report of receipts fec and disbursementsdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf ·...
TRANSCRIPT
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 M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
FE5AN018
FEC
FORM 3
1. NAME OF COMMITTEE (in full)
ADDRESS (number and street)
Check if different than previously reported. (ACC)
FEC FORM 3(Revised 02/2003)
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.
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
4. TYPE OF REPORT (Choose One)
(a) Quarterly Reports:
12-Day PRE-Election Report for the:
Primary (12P) General (12G) Runoff (12R)
Convention (12C) Special (12S)
30-Day POST-Election Report for the:
General (30G) Runoff (30R) Special (30S)
CITY STATE ZIP CODE2. FEC IDENTIFICATION NUMBER
3. IS THIS NEW AMENDED
REPORT (N) OR (A)
in the
Election on State of
TYPE OR PRINT
REPORT OF RECEIPTS
AND DISBURSEMENTSFor An Authorized Committee
5. Covering Period through
in the
Election on State of
STATE DISTRICT
Office Use Only
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)
Example: If typing, type
over the lines.
(c)
12FE4M5
31
19038
13
01
Margaret Sager
Margaret Sager
2013
[Electronically Filed]
C00542571
PAGE 1 / 232
201310
Glenside PA
Friends of Val Arkoosh
P.O. Box 1011
01/31/2014 20 : 00Image# 14940311119
2014
01 3112
PA
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FE5AN018
COLUMN B
Election Cycle-to-Date
COLUMN A
This Period
6. Net Contributions (other than loans)
(a) Total Contributions
(other than loans) (from Line 11(e)) ....
(b) Total Contribution Refunds
(from Line 20(d)) ..................................
(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) ................
(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) ................
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, NW
Washington, DC 20463
Toll Free 800-424-9530
Local 202-694-1100
FEC Form 3 (Revised 02/2003) Page 2
SUMMARY PAGEof Receipts and Disbursements
Report Covering the Period: From: To:
Write or Type Committee Name
198792.73
143073.12
643932.40
935216.22
PAGE 2 / 232
2013
930419.22
201310
286236.82
0.00
4297.00 4797.00
0.00
203089.73
Friends of Val Arkoosh
0.00
Image# 14940311120
0.00
286236.82
01 3112
143073.12
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M M / D D / Y Y Y Y M M / D D / Y Y Y Y
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FE5AN018
COLUMN B
Election Cycle-to-Date
COLUMN A
Total This Period
11. CONTRIBUTIONS (other than loans) FROM:
(a) Individuals/Persons Other Than
Political Committees
(i) Itemized (use Schedule A) ...........
(ii) Unitemized ....................................
(iii) 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) ............
DETAILED SUMMARY PAGEof Receipts
I. RECEIPTS
FEC Form 3 (Revised 12/2003) Page 3
Report Covering the Period: From: To:
Write or Type Committee Name
0.00
23500.00
0.00
0.00
0.00
935216.22
189589.73
0.00
849372.05
0.00
0.00
PAGE 3 / 232
2013
16211.89
203089.73
2013
0.00
0.00
10
0.00
0.00
203089.73
0.00
0.00
0.00
Friends of Val Arkoosh
911716.22
0.00
0.00
Image# 14940311121
935216.22
01
13500.00
3112
173377.84
62344.17
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FE5AN018
COLUMN B
Election Cycle-to-Date
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)
II. DISBURSEMENTS
DETAILED SUMMARY PAGEof DisbursementsFEC Form 3 (Revised 02/2003) Page 4
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. CASH ON HAND AT CLOSE OF REPORTING PERIOD
(subtract Line 26 from Line 25)..............................................................................................
, , . , , .
643932.40
147370.12
0.00
0.00
147370.12
0.00
0.00
4797.00
0.00
0.00
4297.00
PAGE 4 / 232
286236.82
4797.00
588212.79
0.00
250.00
0.00
0.00
791302.52
0.00
0.00
203089.73
0.00
0.00
Image# 14940311122
143073.12
4297.00
291283.82
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
250.00
55519.00
500.00
35.00
35.00
MA
MO
PO Box 382110
2212 Pine St
1035.00
4 N Kingshighway Blvd
Friends of Val Arkoosh
63108-1359Transaction ID : VN8HHBXGS30
02238-2110
PAPhiladelphia
Saint Louis
Cambridge
C00401224
University of Pennsylvania Health Syst
BJC Medical Group of Missouri
Transaction ID : VN8HHBW211019103-6516
Transaction ID : VN8HHBW2110E
31
31
30
285.00
2014
5
2014
2014
Image# 14940311123
12
12
12
232
Apt D6
ACTBLUE
2013
2013
Erica Schockett
2013
Courtney Schreiber
OB/GYN
Conduit total listed in Agg. field
Internist
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
150.00
250.00
450.00
250.00
250.00
OH
PA
25196 Rocky Harbour Dr
PO Box 382110
55519.00
6375 Church Rd
Friends of Val Arkoosh
19151-2504Transaction ID : VN8HHB08040
43551-7619
MACambridge
Philadelphia
Perrysburg
C00401224
Drexel University
Transaction ID : VN8HHBXGS30E02238-2110
Transaction ID : VN8HHB8JE30
University of Toledo
30
25
07
400.00
2014
6
2014
2014
Image# 14940311124
10
10
12
232
Linda French
2013
2013
John Rich
2013
ACTBLUE
Conduit total listed in Agg. field
Professor & Chairman of the Department
Professor, Department of Health Manage
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
500.00
1000.00
500.00
1000.00
500.00
CA
NY
436 14th St
2650 N Providence Rd
2000.00
829 Park Ave
Friends of Val Arkoosh
10021-2846Transaction ID : VN8HHBNN860
94612-2716
PAMedia
New York
Oakland
Columbia University
Self
Transaction ID : VN8HHB1G85019063-4314
Transaction ID : VN8HHBG1250
Akonadi Foundation
08
19
09
2000.00
2014
7
2014
2014
Image# 14940311125
12
11
10
232
Apt 8C
Ste 1417
Mary Q Delaney
2013
2013
Wendy M Mackenzie
2013
Ron Wapner
OB/GYN
Grantmaker
Public Affairs Consultant
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
500.00
500.00
1500.00
500.00
1000.00
NM
PA
756 Fairway Rd NW
230 16th St
1000.00
530 Cresheim Valley Rd
Friends of Val Arkoosh
19038-8409Transaction ID : VN8HHBNM980
87107-5719
CASanta Monica
Wyndmoor
Albuquerque
Cedars-Sinai Medical Center
Self
Transaction ID : VN8HHB7MH7090402-2216
Transaction ID : VN8HHBD5280
University of New Mexico
22
29
09
2000.00
2014
8
2014
2014
Image# 14940311126
12
10
10
232
John P Rask
2013
2013
Maryl Hitchings
2013
Sarah J. Kilpatrick
OB/GYN
Anesthesiologist
Retired
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
53.00
3600.00
712.00
1000.00
1000.00
IL
MA
225 N Columbus Dr
912 Grandview Ave
1500.00
85 Wolcott Rd
Friends of Val Arkoosh
02467-3108Transaction ID : VN8HHBW20A0
60601-5255
PAPittsburgh
Chestnut Hill
Chicago
Sammana Inc.
Tufts MC PO
Transaction ID : VN8HHBNZN9015211-1444
Transaction ID : VN8HHBSNVA0
Northwestern University
11
20
26
2053.00
2014
9
2014
2014
Image# 14940311127
12
12
12
232
Apt 3110
Paloma Toledo
2013
2013
Scott Segal
2013
Diane Knox Petronko
Nurse/Consultant
Obstetric Anesthesiologist
Anesthesiologist
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* In-Kind: in kind beverages for event
Note: Above Contribution earmarked through thisorganization.
200.00
250.00
1700.00
250.00
53.00
MD
PA
3218 Brooklawn Ct
PO Box 382110
55519.00
912 Grandview Ave
Friends of Val Arkoosh
15211-1444Transaction ID : VN8HHBSGKB0
20815-3941
MACambridge
Pittsburgh
Chevy Chase
C00401224
Sammana Inc.
Transaction ID : VN8HHBW20A0E02238-2110
Transaction ID : VN8HHB4PMA0
National Institute of Health
26
17
19
450.00
2014
10
2014
2014
Image# 14940311128
12
10
12
232
Naomi O'Grady
2013
2013
Diane Knox Petronko
2013
ACTBLUE
Conduit total listed in Agg. field
Physician
Nurse/Consultant
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
1000.00
250.00
1500.00
250.00
500.00
GA
CA
930 Edgewater Ct
7701 Mullrany Dr
500.00
828 Arlington Ave
Friends of Val Arkoosh
94707-1927Transaction ID : VN8HHBJWAC0
30328-3564
TXDallas
Berkeley
Sandy Springs
Digestive Health
NA
Transaction ID : VN8HHB7PKC075248-1716
Transaction ID : VN8HHBF4JC0
Emory University
22
13
26
1750.00
2014
11
2014
2014
Image# 14940311129
11
11
10
232
Matthew Klopman
2013
2013
Kathleen C. Barry
2013
Lawrence Schiller
Physician
Anesthesiologist
retired
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
500.00
2600.00
500.00
2600.00
1000.00
MA
PA
112 Lancaster Ter
PO Box 382110
55519.00
233 S 6th St
Friends of Val Arkoosh
19106-3753Transaction ID : VN8HHB06YD0
02446-2237
MACambridge
Philadelphia
Brookline
C00401224
University of Pennsylvania Law School
Transaction ID : VN8HHBJWAC0E02238-2110
Transaction ID : VN8HHBD6YC0
Boston University School of Medicine
26
29
07
3100.00
2014
12
2014
2014
Image# 14940311130
10
10
11
232
Apt 1112
Emelia M Benjamin
2013
2013
Regina Austin
2013
ACTBLUE
Conduit total listed in Agg. field
Professor of Medicine
law professor
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
500.00
500.00
55519.00
500.00
1000.00
PA
MA
408 Barbara Lanw
1412 South Blvd
1000.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBW1PE0E
19010
TXHouston
Cambridge
Bryn Mawr
C00401224
MD Anderson Cancer Center
Transaction ID : VN8HHB1G2D077006-6334
Transaction ID : VN8HHBW1PE0
Temple University School of Medicine
08
31
31
1500.00
2014
13
2014
2014
Image# 14940311131
12
12
10
232
Larry Kaiser
2013
2013
ACTBLUE
2013
John Mendelsohn
Past President
Senior Executive Vice President for th
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
* In-Kind: in kind food items for event
250.00
1000.00
250.00
250.00
27.29
NJ
PA
5 Beacon Hill Rd
2014 Hilltop Rd
647.79
470 Round Hill Rd
Friends of Val Arkoosh
18470-7542Transaction ID : VN8HHBW1KG0
07932-2241
PAFlourtown
Clifford Township
Florham Park
Fox Rothschild
The Commonwealth Medical College
Transaction ID : VN8HHBS7PE019031-1615
Transaction ID : VN8HHBTEFF0
Covance, Inc.
18
29
31
527.29
2014
14
2014
2014
Image# 14940311132
12
12
12
232
Kenneth Somberg
2013
2013
Janet M Townsend
2013
Mary Helf
Partner
Gastroenterologist
Founding Chair of Family Medicine
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* In-Kind: in kind parking service for house party
Note: Above Contribution earmarked through thisorganization.
250.00
1668.00
1500.00
515.00
250.00
PA
VA
123 Beechmont Rd
PO Box 382110
55519.00
105 Pommander Walk
Friends of Val Arkoosh
22314-3844Transaction ID : VN8HHBTYDH0
15206-4513
MACambridge
Alexandria
Pittsburgh
C00401224
Self Employed
Transaction ID : VN8HHBW1KG0E02238-2110
Transaction ID : VN8HHBRYRG0
Self-employed, Elsa Limbach
31
17
31
765.00
2014
15
2014
2014
Image# 14940311133
12
12
12
232
Elsa Limbach
2013
2013
Nora Mead Brownell
2013
ACTBLUE
Conduit total listed in Agg. field
Dance Artist
Energy Consultant
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
250.00
250.00
500.00
250.00
1000.00
GA
TX
242 Superior Ave
333 W End Ave
1000.00
6081 Country Club Drive
Friends of Val Arkoosh
77904-1630Transaction ID : VN8HHBFENM0
30030-1815
NYNew York
Victoria
Decatur
Weill Cornell Medical College/NY Presb
None
Transaction ID : VN8HHBD40H010023-8131
Transaction ID : VN8HHB3N6K0
Emory School of Medicine
29
10
15
1500.00
2014
16
2014
2014
Image# 14940311134
11
10
10
232
Apt 10B
Carolyn C Meltzer
2013
2013
Margery E. Loeb
2013
Cynthia A Lien
Anesthesiologist
Radiologist
Unemployed
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
500.00
1000.00
55519.00
500.00
500.00
PA
MA
506 E Durham St
15278 Lake Road 12
500.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBJW9M0E
19119-1224
KSGardner
Cambridge
Philadelphia
C00401224
Self
Transaction ID : VN8HHBE5ZM066030-9661
Transaction ID : VN8HHBJW9M0
Women's Medical Fund
06
26
26
1000.00
2014
17
2014
2014
Image# 14940311135
11
11
11
232
Susan E Schewel
2013
2013
ACTBLUE
2013
Barbara W Atkinson
Retired
Executive Director
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
50.00
55519.00
1550.00
250.00
250.00
MA
IA
PO Box 382110
5915 Ricky Ridge Trl
250.00
2513 Northwood Dr
Friends of Val Arkoosh
50010-4740Transaction ID : VN8HHBSHRM0
02238-2110
PAOrefield
Ames
Cambridge
C00401224
OAA
Self employed
Transaction ID : VN8HHBRSPM018069-8806
Transaction ID : VN8HHBRSPM0E
16
16
19
300.00
2014
18
2014
2014
Image# 14940311136
12
12
12
232
ACTBLUE
2013
2013
Deborah Gitchell
2013
Kim Corba
Physician
Conduit total listed in Agg. field
Community Activist
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
Note: Above Contribution earmarked through thisorganization.
1000.00
750.00
1000.00
150.00
50.00
PA
NY
6375 Church Rd
PO Box 382110
55519.00
502 Park Ave
Friends of Val Arkoosh
10022-1108Transaction ID : VN8HHBW1NP0
19151-2504
MACambridge
New York
Philadelphia
C00401224
Self
Transaction ID : VN8HHBSHRM0E02238-2110
Transaction ID : VN8HHBNFCN0
Drexel University
19
07
31
1150.00
2014
19
2014
2014
Image# 14940311137
12
12
12
232
Ph 25
John Rich
2013
2013
Donald Rubin
2013
ACTBLUE
Conduit total listed in Agg. field
Professor, Department of Health Manage
Retired
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
250.00
1935.00
250.00
100.00
1000.00
PA
GA
6 Deaver Pl
PO Box 382110
55519.00
2170 Ector Ct NE
Friends of Val Arkoosh
30345-1901Transaction ID : VN8HHBD42Q0
19095-1727
MACambridge
Atlanta
Wyncote
C00401224
Morehouse School of Medicine
Transaction ID : VN8HHBW1NP0E02238-2110
Transaction ID : VN8HHBKC7P0
Temple University
31
02
29
350.00
2014
20
2014
2014
Image# 14940311138
10
12
12
232
Vincent S. Cowell MD
2013
2013
Martha L Elks
2013
ACTBLUE
Conduit total listed in Agg. field
Anesthesiologist
Senior Associate Dean, Education & Fac
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
250.00
250.00
55519.00
250.00
2600.00
PA
MA
137 Montgomery Dr
427 E Duke Of Gloucester St
5200.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBXGST0E
19438-2131
VAWilliamsburg
Cambridge
Harleysville
C00401224
Colonial Williamsburg
Transaction ID : VN8HHBVSMS023185-4249
Transaction ID : VN8HHBXGST0
Warrior Diamond, Inc.
31
30
30
2850.00
2014
21
2014
2014
Image# 14940311139
12
12
12
232
Nathaniel Webster
2013
2013
ACTBLUE
2013
William Barker
Actor
Chief Executive Officer
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
500.00
1000.00
500.00
1000.00
250.00
MA
CA
2 Stone Ter
3583 Butler St
250.00
3826 Alameda De Las Pulgas
Friends of Val Arkoosh
94025-6210Transaction ID : VN8HHBJWAT0
01945-1320
PAPittsburgh
Menlo Park
Marblehead
BE Galleries
Self
Transaction ID : VN8HHBVS7T015201-1314
Transaction ID : VN8HHB47TT0
Massachusetts General Hospital
31
15
26
1750.00
2014
22
2014
2014
Image# 14940311140
11
10
12
232
Lucinda L. Everett
2013
2013
Karen F Grove
2013
Joy T Borelli-Edwards
Owner
Physician
Philanthropis
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
50.00
250.00
400.00
250.00
500.00
PA
NJ
406 Arrowhead Trl
PO Box 382110
55519.00
8 Edinburgh Ln
Friends of Val Arkoosh
08054-1203Transaction ID : VN8HHBNSAW0
19608-9700
MACambridge
Mount Laurel
Sinking Spring
C00401224
Hospital of the University of Pennsylv
Transaction ID : VN8HHBJWAT0E02238-2110
Transaction ID : VN8HHBFX5T0
THE READING HOSPITAL &MC/PATHOLOGIS
26
18
10
300.00
2014
23
2014
2014
Image# 14940311141
12
11
11
232
Neil A Hoffman MD
2013
2013
Robert Gaiser
2013
ACTBLUE
Conduit total listed in Agg. field
PATHOLOGIST
Anesthesiologist
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
1000.00
1000.00
55519.00
1000.00
250.00
MO
MA
17 Windsor Terrace Ln
315 New St
750.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBW1KX0E
63141-9000
PAPhiladelphia
Cambridge
Creve Coeur
C00401224
Albert Einstein Healthcare Network
Transaction ID : VN8HHBNN6W019106-1134
Transaction ID : VN8HHBW1KX0
Western Anesthesiology Associates
09
31
31
1250.00
2014
24
2014
2014
Image# 14940311142
12
12
12
232
Apt 309
Sam Page
2013
2013
ACTBLUE
2013
Angeles Gonzalez-Prado
Internist
Anesthesiologist
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
500.00
55519.00
500.00
1000.00
1000.00
MA
TN
PO Box 382110
2761 Glendower Ave
1000.00
504 Fairfax Ave
Friends of Val Arkoosh
37212-4011Transaction ID : VN8HHB4BWX0
02238-2110
CALos Angeles
Nashville
Cambridge
C00401224
Keck SOM
Vanderbilt University
Transaction ID : VN8HHBE07X035222-3729
Transaction ID : VN8HHBE07X0E
05
05
16
1500.00
2014
25
2014
2014
Image# 14940311143
10
11
11
232
ACTBLUE
2013
2013
Ellen Wright Clayton
2013
Kathleen G Nelson
Pediatrician
Conduit total listed in Agg. field
Director, Center for Biomedical Ethics
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
50.00
1250.00
350.00
250.00
500.00
NJ
NJ
101 Pheasant Field Ln
5 Circuit Rd
500.00
107 Sunnymeade Rd
Friends of Val Arkoosh
08844-4654Transaction ID : VN8HHBJ9Z01
08057-1431
MAChestnut Hill
Hillsborough
Moorestown
N/A
None
Transaction ID : VN8HHBRSJY002467-1802
Transaction ID : VN8HHBHZ5Z0
Temple University
16
21
23
800.00
2014
26
2014
2014
Image# 14940311144
11
11
12
232
Curtis T Miyamoto
2013
2013
Pamela Booth
2013
Karen Tucker
Retired
Radiation Oncologist
Not Employed
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
100.00
600.00
55519.00
100.00
250.00
CA
MA
629 Lakeview Ave
1009 Lombard St
250.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBE0811E
94112-2201
PAPhiladelphia
Cambridge
San Francisco
C00401224
Thomas Jefferson University
Transaction ID : VN8HHB7M71119147-1219
Transaction ID : VN8HHBE0811
Self
22
05
05
350.00
2014
27
2014
2014
Image# 14940311145
11
11
10
232
Ricky L Choi
2013
2013
ACTBLUE
2013
James W Heitz
Anesthesiologist
Pediatrician
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
2600.00
500.00
2600.00
500.00
250.00
NY
PA
601 W 113th St
318 Yale Ave
450.00
908 Oak Ridge Rd
Friends of Val Arkoosh
19010-1734Transaction ID : VN8HHBNYY41
10025-9716
PASwarthmore
Bryn Mawr
New York
WOMEN'S WAY
Duane Morris
Transaction ID : VN8HHBHVR2119081-2023
Transaction ID : VN8HHBNZG31
NYPD
20
11
11
3350.00
2014
28
2014
2014
Image# 14940311146
12
12
11
232
Apt 11A
Herbert Pardes
2013
2013
John Horstmann
2013
Wendy H Voet
Executive Director
Physician
Attorney
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
500.00
1535.00
55519.00
500.00
2000.00
PA
MA
3211 W Coulter St
225 Northwestern Ave
2000.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBW2051E
19129-1043
PAPhiladelphia
Cambridge
Philadelphia
C00401224
Pagoda Resources
Transaction ID : VN8HHBKFJ5119128-1808
Transaction ID : VN8HHBW2051
Children's Hospital of Pennsylvania
03
26
26
2500.00
2014
29
2014
2014
Image# 14940311147
12
12
12
232
Jeffrey Feldman
2013
2013
ACTBLUE
2013
Robert Kennedy
President
Geriatrician
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
250.00
450.00
55519.00
250.00
500.00
PA
MA
610 Addison St
326 S 19th St
1500.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBXGR61E
19147-1413
PAPhiladelphia
Cambridge
Philadelphia
C00401224
University of Pennsylvania
Transaction ID : VN8HHBSQB6119103-2515
Transaction ID : VN8HHBXGR61
Drexel University College of Medicine
20
30
30
750.00
2014
30
2014
2014
Image# 14940311148
12
12
12
232
Apt 12B
Mark Woodland
2013
2013
ACTBLUE
2013
Peter Vasquez
Physician
OB/GYN
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
250.00
55519.00
250.00
200.00
200.00
MA
VA
PO Box 382110
301 Penllyn Blue Bell Pike
1400.00
4518 Briarwick Dr
Friends of Val Arkoosh
23236-1022Transaction ID : VN8HHB1JS61
02238-2110
PABlue Bell
North Chesterfield
Cambridge
C00401224
Doylestown Anesthesia Associates
Virginia Commonwealth University
Transaction ID : VN8HHBW1M6119422-1625
Transaction ID : VN8HHBW1M61E
31
31
08
450.00
2014
31
2014
2014
Image# 14940311149
10
12
12
232
ACTBLUE
2013
2013
PonJola Coney
2013
Edward H Leonard
Anesthesiologist
Conduit total listed in Agg. field
Senior Associate Dean of Faculty Affai
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
50.00
55519.00
1150.00
2600.00
2600.00
MA
WA
PO Box 382110
24 Meadowood Rd
2600.00
3838 NE 189th Pl
Friends of Val Arkoosh
98155-2744Transaction ID : VN8HHB44071
02238-2110
PABryn Mawr
Lake Forest Park
Cambridge
C00401224
S.M. JENKINS & CO.
University of Washington
Transaction ID : VN8HHBFZF6119010-1052
Transaction ID : VN8HHBFZF61E
19
19
14
2650.00
2014
32
2014
2014
Image# 14940311150
10
11
11
232
ACTBLUE
2013
2013
David V. Evans
2013
Scott Jenkins
CONSULTANT
Conduit total listed in Agg. field
Family Medicine
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
250.00
350.00
55519.00
250.00
250.00
TX
MA
4730 Melissa Ln
233 S 6th St
250.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBSHT81E
75229-4221
PAPhiladelphia
Cambridge
Dallas
C00401224
Fox Rothschild LLP
Transaction ID : VN8HHBHZ68119106-3756
Transaction ID : VN8HHBSHT81
BRIDGE Lacrosse
21
19
19
500.00
2014
33
2014
2014
Image# 14940311151
12
12
11
232
Apt 2107
Edith Lycke
2013
2013
ACTBLUE
2013
Stephanie Resnick
Attorney
Founder
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
500.00
450.00
500.00
250.00
250.00
CO
PA
2400 E Cherry Creek South Dr
2310 NE Regents Dr
600.00
706 Cornwall Rd
Friends of Val Arkoosh
16803-1427Transaction ID : VN8HHBFXTA1
80209-3254
ORPortland
State College
Denver
Oregon Health & Science University
Self
Transaction ID : VN8HHBSN39197212-1530
Transaction ID : VN8HHBCYBA1
N/A
20
28
18
1000.00
2014
34
2014
2014
Image# 14940311152
11
10
12
232
Unit 208
Lynda Goldstein
2013
2013
Michele Gray
2013
Charles Kilo
Internist
Not Employed
Homemaker
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
200.00
900.00
300.00
150.00
200.00
VA
PA
2228 King St
2044 Harts Ln
600.00
137 W Harvey St
Friends of Val Arkoosh
19144-2721Transaction ID : VN8HHBHZ6D1
22301-2726
PAConshohocken
Philadelphia
Alexandria
Mission Kids
Temple University
Transaction ID : VN8HHBKHCB119428-2415
Transaction ID : VN8HHBP5ZC1
US Dept of Health and Human Services
03
12
21
550.00
2014
35
2014
2014
Image# 14940311153
11
12
12
232
Lisa Kaplowitz
2013
2013
Carolyn T Adams
2013
Dina Fink
Director of Development
Deputy Asst Secretary
College Professor
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
250.00
250.00
55519.00
250.00
150.00
NJ
MA
718 Farmhouse Rd
6850 Stella Cir
2750.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBJVZE1E
08056-1474
PACoopersburg
Cambridge
Mickleton
C00401224
Allentown Anesthesia associates
Transaction ID : VN8HHBP0HD118036-9739
Transaction ID : VN8HHBJVZE1
Nephrology Associates PA
11
26
26
400.00
2014
36
2014
2014
Image# 14940311154
11
11
12
232
Rubeen Israni
2013
2013
ACTBLUE
2013
Jodie Buxbaum
Physiciam
Nephrologist
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
50.00
55519.00
300.00
250.00
250.00
MA
MA
PO Box 382110
650 Canterbury Ln
250.00
365 Silver St
Friends of Val Arkoosh
02127-4402Transaction ID : VN8HHBDZDH1
02238-2110
PASewickley
Boston
Cambridge
C00401224
University of Pittsburgh
Brigham and Women's PO
Transaction ID : VN8HHBJWAG115143-1223
Transaction ID : VN8HHBJWAG1E
26
26
05
300.00
2014
37
2014
2014
Image# 14940311155
11
11
11
232
ACTBLUE
2013
2013
Ronald Hurley
2013
Erin A Sullivan
Anesthesiologist
Conduit total listed in Agg. field
Anesthesiologist
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
4182.00
250.00
35.00
250.00
50.00
MA
PA
1897 Beacon Street
PO Box 382110
55519.00
227 E Meade St
Friends of Val Arkoosh
19118-2812Transaction ID : VN8HHBNFPN1
02445
MACambridge
Philadelphia
Brookline
C00401224
Drexel University
Transaction ID : VN8HHBDZDH1E02238-2110
Transaction ID : VN8HHBDZ8N1
Anesthesia Associates of Massachusetts
05
05
07
4432.00
2014
38
2014
2014
Image# 14940311156
12
11
11
232
Unit #1
Mark C Norris
2013
2013
Jennifer Kolker
2013
ACTBLUE
Conduit total listed in Agg. field
Anesthesiologist
Professor
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
200.00
55519.00
700.00
50.00
50.00
MA
MD
PO Box 382110
7201 N Norton Ave
300.00
5403 Blackistone Rd
Friends of Val Arkoosh
20816-1820Transaction ID : VN8HHB4PEP1
02238-2110
MOGladstone
Bethesda
Cambridge
C00401224
Kansas City University of Medicine and
Self
Transaction ID : VN8HHBDZEP164119-5394
Transaction ID : VN8HHBDZEP1E
05
05
17
250.00
2014
39
2014
2014
Image# 14940311157
10
11
11
232
ACTBLUE
2013
2013
Adair Parr
2013
Linda R Adkison
Associate Dean for Curricular Affairs,
Conduit total listed in Agg. field
Physician
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
250.00
350.00
735.00
100.00
500.00
PA
NY
615 Elkins Ave
405 S Clifton Ave
500.00
474 W 238th St
Friends of Val Arkoosh
10463-2027Transaction ID : VN8HHBRSNQ1
19027-2301
ILPark Ridge
Bronx
Elkins Park
Anesthesia Quality Institute
Stamford Anesthesiology Services
Transaction ID : VN8HHB7PCQ160068-3950
Transaction ID : VN8HHBJC0Q1
University of Pennsylvania
22
25
16
850.00
2014
40
2014
2014
Image# 14940311158
12
11
10
232
Apt 3A
Evelyn Wiener
2013
2013
Benjamin Unger
2013
Richard P Dutton
Anesthesiologist
Executive Director, Student Health Ser
Anesthesiologist
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
Note: Above Contribution earmarked through thisorganization.
500.00
500.00
800.00
350.00
250.00
PA
NY
1555 Bardsey Dr
PO Box 382110
55519.00
136 E 64th St
Friends of Val Arkoosh
10065-7380Transaction ID : VN8HHBRSPR1
19002-1546
MACambridge
New York
Lower Gwynedd
C00401224
unemployed
Transaction ID : VN8HHBRSNQ1E02238-2110
Transaction ID : VN8HHBD2AQ1
Abington Memorial Hospital
16
28
16
850.00
2014
41
2014
2014
Image# 14940311159
12
10
12
232
Scott E Shapiro
2013
2013
Brooke S Beardslee
2013
ACTBLUE
Conduit total listed in Agg. field
Cardiologist
public health
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
Note: Above Contribution earmarked through thisorganization.
250.00
250.00
55519.00
250.00
500.00
OK
MA
13101 Waterrock Ln
PO Box 382110
55519.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBFZER1E
73007-7631
MACambridge
Cambridge
Arcadia
C00401224
C00401224
Transaction ID : VN8HHBRSPR1E02238-2110
Transaction ID : VN8HHBFZER1
VA Hospital
16
19
19
250.00
2014
42
2014
2014
Image# 14940311160
11
11
12
232
Susan M Edwards
2013
2013
ACTBLUE
2013
ACTBLUE
Conduit total listed in Agg. field
Chair of Radiological Sciences
Conduit total listed in Agg. field
[MEMO ITEM]
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
500.00
500.00
55519.00
500.00
1100.00
MI
MA
765 Watershed Ct
4413 Chalfont Pl
2600.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBDZDS1E
48105-2573
MDBethesda
Cambridge
Ann Arbor
C00401224
Ballard Spahr LLP
Transaction ID : VN8HHBSHKR120816-1812
Transaction ID : VN8HHBDZDS1
University of Michigan
19
05
05
1600.00
2014
43
2014
2014
Image# 14940311161
11
11
12
232
Jill M Mhyre
2013
2013
ACTBLUE
2013
Frederic Ballard
Attorney
Obstetric Anesthesiologist
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
250.00
500.00
500.00
500.00
300.00
PA
PA
1601 Museum Rd
2015 Spring Garden St
800.00
324 Hathaway Ln
Friends of Val Arkoosh
19096-1905Transaction ID : VN8HHBT3GV1
19610-2828
PAPhiladelphia
Wynnewood
Wyomissing
Maternity Care Coalition
Self
Transaction ID : VN8HHBHZ5T119130-5000
Transaction ID : VN8HHBT3ST1
Carim Eye and Retina Center Ltd
21
23
23
1050.00
2014
44
2014
2014
Image# 14940311162
12
12
11
232
Moiz Carim
2013
2013
Teri R. Simon
2013
Letty D. Thall
Public Policy Director
Physician
Attorney
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
500.00
55519.00
500.00
200.00
200.00
MA
VA
PO Box 382110
301 Penllyn Blue Bell Pike
1200.00
5006 Lake Tree Ln
Friends of Val Arkoosh
22932-3143Transaction ID : VN8HHB1NJX1
02238-2110
PABlue Bell
Crozet
Cambridge
C00401224
Doylestown Anesthesia Associates
University of Virginia
Transaction ID : VN8HHBSHVV119422-1625
Transaction ID : VN8HHBSHVV1E
19
19
09
700.00
2014
45
2014
2014
Image# 14940311163
10
12
12
232
ACTBLUE
2013
2013
John C Rowlingson
2013
Edward H Leonard
Anesthesiologist
Conduit total listed in Agg. field
Anesthesiologist
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
150.00
1000.00
1150.00
250.00
1000.00
MN
PA
1889 Sandcherry Ct NW
237 S 18th St
1000.00
7316 Elbow Ln
Friends of Val Arkoosh
19119-2809Transaction ID : VN8HHBNBPY1
55901-3473
PAPhiladelphia
Philadelphia
Rochester
Crossways Ventures
The Savitz Organization
Transaction ID : VN8HHB7HRY119103-1617
Transaction ID : VN8HHBP5YY1
National Physicians Alliance
21
12
05
1400.00
2014
46
2014
2014
Image# 14940311164
12
12
10
232
Apt 16B
Chris McCoy
2013
2013
Margaret Wood Fleming
2013
Harvey Kimmel
President
Chair, Policy Committee
Benefit Plan Compliance
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
250.00
55519.00
250.00
500.00
500.00
MA
NY
PO Box 382110
25 NW 23rd Pl
1035.00
55 Field Ln
Friends of Val Arkoosh
11577-2605Transaction ID : VN8HHBJD412
02238-2110
ORPortland
Roslyn Heights
Cambridge
C00401224
retired
NYU
Transaction ID : VN8HHBW1NZ197210-5580
Transaction ID : VN8HHBW1NZ1E
31
31
25
750.00
2014
47
2014
2014
Image# 14940311165
11
12
12
232
Ste 6
ACTBLUE
2013
2013
Andrew D Rosenberg
2013
BettyLou Koffel
physician
Conduit total listed in Agg. field
Anesthesiologist
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
85.00
55519.00
425.00
35.00
35.00
MA
PA
PO Box 382110
506 W Heather Rd
235.00
726 S 7th St
Friends of Val Arkoosh
19147-2119Transaction ID : VN8HHB05Y32
02238-2110
PAOreland
Philadelphia
Cambridge
C00401224
Springfield Township
self-employed
Transaction ID : VN8HHBSHS1219075-2334
Transaction ID : VN8HHBSHS12E
19
19
06
120.00
2014
48
2014
2014
Image# 14940311166
10
12
12
232
ACTBLUE
2013
2013
Carole Treston
2013
Bonny Davis
Treasurer/Tax Collector
Conduit total listed in Agg. field
RN
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
* In-Kind: in kind hotel room for candidate stay
2600.00
2600.00
55519.00
2600.00
1227.94
MO
MA
3100 W Old Field Rd
530 Spring Ln
9779.49
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBW1X62E
65203-9403
PAWyndmoor
Cambridge
Columbia
C00401224
University of Pennsylvania
Transaction ID : VN8HHC25Y4219038-8413
Transaction ID : VN8HHBW1X62
Flatbranch Brewing Inc
15
26
26
3827.94
2014
49
2014
2014
Image# 14940311167
12
12
12
232
Thomas Smith
2013
2013
ACTBLUE
2013
Valerie Arkoosh
Obstetric Anesthesiologist
President
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
500.00
55519.00
500.00
50.00
50.00
MA
PA
PO Box 382110
365 Silver St
350.00
531 E Durham St
Friends of Val Arkoosh
19119-1225Transaction ID : VN8HHB3RY72
02238-2110
MABoston
Philadelphia
Cambridge
C00401224
Brigham and Women's PO
University of Pennsylvania
Transaction ID : VN8HHBSHS6202127-4402
Transaction ID : VN8HHBSHS62E
19
19
11
550.00
2014
50
2014
2014
Image# 14940311168
10
12
12
232
ACTBLUE
2013
2013
Andrew Lamas
2013
Ronald Hurley
Anesthesiologist
Conduit total listed in Agg. field
Professor
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
250.00
250.00
55519.00
250.00
250.00
MI
MA
21 Kingsley Manor Ct
3535 Chevy Chase Lake Dr
250.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBF3Q92E
48304-2813
MDChevy Chase
Cambridge
Bloomfield Hills
C00401224
Pacific Northwest National Laboratory
Transaction ID : VN8HHBVS87220815-4852
Transaction ID : VN8HHBF3Q92
Wayne State University
29
13
13
500.00
2014
51
2014
2014
Image# 14940311169
11
11
12
232
Roberta E Sonnino
2013
2013
ACTBLUE
2013
Abbe Fessenden
Information Requested
Pediatric Surgeon
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
85.00
55519.00
595.00
500.00
500.00
MA
PA
PO Box 382110
1714 Stockton St
1000.00
726 S 7th St
Friends of Val Arkoosh
19147-2119Transaction ID : VN8HHBNDFB2
02238-2110
CASan Francisco
Philadelphia
Cambridge
C00401224
Self
self-employed
Transaction ID : VN8HHBFZE9294133-2930
Transaction ID : VN8HHBFZE92E
19
19
06
585.00
2014
52
2014
2014
Image# 14940311170
12
11
11
232
Ste 200
ACTBLUE
2013
2013
Carole Treston
2013
Paulette J Meyer- Friedman
Activist
Conduit total listed in Agg. field
RN
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* In-Kind: in kind purchase of hotel room
* Earmarked Contribution: See Below
417.96
1000.00
7584.55
500.00
250.00
PA
PA
220 White Tail Ln
7454 Devon St
600.00
530 Spring Ln
Friends of Val Arkoosh
19038-8413Transaction ID : VN8HHBXHPC2
19063-4348
PAPhiladelphia
Wyndmoor
Media
University of Pennsylvania Health Syst
University of Pennsylvania
Transaction ID : VN8HHBFZGB219119-1018
Transaction ID : VN8HHBSN2C2
Prime Health Network
19
20
04
1167.96
2014
53
2014
2014
Image# 14940311171
10
12
11
232
Karl Schwabe
2013
2013
Valerie Arkoosh
2013
Rob Roy MacGregor
Infectious Disease Specialist
Physician
Obstetric Anesthesiologist
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
250.00
55519.00
250.00
250.00
250.00
MA
PA
PO Box 382110
841 Appenzell Dr
250.00
558 N 23rd St
Friends of Val Arkoosh
19130-3117Transaction ID : VN8HHBJC4C2
02238-2110
PAHummelstown
Philadelphia
Cambridge
C00401224
Pennsylvania State University
Self
Transaction ID : VN8HHBDZDC217036-8533
Transaction ID : VN8HHBDZDC2E
05
05
25
500.00
2014
54
2014
2014
Image# 14940311172
11
11
11
232
ACTBLUE
2013
2013
Joseph F Ricchiuti
2013
Patrick M McQuillan
Anesthesiologist
Conduit total listed in Agg. field
Attorney
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
1000.00
250.00
1000.00
250.00
250.00
PA
VA
1025 W Cliveden St
3101 NE 130th St
250.00
3428 Misty Pl
Friends of Val Arkoosh
23452-6018Transaction ID : VN8HHB8AFF2
19119-3702
OKEdmond
Virginia Beach
Philadelphia
Self
EVMS Medical Group
Transaction ID : VN8HHBJWMC273013-7491
Transaction ID : VN8HHBSM7E2
Rutgers University School of Law - Cam
26
19
23
1500.00
2014
55
2014
2014
Image# 14940311173
10
12
11
232
Ann E Freedman
2013
2013
Bonnie J Dattel
2013
Katherine Scheirman
Retired
law professor
OB-GYN
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
500.00
55519.00
1500.00
500.00
500.00
MA
PA
PO Box 382110
5605 S Woodlawn Ave
500.00
1017 Clinton St
Friends of Val Arkoosh
19107-6016Transaction ID : VN8HHBKFBG2
02238-2110
ILChicago
Philadelphia
Cambridge
C00401224
University of Chicago
Morgan, Lewis & Bockius LLP
Transaction ID : VN8HHBW1MF260637-1622
Transaction ID : VN8HHBW1MF2E
26
26
03
1000.00
2014
56
2014
2014
Image# 14940311174
12
12
12
232
ACTBLUE
2013
2013
Mark Dichter
2013
Vineet Arora
Associate Professor of Medicine
Conduit total listed in Agg. field
Attorney
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
250.00
2000.00
250.00
500.00
500.00
PA
MI
1333 Robinhood Rd
PO Box 382110
55519.00
23701 Wilmarth Ave
Friends of Val Arkoosh
48335-3566Transaction ID : VN8HHBV22K2
19046-1025
MACambridge
Farmington
Meadowbrook
C00401224
Tenet
Transaction ID : VN8HHBKFBG2E02238-2110
Transaction ID : VN8HHBSRKH2
AEMHN
03
21
31
750.00
2014
57
2014
2014
Image# 14940311175
12
12
12
232
Aung Gyi
2013
2013
Suzanne R White
2013
ACTBLUE
Conduit total listed in Agg. field
Anesthesiologist
physician
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
500.00
55519.00
500.00
500.00
500.00
MA
MN
PO Box 382110
19 Gentry Dr
500.00
2455 Highway 52 N
Friends of Val Arkoosh
55901-8311Transaction ID : VN8HHBE03K2
02238-2110
PAPalmyra
Rochester
Cambridge
C00401224
Penn State Hershey
The Mayo Clinic
Transaction ID : VN8HHBDZTK217078-3840
Transaction ID : VN8HHBDZTK2E
05
05
05
1000.00
2014
58
2014
2014
Image# 14940311176
11
11
11
232
Apt 306
ACTBLUE
2013
2013
David O Warner
2013
Donald E Martin
Anesthesiologist
Conduit total listed in Agg. field
Anesthesiologist
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
Note: Above Contribution earmarked through thisorganization.
250.00
2000.00
500.00
500.00
500.00
NY
PA
PO Box 1766
PO Box 382110
55519.00
1141 Cornell Ave
Friends of Val Arkoosh
19026-3217Transaction ID : VN8HHBW1KM2
12901-0240
MACambridge
Drexel Hill
Plattsburgh
C00401224
Thomas Jefferson University Hospital
Transaction ID : VN8HHBE03K2E02238-2110
Transaction ID : VN8HHBRSVK2
Champlain Valley Physicians
05
16
26
750.00
2014
59
2014
2014
Image# 14940311177
12
12
11
232
Robert Eberle
2013
2013
Suzanne Huffnagle
2013
ACTBLUE
Conduit total listed in Agg. field
Anesthesiologist
Anesthesiology
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* In-Kind: in kind food items for event
Note: Above Contribution earmarked through thisorganization.
243.67
250.00
443.67
250.00
250.00
MI
PA
3742 Tanglewood Ct
PO Box 382110
55519.00
308 E Allens Ln
Friends of Val Arkoosh
19119-1101Transaction ID : VN8HHBTE1R2
48105-9574
MACambridge
Philadelphia
Ann Arbor
C00401224
Blue Banyan Yoga
Transaction ID : VN8HHBW1KM2E02238-2110
Transaction ID : VN8HHB1GMN2
University of Michigan
26
08
23
493.67
2014
60
2014
2014
Image# 14940311178
12
10
12
232
Carmen R Green
2013
2013
Sophie Simpson
2013
ACTBLUE
Conduit total listed in Agg. field
Obstetric Anesthesiologist
Owner
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
250.00
250.00
55519.00
250.00
500.00
IL
MA
57 E Delaware Pl
1901 Walnut St
500.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBFZFR2E
60611-1607
PAPhiladelphia
Cambridge
Chicago
C00401224
Children's Hospital of Pennsylvania
Transaction ID : VN8HHB1FZR219103-4645
Transaction ID : VN8HHBFZFR2
Loyola University Medical Center
08
19
19
750.00
2014
61
2014
2014
Image# 14940311179
11
11
10
232
Apt 18F
Apt 1102
Steven B. Edelstein
2013
2013
ACTBLUE
2013
John Downes
Attending Intensivist, Critical Care M
Anesthesiologist
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
50.00
328.00
55519.00
50.00
250.00
MA
MA
55 Main St
2013 Egret Ln
250.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBSHSS2E
01360-1017
SCCharleston
Cambridge
Northfield
C00401224
Medical University of South Carolina
Transaction ID : VN8HHBVS7S229414-5303
Transaction ID : VN8HHBSHSS2
UMassMemorial Health Care
27
19
19
300.00
2014
62
2014
2014
Image# 14940311180
12
12
12
232
Stephen Martin
2013
2013
ACTBLUE
2013
Deborah V Deas
Senior Associate Dean for Medical Educ
Family Medicine
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
250.00
700.00
250.00
150.00
250.00
MD
PA
600 McNeill Rd
215 Loring Ave
250.00
1701 Locust St
Friends of Val Arkoosh
19103-6163Transaction ID : VN8HHBW1ZV2
20910-5541
NYPelham
Philadelphia
Silver Spring
Self
Thomas Jefferson University
Transaction ID : VN8HHBRSMT210803-2254
Transaction ID : VN8HHBS65T2
Evergreen Health Co-op
16
17
31
650.00
2014
63
2014
2014
Image# 14940311181
12
12
12
232
Unit 1709
Alex Blum
2013
2013
Stanton Smullens
2013
Brenda D Harms
Homemaker
Physician
Chief Medical Officer
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
100.00
500.00
2600.00
500.00
250.00
PA
PA
1008 Stratford Ave
PO Box 382110
55519.00
8800 Montgomery Ave
Friends of Val Arkoosh
19038-8310Transaction ID : VN8HHBSHJV2
19027-3025
MACambridge
Wyndmoor
Elkins Park
C00401224
None
Transaction ID : VN8HHBW1ZV2E02238-2110
Transaction ID : VN8HHBJC1V2
None
31
25
19
600.00
2014
64
2014
2014
Image# 14940311182
12
11
12
232
Glenn Carlson
2013
2013
Margaret Greenawalt
2013
ACTBLUE
Conduit total listed in Agg. field
Unemployed
Not Employed
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
1000.00
55519.00
2000.00
100.00
100.00
MA
CO
PO Box 382110
151 Soundview Ave
2600.00
1043 Pine St
Friends of Val Arkoosh
80302-4022Transaction ID : VN8HHBFZEW2
02238-2110
NYWhite Plains
Boulder
Cambridge
C00401224
Columbia University
Retired
Transaction ID : VN8HHBE07W210606-3614
Transaction ID : VN8HHBE07W2E
05
05
19
1100.00
2014
65
2014
2014
Image# 14940311183
11
11
11
232
ACTBLUE
2013
2013
Margery J. Goldman
2013
Richard Smiley
Chief of Obstetric Anesthesiology
Conduit total listed in Agg. field
Retired
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
* In-Kind: in kind food and supplies for event
Note: Above Contribution earmarked through thisorganization.
500.00
435.00
500.00
310.00
1000.00
PA
PA
911 Fraser Rd
PO Box 382110
55519.00
1116 Perry Hwy
Friends of Val Arkoosh
15237-2135Transaction ID : VN8HHBRSQX2
19038-7013
MACambridge
Pittsburgh
Glenside
C00401224
Self
Transaction ID : VN8HHBFZEW2E02238-2110
Transaction ID : VN8HHC264X2
Womencare OB/GYN
19
01
16
810.00
2014
66
2014
2014
Image# 14940311184
12
12
11
232
Sherry Blumenthal
2013
2013
Elizabeth Kairys
2013
ACTBLUE
Conduit total listed in Agg. field
OB/GYN
Not Employed
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
500.00
2600.00
500.00
2600.00
500.00
PA
NJ
720 N Spring Mill Rd
PO Box 382110
55519.00
8 Talon Ct
Friends of Val Arkoosh
08080-1680Transaction ID : VN8HHB3K3Z2
19085-2045
MACambridge
Sewell
Villanova
C00401224
Jefferson Medical College
Transaction ID : VN8HHBRSQX2E02238-2110
Transaction ID : VN8HHBNZGZ2
Benefits Data Trust
16
11
09
3100.00
2014
67
2014
2014
Image# 14940311185
10
12
12
232
Warren W Kantor
2013
2013
David Maguire
2013
ACTBLUE
Conduit total listed in Agg. field
CEO
Anesthesiologist
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
250.00
250.00
55519.00
250.00
500.00
MD
MA
4312 Clagett Rd
17573 Middle Lake Dr
500.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBDZV13E
20782
FLBoca Raton
Cambridge
University Park
C00401224
Resolute Anesthesia and Pain Solutions
Transaction ID : VN8HHBSSH0333496-1028
Transaction ID : VN8HHBDZV13
University of Maryland
22
05
05
750.00
2014
68
2014
2014
Image# 14940311186
11
11
12
232
Rob Sprinkle
2013
2013
ACTBLUE
2013
Steven Stein
Anesthesiologist
Family Medicine
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
500.00
55519.00
500.00
250.00
250.00
MA
DC
PO Box 382110
1630 Copper Beech Cir
250.00
1751 P St NW
Friends of Val Arkoosh
20036-1303Transaction ID : VN8HHBNZH33
02238-2110
PAHuntingdon Valley
Washington
Cambridge
C00401224
ARAMARK
The McIntosh Foundation
Transaction ID : VN8HHBSHT2319006-7771
Transaction ID : VN8HHBSHT23E
19
19
11
750.00
2014
69
2014
2014
Image# 14940311187
12
12
12
232
ACTBLUE
2013
2013
Winsome McIntosh
2013
Tracey S Pachman
Attorney
Conduit total listed in Agg. field
Consultant
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
1000.00
350.00
1000.00
100.00
250.00
MD
PA
1714 S Harbor Ln
PO Box 2569
250.00
8620 Montgomery Ave
Friends of Val Arkoosh
19038-8306Transaction ID : VN8HHBSHW43
21401-6535
COSilverthorne
Glenside
Annapolis
University of Minnesota
Temple University
Transaction ID : VN8HHB4A33380498-2569
Transaction ID : VN8HHBRVJ33
Self
15
17
19
1350.00
2014
70
2014
2014
Image# 14940311188
12
12
10
232
94 Ryan Gulch Rd
Elizabeth Buckman
2013
2013
Richard T Collier
2013
Judith A Buchanan
Professor Division of Prosthodontics
Public Relations
Adjunct Professor
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
Note: Above Contribution earmarked through thisorganization.
1000.00
1000.00
55519.00
1000.00
1000.00
PA
MA
507 Shortridge Dr
PO Box 382110
55519.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBW1K53E
19096-1609
MACambridge
Cambridge
Wynnewood
C00401224
C00401224
Transaction ID : VN8HHBSHW43E02238-2110
Transaction ID : VN8HHBW1K53
Drexel University College of Medicine
19
31
31
1000.00
2014
71
2014
2014
Image# 14940311189
12
12
12
232
Howard Eisen
2013
2013
ACTBLUE
2013
ACTBLUE
Conduit total listed in Agg. field
Cardiologist
Conduit total listed in Agg. field
[MEMO ITEM]
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
250.00
250.00
55519.00
250.00
400.00
PA
MA
401 Woodside Ave
42 Jasmine St
400.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBKFB63E
19072-2332
CODenver
Cambridge
Narberth
C00401224
University of Colorado
Transaction ID : VN8HHBG0G5380220-5911
Transaction ID : VN8HHBKFB63
Temple U
19
03
03
650.00
2014
72
2014
2014
Image# 14940311190
12
12
11
232
Scott Burris
2013
2013
ACTBLUE
2013
Jane E.B. Reusch
Physician
Law Professor
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
200.00
600.00
55519.00
200.00
150.00
VA
MA
2201 Goldentree Way
6375 Church Rd
600.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBXGT73E
22182-5173
PAPhiladelphia
Cambridge
Vienna
C00401224
Drexel University
Transaction ID : VN8HHBE7P6319151-2504
Transaction ID : VN8HHBXGT73
George Washington University
07
30
30
350.00
2014
73
2014
2014
Image# 14940311191
12
12
11
232
May L Chin
2013
2013
ACTBLUE
2013
Theodore Corbin
Emergency Medicine
Anesthesiologist
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
250.00
250.00
55519.00
250.00
500.00
WI
MA
412 Farwell Dr
1150 K St NW
600.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBW1MA3E
53704-6026
DCWashington
Cambridge
Madison
C00401224
UCLA
Transaction ID : VN8HHB3SJ7320005-6804
Transaction ID : VN8HHBW1MA3
University of Wisconsin
11
31
31
750.00
2014
74
2014
2014
Image# 14940311192
12
12
10
232
Apt 503
Deborah A Rusy
2013
2013
ACTBLUE
2013
Alice Chen
Physician
Anesthesiologist
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
500.00
300.00
500.00
150.00
200.00
PA
PA
239 Rex Ave
6513 Navaho Trl
700.00
401 W Allens Ln
Friends of Val Arkoosh
19119-2805Transaction ID : VN8HHBEVRB3
19118-3718
MNEdina
Philadelphia
Philadelphia
Self
retired
Transaction ID : VN8HHBF43A355439-1137
Transaction ID : VN8HHBFSKA3
retired
13
17
08
850.00
2014
75
2014
2014
Image# 14940311193
11
11
11
232
Bettina Hoerlin
2013
2013
Julia A Ericksen
2013
Kathy Zuspan
Anesthesiologist
health planner
retired
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
1000.00
2000.00
55519.00
1000.00
75.00
IL
MA
25W361 Westove Ct
1504 Montrose St
500.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBSHVC3E
60540-3407
PAPhiladelphia
Cambridge
Naperville
C00401224
Veteran's Health Administration
Transaction ID : VN8HHBF7VC319146-2115
Transaction ID : VN8HHBSHVC3
Women's Center for Health
14
19
19
1075.00
2014
76
2014
2014
Image# 14940311194
12
12
11
232
Christopher G. Olson
2013
2013
ACTBLUE
2013
Poune Saberi
General Practitioner
GYN Surgeon
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
250.00
250.00
55519.00
250.00
250.00
IL
MA
430 Fox Meadow Dr
4623 Osage Ave
250.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBF3QJ3E
60093-4301
PAPhiladelphia
Cambridge
Northfield
C00401224
Self
Transaction ID : VN8HHBEZ5H319143-2113
Transaction ID : VN8HHBF3QJ3
University of Illinois
11
13
13
500.00
2014
77
2014
2014
Image# 14940311195
11
11
11
232
Charles E Laurito
2013
2013
ACTBLUE
2013
Lisa Mathewson
Attorney
Anesthesiologist
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
* In-Kind: in kind mileage reimbursement
250.00
250.00
55519.00
250.00
361.38
PA
MA
3550 Terrace St
PO Box 1011
829.47
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBJWAM3E
15213-2500
PAGlenside
Cambridge
Pittsburgh
C00401224
Friends of Val Arkoosh
Transaction ID : VN8HHBWTYM319038-6011
Transaction ID : VN8HHBJWAM3
University of Pittsburgh
10
26
26
611.38
2014
78
2014
2014
Image# 14940311196
11
11
12
232
Andrew Herlich
2013
2013
ACTBLUE
2013
Ellen Sun
Finance Director
Anesthesiologist
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
* In-Kind: in kind mileage reimbursement
1750.00
950.00
5200.00
350.00
201.10
PA
NJ
7709 Chapel Rd
PO Box 1011
468.09
725 Kings Hwy
Friends of Val Arkoosh
08057-2621Transaction ID : VN8HHBW1JQ3
19027-2528
PAGlenside
Moorestown
Elkins Park
Friends of Val Arkoosh
Cooper Health System
Transaction ID : VN8HHBWTZN319038-6011
Transaction ID : VN8HHBJC0P3
American Board of Internal Medicine
24
25
31
2301.10
2014
79
2014
2014
Image# 14940311197
12
11
11
232
Lorie B. Slass
2013
2013
Valerie Armstead
2013
Ellen Sun
Finance Director
Communications Director
Physician
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
75.00
2600.00
425.00
600.00
1750.00
IL
PA
211 S Cumberland Ave
PO Box 382110
55519.00
1504 Montrose St
Friends of Val Arkoosh
19146-2115Transaction ID : VN8HHB48HR3
60068-4055
MACambridge
Philadelphia
Park Ridge
C00401224
Veteran's Health Administration
Transaction ID : VN8HHBW1JQ3E02238-2110
Transaction ID : VN8HHBTSPR3
University of Chicago
31
30
15
675.00
2014
80
2014
2014
Image# 14940311198
10
12
12
232
Barbara Scavone
2013
2013
Poune Saberi
2013
ACTBLUE
Conduit total listed in Agg. field
Anesthesiologist
General Practitioner
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
100.00
628.00
55519.00
100.00
1000.00
WA
MA
8623 46th Ave SW
7 3rd Ave
1000.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBSHTS3E
98136-2429
PAMalvern
Cambridge
Seattle
C00401224
Self
Transaction ID : VN8HHBS6XS319355-3031
Transaction ID : VN8HHBSHTS3
Providence Elderplace
17
19
19
1100.00
2014
81
2014
2014
Image# 14940311199
12
12
12
232
Lisa Plymate
2013
2013
ACTBLUE
2013
Susan L Anderson
Retired
Geriatrician
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
2600.00
2600.00
55519.00
2600.00
1000.00
CA
MA
746 Esplanada Way
484 1st St
1500.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBNYYV3E
94305-1073
NYBrooklyn
Cambridge
Stanford
C00401224
Self
Transaction ID : VN8HHBVS8T311215-2606
Transaction ID : VN8HHBNYYV3
Stanford University
31
11
11
3600.00
2014
82
2014
2014
Image# 14940311200
12
12
12
232
Carol Winograd
2013
2013
ACTBLUE
2013
Polly Howells
Retired
Professor
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
1000.00
300.00
1000.00
100.00
500.00
IL
PA
812 S Clay St
300 E 39th St
500.00
121 Edgewood Rd
Friends of Val Arkoosh
19003-2507Transaction ID : VN8HHBRTKW3
60521-4541
NYNew York
Ardmore
Hinsdale
New York University
university of pennsylvania
Transaction ID : VN8HHAZJZV310016-2216
Transaction ID : VN8HHBCVTV3
Aim Specialty Health
03
26
17
1600.00
2014
83
2014
2014
Image# 14940311201
12
10
10
232
Apt 27G
Susan Nedza
2013
2013
Benjamin Abella
2013
Jennifer F Havens
Psychiatrist
Physician
physician
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
250.00
250.00
55519.00
250.00
500.00
PA
MA
17 Coopertown Rd
25 NW 23rd Pl
535.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBW1MX3E
19041-1012
ORPortland
Cambridge
Haverford
C00401224
retired
Transaction ID : VN8HHAZMYX397210-5580
Transaction ID : VN8HHBW1MX3
Philadelphia Futures
03
26
26
750.00
2014
84
2014
2014
Image# 14940311202
12
12
10
232
Ste 6
Joan Mazzotti
2013
2013
ACTBLUE
2013
BettyLou Koffel
physician
Executive Director
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
1000.00
1000.00
55519.00
1000.00
250.00
PA
MA
230 W Willow Grove Ave
635 Sussex Rd
250.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBSHVZ3E
19118-3919
PAWynnewood
Cambridge
Philadelphia
C00401224
St. Christopher's Hospital for Childre
Transaction ID : VN8HHBP5JZ319096-2204
Transaction ID : VN8HHBSHVZ3
Drexel School of Public Health
12
19
19
1250.00
2014
85
2014
2014
Image# 14940311203
12
12
12
232
Marla J. Gold
2013
2013
ACTBLUE
2013
Nancy D Spector
Physician
Dean Emeritus
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
250.00
500.00
850.00
500.00
500.00
PA
PA
531 E Durham St
2515 Panama St
500.00
739 S Highland Ave
Friends of Val Arkoosh
19066-1609Transaction ID : VN8HHBSNH34
19119-1225
PAPhiladelphia
Merion Station
Philadelphia
University of Pennsylvania
Rutgers University
Transaction ID : VN8HHBKCB0419103-6474
Transaction ID : VN8HHB3RY14
Praxis Consulting Group
02
11
20
1250.00
2014
86
2014
2014
Image# 14940311204
12
10
12
232
Virginia Vanderslice
2013
2013
Rayman L Solomon
2013
Vivek Ahya
Pulmonary Medicine Physician
President
Administrator
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
250.00
55519.00
250.00
500.00
500.00
MA
PA
PO Box 382110
3155 19th St NW
500.00
4601 Brookridge Dr
Friends of Val Arkoosh
18034-8805Transaction ID : VN8HHB8BF44
02238-2110
DCWashington
Center Valley
Cambridge
C00401224
Pacific Gas and Electric Company
Lehigh Valley Health Network
Transaction ID : VN8HHBW1Q3420010-2638
Transaction ID : VN8HHBW1Q34E
26
26
23
750.00
2014
87
2014
2014
Image# 14940311205
10
12
12
232
ACTBLUE
2013
2013
Thomas M McLoughlin
2013
Melissa Lavinson
Vice President of Federal Affairs
Conduit total listed in Agg. field
Physician
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
25.00
55519.00
253.00
500.00
500.00
MA
PA
PO Box 382110
150 Columbus Ave
500.00
728 Stanbridge St
Friends of Val Arkoosh
19401-5506Transaction ID : VN8HHBJW264
02238-2110
NYNew York
Norristown
Cambridge
C00401224
N/A
Montgomery County Democratic Committee
Transaction ID : VN8HHBDZE6410023-5972
Transaction ID : VN8HHBDZE64E
05
05
26
525.00
2014
88
2014
2014
Image# 14940311206
11
11
11
232
Ph 1A
ACTBLUE
2013
2013
Olivia Brady
2013
Carol Tolan
Not employed
Conduit total listed in Agg. field
Assistant Director
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
500.00
3000.00
500.00
1000.00
25.00
IA
IL
3502 Foxana Dr
PO Box 382110
55519.00
251 Longcommon Rd
Friends of Val Arkoosh
60546-2033Transaction ID : VN8HHBS6564
52246-8616
MACambridge
Riverside
Iowa City
C00401224
Self
Transaction ID : VN8HHBJW264E02238-2110
Transaction ID : VN8HHBT8M64
University of Iowa
26
26
17
1500.00
2014
89
2014
2014
Image# 14940311207
12
12
11
232
James Bates
2013
2013
Marie T. Brown
2013
ACTBLUE
Conduit total listed in Agg. field
Anesthesiologist
Internist
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
100.00
550.00
55519.00
100.00
250.00
MD
MA
8708 Melwood Rd
16 Arbor Rd
250.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBW2084E
20817-3226
MOOlivette
Cambridge
Bethesda
C00401224
Self
Transaction ID : VN8HHBTXQ7463132-4203
Transaction ID : VN8HHBW2084
George Washington University
31
31
31
350.00
2014
90
2014
2014
Image# 14940311208
12
12
12
232
Fitzhugh Mullan
2013
2013
ACTBLUE
2013
Isaac Young
Retired
Physician
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
250.00
250.00
750.00
250.00
500.00
IL
PA
976 Sunset Rd
161 E Chicago Ave
500.00
1214 Yarmouth Rd
Friends of Val Arkoosh
19096-3639Transaction ID : VN8HHBJWAA4
60093-3641
ILChicago
Wynnewood
Winnetka
Northwestern Medical Faculty Foundatio
University of Pennsylvania
Transaction ID : VN8HHBTEK8460611-6681
Transaction ID : VN8HHBDVH94
North Shore University Health System
29
04
26
1000.00
2014
91
2014
2014
Image# 14940311209
11
11
12
232
Apt 48F
Joseph Szokol
2013
2013
David Eckmann
2013
Honorio Benzon
Physician
Anesthesiologist
Anesthesiologist
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
250.00
500.00
1250.00
500.00
250.00
FL
PA
1601 Clint Moore Rd
PO Box 382110
55519.00
5545 Tuscany Ct
Friends of Val Arkoosh
18036-1964Transaction ID : VN8HHBT2FC4
33487-5715
MACambridge
Coopersburg
Boca Raton
C00401224
Allentown Anesthesia Associates
Transaction ID : VN8HHBJWAA4E02238-2110
Transaction ID : VN8HHBVS3B4
Broad Pain Care Consultants
26
27
23
750.00
2014
92
2014
2014
Image# 14940311210
12
12
11
232
Ste 160
Ian Schaja
2013
2013
Aras Ali
2013
ACTBLUE
Conduit total listed in Agg. field
Anesthesiologist
Anesthesiologist
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
500.00
750.00
500.00
250.00
250.00
PA
TX
4141 Apalogen Rd
6 Crestwood Dr
250.00
6037 Llano Ave
Friends of Val Arkoosh
75206-6321Transaction ID : VN8HHBD42D4
19129-5503
MOSaint Louis
Dallas
Philadelphia
Washington University
UT Southwestern
Transaction ID : VN8HHBT8TC463105-3033
Transaction ID : VN8HHBCYBD4
Hangley Aronchick
26
28
29
1000.00
2014
93
2014
2014
Image# 14940311211
10
10
12
232
Wendy Beetlestone Esq.
2013
2013
Martin Giesecke
2013
Ellen Lockhart
Associate Professor and Vice Chairman,
Attorney
Anesthesiologist
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
250.00
500.00
250.00
500.00
250.00
PA
MD
314 S Smedley St
3008 E Laurelhurst Dr NE
100.00
PO Box 816
Friends of Val Arkoosh
21022-0816Transaction ID : VN8HHBT89E4
19103-6718
WASeattle
Brooklandville
Philadelphia
Self
James R. Garrett, Consultant
Transaction ID : VN8HHB3SME498105-5331
Transaction ID : VN8HHBDCZE4
Synthes Spine
11
31
26
1000.00
2014
94
2014
2014
Image# 14940311212
12
10
10
232
Jeffrey Eagan
2013
2013
Jim Garrett
2013
Jean Amick
None
AO ASIF Consultant
Educational Consultant
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
100.00
2600.00
426.00
2600.00
250.00
NJ
PA
100 Old Palisade Rd
213 W 3rd St
250.00
948 Leopard Rd
Friends of Val Arkoosh
19046-2410Transaction ID : VN8HHBSJ5H4
07024-7023
ILHinsdale
Rydal
Fort Lee
University of Illinois at Chicago
Children's Hosp of Phila
Transaction ID : VN8HHAZNZF460521-4021
Transaction ID : VN8HHBJBWH4
Comprehensive Genetics
04
25
19
2950.00
2014
95
2014
2014
Image# 14940311213
12
11
10
232
Apt 2906
Mark I Evans
2013
2013
David Lowe
2013
Pauline M Maki
Professor of Psychiatry and Psychology
Physician
Physician
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
50.00
55519.00
1200.00
500.00
500.00
MA
WA
PO Box 382110
128 Bedens Brook Rd
500.00
3838 NE 189th Pl
Friends of Val Arkoosh
98155-2744Transaction ID : VN8HHBF7XK4
02238-2110
NJSkillman
Lake Forest Park
Cambridge
C00401224
Vorhees Virtua
University of Washington
Transaction ID : VN8HHBRSPJ408558-2303
Transaction ID : VN8HHBRSPJ4E
16
16
14
550.00
2014
96
2014
2014
Image# 14940311214
11
12
12
232
ACTBLUE
2013
2013
David V. Evans
2013
John A Carlson Jr.
OB-GYN
Conduit total listed in Agg. field
Family Medicine
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
250.00
250.00
250.00
250.00
250.00
MA
PA
2 Beeching St
5 Mink Dr
250.00
1157 Avonlea Cir
Friends of Val Arkoosh
19342-9520Transaction ID : VN8HHBT1SQ4
01602-1402
NHHanover
Glen Mills
Worcester
Dartmouth Medical School
Premier Orthopaedics
Transaction ID : VN8HHBD89M403755-3108
Transaction ID : VN8HHBF7VN4
University of Massachusetts
30
14
22
750.00
2014
97
2014
2014
Image# 14940311215
12
11
10
232
Julia Johnson
2013
2013
Chip D Hummer
2013
Jocelyn D. D Chertoff
Physician
OB/GYN - Chair
Orthopaedic Surgeon
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
250.00
1000.00
600.00
500.00
250.00
PA
PA
515 E Mount Pleasant Ave
508 Old Lancaster Rd
250.00
18 N Edmonds Ave
Friends of Val Arkoosh
19083-5024Transaction ID : VN8HHBS7SX4
19119-1233
PAHaverford
Havertown
Philadelphia
University of Pennsylvania Health Syst
Thomas Jefferson University
Transaction ID : VN8HHBSN1S419041-1411
Transaction ID : VN8HHBNZGS4
Urban Affairs Coalition
20
11
18
1000.00
2014
98
2014
2014
Image# 14940311216
12
12
12
232
Leslie Benoliel
2013
2013
Jane Huffnagle
2013
Charles W Schwab
Surgeon
Non profit manager
Anesthesiologist
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
1000.00
2600.00
1553.00
100.00
100.00
PA
MO
8800 Montgomery Ave
812 S Clay St
400.00
327 Hampshire Hill Ln
Friends of Val Arkoosh
63141-7207Transaction ID : VN8HHBKE405
19038-8310
ILHinsdale
Saint Louis
Wyndmoor
Aim Specialty Health
N/A
Transaction ID : VN8HHBJVSY460521-4541
Transaction ID : VN8HHBSHJZ4
Self
26
19
02
1200.00
2014
99
2014
2014
Image# 14940311217
12
12
11
232
Richard Greenawalt
2013
2013
Marie Chapman Carroll
2013
Susan Nedza
Physician
Private Investor
Retired
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
150.00
1250.00
550.00
500.00
50.00
CA
PA
1409 Ada St
107 Sunnymeade Rd
400.00
918 Katie Cir
Friends of Val Arkoosh
19468-7400Transaction ID : VN8HHBRS615
94702-1216
NJHillsborough
Royersford
Berkeley
None
Merck & Co
Transaction ID : VN8HHBT3S1508844-4654
Transaction ID : VN8HHBNEC15
Pro-Media Communications
23
06
16
700.00
2014
100
2014
2014
Image# 14940311218
12
12
12
232
Rochelle Lefkowitz
2013
2013
Molly Watkins
2013
Pamela Booth
Not Employed
President
Associate Director
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
100.00
250.00
55519.00
100.00
1000.00
CO
MA
7336 Windsor Dr
429 Denniston Ave
1000.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBRSP35E
80301-3718
PAPittsburgh
Cambridge
Boulder
C00401224
REED SMITH LLP
Transaction ID : VN8HHBNZN2515206-4441
Transaction ID : VN8HHBRSP35
Retired
11
16
16
1100.00
2014
101
2014
2014
Image# 14940311219
12
12
12
232
Janet Strife
2013
2013
ACTBLUE
2013
Daniel I Booker
ATTORNEY
Physician
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
250.00
55519.00
250.00
53.00
53.00
MA
AL
PO Box 382110
85 Wolcott Rd
606.00
133 McGregor Ave S
Friends of Val Arkoosh
36608-2345Transaction ID : VN8HHB1NS65
02238-2110
MAChestnut Hill
Mobile
Cambridge
C00401224
Tufts MC PO
University of South Alabama
Transaction ID : VN8HHBE084502467-3108
Transaction ID : VN8HHBE0845E
05
05
09
303.00
2014
102
2014
2014
Image# 14940311220
10
11
11
232
ACTBLUE
2013
2013
Mary I Townsley
2013
Scott Segal
Anesthesiologist
Conduit total listed in Agg. field
Professor of Physiology and Medicine
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* In-Kind: in kind flight ticket purchase
100.00
8103.75
400.00
519.20
500.00
PA
PA
530 Spring Ln
110 E Delaware Pl
500.00
8802 Bailey Rd
Friends of Val Arkoosh
19038-7406Transaction ID : VN8HHBSHK85
19038-8413
ILChicago
Glenside
Wyndmoor
Chicago Women's Health Practitioners
Guardian Nurses
Transaction ID : VN8HHBT3Z7560611-4901
Transaction ID : VN8HHBXH975
University of Pennsylvania
23
07
19
1119.20
2014
103
2014
2014
Image# 14940311221
12
10
12
232
Apt 1703
Valerie Arkoosh
2013
2013
Elizabeth R Long
2013
Judith Cothran
Physician
Obstetric Anesthesiologist
President
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
500.00
55519.00
500.00
1000.00
1000.00
MA
NC
PO Box 382110
445 Boxwood Rd
1000.00
2441 Sedley Rd
Friends of Val Arkoosh
28211-3650Transaction ID : VN8HHBF50A5
02238-2110
PABryn Mawr
Charlotte
Cambridge
C00401224
International Raw Materials Ltd
Charlotte Radiology
Transaction ID : VN8HHBXGR9519010-1254
Transaction ID : VN8HHBXGR95E
30
30
13
1500.00
2014
104
2014
2014
Image# 14940311222
11
12
12
232
ACTBLUE
2013
2013
Matthew Gromet
2013
William P O'Neill Jr.
Business Executive
Conduit total listed in Agg. field
Radiologist
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
500.00
55519.00
500.00
500.00
500.00
MA
PA
PO Box 382110
115 Overbrook Pkwy
500.00
440 S Broad St
Friends of Val Arkoosh
19146-4917Transaction ID : VN8HHB763A5
02238-2110
PAWynnewood
Philadelphia
Cambridge
C00401224
N/A
Temple University
Transaction ID : VN8HHBKFBA519096-3702
Transaction ID : VN8HHBKFBA5E
03
03
18
1000.00
2014
105
2014
2014
Image# 14940311223
10
12
12
232
Unit 2301
ACTBLUE
2013
2013
Amy J Goldberg
2013
David Balamuth
RETIRED
Conduit total listed in Agg. field
Section Chief, Trauma and Surgical Cri
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
250.00
250.00
55519.00
250.00
250.00
NY
MA
985 5th Ave
2000 Market St
250.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBXGRE5E
10075-0142
PAPhiladelphia
Cambridge
New York
C00401224
Fox Rothschild, LLP
Transaction ID : VN8HHBHZ6B519103-7006
Transaction ID : VN8HHBXGRE5
Fledgling Fund
21
30
30
500.00
2014
106
2014
2014
Image# 14940311224
12
12
11
232
Fl 10
Diana Barrett
2013
2013
ACTBLUE
2013
Abraham Reich
Attorney
Foundation Executive
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
500.00
55519.00
500.00
50.00
50.00
MA
PA
PO Box 382110
805 Primrose Ln
300.00
124 Maple Ave
Friends of Val Arkoosh
19004-3031Transaction ID : VN8HHBSHME5
02238-2110
PAWynnewood
Bala Cynwyd
Cambridge
C00401224
Crozer Keystone
Self
Transaction ID : VN8HHBJWAE519096-1665
Transaction ID : VN8HHBJWAE5E
26
26
19
550.00
2014
107
2014
2014
Image# 14940311225
12
11
11
232
ACTBLUE
2013
2013
Bonnie B Dorwart
2013
Leon Katz
Surgeon
Conduit total listed in Agg. field
Rheumatologist
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
250.00
500.00
55519.00
250.00
500.00
NY
MA
360 Furman St
1704 S St NW
1000.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBW1NF5E
11201-4579
DCWashington
Cambridge
Brooklyn
C00401224
Inova Fairfax Hospital
Transaction ID : VN8HHBP13F520009-6116
Transaction ID : VN8HHBW1NF5
None
12
26
26
750.00
2014
108
2014
2014
Image# 14940311226
12
12
12
232
Apt 1216
Claire Silberman
2013
2013
ACTBLUE
2013
Nitin Puri
Physician
Homemaker
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
500.00
250.00
1500.00
250.00
50.00
PA
NY
217 Knoll Rd
1901 John F Kennedy Blvd
400.00
751 Waldens Pond Rd
Friends of Val Arkoosh
12203-6006Transaction ID : VN8HHBRR0M5
19086-6009
PAPhiladelphia
Albany
Wallingford
Drexel University College of Medicine
Albany Medical Center
Transaction ID : VN8HHBT1WG519103-1522
Transaction ID : VN8HHBRPNK5
Weitz & Luxenberg
22
15
16
800.00
2014
109
2014
2014
Image# 14940311227
12
12
12
232
Apt 2525
Jerry M Kristal
2013
2013
Cheryl A De Simone Devito
2013
Julie Yeh
Physician
attorney
Anesthesiologist
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
250.00
250.00
55519.00
250.00
500.00
PA
MA
6904 Wissahickon Ave
55 W Delaware Pl
500.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBSHTM5E
19119-3700
ILChicago
Cambridge
Philadelphia
C00401224
American Society of Anesthesiologists
Transaction ID : VN8HHBS83M560610-6083
Transaction ID : VN8HHBSHTM5
Self
18
19
19
750.00
2014
110
2014
2014
Image# 14940311228
12
12
12
232
Apt 505
Denise Scott Brown
2013
2013
ACTBLUE
2013
Paul Pomerantz
CEO
Retired
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
250.00
55519.00
250.00
250.00
250.00
MA
SC
PO Box 382110
1520 Spruce St
3350.00
6 49th Ave
Friends of Val Arkoosh
29451-2609Transaction ID : VN8HHB762Q5
02238-2110
PAPhiladelphia
Isle Of Palms
Cambridge
C00401224
Drexel University College of Medicine
Medical University of South Carolina
Transaction ID : VN8HHBW1MQ519102-4508
Transaction ID : VN8HHBW1MQ5E
31
31
18
500.00
2014
111
2014
2014
Image# 14940311229
10
12
12
232
Apt 707
ACTBLUE
2013
2013
Florence Hutchison
2013
Daniel V. Schidlow
Dean
Conduit total listed in Agg. field
Physician
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
250.00
250.00
250.00
250.00
500.00
FL
KS
13240 N Bayshore Dr
320 W Laurier Pl
500.00
13908 Mastin St
Friends of Val Arkoosh
66221-2284Transaction ID : VN8HHB8EKW5
33181-2148
PABryn Mawr
Overland Park
North Miami
ModSolar
University of Kansas
Transaction ID : VN8HHBVS8S519010-2253
Transaction ID : VN8HHBF47V5
Armor Correctional Health Services
29
13
24
1000.00
2014
112
2014
2014
Image# 14940311230
10
11
12
232
John May
2013
2013
Patricia A Thomas
2013
Kevin Ilsen
Co-founder & CTO, VP of Product Develo
Chief Medical Officer
Professor of Pathology
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
250.00
500.00
250.00
500.00
150.00
MO
1855 Ironstone Rd
6375 Church Rd
750.00
Friends of Val Arkoosh
Transaction ID : VN8HHBNZHZ5
63131-3804
PAPhiladelphia
Saint Louis
Drexel University
Information Requested
Transaction ID : VN8HHBNFCW519151-2504
Transaction ID : VN8HHBRSSY5
Ballas Anesthesia Inc
07
16
11
900.00
2014
113
2014
2014
Image# 14940311231
12
12
12
232
Christopher T Felling
2013
2013
Erika Aaron
2013
Theodore Corbin
Emergency Medicine
physician/ Anesthesiologist
Information Requested
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
500.00
3000.00
500.00
500.00
500.00
NY
PA
85 Bacon Dr
15915 Emory Ln
500.00
948 Oakwood Ave
Friends of Val Arkoosh
17362-9137Transaction ID : VN8HHBG1B16
12523-1127
MDRockville
Spring Grove
Elizaville
National Institute of Health
Hillside Medical Center
Transaction ID : VN8HHBKCEZ520853-1460
Transaction ID : VN8HHBS7VZ5
Albany Associates in Cardiology
02
18
19
1500.00
2014
114
2014
2014
Image# 14940311232
11
12
12
232
MS 10
Benjamin Schaefer
2013
2013
Terry Calder
2013
John H Powers III
Senior Medical Scientist at SAIC in su
Cardiologist
Anesthesiologist
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
250.00
55519.00
250.00
50.00
50.00
MA
NY
PO Box 382110
1418 Drake St
400.00
1075 Park Ave
Friends of Val Arkoosh
10128-1003Transaction ID : VN8HHBNYZ36
02238-2110
WIMadison
New York
Cambridge
C00401224
Group Health Cooperative - SCW
Mount Sinai School of Medicine
Transaction ID : VN8HHBW1Q2653711-2211
Transaction ID : VN8HHBW1Q26E
31
31
11
300.00
2014
115
2014
2014
Image# 14940311233
12
12
12
232
ACTBLUE
2013
2013
Richard L Berkowitz
2013
Jeff Huebner
Medical Director - Quality and Care Im
Conduit total listed in Agg. field
Maternal Fetal Medicine Physician
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
250.00
1153.00
250.00
500.00
250.00
PA
PA
123 Beechmont Rd
PO Box 382110
55519.00
1836 Benson St
Friends of Val Arkoosh
19152-2318Transaction ID : VN8HHB1EA66
15206-4513
MACambridge
Philadelphia
Pittsburgh
C00401224
University of Pennsylvania Health Syst
Transaction ID : VN8HHBNYZ36E02238-2110
Transaction ID : VN8HHBNZN66
Self-employed, Elsa Limbach
11
11
08
750.00
2014
116
2014
2014
Image# 14940311234
10
12
12
232
Elsa Limbach
2013
2013
Jonathan Frogel
2013
ACTBLUE
Conduit total listed in Agg. field
Dance Artist
Anesthesiologist
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
500.00
55519.00
750.00
500.00
500.00
MA
NY
PO Box 382110
726 Righters Mill Rd
500.00
210 W 107th St
Friends of Val Arkoosh
10025-3087Transaction ID : VN8HHB44276
02238-2110
PAPenn Valley
New York
Cambridge
C00401224
Clinical Practices University of Penns
State University of New York-Downstate
Transaction ID : VN8HHBF3Q7619072-1429
Transaction ID : VN8HHBF3Q76E
13
13
14
1000.00
2014
117
2014
2014
Image# 14940311235
10
11
11
232
Apt 4G
ACTBLUE
2013
2013
David Wlody
2013
Jack Ludmir
Physician
Conduit total listed in Agg. field
Physician
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
250.00
55519.00
500.00
250.00
250.00
MA
NJ
PO Box 382110
9600 Sotweed Dr
250.00
725 Kings Hwy
Friends of Val Arkoosh
08057-2621Transaction ID : VN8HHBFA096
02238-2110
MDPotomac
Moorestown
Cambridge
C00401224
American University School of Law
Thomas Jefferson University
Transaction ID : VN8HHBRSQ8620854-4750
Transaction ID : VN8HHBRSQ86E
16
16
14
500.00
2014
118
2014
2014
Image# 14940311236
11
12
12
232
ACTBLUE
2013
2013
Michael Williams
2013
Nancy Abramowitz
Professor
Conduit total listed in Agg. field
Physician
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
500.00
500.00
500.00
500.00
250.00
OK
VA
7351 Bayliner Launch
24020 59th Ave SW
600.00
4308 Augusta Ave
Friends of Val Arkoosh
23230-3814Transaction ID : VN8HHBDZEA6
73013-8727
WAVashon
Richmond
Edmond
Self
Virginia Commonwealth University
Transaction ID : VN8HHBRX09698070-8014
Transaction ID : VN8HHB3K696
Database Solutions
17
09
05
1250.00
2014
119
2014
2014
Image# 14940311237
11
10
12
232
Johnny Fitch
2013
2013
John Butterworth IV
2013
Margaret Heldring
Psychologist
Programmer
Anesthesiologist
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
500.00
400.00
500.00
150.00
500.00
PA
PA
216 Delancey St
PO Box 382110
55519.00
5 Willow Farms Ln
Friends of Val Arkoosh
15238-1542Transaction ID : VN8HHBEGKC6
19106-4309
MACambridge
Pittsburgh
Philadelphia
C00401224
The Western Pennsylvania Hospital
Transaction ID : VN8HHBDZEA6E02238-2110
Transaction ID : VN8HHB3NBB6
University of Pennsylvania
05
10
07
650.00
2014
120
2014
2014
Image# 14940311238
11
10
11
232
Carmen Guerra
2013
2013
Richard W Stypula Jr
2013
ACTBLUE
Conduit total listed in Agg. field
Physician, Researcher, and Administrat
Anesthesiologist
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
50.00
55519.00
300.00
250.00
250.00
MA
NY
PO Box 382110
634 E Lancaster Ave
500.00
136 E 64th St
Friends of Val Arkoosh
10065-7380Transaction ID : VN8HHBE00E6
02238-2110
PARadnor
New York
Cambridge
C00401224
University of Pennsylvania
unemployed
Transaction ID : VN8HHBW1KD619087-5246
Transaction ID : VN8HHBW1KD6E
31
31
05
300.00
2014
121
2014
2014
Image# 14940311239
11
12
12
232
ACTBLUE
2013
2013
Brooke S Beardslee
2013
C. William Hanson
Anesthesiologist
Conduit total listed in Agg. field
public health
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
600.00
950.00
2600.00
250.00
50.00
PA
PA
1536 Aidenn Lair Rd
PO Box 382110
55519.00
7425 Ardleigh St
Friends of Val Arkoosh
19119-1012Transaction ID : VN8HHBVS8F6
19002-3231
MACambridge
Philadelphia
Maple Glen
C00401224
American Board of Internal Medicine
Transaction ID : VN8HHBE00E6E02238-2110
Transaction ID : VN8HHBVS3F6
United Anesthesia Services, P.C.
05
31
31
850.00
2014
122
2014
2014
Image# 14940311240
12
12
11
232
Dr. Scott E. Rosenthal
2013
2013
Richard J. Baron
2013
ACTBLUE
Conduit total listed in Agg. field
Anesthesiologist/Pain Management Speci
CEO
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
50.00
55519.00
1250.00
10.00
10.00
MA
WA
PO Box 382110
523 Jarden Rd
1010.00
3838 NE 189th Pl
Friends of Val Arkoosh
98155-2744Transaction ID : VN8HHBPB5G6
02238-2110
PAWyndmoor
Lake Forest Park
Cambridge
C00401224
Cigna
University of Washington
Transaction ID : VN8HHBW20G619038-8544
Transaction ID : VN8HHBW20G6E
31
31
14
60.00
2014
123
2014
2014
Image# 14940311241
12
12
12
232
ACTBLUE
2013
2013
David V. Evans
2013
Jo Ann Miles
Attorney
Conduit total listed in Agg. field
Family Medicine
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
* In-Kind: in kind catering for event
500.00
647.79
500.00
120.50
100.00
PA
PA
2014 Hilltop Rd
812 S Clay St
500.00
111 E Mill Rd
Friends of Val Arkoosh
19031-1628Transaction ID : VN8HHBRSPH6
19031-1615
ILHinsdale
Flourtown
Flourtown
Aim Specialty Health
Self
Transaction ID : VN8HHBT8CG660521-4541
Transaction ID : VN8HHBS7PG6
Fox Rothschild
26
18
16
720.50
2014
124
2014
2014
Image# 14940311242
12
12
12
232
Mary Helf
2013
2013
Margaret M Conver
2013
Susan Nedza
Physician
Partner
None
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
500.00
500.00
500.00
500.00
500.00
PA
NJ
912 Grandview Ave
PO Box 382110
55519.00
188 Broad Ave
Friends of Val Arkoosh
07605-2015Transaction ID : VN8HHB7H0J6
15211-1444
MACambridge
Leonia
Pittsburgh
C00401224
Mount Sinai
Transaction ID : VN8HHBRSPH6E02238-2110
Transaction ID : VN8HHBCYBH6
Sammana Inc.
16
28
21
1000.00
2014
125
2014
2014
Image# 14940311243
10
10
12
232
Diane Knox Petronko
2013
2013
Steven S Schwalbe
2013
ACTBLUE
Conduit total listed in Agg. field
Nurse/Consultant
Anesthesiologist
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
250.00
250.00
250.00
250.00
250.00
NC
PA
901 Carolina Ave
4899 Montrose Blvd
250.00
130 7th St
Friends of Val Arkoosh
15222-3430Transaction ID : VN8HHBP55N6
27705-4003
TXHouston
Pittsburgh
Durham
University of Texas
None
Transaction ID : VN8HHB08CJ677006-6164
Transaction ID : VN8HHBE40M6
Duke University
07
06
12
750.00
2014
126
2014
2014
Image# 14940311244
12
11
10
232
Apt 12A
Victoria L Seewaldt
2013
2013
Merrianne West
2013
Elizabeth L Travis
Professor
Oncologist
Retired
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
500.00
2000.00
55519.00
500.00
250.00
WA
MA
4510 W Sheridan St
131 Cynwyd Rd
403.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBXGRQ6E
98199-1046
PABala Cynwyd
Cambridge
Seattle
C00401224
Maternity Care Coalition
Transaction ID : VN8HHBSHKP619004-3023
Transaction ID : VN8HHBXGRQ6
University of Washington
19
30
30
750.00
2014
127
2014
2014
Image# 14940311245
12
12
12
232
Karen B Domino
2013
2013
ACTBLUE
2013
Joanne Fischer
Executive Director
Anesthesiologist
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
500.00
55519.00
500.00
25.00
25.00
MA
PA
PO Box 382110
2323 Race St
275.00
4101 Timber Ln
Friends of Val Arkoosh
19129-5525Transaction ID : VN8HHBP56V6
02238-2110
PAPhiladelphia
Philadelphia
Cambridge
C00401224
Children's Hospital of Pennsylvania
Berger Montague
Transaction ID : VN8HHBJWAQ619103-1084
Transaction ID : VN8HHBJWAQ6E
26
26
12
525.00
2014
128
2014
2014
Image# 14940311246
12
11
11
232
Unit 903
ACTBLUE
2013
2013
Jonathan Berger
2013
Sophia Jan
Family Medicine Physician
Conduit total listed in Agg. field
IT Director
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* In-Kind: in kind food items for event
85.00
250.00
510.00
250.00
515.00
PA
PA
512 Telner St
739 Hemingway Dr
765.00
726 S 7th St
Friends of Val Arkoosh
19147-2119Transaction ID : VN8HHBE42V6
19118-4214
PAAmbler
Philadelphia
Philadelphia
Self
self-employed
Transaction ID : VN8HHBRSQV619002-1421
Transaction ID : VN8HHB8K9V6
Drexel University
12
25
06
850.00
2014
129
2014
2014
Image# 14940311247
11
10
12
232
Gordon Morewood
2013
2013
Carole Treston
2013
Sondra Miller-Wein
Immigration Attorney
Anesthesiologist
RN
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
500.00
250.00
1250.00
250.00
500.00
CO
PA
7471 Brockway Dr
7000 Emlen St
500.00
214 Textor School Rd
Friends of Val Arkoosh
16063-3330Transaction ID : VN8HHBNSEX6
80303-4611
PAPhiladelphia
Zelienople
Boulder
Comcast Corporation
University of Pittsburgh Health System
Transaction ID : VN8HHBS92V619119-2556
Transaction ID : VN8HHBKGGW6
University of Colorado
18
03
10
1250.00
2014
130
2014
2014
Image# 14940311248
12
12
12
232
Robin R Deterding
2013
2013
Joseph Talarico
2013
Charisse Lillie
Vice President, Community Investment
Director of Breathing Institute at The
Anesthesiologist
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
250.00
250.00
1000.00
250.00
250.00
MT
CO
501 Chancery Ln
5410 Guarino Rd
250.00
7551 E 8th Ave
Friends of Val Arkoosh
80230-6193Transaction ID : VN8HHBE11X6
59102-2547
PAPittsburgh
Denver
Billings
University of Pittsburgh
University of Colorado School of Medic
Transaction ID : VN8HHBSPHX615217-1919
Transaction ID : VN8HHBDJAX6
Billings Anesthesiology PC
20
01
05
750.00
2014
131
2014
2014
Image# 14940311249
11
11
12
232
Brian E Harrington
2013
2013
Brenda Bucklin
2013
Donna S Hoffman
faculty
Anesthesiologist
Anesthesiologist; Asst. Dean, Clinical
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
Note: Above Contribution earmarked through thisorganization.
500.00
3100.00
55519.00
500.00
250.00
PA
MA
502 Walnut Ln
PO Box 382110
55519.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBW1JZ6E
19081-1139
MACambridge
Cambridge
Swarthmore
C00401224
C00401224
Transaction ID : VN8HHBE11X6E02238-2110
Transaction ID : VN8HHBW1JZ6
University of Pennsylvania
05
31
31
500.00
2014
132
2014
2014
Image# 14940311250
12
12
11
232
David Grande
2013
2013
ACTBLUE
2013
ACTBLUE
Conduit total listed in Agg. field
Internist
Conduit total listed in Agg. field
[MEMO ITEM]
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
500.00
55519.00
750.00
250.00
250.00
MA
PA
PO Box 382110
2221 38th Pl E
250.00
400 Rex Ave
Friends of Val Arkoosh
19118-3723Transaction ID : VN8HHBW1KZ6
02238-2110
WASeattle
Philadelphia
Cambridge
C00401224
University of Washington
Self
Transaction ID : VN8HHBE07Z698112-2432
Transaction ID : VN8HHBE07Z6E
05
05
26
750.00
2014
133
2014
2014
Image# 14940311251
12
11
11
232
ACTBLUE
2013
2013
Kathryn Putnam
2013
Ruth Landau
Anesthesiologist
Conduit total listed in Agg. field
Retired
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
Note: Above Contribution earmarked through thisorganization.
100.00
400.00
55519.00
100.00
500.00
PA
MA
6929 Greenhill Rd
PO Box 382110
55519.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBXGS07E
19151-2320
MACambridge
Cambridge
Philadelphia
C00401224
C00401224
Transaction ID : VN8HHBW1KZ6E02238-2110
Transaction ID : VN8HHBXGS07
Self
26
30
30
100.00
2014
134
2014
2014
Image# 14940311252
12
12
12
232
Susan Robbins
2013
2013
ACTBLUE
2013
ACTBLUE
Conduit total listed in Agg. field
Public Health
Conduit total listed in Agg. field
[MEMO ITEM]
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
50.00
300.00
55519.00
50.00
500.00
IL
MA
2006 Fir St
769 Fetters Mill Rd
500.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBDZE07E
60025-2813
PAHuntingdon Valley
Cambridge
Glenview
C00401224
Valley Eye Professionals, LLC
Transaction ID : VN8HHBRP80719006-5105
Transaction ID : VN8HHBDZE07
Huron Consulting Group
14
05
05
550.00
2014
135
2014
2014
Image# 14940311253
11
11
12
232
Beatriz Olivera
2013
2013
ACTBLUE
2013
Joanna M Fisher
Ophthalmologist
Assistant General Counsel
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
* In-Kind: in kind flight ticket purchase
250.00
250.00
250.00
250.00
447.80
MO
NJ
661 W Polo Dr
530 Spring Ln
8551.55
1605 Plymouth Rock Dr
Friends of Val Arkoosh
08003-2747Transaction ID : VN8HHBW2027
63105-2635
PAWyndmoor
Cherry Hill
Saint Louis
University of Pennsylvania
St. Christopher's Hospital for Childre
Transaction ID : VN8HHBXH91719038-8413
Transaction ID : VN8HHBE7517
Washington University School of Medici
14
06
31
947.80
2014
136
2014
2014
Image# 14940311254
12
11
10
232
Alex Evers
2013
2013
Harbhajan Chawla
2013
Valerie Arkoosh
Obstetric Anesthesiologist
Anesthesiologist
Neonatologist
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
20.00
500.00
1688.00
500.00
250.00
OH
PA
569 Calumet Pl
PO Box 382110
55519.00
123 Beechmont Rd
Friends of Val Arkoosh
15206-4513Transaction ID : VN8HHBSSH37
45434-6287
MACambridge
Pittsburgh
Beavercreek
C00401224
Self-employed, Elsa Limbach
Transaction ID : VN8HHBW2027E02238-2110
Transaction ID : VN8HHB7P327
Wright State University
31
22
22
520.00
2014
137
2014
2014
Image# 14940311255
12
10
12
232
Alan P Marco
2013
2013
Elsa Limbach
2013
ACTBLUE
Conduit total listed in Agg. field
Anesthesiologist
Dance Artist
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
100.00
2000.00
100.00
1000.00
500.00
PA
TX
507 Auburn Ave
910 Park Ave
500.00
4730 Melissa Ln
Friends of Val Arkoosh
75229-4221Transaction ID : VN8HHBJWB57
19038-8406
NYNew York
Dallas
Wyndmoor
N/A
BRIDGE Lacrosse
Transaction ID : VN8HHBSMX5710075-0255
Transaction ID : VN8HHBTQ857
Philadelphia Insurance Companies
20
30
26
1600.00
2014
138
2014
2014
Image# 14940311256
11
12
12
232
John Glomb
2013
2013
Edith Lycke
2013
Harry Kamen
Retired
EVP, CUO
Founder
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
1000.00
500.00
1000.00
500.00
100.00
PA
PA
1400 Ringneck Loop
PO Box 382110
55519.00
261 Old York Rd
Friends of Val Arkoosh
19046-3727Transaction ID : VN8HHB4CK67
19025-1038
MACambridge
Jenkintown
Dresher
C00401224
Gocial LLC
Transaction ID : VN8HHBJWB57E02238-2110
Transaction ID : VN8HHBVS857
Lindy Property Management
26
27
16
1500.00
2014
139
2014
2014
Image# 14940311257
10
12
11
232
Ste 900
Alan S Lindy
2013
2013
Robert Weiss
2013
ACTBLUE
Conduit total listed in Agg. field
President
Accountant
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
500.00
500.00
55519.00
500.00
2000.00
MA
MA
15 Marshall Ter
628 W Hortter St
5600.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBF3QB7E
01778-1103
PAPhiladelphia
Cambridge
Wayland
C00401224
Self
Transaction ID : VN8HHBFCN9719119-3649
Transaction ID : VN8HHBF3QB7
Harvard Medical School
15
13
13
2500.00
2014
140
2014
2014
Image# 14940311258
11
11
11
232
Carl E Rosow
2013
2013
ACTBLUE
2013
Stephanie Wolf
Homemaker
Anesthesiologist
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
200.00
500.00
55519.00
200.00
250.00
MD
MA
1211 Fairfield Ave
2009 Regency Dr
250.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBRSPC7E
21209-2223
PAWyomissing
Cambridge
Baltimore
C00401224
Reading Hospital
Transaction ID : VN8HHBJ6XC719610-2712
Transaction ID : VN8HHBRSPC7
University of Maryland
22
16
16
450.00
2014
141
2014
2014
Image# 14940311259
12
12
11
232
Mozella Williams
2013
2013
ACTBLUE
2013
Peter A Schwartz
OB-GYN
Family Medicine
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
250.00
55519.00
3450.00
250.00
250.00
MA
NJ
PO Box 382110
500 Kimber Rd
250.00
725 Kings Hwy
Friends of Val Arkoosh
08057-2621Transaction ID : VN8HHAZN8E7
02238-2110
NYSyracuse
Moorestown
Cambridge
C00401224
SUNY Upstate Medical University
Cooper Health System
Transaction ID : VN8HHBDZCD713224-1841
Transaction ID : VN8HHBDZCD7E
05
05
04
500.00
2014
142
2014
2014
Image# 14940311260
10
11
11
232
ACTBLUE
2013
2013
Valerie Armstead
2013
Leslie J Kohman
Cardiothoracic Surgeon
Conduit total listed in Agg. field
Physician
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
150.00
500.00
650.00
250.00
500.00
PA
PA
7830 Eastern Ave
30 Nardell Rd
500.00
7246 Bryan St
Friends of Val Arkoosh
19119-2418Transaction ID : VN8HHBS7VG7
19038-8547
MANewton
Philadelphia
Wyndmoor
Harvard Medical School
Tenent Health Corporation
Transaction ID : VN8HHB8F5G702459-2821
Transaction ID : VN8HHB081G7
Hellyer Lewis
24
07
18
900.00
2014
143
2014
2014
Image# 14940311261
12
10
10
232
James D Hellyer
2013
2013
Benjamin Sanders
2013
David Hepner
Anesthesiologist
Architect
Pediatrician
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
750.00
250.00
1250.00
250.00
500.00
PA
NJ
114 Academy Ln
113 Doray Dr
500.00
725 Kings Hwy
Friends of Val Arkoosh
08057-2621Transaction ID : VN8HHBTY4K7
19008-1923
PAPittsburgh
Moorestown
Broomall
Pamela's Diner
Thomas Jefferson University
Transaction ID : VN8HHBVSMH715237-3619
Transaction ID : VN8HHBHYEK7
Hospital of the University of Pennsylv
31
20
31
1500.00
2014
144
2014
2014
Image# 14940311262
12
11
12
232
Jiri Horak
2013
2013
Michael Williams
2013
Gail Klingensmith
Owner
Physician
Physician
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
250.00
55519.00
250.00
500.00
500.00
MA
NY
PO Box 382110
101 Admirals Way
500.00
17 Vandam St
Friends of Val Arkoosh
10013-1215Transaction ID : VN8HHBVS3K7
02238-2110
PAPhiladelphia
New York
Cambridge
C00401224
Not employed
SUNY
Transaction ID : VN8HHBDZDK7
Transaction ID : VN8HHBDZDK7E
05
05
29
750.00
2014
145
2014
2014
Image# 14940311263
12
11
11
232
ACTBLUE
2013
2013
James Cottrell
2013
Katie Sinha
none
Conduit total listed in Agg. field
Anesthesiologist
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
250.00
55519.00
250.00
250.00
250.00
MA
PA
PO Box 382110
483 Cross St
250.00
2400 Pershing Ave
Friends of Val Arkoosh
19001-1619Transaction ID : VN8HHBJWVM7
02238-2110
MABoylston
Abington
Cambridge
C00401224
University of Massachusetts
Self
Transaction ID : VN8HHBJW3M701505-1420
Transaction ID : VN8HHBJW3M7E
26
26
26
500.00
2014
146
2014
2014
Image# 14940311264
11
11
11
232
ACTBLUE
2013
2013
Charles S Ireland
2013
Stephen O Heard
Chair fo Anesthesiology
Conduit total listed in Agg. field
Dentist
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
250.00
1050.00
250.00
500.00
250.00
PA
PA
237 Morrison Dr
8 Eton Ln
250.00
10800 Bustleton Ave
Friends of Val Arkoosh
19116-3302Transaction ID : VN8HHBP5VR7
15216-1201
NJMedford
Philadelphia
Pittsburgh
University of Pennsylvania
Self
Transaction ID : VN8HHBFSDN708055-3346
Transaction ID : VN8HHBNZKP7
Self
16
11
12
1000.00
2014
147
2014
2014
Image# 14940311265
12
12
11
232
Debra Limbach
2013
2013
Jan N Widerman
2013
Peter C Adamson
Physician
Unemployed
Pediatrician
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
500.00
500.00
500.00
500.00
250.00
PA
PA
7602 West Ave
461 Woodcrest Rd
250.00
231 Delancey St
Friends of Val Arkoosh
19106-4318Transaction ID : VN8HHBRR7T7
19027-2511
PAWayne
Philadelphia
Elkins Park
University of Texas
Diversified Search, Inc.
Transaction ID : VN8HHBJ81R719087-5444
Transaction ID : VN8HHBMQRS7
N/A
19
04
16
1250.00
2014
148
2014
2014
Image# 14940311266
12
12
11
232
Monica Camhi
2013
2013
Alison M Byers
2013
Janet Walkow
Information Requested
Homemaker
Vice President, Psychological and Asse
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
1000.00
250.00
1000.00
250.00
500.00
PA
MN
190 Nantmeal Rd
2866 Furlong Rd
500.00
3535 Bamber Valley Rd SW
Friends of Val Arkoosh
55902-1407Transaction ID : VN8HHBT3TX7
19343-2636
PADoylestown
Rochester
Glenmoore
Hunterdown Orthopedic Institute
Mayo Clinic
Transaction ID : VN8HHBP9SW718902-1606
Transaction ID : VN8HHBSGMW7
N/A
13
19
23
1750.00
2014
149
2014
2014
Image# 14940311267
12
12
12
232
Norma Strouse
2013
2013
Mark A Warner
2013
Michael Pollack
Physician
Not Employed
Physician
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
500.00
55519.00
500.00
250.00
250.00
MA
FL
PO Box 382110
503 Lombard St
450.00
4971 Pacifico Court
Friends of Val Arkoosh
33418-8995Transaction ID : VN8HHBW1WZ7
02238-2110
PAPhiladelphia
Palm Beach Gardens
Cambridge
C00401224
University of Pennsylvania
Muses+ Visionaries Magazine
Transaction ID : VN8HHBFZDX719147-1414
Transaction ID : VN8HHBFZDX7E
19
19
31
750.00
2014
150
2014
2014
Image# 14940311268
12
11
11
232
ACTBLUE
2013
2013
Erin Rossitto
2013
Mathew Beshara
OB/GYN
Conduit total listed in Agg. field
Publisher
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
100.00
1000.00
700.00
1000.00
500.00
AZ
NY
6467 E Maverick Rd
PO Box 382110
55519.00
933 New Suffolk Rd
Friends of Val Arkoosh
11935-2043Transaction ID : VN8HHAZN6Z7
85253-2630
MACambridge
Cutchogue
Paradise Valley
C00401224
Self
Transaction ID : VN8HHBW1WZ7E02238-2110
Transaction ID : VN8HHAZK0Z7
Red Development
31
03
04
1100.00
2014
151
2014
2014
Image# 14940311269
10
10
12
232
Steve Maun
2013
2013
Alan Santos
2013
ACTBLUE
Conduit total listed in Agg. field
Real Estate
Anesthesiologist
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
399.00
55519.00
399.00
250.00
250.00
MA
PA
PO Box 382110
541 Spring Ln
250.00
1 Maplewood Dr
Friends of Val Arkoosh
19073-3945Transaction ID : VN8HHBTAD08
02238-2110
PAGlenside
Newtown Square
Cambridge
C00401224
None
Self
Transaction ID : VN8HHBXGT0819038-8412
Transaction ID : VN8HHBXGT08E
30
30
27
649.00
2014
152
2014
2014
Image# 14940311270
12
12
12
232
ACTBLUE
2013
2013
Kenneth Gorelick
2013
Leslie Scheid
Homemaker
Conduit total listed in Agg. field
Physician
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
250.00
1250.00
55519.00
250.00
300.00
PA
MA
415 Saint James Ct
703 Worthington Mill Rd
300.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBW1Q18E
18064-8304
PARichboro
Cambridge
Nazareth
C00401224
Trenton Anesthesiology Assoc.
Transaction ID : VN8HHBFZ80818954-1971
Transaction ID : VN8HHBW1Q18
Northeastern Anesthesia Physicians
18
26
26
550.00
2014
153
2014
2014
Image# 14940311271
12
12
11
232
John Caprez
2013
2013
ACTBLUE
2013
Joaquin J Cantillo
Anesthesiologist
Anesthesiologist
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
50.00
500.00
300.00
250.00
100.00
DC
NJ
1901 Wyoming Ave NW
3 Biddlewoods Rd
2600.00
107 Sunnymeade Rd
Friends of Val Arkoosh
08844-4654Transaction ID : VN8HHB89K38
20009-5067
PAWyndmoor
Hillsborough
Washington
Self
None
Transaction ID : VN8HHBSHK2819038-8235
Transaction ID : VN8HHBSMV38
N/A
19
20
23
400.00
2014
154
2014
2014
Image# 14940311272
10
12
12
232
Elaine Reuben
2013
2013
Pamela Booth
2013
Walter Foulke
Retired
Retired
Not Employed
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
250.00
55519.00
250.00
250.00
250.00
MA
AZ
PO Box 382110
1077 Stonybrook Dr
250.00
9121 E Palm Tree Dr
Friends of Val Arkoosh
85255-5309Transaction ID : VN8HHB4CH48
02238-2110
PABlue Bell
Scottsdale
Cambridge
C00401224
None
Mayo Clinic
Transaction ID : VN8HHBW1N4819422-2041
Transaction ID : VN8HHBW1N48E
31
31
16
500.00
2014
155
2014
2014
Image# 14940311273
10
12
12
232
ACTBLUE
2013
2013
Jeff T Mueller
2013
Eileen Kearney
Homemaker
Conduit total listed in Agg. field
Anesthesiologist
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
250.00
600.00
250.00
150.00
500.00
PA
PA
6375 Church Rd
450 Warren St
1000.00
4700 City Ave
Friends of Val Arkoosh
19131-8508Transaction ID : VN8HHBJ6V58
19151-2504
MABrookline
Philadelphia
Philadelphia
N/A
IQM Wellness
Transaction ID : VN8HHBRSM4802445-5907
Transaction ID : VN8HHBE7P48
Drexel University
16
07
22
900.00
2014
156
2014
2014
Image# 14940311274
11
11
12
232
Apt 9207
John Rich
2013
2013
Hester M Sonder
2013
Ellen M Poss
Retired
Professor, Department of Health Manage
OB-GYN/ Internal Medicine Physician
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
250.00
1250.00
250.00
250.00
150.00
TN
VA
PO Box 158201
6375 Church Rd
450.00
3449 Sleepy Hollow Rd
Friends of Val Arkoosh
22044-1006Transaction ID : VN8HHBW1PA8
37215-8201
PAPhiladelphia
Falls Church
Nashville
Drexel University
Cornerstone Government Affairs
Transaction ID : VN8HHB0805819151-2504
Transaction ID : VN8HHB1EA58
Vanderbilt University Medical Center
07
08
31
650.00
2014
157
2014
2014
Image# 14940311275
12
10
10
232
Curtis Baysinger
2013
2013
Mark Mioduski
2013
Theodore Corbin
Emergency Medicine
Physician
Lobbyist
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
Note: Above Contribution earmarked through thisorganization.
250.00
1000.00
775.00
500.00
250.00
PA
DC
210 W Rittenhouse Sq
PO Box 382110
55519.00
1025 1st St SE
Friends of Val Arkoosh
20003-5329Transaction ID : VN8HHBW1JB8
19103-6850
MACambridge
Washington
Philadelphia
C00401224
Children's National Medical Center
Transaction ID : VN8HHBW1PA8E02238-2110
Transaction ID : VN8HHBVS1B8
Cohen and Rose (DDS)
31
31
31
750.00
2014
158
2014
2014
Image# 14940311276
12
12
12
232
Apt 1116
Apt 1008
Walter Cohen
2013
2013
Sanjeev Sriram
2013
ACTBLUE
Conduit total listed in Agg. field
Dentist
Attending Pediatrician
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
Note: Above Contribution earmarked through thisorganization.
100.00
300.00
55519.00
100.00
250.00
PA
MA
159 Erdenheim Rd
PO Box 382110
55519.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBFZEB8E
19038-7849
MACambridge
Cambridge
Erdenheim
C00401224
C00401224
Transaction ID : VN8HHBW1JB8E02238-2110
Transaction ID : VN8HHBFZEB8
Touchstone Technologies, Inc
31
19
19
100.00
2014
159
2014
2014
Image# 14940311277
11
11
12
232
Craig Haddow
2013
2013
ACTBLUE
2013
ACTBLUE
Conduit total listed in Agg. field
Software development
Conduit total listed in Agg. field
[MEMO ITEM]
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
500.00
500.00
55519.00
500.00
500.00
MI
MA
26860 Drake Rd
233 S 6th St
500.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBE08C8E
48331-3531
PAPhiladelphia
Cambridge
Farmington Hills
C00401224
Ballard Spahr LLP
Transaction ID : VN8HHB7HQC819106-3718
Transaction ID : VN8HHBE08C8
Wayne State University
21
05
05
1000.00
2014
160
2014
2014
Image# 14940311278
11
11
10
232
Apt 709 N
Douglas R Bacon
2013
2013
ACTBLUE
2013
Lila Roomberg
Retired Partner
Anesthesiologist
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
250.00
1000.00
250.00
250.00
250.00
PA
TX
325 E Durham St
1132 Hedgerow Dr
250.00
4804 Yoakum Blvd
Friends of Val Arkoosh
77006-6118Transaction ID : VN8HHBTQHE8
19119-1219
PAGarnet Valley
Houston
Philadelphia
Crozer Keystone
Greater Houston Health Network
Transaction ID : VN8HHBD95D819060-1758
Transaction ID : VN8HHBSNSE8
University of Pennsylvania
30
20
30
750.00
2014
161
2014
2014
Image# 14940311279
12
12
10
232
Walter Tsou
2013
2013
John R Cooper Jr.
2013
Jose Maceda
Urogynecologist
Adjunct Professor
Anesthesiologist
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
500.00
500.00
55519.00
500.00
250.00
NE
MA
809 N 96th St
210 W 107th St
1500.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBW1PF8E
68114-2498
NYNew York
Cambridge
Omaha
C00401224
State University of New York-Downstate
Transaction ID : VN8HHBVS8E810025-3087
Transaction ID : VN8HHBW1PF8
Broadmoor Development
29
26
26
750.00
2014
162
2014
2014
Image# 14940311280
12
12
12
232
Apt 4G
Ste 1
Thomas Fellman
2013
2013
ACTBLUE
2013
David Wlody
Physician
Partner
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
250.00
1000.00
250.00
500.00
250.00
PA
DC
301 Longfield Rd
23 S 23rd St
850.00
2924 Garfield Ter NW
Friends of Val Arkoosh
20008-3507Transaction ID : VN8HHBEV7G8
19038-7338
PAPhiladelphia
Washington
Glenside
not applicable
Children's National Medical Center
Transaction ID : VN8HHBFTQF819103-3053
Transaction ID : VN8HHBTEWF8
Abington Health
17
29
08
1000.00
2014
163
2014
2014
Image# 14940311281
11
12
11
232
Unit 6G
Jimmy Ruiz
2013
2013
Zenaide Quezado
2013
Nancy Altemus
health planner
Physician
Anesthesiologist
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
250.00
201.00
250.00
201.00
250.00
PA
WA
497 Long Ln
1526 Valmont St
1750.00
11277 Marine View Dr SW
Friends of Val Arkoosh
98146-1621Transaction ID : VN8HHB8K1J8
19006-2932
PAPittsburgh
Seattle
Huntingdon Valley
Buckman Communications
Virginia Mason Medical Center
Transaction ID : VN8HHBNFGH815217-1422
Transaction ID : VN8HHBKC7J8
Self
07
02
25
701.00
2014
164
2014
2014
Image# 14940311282
10
12
12
232
Barry J Snyder
2013
2013
Joseph M Neal
2013
John Buckman
consultant
Orthopaedic Surgeon
Anesthesiologist
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
250.00
1000.00
55519.00
250.00
250.00
MD
MA
4821 Montgomery Ln
4211 Calhoun Dr
250.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBRSPN8E
20814-6324
CAHuntington Beach
Cambridge
Bethesda
C00401224
MemorialCare Medical Group
Transaction ID : VN8HHB25JK892649-3037
Transaction ID : VN8HHBRSPN8
michael a newman md P.C.
09
16
16
500.00
2014
165
2014
2014
Image# 14940311283
12
12
10
232
Apt 406
Michael Newman
2013
2013
ACTBLUE
2013
Jay W Lee
Family Physician
internist
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
250.00
250.00
250.00
250.00
500.00
CA
NJ
PO Box 189
8729 Montgomery Ave
500.00
18 Helene Dr
Friends of Val Arkoosh
07869-4149Transaction ID : VN8HHBTC0V8
94979-0189
PAGlenside
Randolph
San Anselmo
Ophthalmic Associates
Lifeline Medical Associates
Transaction ID : VN8HHBF7VR819038-8307
Transaction ID : VN8HHBKH2T8
Unemployed
14
03
28
1000.00
2014
166
2014
2014
Image# 14940311284
12
12
11
232
Betsy McKinney
2013
2013
Sharon B Mass
2013
Robert W Connor
Opthamologist
mother
physician
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
100.00
250.00
1200.00
250.00
500.00
NJ
NJ
103 Forest Rd
671 Highland Park Ave
500.00
24 Catalpa Cres
Friends of Val Arkoosh
08098-2728Transaction ID : VN8HHBW2019
08057-2641
IACoralville
Pilesgrove
Moorestown
University of Iowa College of Medicine
Self
Transaction ID : VN8HHBE7JW852241-3366
Transaction ID : VN8HHB7J1Z8
Thomas Jefferson University
07
21
26
850.00
2014
167
2014
2014
Image# 14940311285
12
10
11
232
Elia S Elia
2013
2013
David Reese
2013
Debra A Schwinn
Dean
Anesthesiologist
Consultant
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
Note: Above Contribution earmarked through thisorganization.
500.00
2250.00
55519.00
500.00
100.00
PA
MA
1231 Gulph Creek Dr
PO Box 382110
55519.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBJW029E
19087-4687
MACambridge
Cambridge
Radnor
C00401224
C00401224
Transaction ID : VN8HHBW2019E02238-2110
Transaction ID : VN8HHBJW029
University of Pennsylvania
26
26
26
500.00
2014
168
2014
2014
Image# 14940311286
11
11
12
232
Susan Kaplan M.D.
2013
2013
ACTBLUE
2013
ACTBLUE
Conduit total listed in Agg. field
Anesthesiologist
Conduit total listed in Agg. field
[MEMO ITEM]
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
200.00
600.00
55519.00
200.00
250.00
VA
MA
2201 Goldentree Way
433 Levering Mill Rd
500.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBXGT49E
22182-5173
PABala Cynwyd
Cambridge
Vienna
C00401224
University of Pennsylvania
Transaction ID : VN8HHBNDR2919004-2727
Transaction ID : VN8HHBXGT49
George Washington University
06
30
30
450.00
2014
169
2014
2014
Image# 14940311287
12
12
12
232
May L Chin
2013
2013
ACTBLUE
2013
Stanley J Aukburg
Anesthesiologist
Anesthesiologist
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
100.00
250.00
350.00
250.00
250.00
PA
NY
805 Primrose Ln
11870 Spruce Haven Dr
250.00
207 Prospect Park SW
Friends of Val Arkoosh
11218-1500Transaction ID : VN8HHBW1P59
19096-1665
MOSaint Louis
Brooklyn
Wynnewood
ABNA Engineering
NY State Office of Medical Health
Transaction ID : VN8HHBTV24963146-4818
Transaction ID : VN8HHB76549
Crozer Keystone
31
18
31
600.00
2014
170
2014
2014
Image# 14940311288
12
10
12
232
Leon Katz
2013
2013
Sarah Williams
2013
David Mizell
Engineering Manager
Surgeon
Psychiatrist
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
50.00
250.00
228.00
250.00
100.00
PA
PA
8806 Wainwright Rd
PO Box 382110
55519.00
728 Stanbridge St
Friends of Val Arkoosh
19401-5506Transaction ID : VN8HHBJC169
19038-7446
MACambridge
Norristown
Wyndmoor
C00401224
Montgomery County Democratic Committee
Transaction ID : VN8HHBW1P59E02238-2110
Transaction ID : VN8HHBE7K59
Bux-Mont Transportation
31
07
25
300.00
2014
171
2014
2014
Image# 14940311289
11
11
12
232
James C Griffin
2013
2013
Olivia Brady
2013
ACTBLUE
Conduit total listed in Agg. field
Driver
Assistant Director
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
1000.00
1000.00
55519.00
1000.00
100.00
PA
MA
204 Four In Hand Ct
2752 Pennsylvania Avenue
350.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBKFB89E
19382-6145
PAPhiladelphia
Cambridge
West Chester
C00401224
University of Pennsylvania Hospital Sy
Transaction ID : VN8HHBSMK8919130
Transaction ID : VN8HHBKFB89
Christiana Medicial Group
20
03
03
1100.00
2014
172
2014
2014
Image# 14940311290
12
12
12
232
Unit B101
Kunal Bhagat
2013
2013
ACTBLUE
2013
Maurizio Cereda
Anesthesiologist
Internist
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
250.00
250.00
1250.00
250.00
250.00
PA
NC
343 Rosedale Dr
4162 Farmdale Ave
500.00
147 Montauk Ct
Friends of Val Arkoosh
27012-8661Transaction ID : VN8HHB4CKA9
19464-4445
CAStudio City
Clemmons
Pottstown
Veterans Health Administration
Wake Forest Baptist Health
Transaction ID : VN8HHBSP79991604-3016
Transaction ID : VN8HHBFX699
Kutztown University
20
18
16
750.00
2014
173
2014
2014
Image# 14940311291
10
11
12
232
Patricia Derr
2013
2013
Robert D'Angelo
2013
Rishi Manchanda
Physician
Professor
Obstetric Anesthesiologist
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
300.00
300.00
55519.00
300.00
500.00
PA
MA
8417 Stenton Ave
1424 Flat Rock Rd
500.00
PO Box 382110
Friends of Val Arkoosh
02238-2110Transaction ID : VN8HHBW1KC9E
19038-8414
PAPenn Valley
Cambridge
Glenside
C00401224
Pepper Hamilton LLP
Transaction ID : VN8HHBRVQA919072-1216
Transaction ID : VN8HHBW1KC9
Self
17
26
26
800.00
2014
174
2014
2014
Image# 14940311292
12
12
12
232
Walter Evans
2013
2013
ACTBLUE
2013
Amy B Ginensky
Attorney
Retired
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
500.00
750.00
2100.00
250.00
300.00
PA
PA
16 E Mill Rd
121 Canterbury Ln
300.00
604 Harper Ave
Friends of Val Arkoosh
19046-3207Transaction ID : VN8HHBS9WE9
19118
PABlue Bell
Jenkintown
Philadelphia
Ballard Spahr LLP
Premier Brokerage Services
Transaction ID : VN8HHB4CHD919422-1278
Transaction ID : VN8HHBSGND9
Temple University
16
19
18
1050.00
2014
175
2014
2014
Image# 14940311293
12
12
10
232
Anne Nadol
2013
2013
Steven Katz
2013
Wendy A Kotzen
Partner
Administrator
President
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
250.00
250.00
250.00
250.00
1000.00
NC
NC
4604 Dutchess Ln
124 Walsh Rd
3000.00
14 Kendall Dr
Friends of Val Arkoosh
27517-5644Transaction ID : VN8HHBDZDJ9
27707-9082
PALansdowne
Chapel Hill
Durham
University of Pennsylvania Health Syst
Duke Health
Transaction ID : VN8HHBSBFE919050-2117
Transaction ID : VN8HHB8K9G9
Duke University
18
25
05
1500.00
2014
176
2014
2014
Image# 14940311294
11
10
12
232
Cathleen Peterson-Layne
2013
2013
Catherine M Kuhn
2013
Onyi Onuoha
Anesthesiologist
Anesthesiologist
Anesthesiologist
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
500.00
750.00
500.00
500.00
250.00
PA
MA
50 Woodland Rd
PO Box 382110
55519.00
228 Boston Post Rd
Friends of Val Arkoosh
02493-2546Transaction ID : VN8HHBNNBK9
15232-2814
MACambridge
Weston
Pittsburgh
C00401224
Harvard University
Transaction ID : VN8HHBDZDJ9E02238-2110
Transaction ID : VN8HHBNZNK9
self
05
11
09
1000.00
2014
177
2014
2014
Image# 14940311295
12
12
11
232
Sharon Semenza
2013
2013
Katherine Treadway
2013
ACTBLUE
Conduit total listed in Agg. field
lawyer
Internist
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
250.00
250.00
250.00
250.00
500.00
DC
PA
1648 32nd St NW
210 W 107th St
1250.00
230 W Washington Sq
Friends of Val Arkoosh
19106-3500Transaction ID : VN8HHBJW8R9
20007-2930
NYNew York
Philadelphia
Washington
State University of New York-Downstate
Penn Hospital
Transaction ID : VN8HHBSGZK910025-3087
Transaction ID : VN8HHB7HMQ9
The Urban Institute
19
21
26
1000.00
2014
178
2014
2014
Image# 14940311296
11
10
12
232
Apt 4G
Fl 2
Bradford Gray
2013
2013
David H Henry
2013
David Wlody
Physician
Health Policy Research
Oncologist
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
Note: Above Contribution earmarked through thisorganization.
25.00
500.00
265.00
500.00
250.00
NJ
PA
942 Wood Hollow Ln
PO Box 382110
55519.00
6484 Oakwood Ct
Friends of Val Arkoosh
17407-1352Transaction ID : VN8HHBXGRT9
07450-2230
MACambridge
Jacobus
Ridgewood
C00401224
Self
Transaction ID : VN8HHBJW8R9E02238-2110
Transaction ID : VN8HHBD6AS9
Englewood Hospital
26
29
30
525.00
2014
179
2014
2014
Image# 14940311297
12
10
11
232
Peter Goldzweig
2013
2013
Kenneth Woerthwein
2013
ACTBLUE
Conduit total listed in Agg. field
Anesthesiologist
Retired
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
250.00
500.00
250.00
500.00
25.00
PA
IL
2000 Market St
PO Box 382110
55519.00
251 E Huron St
Friends of Val Arkoosh
60611-2908Transaction ID : VN8HHB89FV9
19103-7006
MACambridge
Chicago
Philadelphia
C00401224
Northwestern University
Transaction ID : VN8HHBXGRT9E02238-2110
Transaction ID : VN8HHBHZ5V9
FOX ROTHSCHILD LLP
30
21
23
750.00
2014
180
2014
2014
Image# 14940311298
10
11
12
232
Ste 5-704
Fl 10
David S Rasner
2013
2013
Christine Stock
2013
ACTBLUE
Conduit total listed in Agg. field
ATTORNEY
Anesthesiologist
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
250.00
55519.00
250.00
53.00
53.00
MA
PA
PO Box 382110
85 Wolcott Rd
659.00
1335 June Ln
Friends of Val Arkoosh
19072-1114Transaction ID : VN8HHBSHSZ9
02238-2110
MAChestnut Hill
Penn Valley
Cambridge
C00401224
Tufts MC PO
Thomas Jefferson University
Transaction ID : VN8HHBKFBV902467-3108
Transaction ID : VN8HHBKFBV9E
03
03
19
303.00
2014
181
2014
2014
Image# 14940311299
12
12
12
232
ACTBLUE
2013
2013
Jeffrey Joseph
2013
Scott Segal
Anesthesiologist
Conduit total listed in Agg. field
Anesthesiologist
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
250.00
PO Box 382110
55519.00
Friends of Val Arkoosh
173377.84
MACambridge
C00401224
Transaction ID : VN8HHBSHSZ9E02238-2110
19
0.00
2014
182
Image# 14940311300
12
232
2013
ACTBLUE
Conduit total listed in Agg. field
[MEMO ITEM]
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
2500.00
1000.00
2500.00
1000.00
4000.00
DC
DC
20 F St NW
409 12th St SW
5000.00
2400 N St NW
Friends of Val Arkoosh
20037-1153Transaction ID : VN8HHBND418
20001-6700
DCWashington
Washington
Washington
C00325936
C00364158
C00375360
Transaction ID : VN8HHB7HWB020024-2125
Transaction ID : VN8HHB079P3
21
07
06
7500.00
2014
183
2014
2014
Image# 14940311301
12
10
10
232
SUITE 310 C
SOCIETY OF THORACIC SURGEONS POLITICAL ACTION COMMITTEE
2013
2013
AMERICAN COLLEGE OF CARDIOLOGY POLITICAL ACTION COMMITTEE
2013
THE AMERICAN CONGRESS OF OB-GYNS PAC (OB-GYN PAC)
SCHEDULE A (FEC Form 3)
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)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
1000.00
1000.00
5000.00
DC
10 G St NE
317 Massachusetts Ave NE
5000.00
Friends of Val Arkoosh
13500.00
20002-4253
DCWashington
Washington
C00172296
C00343137
Transaction ID : VN8HHBRV4E920002-5769
Transaction ID : VN8HHBJ7MM9
17
22
6000.00
2014
184
2014
Image# 14940311302
11
12
232
Fl 1
Ste 600
NATIONAL COMMITTEE TO PRESERVE SOCIAL SECURITY & MEDICARE PAC
2013
2013
POLITICAL ACTION COMMITTEE OF THE AMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONS
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
PO Box 1011
PO Box 857
2008 N Daniel StApt 304
1472.53
500.00
1835.30
Friends of Val Arkoosh
Transaction ID : VN7J99PPS60
PA
PA
VA
19038-6011
22201-4199
19404-0857
Transaction ID : VN7J99PPS10
Transaction ID : VN7J99NDY60
10
11
Payroll Expense
11
Advertising
Payroll Expense
2013
3807.83
Bryan H. Lesswing
2014
Montgomery County Democratic Committee
2013
Ellen Sun
185
2014
2014
2013
Image# 14940311303
19
232
13
04
Norristown
Arlington
Glenside
001
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
* In-Kind Received
912 Grandview Ave
532 Haws Ave
262 S Easton Rd
46.00
250.00
200.00
Friends of Val Arkoosh
Transaction ID : VN8HHBSGKB0I
PA
PA
PA
15211-1444
19038-3962
19401-4543
Transaction ID : VN7J99PNY70
Transaction ID : VN7J99P13A0
10
12
in kind beverages for event
12
Political Donation
Postage (Fundraising)
2013
496.00
USPS
2014
ENT Democrats
2013
Diane Knox Petronko
186
2014
2014
2013
Image# 14940311304
24
232
26
19
Norristown
Glenside
Pittsburgh
003
012
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
* In-Kind Received
123 Beechmont Rd
2014 Hilltop Rd
* In-Kind Received
PO Box 1011
1835.30
27.29
515.00
Friends of Val Arkoosh
Transaction ID : VN8HHBRYRG0I
PA
PA
PA
15206-4513
19038-6011
19031-1615
Transaction ID : VN7J99NDXE0
Transaction ID : VN8HHBS7PE0I
12
12
in kind parking service for house party
10
in kind food items for event
Payroll
2013
2377.59
Ellen Sun
2014
Mary Helf
2013
Elsa Limbach
187
2014
2014
2013
Image# 14940311305
17
232
18
17
Flourtown
Glenside
Pittsburgh
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
315 Old York Rd
50 Massachusetts Ave NE
PO Box 407066
1065.77
102.00
2719.16
Friends of Val Arkoosh
Transaction ID : VN7J99PPPP0
PA
DC
FL
19046
33340-7066
20002-4214
Transaction ID : VN7J99NDXK0
Transaction ID : VN7J99PPSM0
11
12
Payroll Expense
10
Travel (Train)
Credit Card Processing Fees
2013
3886.93
First Bank Merchant Services
2014
Amtrak
2013
Jacob Dusseau
188
2014
2014
2013
Image# 14940311306
03
232
12
19
Washington
Fort Lauderdale
Jenkintown
001
002
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
PO Box 382110
1525 Locust St
PO Box 407066
Fl 6
808.86
3642.53
140.25
Friends of Val Arkoosh
Transaction ID : VN7J99P4HY0
MA
PA
FL
02238-2110
33340-7066
19102-3710
Transaction ID : VN7J99PPQQ0
Transaction ID : VN7J99NDYX0
10
12
Credit card processing fee
12
Printing (Fundraising)
Credit Card Processing Fees
2013
4591.64
First Bank Merchant Services
2014
The Strategy Group
2013
ActBlue Technical Services
189
2014
2014
2013
Image# 14940311307
03
232
16
16
Philadelphia
Fort Lauderdale
Cambridge
001
003
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
3914 Barcroft Mews Ct
300 N 2nd St
262 S Easton Rd
Fl 8
92.00
2500.00
2500.00
Friends of Val Arkoosh
Transaction ID : VN7J99PPSF1
VA
PA
PA
22041-1218
19038-3962
17101-1303
Transaction ID : VN7J99NDZ61
Transaction ID : VN7J99NDYF1
10
11
Fundraising Consultant
10
Voter File
Postage (Fundraising)
2013
5092.00
USPS
2014
Pennsylvania Democratic Party
2013
Fiorello Consulting
190
2014
2014
2013
Image# 14940311308
17
232
02
14
Harrisburg
Glenside
Falls Church
003
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
50 Massachusetts Ave NE
501 Wampanoag Trl
1408 Crystal Valley Way
1145.49
58.84
89.00
Friends of Val Arkoosh
Transaction ID : VN7J99NDWP1
DC
RI
PA
20002-4214
19002-4043
02915-1507
Transaction ID : VN7J99PPQJ1
Transaction ID : VN7J99PPRK1
11
10
Travel
12
Payroll Service Fee
Payroll Expense
2013
1293.33
Stephen B. Rudman
2014
Paychex
2013
Amtrak
191
2014
2014
2013
Image# 14940311309
04
232
20
03
Riverside
Ambler
Washington
001
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
315 Old York Rd
PO Box 1011
PO Box 382110
68.15
1935.30
237.80
Friends of Val Arkoosh
Transaction ID : VN7J99NDXW1
PA
PA
MA
19046
02238-2110
19038-6011
Transaction ID : VN7J99NCNT1
Transaction ID : VN7J99PPPT1
12
10
Reimbursement
11
Payroll Expense
Credit card processing fee
2013
2241.25
ActBlue Technical Services
2014
Ellen Sun
2013
Jacob Dusseau
192
2014
2014
2013
Image# 14940311310
13
232
19
04
Glenside
Cambridge
Jenkintown
001
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
* In-Kind Received
530 Spring Ln
1701 John F Kennedy Blvd
315 Old York Rd
2719.17
173.13
1227.94
Friends of Val Arkoosh
Transaction ID : VN8HHC25Y42I
PA
PA
PA
19038-8413
19046
19103-2833
Transaction ID : VN7J99PPSX1
Transaction ID : VN7J99PPQ32
12
12
in kind hotel room for candidate stay
11
Phones/Internet
Payroll Expenses
2013
4120.24
Jacob Dusseau
2014
Comcast
2013
Valerie Arkoosh
193
2014
2014
2013
Image# 14940311311
04
232
12
15
Philadelphia
Jenkintown
Wyndmoor
001
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
50 Massachusetts Ave NE
937 Easton Rd
PO Box 58385
250.00
96.23
246.00
Friends of Val Arkoosh
Transaction ID : VN7J99PPQ82
DC
PA
PA
20002-4214
19102-8385
19001-4409
Transaction ID : VN7J99NDY52
Transaction ID : VN7J99PPT62
11
12
Travel (Train)
10
Fundraising Event Expense
Donation
2013
592.23
Liberty City Democratic Club
2014
Dunkin Donuts
2013
Amtrak
194
2014
2014
2013
Image# 14940311312
24
232
04
09
Roslyn
Philadelphia
Washington
002
003
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
222 W Ontario St
501 Wampanoag Trl
1101 15th St NWSte 500
4200.00
2964.89
3000.00
Ste 600
Friends of Val Arkoosh
Transaction ID : VN7J99Q1VA2
IL
RI
DC
60654-3655
20005-5006
02915-1507
Transaction ID : VN7J99PPR92
Transaction ID : VN7J99NDYA2
10
11
Online Advertising
11
Payroll Tax
Fundraising Database
2013
10164.89
NGP Van, Inc.
2014
Paychex
2013
Adelstein Liston
195
2014
2014
2013
Image# 14940311313
21
232
04
18
Riverside
Washington
Chicago
003
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
PO Box 1011
222 W Ontario St
530 Spring Ln
* In-Kind Received
Ste 600
417.96
11600.00
244.68
Friends of Val Arkoosh
Transaction ID : VN7J99NDXD2
PA
IL
PA
19038-6011
19038-8413
60654-3655
Transaction ID : VN8HHBXHPC2I
Transaction ID : VN7J99NDWC2
10
10
Payroll
10
Media Production
in kind purchase of hotel room
2013
12262.64
Valerie Arkoosh
2014
Adelstein Liston
2013
Ellen Sun
196
2014
2014
2013
Image# 14940311314
04
232
29
17
Chicago
Wyndmoor
Glenside
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
* In-Kind Received
308 E Allens Ln
1495 Old York Rd
PO Box 407066
1081.56
82.19
243.67
Friends of Val Arkoosh
Transaction ID : VN8HHBTE1R2I
PA
PA
FL
19119-1101
33340-7066
19001-1923
Transaction ID : VN7J99NDXJ2
Transaction ID : VN7J99PPSK2
11
12
in kind food items for event
10
Office Supplies
Credit Card Processing Fees
2013
1407.42
First Bank Merchant Services
2014
Target
2013
Sophie Simpson
197
2014
2014
2013
Image# 14940311315
03
232
14
23
Abington
Fort Lauderdale
Philadelphia
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
* In-Kind Received
911 Fraser Rd
1 Park Row
501 Wampanoag Trl
Fl 5
3157.07
1151.38
310.00
Friends of Val Arkoosh
Transaction ID : VN8HHC264X2I
PA
RI
RI
19038-7013
02915-1507
02903-1235
Transaction ID : VN7J99PPSR2
Transaction ID : VN7J99NDWT2
10
12
in kind food and supplies for event
11
Consultant (Compliance)
Payroll Taxes
2013
4618.45
Paychex
2014
CFO Compliance
2013
Sherry Blumenthal
198
2014
2014
2013
Image# 14940311316
05
232
03
01
Providence
Riverside
Glenside
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
530 Spring Ln
315 Old York Rd
PO Box 382110
216.26
2719.16
1145.49
Friends of Val Arkoosh
Transaction ID : VN7J99NDZ03
PA
PA
MA
19038-8413
02238-2110
19046
Transaction ID : VN7J99NE3X2
Transaction ID : VN7J99NDY03
10
10
Payroll
11
Payroll
Credit card processing fee
2013
4080.91
ActBlue Technical Services
2014
Jacob Dusseau
2013
Tiernan Donohue
199
2014
2014
2013
Image# 14940311317
19
232
17
17
Jenkintown
Cambridge
Wyndmoor
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
453 W 47th St
530 Spring Ln
PO Box 407066
486.81
1245.49
575.03
Friends of Val Arkoosh
Transaction ID : VN7J99PPQC3
NY
PA
FL
10036-9307
33340-7066
19038-8413
Transaction ID : VN7J99PPT13
Transaction ID : VN7J99PNZ23
12
12
Travel (Hotel)
11
Payroll Expense
Credit Card Processing Fees
2013
2307.33
First Bank Merchant Services
2014
Tiernan Donohue
2013
USA Stay
200
2014
2014
2013
Image# 14940311318
04
232
19
05
Wyndmoor
Fort Lauderdale
New York
002
003
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
2008 N Daniel St
501 Wampanoag Trl
1701 John F Kennedy Blvd
173.13
65.34
1472.53
Apt 304
Friends of Val Arkoosh
Transaction ID : VN7J99PPQH3
VA
RI
PA
22201-4199
19103-2833
02915-1507
Transaction ID : VN7J99PPSE3
Transaction ID : VN7J99NDYE3
10
12
Payroll Expense
11
Payroll Service Fee
Phones/Internet
2013
1711.00
Comcast
2014
Paychex
2013
Bryan H. Lesswing
201
2014
2014
2013
Image# 14940311319
15
232
18
04
Riverside
Philadelphia
Arlington
001
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
* In-Kind Received
PO Box 1011
PO Box 382110
Old York Road and West Avenue
1800.00
279.63
361.38
Friends of Val Arkoosh
Transaction ID : VN8HHBWTYM3I
PA
MA
PA
19038-6011
19046
02238-2110
Transaction ID : VN7J99NDYJ3
Transaction ID : VN7J99PJGK3
12
12
in kind mileage reimbursement
10
Credit card processing fee
Office Rent
2013
2441.01
The Piazza of Jenkintown
2014
ActBlue Technical Services
2013
Ellen Sun
202
2014
2014
2013
Image# 14940311320
03
232
26
10
Cambridge
Jenkintown
Glenside
001
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
1408 Crystal Valley Way
PO Box 1011
* In-Kind Received
PO Box 382110
117.92
201.10
1245.49
Friends of Val Arkoosh
Transaction ID : VN7J99PPPS3
PA
PA
MA
19002-4043
02238-2110
19038-6011
Transaction ID : VN7J99NA1M3
Transaction ID : VN8HHBWTZN3I
11
12
Payroll Expense
11
in kind mileage reimbursement
Credit card processing fee
2013
1564.51
ActBlue Technical Services
2014
Ellen Sun
2013
Stephen B. Rudman
203
2014
2014
2013
Image# 14940311321
05
232
24
19
Glenside
Cambridge
Ambler
001
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
PO Box 1011
1495 Old York Rd
530 Spring Ln
1145.49
71.14
1835.30
Friends of Val Arkoosh
Transaction ID : VN7J99PPS44
PA
PA
PA
19038-6011
19038-8413
19001-1923
Transaction ID : VN7J99PPSW3
Transaction ID : VN7J99PPQ24
12
11
Payroll Expense
11
Office Supplies
Payroll Expense
2013
3051.93
Tiernan Donohue
2014
Target
2013
Ellen Sun
204
2014
2014
2013
Image# 14940311322
04
232
13
19
Abington
Wyndmoor
Glenside
001
001
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
262 S Easton Rd
50 Massachusetts Ave NE
1575 The Fairway
118.95
82.00
230.00
Friends of Val Arkoosh
Transaction ID : VN7J99NDZ94
PA
DC
PA
19038-3962
19046-1424
20002-4214
Transaction ID : VN7J99PPT54
Transaction ID : VN7J99PPQ74
12
10
Postage (Fundraising)
11
Travel (Train)
Fundraising Event Expense
2013
430.95
Whole Foods
2014
Amtrak
2013
USPS
205
2014
2014
2013
Image# 14940311323
04
232
09
31
Washington
Jenkintown
Glenside
003
002
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
501 Wampanoag Trl
3914 Barcroft Mews Ct
PO Box 407066
58.55
2500.00
3904.92
Friends of Val Arkoosh
Transaction ID : VN7J99PPRJ4
RI
VA
FL
02915-1507
33340-7066
22041-1218
Transaction ID : VN7J99PPTA4
Transaction ID : VN7J99NDXH4
10
11
Payroll Taxes
11
Consultant (Fundraising)
Credit Card Processing Fees
2013
6463.47
First Bank Merchant Services
2014
Fiorello Consulting
2013
Paychex
206
2014
2014
2013
Image# 14940311324
04
232
24
20
Falls Church
Fort Lauderdale
Riverside
001
003
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
937 Easton Rd
7700 Germantown Ave
7700 Germantown Ave
86.37
166.11
34.80
Friends of Val Arkoosh
Transaction ID : VN7J99PPSQ4
PA
PA
PA
19001-4409
19118-3549
19118-3549
Transaction ID : VN7J99PPSJ4
Transaction ID : VN7J99NDYP4
10
11
Volunteer Meals
11
Office Supplies
Office Supplies
2013
287.28
Staples
2014
Staples
2013
Dunkin Donuts
207
2014
2014
2013
Image# 14940311325
14
232
30
06
Philadelphia
Philadelphia
Roslyn
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
1408 Crystal Valley Way
1495 Old York Rd
Old York Road and West Avenue
1800.00
15.46
463.14
Friends of Val Arkoosh
Transaction ID : VN7J99PNYX4
PA
PA
PA
19002-4043
19046
19001-1923
Transaction ID : VN7J99PPQT4
Transaction ID : VN7J99NDYV4
10
12
Reimbursement
12
Office Supplies
Office Rent
2013
2278.60
The Piazza of Jenkintown
2014
Target
2013
Stephen B. Rudman
208
2014
2014
2013
Image# 14940311326
03
232
15
20
Abington
Jenkintown
Ambler
002
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
483 General Washington Rd
PO Box 407066
704 Chestnut Hill Ct
959.95
1880.87
250.00
Friends of Val Arkoosh
Transaction ID : VN7J99NDZ45
PA
FL
NC
19087-2118
27455-8347
33340-7066
Transaction ID : VN7J99PPRZ4
Transaction ID : VN7J99PPT05
11
10
Donation
11
Credit Card Processing Fees
Payroll Expense
2013
3090.82
Laura Koehler
2014
First Bank Merchant Services
2013
Upper Merion Democratic Committee
209
2014
2014
2013
Image# 14940311327
19
232
04
19
Fort Lauderdale
Greensboro
Wayne
001
003
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
501 Wampanoag Trl
208 S Akard St
530 Spring Ln
* In-Kind Received
St #110
519.20
26.13
4311.30
Friends of Val Arkoosh
Transaction ID : VN7J99PPQB5
RI
TX
PA
02915-1507
19038-8413
75202-4206
Transaction ID : VN8HHBXH975I
Transaction ID : VN7J99PPS85
11
12
Payroll Taxes
10
Mobile Phones
in kind flight ticket purchase
2013
4856.63
Valerie Arkoosh
2014
AT&T
2013
Paychex
210
2014
2014
2013
Image# 14940311328
07
232
18
05
Dallas
Wyndmoor
Riverside
001
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
50 Massachusetts Ave NE
PO Box 382110
704 Chestnut Hill Ct
959.96
96.76
102.00
Friends of Val Arkoosh
Transaction ID : VN7J99NDWM5
DC
MA
NC
20002-4214
27455-8347
02238-2110
Transaction ID : VN7J99PPQG5
Transaction ID : VN7J99NA1K5
11
10
Travel
12
Credit card processing fee
Payroll Expense
2013
1158.72
Laura Koehler
2014
ActBlue Technical Services
2013
Amtrak
211
2014
2014
2013
Image# 14940311329
04
232
05
02
Cambridge
Greensboro
Washington
001
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
2008 N Daniel St
530 Spring Ln
PO Box 382110
210.05
1145.49
1572.54
Apt 304
Friends of Val Arkoosh
Transaction ID : VN7J99PPPR5
VA
PA
MA
22201-4199
02238-2110
19038-8413
Transaction ID : VN7J99NPXP5
Transaction ID : VN7J99PPRP5
11
12
Payroll Expense
11
Payroll Expenses
Credit card processing fee
2013
2928.08
ActBlue Technical Services
2014
Tiernan Donohue
2013
Bryan H. Lesswing
212
2014
2014
2013
Image# 14940311330
26
232
19
19
Wyndmoor
Cambridge
Arlington
001
001
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
714 7th Ave
1575 The Fairway
1500 Van Ness Ave
74.13
39.71
1380.65
Friends of Val Arkoosh
Transaction ID : VN7J99PPPX5
NY
PA
CA
10036-1520
94109-4606
19046-1424
Transaction ID : VN7J99NDXT5
Transaction ID : VN7J99PPSV5
11
12
Travel (Hotel)
10
Volunteer Meals
Travel (Hotel)
2013
1494.49
Holiday Inn
2014
Whole Foods
2013
Renaissance Hotel
213
2014
2014
2013
Image# 14940311331
15
232
05
16
Jenkintown
San Francisco
New York
002
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
7700 Germantown Ave
1000 Potomac St NW
530 Spring Ln
Ste 500
207.18
11500.00
255.46
Friends of Val Arkoosh
Transaction ID : VN7J99PPQ16
PA
DC
PA
19118-3549
19038-8413
20007-3552
Transaction ID : VN7J99NDYZ5
Transaction ID : VN7J99NE006
10
12
Office Supplies
10
Consultant (Research)
Payroll
2013
11962.64
Tiernan Donohue
2014
Ohlsen Research
2013
Staples
214
2014
2014
2013
Image# 14940311332
05
232
16
13
Washington
Wyndmoor
Philadelphia
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
1575 The Fairway
PO Box 382110
704 Chestnut Hill Ct
959.95
14.24
78.28
Friends of Val Arkoosh
Transaction ID : VN7J99PPT96
PA
MA
NC
19046-1424
27455-8347
02238-2110
Transaction ID : VN7J99NDY36
Transaction ID : VN7J99NA156
11
11
Fundraising Event Expense
10
Credit card processing fee
Payroll
2013
1052.47
Laura Koehler
2014
ActBlue Technical Services
2013
Whole Foods
215
2014
2014
2013
Image# 14940311333
17
232
05
04
Cambridge
Greensboro
Jenkintown
003
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
PO Box 1011
2014 Hilltop Rd
* In-Kind Received
222 W Ontario StSte 600
1350.00
120.50
57.80
Friends of Val Arkoosh
Transaction ID : VN7J99NDXG6
PA
PA
IL
19038-6011
60654-3655
19031-1615
Transaction ID : VN7J99NDWA6
Transaction ID : VN8HHBS7PG6I
12
10
Mileage Reimbursement
10
in kind catering for event
Media Buy
2013
1528.30
Adelstein Liston
2014
Mary Helf
2013
Ellen Sun
216
2014
2014
2013
Image# 14940311334
04
232
18
29
Flourtown
Chicago
Glenside
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
PO Box 407066
7700 Germantown Ave
PO Box 407066
69.75
162.16
47.75
Friends of Val Arkoosh
Transaction ID : VN7J99PPQS6
FL
PA
FL
33340-7066
33340-7066
19118-3549
Transaction ID : VN7J99NDXN6
Transaction ID : VN7J99NDYN6
10
12
Credit Card Processing Fees
10
Office Supplies
Credit Card Processing Fees
2013
279.66
First Bank Merchant Services
2014
Staples
2013
First Bank Merchant Services
217
2014
2014
2013
Image# 14940311335
03
232
15
03
Philadelphia
Fort Lauderdale
Fort Lauderdale
003
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
344 Gribbel Rd
2008 N Daniel St
739 Hemingway Dr
* In-Kind Received
Apt 304
515.00
161.28
682.64
Friends of Val Arkoosh
Transaction ID : VN7J99NDWX6
PA
VA
PA
19095-1108
19002-1421
22201-4199
Transaction ID : VN8HHBRSQV6I
Transaction ID : VN7J99PNYW6
12
10
Printing
12
Reimbursement
in kind food items for event
2013
1358.92
Sondra Miller-Wein
Cheltenham Democratic Party
2014
Bryan H. Lesswing
2013
Cheltenham Democratic Party
218
2014
2014
2013
Image# 14940311336
12
232
20
03
Arlington
Ambler
Wyncote
002
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
* In-Kind Received
530 Spring Ln
501 Wampanoag Trl
315 Old York Rd
2719.16
65.37
447.80
Friends of Val Arkoosh
Transaction ID : VN8HHBXH917I
PA
RI
PA
19038-8413
19046
02915-1507
Transaction ID : VN7J99PPRY6
Transaction ID : VN7J99PNZ07
12
10
in kind flight ticket purchase
11
Payroll Service Fee
Payroll Expense
2013
3232.33
Jacob Dusseau
2014
Paychex
2013
Valerie Arkoosh
219
2014
2014
2013
Image# 14940311337
19
232
20
14
Riverside
Jenkintown
Wyndmoor
001
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
PO Box 382110
501 Wampanoag Trl
PO Box 1011
1674.77
3280.99
148.16
Friends of Val Arkoosh
Transaction ID : VN7J99PTPF7
MA
RI
PA
02238-2110
19038-6011
02915-1507
Transaction ID : VN7J99NDXB7
Transaction ID : VN7J99NDYC7
10
12
Credit card processing fee
10
Payroll Tax
Payroll
2013
5103.92
Ellen Sun
2014
Paychex
2013
ActBlue Technical Services
220
2014
2014
2013
Image# 14940311338
04
232
18
30
Riverside
Glenside
Cambridge
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
PO Box 382110
PO Box 382110
315 Old York Rd
2719.17
67.15
222.89
Friends of Val Arkoosh
Transaction ID : VN7J99P67M7
MA
MA
PA
02238-2110
19046
02238-2110
Transaction ID : VN7J99PPQF7
Transaction ID : VN7J99NA1J7
11
12
Credit card processing fee
12
Credit card processing fee
Payroll Expense
2013
3009.21
Jacob Dusseau
2014
ActBlue Technical Services
2013
ActBlue Technical Services
221
2014
2014
2013
Image# 14940311339
04
232
05
19
Cambridge
Jenkintown
Cambridge
001
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
208 S Akard St
208 S Akard St
704 Chestnut Hill Ct
St #110
1059.95
26.09
26.13
St #110
Friends of Val Arkoosh
Transaction ID : VN7J99PPPW7
TX
TX
NC
75202-4206
27455-8347
75202-4206
Transaction ID : VN7J99PPPQ7
Transaction ID : VN7J99NDWR7
10
12
Mobile Phones
12
Mobile Phone
Payroll Expense
2013
1112.17
Laura Koehler
2014
AT&T
2013
AT&T
222
2014
2014
2013
Image# 14940311340
19
232
18
17
Dallas
Greensboro
Dallas
001
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
704 Chestnut Hill Ct
1701 John F Kennedy Blvd
PO Box 382110
392.91
346.20
959.96
Friends of Val Arkoosh
Transaction ID : VN7J99NDY28
NC
PA
MA
27455-8347
02238-2110
19103-2833
Transaction ID : VN7J99PJGZ7
Transaction ID : VN7J99NDX18
10
10
Payroll
12
Phones/Internet
Credit card processing fee
2013
1699.07
ActBlue Technical Services
2014
Comcast
2013
Laura Koehler
223
2014
2014
2013
Image# 14940311341
31
232
03
04
Philadelphia
Cambridge
Greensboro
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
937 Easton Rd
PO Box 382110
1408 Crystal Valley Way
326.01
98.30
95.34
Friends of Val Arkoosh
Transaction ID : VN7J99PPT88
PA
MA
PA
19001-4409
19002-4043
02238-2110
Transaction ID : VN7J99PPS28
Transaction ID : VN7J99NXV68
12
11
Fundraising Event Expense
11
Credit card processing fee
Payroll Expense
2013
519.65
Stephen B. Rudman
2014
ActBlue Technical Services
2013
Dunkin Donuts
224
2014
2014
2013
Image# 14940311342
19
232
03
04
Cambridge
Ambler
Roslyn
003
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
1495 Old York Rd
PO Box 407066
501 Wampanoag Trl
65.37
188.11
25.59
Friends of Val Arkoosh
Transaction ID : VN7J99NDYS8
PA
FL
RI
19001-1923
02915-1507
33340-7066
Transaction ID : VN7J99PPQA8
Transaction ID : VN7J99PPQR8
12
10
Office Supplies
12
Credit Card Processing Fees
Payroll Service Fee
2013
279.07
Paychex
2014
First Bank Merchant Services
2013
Target
225
2014
2014
2013
Image# 14940311343
05
232
03
04
Fort Lauderdale
Riverside
Abington
001
003
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
530 Spring Ln
2008 N Daniel St
501 Wampanoag Trl
Apt 304
56.20
138.00
959.96
Friends of Val Arkoosh
Transaction ID : VN7J99NDYY8
PA
VA
RI
19038-8413
02915-1507
22201-4199
Transaction ID : VN7J99PPST8
Transaction ID : VN7J99PPQX8
12
10
Payroll
11
Reimbursement of Expenses
Payroll Service Fee
2013
1154.16
Paychex
2014
Bryan H. Lesswing
2013
Tiernan Donohue
226
2014
2014
2013
Image# 14940311344
05
232
02
04
Arlington
Riverside
Wyndmoor
001
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
262 S Easton Rd
50 Massachusetts Ave NE
PO Box 66100
14.99
125.00
11.04
Friends of Val Arkoosh
Transaction ID : VN7J99NDZ79
PA
DC
IL
19038-3962
60666-0100
20002-4214
Transaction ID : VN7J99NDZ29
Transaction ID : VN7J99PPR69
11
10
Postage (Fundraising)
10
Travel (Train)
Travel (Air)
2013
151.03
United Airlines
2014
Amtrak
2013
USPS
227
2014
2014
2013
Image# 14940311345
16
232
21
17
Washington
Chicago
Glenside
002
002
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
518 Ryers Ave
530 Spring Ln
501 Wampanoag Trl
56.20
1145.49
800.30
Bldg 2
Friends of Val Arkoosh
Transaction ID : VN7J99PPSG9
PA
PA
RI
19012-2131
02915-1507
19038-8413
Transaction ID : VN7J99NDYB9
Transaction ID : VN7J99PPQE9
12
11
Printing
10
Payroll Expense
Payroll Service Fee
2013
2001.99
Paychex
2014
Tiernan Donohue
2013
Cheltenham Printing Company
228
2014
2014
2013
Image# 14940311346
04
232
04
14
Wyndmoor
Riverside
Cheltenham
006
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
PO Box 1011
PO Box 382110
PO Box 1011
51.98
124.45
1835.30
Friends of Val Arkoosh
Transaction ID : VN7J99PPQK9
PA
MA
PA
19038-6011
19038-6011
02238-2110
Transaction ID : VN7J99PNYH9
Transaction ID : VN7J99P2GH9
12
12
Payroll Expense
12
Credit card processing fee
Mileage Reimbursement
2013
2011.73
Ellen Sun
2014
ActBlue Technical Services
2013
Ellen Sun
229
2014
2014
2013
Image# 14940311347
20
232
11
04
Cambridge
Glenside
Glenside
001
002
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
620 Allengrove St
1500 Van Ness Ave
Old York Road and West Avenue
1800.00
169.51
500.00
Friends of Val Arkoosh
Transaction ID : VN7J99PPPV9
PA
CA
PA
19120-2106
19046
94109-4606
Transaction ID : VN7J99NDYM9
Transaction ID : VN7J99NDXR9
10
12
Donation
10
Travel (Hotel)
Office Rent
2013
2469.51
The Piazza of Jenkintown
2014
Holiday Inn
2013
Friends of the Northeast
230
2014
2014
2013
Image# 14940311348
25
232
15
19
San Francisco
Jenkintown
Philadelphia
012
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
501 Wampanoag Trl
704 Chestnut Hill Ct
315 Old York Rd
2719.17
959.96
4285.59
Friends of Val Arkoosh
141988.72
Transaction ID : VN7J99PNYZ9
RI
NC
PA
02915-1507
19046
27455-8347
Transaction ID : VN7J99NDXX9
Transaction ID : VN7J99PPSY9
11
12
Payroll Taxes
10
Payroll Expense
Payroll
2013
7964.72
Jacob Dusseau
2014
Laura Koehler
2013
Paychex
231
2014
2014
2013
Image# 14940311349
04
232
04
20
Greensboro
Jenkintown
Riverside
001
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
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 Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
3008 E Laurelhurst Dr NE
227 E Meade St
4147.00
150.00
Friends of Val Arkoosh
4297.00
WA
PA 19118-2812
98105-5331
Transaction ID : VN7J99P12B7
Transaction ID : VN7J99N7CV9
10
12
contribution refund
contribution refund
2013
4297.00
Jennifer Kolker
2014
Jean Amick
232
2014
2013
Image# 14940311350
08
232
29
Seattle
Philadelphia
010
010