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FE6AN026 r r r , , . r r r , , . r r r , , . Aggregate Year-to-Date s r r r , , . C r r r , , . C r r r , , . r r r 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 r r r , , . , , . 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 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) SUBTOTAL of Receipts This Page (optional)............................................................................ TOTAL This Period (last page this line number only) ............................................................... s s 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. 02/2003 Date of Receipt Occupation s FEC ID number of contributing federal political committee. Full Name (Last, First, Middle Initial) Mailing Address State Zip Code Receipt For: Primary General Other (specify) Amount of Each Receipt this Period B. Aggregate Year-to-Date s Date of Receipt Name of Employer Occupation s 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 s Date of Receipt Name of Employer Occupation s FEC ID number of contributing federal political committee. PAGE OF FOR LINE NUMBER: (check only one) Use separate schedule(s) for each category of the Detailed Summary Page 11a 11b 11c 12 13 15 14 16 17 CONTRIBUTION CONTRIBUTION CONTRIBUTION 10000.00 460.00 30000.00 250.00 250.00 UT NJ REDACTED REDACTED REDACTED 250.00 ROMNEY VICTORY, INC. REDACTED Transaction ID : SA11.3252026 REDACTED CA REDACTED REDACTED HOMEMAKER Transaction ID : SA11.3540233 REDACTED Transaction ID : SA11.3430071 FUTURE 2000 LC 16 13 08 10500.00 10451 Image# 12940466192 10 10 10 18187 ALAN MELCHIOR 2012 2012 MRS. ANDREA MELCHIORRE 2012 MR. JOHN E. MELBON CONSULTANT OWNER HOMEMAKER

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FE6AN026

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Aggregate Year-to-Date

, , .

C

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, , .

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 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)

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. 02/2003

Date of Receipt

Occupation

FEC ID number of contributing

federal political committee.

Full Name (Last, First, Middle Initial)

Mailing Address

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 the

Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

CONTRIBUTION

CONTRIBUTION

CONTRIBUTION

10000.00

460.00

30000.00

250.00

250.00

UT

NJ

REDACTED

REDACTED

REDACTED

250.00

ROMNEY VICTORY, INC.

REDACTEDTransaction ID : SA11.3252026

REDACTED

CAREDACTED

REDACTED

REDACTED

REDACTED

HOMEMAKER

Transaction ID : SA11.3540233REDACTED

Transaction ID : SA11.3430071

FUTURE 2000 LC

16

13

08

10500.00

10451

Image# 12940466192

10

10

10

18187

ALAN MELCHIOR

2012

2012

MRS. ANDREA MELCHIORRE

2012

MR. JOHN E. MELBON

CONSULTANT

OWNER

HOMEMAKER