Jeffrey Campbell

    2011

    William Breunig

    Marketing Sales Dir ACD

    President & CEO

    Reliability Engineer V

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    FE6AN026

    , , .

    , , .

    , , .

    Aggregate Year-to-Date

    , , .

    C

    , , .C

    , , .

    C

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

    , , .

    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor 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)

    SUBTOTAL of Receipts This Page (optional)............................................................................

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    Payroll Deduction

    Payroll Deduction

    Payroll Deduction

    ($25.00 Monthly)

    ($25.00 Monthly)

    ($60.00 Monthly)

    25.00

    225.00

    225.00

    25.00

    60.00

    NJ

    PA

    65 Biddle Way

    11123 W Mendell Rd

    333 Harrison Ave

    540.00

    FMC CORPORATION GOOD GOVERNMENT PROGRAM

    19027-2606Transaction ID : 3404-P15558

    08054-5269

    ILPrinceville

    Elkins Park

    Mount Laurel

    FMC Corporation

    FMC Corporation

    Transaction ID : 3404-P15488

    61559-9715

    Transaction ID : 3404-P15348

    FMC Corporation

    30

    30

    30

    110.00

    10

    Image# 11971747513

    09

    09

    09

    37

    Cheri Collins Wideman

    2011

    2011

    Eunice Cuirle

    2011

    Kenneth Chlada

    Plant Mgr Wyoming

    HR Dir Peroxygens

    World Wide Regulatory Mgr

  • 8/3/2019 FMC CORPORATION GOOD GOVERNMENT PROGRAM to Portman

    11/37

    FE6AN026

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    , , .

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    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor 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)

    SUBTOTAL of Receipts This Page (optional)............................................................................

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    Payroll Deduction

    Payroll Deduction

    Payroll Deduction

    ($50.00 Monthly)

    ($100.00 Monthly)

    ($75.00 Monthly)

    50.00

    740.00

    450.00

    100.00

    75.00

    PA

    MD

    728 E Manoa Rd

    64 Edward Jennings Rd

    12850 Highland Rd

    550.00

    FMC CORPORATION GOOD GOVERNMENT PROGRAM

    20777-9713Transaction ID : 3404-P15608

    19083-4113

    PAGlen Mills

    Highland

    Havertown

    FMC Corporation

    FMC Corporation

    Transaction ID : 3404-P15587

    19342-1419

    Transaction ID : 3404-P15541

    FMC Corporation

    30

    30

    30

    225.00

    11

    Image# 11971747514

    09

    09

    09

    37

    Christopher Davis

    2011

    2011

    Lizanne Davis

    2011

    John Cummings

    Regulatory Development Mgr

    Regulatory Mgr

    Regulatory Affairs Dir

  • 8/3/2019 FMC CORPORATION GOOD GOVERNMENT PROGRAM to Portman

    12/37

    FE6AN026

    , , .

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    , , .

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    M M / D D / Y Y Y Y

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor 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)

    SUBTOTAL of Receipts This Page (optional)............................................................................

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    Payroll Deduction

    Payroll Deduction

    Payroll Deduction

    ($300.00 Monthly)

    ($25.00 Monthly)

    ($90.00 Monthly)

    300.00

    225.00

    1200.00

    25.00

    90.00

    NJ

    PA

    7 Fox Hill Dr

    19 Marple Rd

    112 Rose Ln

    810.00

    FMC CORPORATION GOOD GOVERNMENT PROGRAM

    19041-1604Transaction ID : 3404-P15342

    08088-9043

    PAHaverford

    Haverford

    Southampton

    FMC Corporation

    FMC Corporation

    Transaction ID : 3404-P15510

    19041-1025

    Transaction ID : 3404-P15357

    FMC Corporation

    30

    30

    30

    415.00

    12

    Image# 11971747515

    09

    09

    09

    37

    Neil Destefano

    2011

    2011

    Mark Douglas

    2011

    Thomas Deas

    VP Treasurer

    Director of Business & Product Dev

    President ICG

  • 8/3/2019 FMC CORPORATION GOOD GOVERNMENT PROGRAM to Portman

    13/37

    FE6AN026

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor 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)

    SUBTOTAL of Receipts This Page (optional)............................................................................

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    Payroll Deduction

    Payroll Deduction

    Payroll Deduction

    ($25.00 Monthly)

    ($100.00 Monthly)

    ($25.00 Monthly)

    25.00

    525.00

    225.00

    100.00

    25.00

    NJ

    PA

    29 Signal Hill Dr

    63 Cherry Farm Ln

    35 York St

    225.00

    FMC CORPORATION GOOD GOVERNMENT PROGRAM

    18940-1471Transaction ID : 3404-P15549

    08043-2948

    PAWest Chester

    Newtown

    Voorhees

    FMC Corporation

    FMC Corporation

    Transaction ID : 3404-P15557

    19382-8347

    Transaction ID : 3404-P15358

    FMC Corporation

    30

    30

    30

    150.00

    13

    Image# 11971747516

    09

    09

    09

    37

    Andris Eimanis

    2011

    2011

    Shaaban Elnaggar

    2011

    Ivan Duke

    Manufacturing Integration Director

    Registrations Mgr

    Metabolism Chemist Fellow

  • 8/3/2019 FMC CORPORATION GOOD GOVERNMENT PROGRAM to Portman

    14/37

    FE6AN026

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    , , .

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor 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)

    SUBTOTAL of Receipts This Page (optional)............................................................................

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    Payroll Deduction

    Payroll Deduction

    Payroll Deduction

    ($100.00 Monthly)

    ($100.00 Monthly)

    ($100.00 Monthly)

    100.00

    525.00

    900.00

    100.00

    100.00

    PA

    NJ

    511 Colfelt Ct

    4005 Ainsdale Dr

    5 Brookwood Rd

    660.00

    FMC CORPORATION GOOD GOVERNMENT PROGRAM

    08054-4713Transaction ID : 3404-P15387

    19341-2361

    NCMatthews

    Mount Laurel

    Exton

    FMC Corporation

    FMC Corporation

    Transaction ID : 3404-P15480

    28104-6889

    Transaction ID : 3404-P15511

    FMC Corporation

    30

    30

    30

    300.00

    14

    Image# 11971747517

    09

    09

    09

    37

    James Fitzwater

    2011

    2011

    Edward Flynn

    2011

    Jonathan Evans

    Division Mgr Lithium

    Corporate Communications Mgr

    Division Mgr Alkali Chemicals

  • 8/3/2019 FMC CORPORATION GOOD GOVERNMENT PROGRAM to Portman

    15/37

    FE6AN026

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor 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)

    SUBTOTAL of Receipts This Page (optional)............................................................................

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    Payroll Deduction

    Payroll Deduction

    Payroll Deduction

    ($25.00 Monthly)

    ($350.00 Monthly)

    ($50.00 Monthly)

    25.00

    2400.00

    225.00

    350.00

    50.00

    PA

    PA

    505 Montgomery Ln

    1122 Cotswold Ln

    194 Simons Dr

    450.00

    FMC CORPORATION GOOD GOVERNMENT PROGRAM

    19067-5914Transaction ID : 3404-P15550

    19087-4424

    PAWest Chester

    Morrisville

    St Davids

    FMC Corporation

    FMC Corporation

    Transaction ID : 3404-P15512

    19380-3704

    Transaction ID : 3404-P15514

    FMC Corporation

    30

    30

    30

    425.00

    15

    Image# 11971747518

    09

    09

    09

    37

    W. Foster

    2011

    2011

    Linda Froelich

    2011

    Robert Forbes

    Environmental Dir

    Senior VP and Chief Financial Officer

    Gl Product Stewardship & Regul

  • 8/3/2019 FMC CORPORATION GOOD GOVERNMENT PROGRAM to Portman

    16/37

    FE6AN026

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor 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)

    SUBTOTAL of Receipts This Page (optional)............................................................................

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    Payroll Deduction

    Payroll Deduction

    Payroll Deduction

    ($50.00 Monthly)

    ($60.00 Monthly)

    ($50.00 Monthly)

    50.00

    540.00

    450.00

    60.00

    50.00

    PA

    NJ

    23 Musket Ct

    660 White Ash Dr

    36F Needham Way

    450.00

    FMC CORPORATION GOOD GOVERNMENT PROGRAM

    08540-1725Transaction ID : 3404-P15396

    19382-7490

    PALanghorne

    Princeton

    West Chester

    FMC Corporation

    FMC Corporation

    Transaction ID : 3404-P15551

    19047-8017

    Transaction ID : 3404-P15515

    FMC Corporation

    30

    30

    30

    160.00

    16

    Image# 11971747519

    09

    09

    09

    37

    James Furr

    2011

    2011

    Derek Gammon

    2011

    Charles Fryman

    Dir Corp Safety Health and Sec

    Director Tax Accounting

    Toxicologist Sr Mammalian

  • 8/3/2019 FMC CORPORATION GOOD GOVERNMENT PROGRAM to Portman

    17/37

    FE6AN026

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor 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)

    SUBTOTAL of Receipts This Page (optional)............................................................................

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    Payroll Deduction

    Payroll Deduction

    Payroll Deduction

    ($23.06 Monthly)

    ($25.00 Monthly)

    ($125.00 Monthly)

    23.06

    225.00

    219.07

    25.00

    125.00

    NJ

    WY

    10 W Annapolis Dr

    1038 Glendevon Ct

    1220 Kentucky St

    1000.00

    FMC CORPORATION GOOD GOVERNMENT PROGRAM

    82935-6162Transaction ID : 3404-P15411

    08081-2188

    PAAmbler

    Green River

    Sicklerville

    FMC Corporation

    FMC Corporation

    Transaction ID : 3404-P15517

    19002-1859

    Transaction ID : 3404-P15394

    FMC Corporation

    30

    30

    30

    173.06

    17

    Image# 11971747520

    09

    09

    09

    37

    Barbara Hannigan

    2011

    2011

    Terry Harding

    2011

    Kenneth Garrett

    VP Human Resources & Communications

    HRSC Manager

    Controller Plant GR

  • 8/3/2019 FMC CORPORATION GOOD GOVERNMENT PROGRAM to Portman

    18/37

  • 8/3/2019 FMC CORPORATION GOOD GOVERNMENT PROGRAM to Portman

    19/37

    FE6AN026

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    , , .

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    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor 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)

    SUBTOTAL of Receipts This Page (optional)............................................................................

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    Payroll Deduction

    Payroll Deduction

    Payroll Deduction

    ($23.06 Monthly)

    ($25.00 Monthly)

    ($50.00 Monthly)

    23.06

    225.00

    219.07

    25.00

    50.00

    IL

    WY

    602 East St S

    1029 Evergreen Way

    1605 Massachusetts Ct

    475.00

    FMC CORPORATION GOOD GOVERNMENT PROGRAM

    82935-6231Transaction ID : 3404-P15413

    61443-3805

    WYRock Springs

    Green River

    Kewanee

    FMC Corporation

    FMC Corporation

    Transaction ID : 3404-P15416

    82901-4103

    Transaction ID : 3404-P15487

    FMC Corporation

    30

    30

    30

    98.06

    19

    Image# 11971747522

    09

    09

    09

    37

    Catherine Hooker

    2011

    2011

    Toby Jacquez

    2011

    Steve Hickerson

    Team Lead Customer Support

    Manufacturing Manager

    Labor Relations Mgr

  • 8/3/2019 FMC CORPORATION GOOD GOVERNMENT PROGRAM to Portman

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    FE6AN026

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor 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)

    SUBTOTAL of Receipts This Page (optional)............................................................................

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    Payroll Deduction

    Payroll Deduction

    Payroll Deduction

    ($25.00 Monthly)

    ($25.00 Monthly)

    ($23.06 Monthly)

    25.00

    225.00

    225.00

    25.00

    23.06

    DE

    MD

    100 Nina Ct

    PO Box 131

    PO Box 321

    219.07

    FMC CORPORATION GOOD GOVERNMENT PROGRAM

    21163-0321Transaction ID : 3404-P15610

    19701-1671

    WYGreen River

    Woodstock

    Bear

    FMC Corporation

    FMC Corporation

    Transaction ID : 3404-P15403

    82935-0131

    Transaction ID : 3404-P15499

    FMC Corporation

    30

    30

    30

    73.06

    20

    Image# 11971747523

    09

    09

    09

    37

    Jung-Chen Johnson

    2011

    2011

    Karl Kauffman

    2011

    Cynthia Johnson

    HR Representative II

    Analytical Chemist III

    Fellow Research

  • 8/3/2019 FMC CORPORATION GOOD GOVERNMENT PROGRAM to Portman

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    FE6AN026

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    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor 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)

    SUBTOTAL of Receipts This Page (optional)............................................................................

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    Payroll Deduction

    Payroll Deduction

    Payroll Deduction

    ($25.00 Monthly)

    ($50.00 Monthly)

    ($25.00 Monthly)

    25.00

    450.00

    225.00

    50.00

    25.00

    PA

    NJ

    1557 Silver Lake Rd

    23404 Sycamore Cir

    13 Oak Tree Ct

    225.00

    FMC CORPORATION GOOD GOVERNMENT PROGRAM

    08060-3769Transaction ID : 3404-P15361

    19047-8001

    MOKearney

    Westampton

    Langhorne

    FMC Corporation

    FMC Corporation

    Transaction ID : 3404-P15447

    64060-9328

    Transaction ID : 3404-P15552

    FMC Corporation

    30

    30

    30

    100.00

    21

    Image# 11971747524

    09

    09

    09

    37

    Edward Kikta

    2011

    2011

    Martin Kisliuk

    2011

    Richard Kesler

    Business Services Manager

    Research Fellow Analytical Lead

    Global Operations & Business Dev Dir

  • 8/3/2019 FMC CORPORATION GOOD GOVERNMENT PROGRAM to Portman

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    FE6AN026

    , , .

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    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor 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)

    SUBTOTAL of Receipts This Page (optional)............................................................................

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    Payroll Deduction

    Payroll Deduction

    Payroll Deduction

    ($100.00 Monthly)

    ($50.00 Monthly)

    ($30.00 Monthly)

    100.00

    450.00

    400.00

    50.00

    30.00

    NJ

    DE

    22 Marblehead Dr

    500 Willow Dr

    4 Couples Ct

    270.00

    FMC CORPORATION GOOD GOVERNMENT PROGRAM

    19709-9364Transaction ID : 3404-P15340

    08550-2111

    NJCinnaminson

    Middletown

    Princeton Junction

    FMC Corporation

    FMC Corporation

    Transaction ID : 3404-P15351

    08077-3422

    Transaction ID : 3404-P15393

    FMC Corporation

    30

    30

    30

    180.00

    22

    Image# 11971747525

    09

    09

    09

    37

    Bruce Lerner

    2011

    2011

    Aaron Locker

    2011

    David Landgraf

    Environmental Counsel Senior

    Division Mgr Peroxygen

    Key Account Manager

  • 8/3/2019 FMC CORPORATION GOOD GOVERNMENT PROGRAM to Portman

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    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor 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)

    SUBTOTAL of Receipts This Page (optional)............................................................................

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    Payroll Deduction

    Payroll Deduction

    Payroll Deduction

    ($30.00 Monthly)

    ($50.00 Monthly)

    ($50.00 Monthly)

    30.00

    325.00

    220.00

    50.00

    50.00

    PA

    PA

    802 Nesbitt Rd

    394 Twig Ln

    247 Gypsy Ln

    450.00

    FMC CORPORATION GOOD GOVERNMENT PROGRAM

    19096-1112Transaction ID : 3404-P15556

    19002-2328

    PAYardley

    Wynnewood

    Maple Glen

    FMC Corporation

    FMC Corporation

    Transaction ID : 3404-P15555

    19067-5303

    Transaction ID : 3404-P15524

    FMC Corporation

    30

    30

    30

    130.00

    23

    Image# 11971747526

    09

    09

    09

    37

    John Mulcahy

    2011

    2011

    Lyle Nehls

    2011

    Leonard McMullen

    Product Excellence and Sourcing Dir

    Internal Audit Dir

    Nova Matrix Busines Dir

  • 8/3/2019 FMC CORPORATION GOOD GOVERNMENT PROGRAM to Portman

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    FE6AN026

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    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor 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)

    SUBTOTAL of Receipts This Page (optional)............................................................................

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    Payroll Deduction

    Payroll Deduction

    Payroll Deduction

    ($25.00 Monthly)

    ($35.00 Monthly)

    ($25.00 Monthly)

    25.00

    315.00

    225.00

    35.00

    25.00

    NC

    ME

    1519 Audubon Rd

    175 Merion Ct

    9 Ledgewood Dr

    225.00

    FMC CORPORATION GOOD GOVERNMENT PROGRAM

    04856-5525Transaction ID : 3404-P15492

    28211-2228

    NJHainesport

    Rockport

    Charlotte

    FMC Corporation

    FMC Corporation

    Transaction ID : 3404-P15352

    08036-2793

    Transaction ID : 3404-P15479

    FMC Corporation

    30

    30

    30

    85.00

    24

    Image# 11971747527

    09

    09

    09

    37

    Eric Norris

    2011

    2011

    Kieran Odwyer

    2011

    Patricia Nevrincean

    Environmental Manager

    Global Commercial Director

    Operations Planning Manager

  • 8/3/2019 FMC CORPORATION GOOD GOVERNMENT PROGRAM to Portman

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    FE6AN026

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    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor 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)

    SUBTOTAL of Receipts This Page (optional)............................................................................

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    Payroll Deduction

    Payroll Deduction

    Payroll Deduction

    ($50.00 Monthly)

    ($60.00 Monthly)

    ($25.00 Monthly)

    50.00

    540.00

    450.00

    60.00

    25.00

    PA

    PA

    609 Wayfield Rd

    60 Truman Ave

    73 Rohrbach Rd

    225.00

    FMC CORPORATION GOOD GOVERNMENT PROGRAM

    19547-8972Transaction ID : 3404-P15527

    19096-2443

    NJHaddonfield

    Oley

    Wynnewood

    FMC Corporation

    FMC Corporation

    Transaction ID : 3404-P15374

    08033-2530

    Transaction ID : 3404-P15526

    FMC Corporation

    30

    30

    30

    135.00

    25

    Image# 11971747528

    09

    09

    09

    37

    Richard Pasquier

    2011

    2011

    Joseph Pattison

    2011

    John Otto

    Supply Chain Manager

    Assistant General Counsel

    General Counsel Associate

  • 8/3/2019 FMC CORPORATION GOOD GOVERNMENT PROGRAM to Portman

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    FE6AN026

    , , .

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    , , .

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    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor 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)

    SUBTOTAL of Receipts This Page (optional)............................................................................

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    Payroll Deduction

    Payroll Deduction

    Payroll Deduction

    ($23.06 Monthly)

    ($25.00 Monthly)

    ($36.92 Monthly)

    23.06

    225.00

    219.07

    25.00

    36.92

    PA

    WY

    10 Newtown Woods Rd

    Apt 27 500 Monroe

    930 D St

    350.74

    FMC CORPORATION GOOD GOVERNMENT PROGRAM

    82901-7261Transaction ID : 3404-P15420

    19073-3909

    WYGreen River

    Rock Springs

    Newtown Square

    FMC Corporation

    FMC Corporation

    Transaction ID : 3404-P15443

    82935

    Transaction ID : 3404-P15528

    FMC Corporation

    30

    30

    30

    84.98

    26

    Image# 11971747529

    09

    09

    09

    37

    Nicholas Pfeiffer

    2011

    2011

    Bret Pizzato

    2011

    James Pearce

    Manufacturing Dir Resident Mgr

    Director External Reporting

    Business Leader Utilities

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    FE6AN026

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    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor 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)

    SUBTOTAL of Receipts This Page (optional)............................................................................

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    Payroll Deduction

    Payroll Deduction

    Payroll Deduction

    ($23.06 Monthly)

    ($25.00 Monthly)

    ($400.00 Monthly)

    23.06

    225.00

    219.07

    25.00

    400.00

    CA

    WY

    725 N Crumal Ct

    6206 Sally Ford Ct

    2385 Hitching Post Dr

    3600.00

    FMC CORPORATION GOOD GOVERNMENT PROGRAM

    82935-6056Transaction ID : 3404-P15421

    93292-6815

    VAFairfax Station

    Green River

    Visalia

    FMC Corporation

    FMC Corporation

    Transaction ID : 3404-P15504

    22039-1347

    Transaction ID : 3404-P15345

    FMC Corporation

    30

    30

    30

    448.06

    27

    Image# 11971747530

    09

    09

    09

    37

    Matthew Rackerby

    2011

    2011

    Aaron Reichl

    2011

    Gerald Prout

    VP Government Affairs

    Sales Representative Sr

    Dir Alkali Chemicals Tech and Bus Dev

  • 8/3/2019 FMC CORPORATION GOOD GOVERNMENT PROGRAM to Portman

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    FE6AN026

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    , , .

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    , , .C

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    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

    , , .

    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor 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)

    SUBTOTAL of Receipts This Page (optional)............................................................................

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    Payroll Deduction

    Payroll Deduction

    Payroll Deduction

    ($25.00 Monthly)

    ($25.00 Monthly)

    ($50.00 Monthly)

    25.00

    225.00

    225.00

    25.00

    50.00

    NJ

    NC

    22 Chadwick Dr

    1003 Meridian Way

    1474 Plantation Trl

    450.00

    FMC CORPORATION GOOD GOVERNMENT PROGRAM

    28056-5901Transaction ID : 3404-P15474

    08043-2971

    PAYardley

    Gastonia

    Voorhees

    FMC Corporation

    FMC Corporation

    Transaction ID : 3404-P15566

    19067-5835

    Transaction ID : 3404-P15353

    FMC Corporation

    30

    30

    30

    100.00

    28

    Image# 11971747531

    09

    09

    09

    37

    Barbara Ritchie

    2011

    2011

    George Sandor

    2011

    Peter Riley

    Corporate Development Dir

    Environmental Associate Dir

    Global Organics & NA Sales/Business D

  • 8/3/2019 FMC CORPORATION GOOD GOVERNMENT PROGRAM to Portman

    29/37

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    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor 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)

    SUBTOTAL of Receipts This Page (optional)............................................................................

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    Payroll Deduction

    Payroll Deduction

    Payroll Deduction

    ($25.00 Monthly)

    ($23.06 Monthly)

    ($50.00 Monthly)

    25.00

    219.07

    225.00

    23.06

    50.00

    WY

    PA

    1338 Juniper Dr

    1102 Asmore Way

    1613 Fairfield Rd

    450.00

    FMC CORPORATION GOOD GOVERNMENT PROGRAM

    19067-3946Transaction ID : 3404-P15591

    82901-6409

    PAChester Springs

    Yardley

    Rock Springs

    FMC Corporation

    FMC Corporation

    Transaction ID : 3404-P15529

    19425-8726

    Transaction ID : 3404-P15422

    FMC Corporation

    30

    30

    30

    98.06

    29

    Image# 11971747532

    09

    09

    09

    37

    Terry Sell

    2011

    2011

    Michael Sestrick

    2011

    Charles Scott

    Risk Management Dir

    Engineering Team Lead

    Technology Dir

  • 8/3/2019 FMC CORPORATION GOOD GOVERNMENT PROGRAM to Portman

    30/37

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor 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)

    SUBTOTAL of Receipts This Page (optional)............................................................................

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    Payroll Deduction

    Payroll Deduction

    Payroll Deduction

    ($50.00 Monthly)

    ($50.00 Monthly)

    ($25.00 Monthly)

    50.00

    500.00

    450.00

    50.00

    25.00

    NJ

    PA

    7 Annes Ct

    3357 Hertfordshire Rd

    1670 Yardley Dr

    225.00

    FMC CORPORATION GOOD GOVERNMENT PROGRAM

    19380-5771Transaction ID : 3404-P15531

    08080-2227

    PAFurlong

    West Chester

    Sewell

    FMC Corporation

    FMC Corporation

    Transaction ID : 3404-P15554

    18925-1257

    Transaction ID : 3404-P15388

    FMC Corporation

    30

    30

    30

    125.00

    30

    Image# 11971747533

    09

    09

    09

    37

    Christine Slachta

    2011

    2011

    Judith Smeltzer

    2011

    Frank Siwajek

    Global Supply Chain Dir Innovation

    Facilities Service Mgr

    Public Affairs Associate

  • 8/3/2019 FMC CORPORATION GOOD GOVERNMENT PROGRAM to Portman

    31/37

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    SCHEDULE A (FEC Form 3X)

    ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor 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)

    SUBTOTAL of Receipts This Page (optional)............................................................................

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

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 02/2

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    Receipt For:

    Primary General

    Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    Name of Employer Occupation

    FEC ID number of contributing

    federal political committee.

    PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

    for each category of theDetailed Summary Page 11a 11b 11c 12

    13 1514 16 17

    Payroll Deduction

    Payroll Deduction

    Payroll Deduction

    ($25.00 Monthly)

    ($100.00 Monthly)

    ($100.00 Monthly)

    25.00

    900.00

    225.00

    100.00

    100.00

    VA

    PA

    7203 Van Ness Ct

    17 Vernon Ln

    119 Summit Ave

    900.00

    FMC CORPORATION GOOD GOVERNMENT PROGRAM

    19046-3137Transaction ID : 3404-P15532

    22101-2707

    PARose Valley

    Jenkintown

    Mc Lean

    FMC Corporation

    FMC Corporation

    Transaction ID : 3404-P15562

    19063-4220

    Transaction ID : 3404-P15505

    FMC Corporation

    30

    30

    30

    225.00

    31

    Image# 11971747534

    09

    09

    09

    37

    Julie Spagnoli

    2011

    2011

    John Stillmun

    2011

    Michael Smith

    Division Mgr BioPolymer

    Regulatory Affairs Mgr

    General Counsel Environmental

  • 8/3/2019 FMC CORPORATION GOOD GOVERN