report of receipts fec and...
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
15
52001
01
04
Edward Graham
Edward Graham
2016
[Electronically Filed]
C00543926
PAGE 1 / 119
201601
Dubuque IA
Blum for Congress
2728 Asbury Road Suite 400
04/15/2016 18 : 13
Image# 201604159012514827
2016
01 3103
IA
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , .
, , .
, , .
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
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
288473.40
52297.84
1273400.94
858046.08
PAGE 2 / 119
2016
852746.08
201601
265512.15
0.00
2700.00 5300.00
619863.10
291173.40
Blum for Congress
969.09
Image# 201604159012514828
0.00
266481.24
01 3103
52297.84
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , .
, , .
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
, , .
, , .
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
374399.20
0.00
0.00
0.00
1377585.40
174673.40
969.09
391391.99
1817.71
0.00
PAGE 3 / 119
2016
57705.40
291173.40
2016
18570.23
500000.00
01
0.00
0.00
292991.11
0.00
0.00
0.00
Blum for Congress
483646.88
500000.00
0.00
Image# 201604159012514829
858046.08
01
116500.00
3103
116968.00
92254.89
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , . , , .
, , .
, , .
, , .
, , .
, , .
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)..............................................................................................
, , . , , .
1273400.94
54997.84
0.00
0.00
54997.84
0.00
0.00
5300.00
0.00
0.00
2700.00
PAGE 4 / 119
266481.24
5300.00
1035407.67
0.00
0.00
0.00
0.00
1328398.78
0.00
0.00
292991.11
0.00
0.00
Image# 201604159012514830
52297.84
2700.00
271781.24
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 12/2015)
Total earmarked through conduit. PAC limit notaffected.
100.00
0.00
350.00
1041.00
200.00
VA
IA
PO Box 1948
23356 Hwy 18
300.00
PO Box 781
Blum for Congress
50677Transaction ID : 0009824
22313
IAMonona
Waverly
Alexandria
C00552851
self-employed
None
Transaction ID : 000982652159-8085
Transaction ID : 0009835
04
05
11
300.00
2016
5
2016
2016
Image# 201604159012514831
01
01
01
119
House Freedom Fund
2016
2016
Mary Lou Kelly
2016
Kevin Kammerer
Farmer
Retired
Memo Item
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 12/2015)
Total earmarked through conduit. PAC limit notaffected.
250.00
0.00
250.00
130.00
500.00
VA
VA
PO Box 1948
136 Walnut Ln
500.00
17 Club Ter
Blum for Congress
23606Transaction ID : 0010828
22313
PAWest Newton
Newport News
Alexandria
C00552851
NONE
Patient First
Transaction ID : 001117215089
Transaction ID : 0009907
11
12
13
750.00
2016
6
2016
2016
Image# 201604159012514832
01
01
01
119
House Freedom Fund
2016
2016
Douglas Powell
2016
Betty Mclay
RETIRED
Physician
Memo Item
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 12/2015)
500.00
750.00
500.00
250.00
100.00
IA
OK
1070 Arrowhead Dr
306 N Roosevelt St
350.00
2326 SW 122nd St
Blum for Congress
73170Transaction ID : 0010451
52003
IAGarnavillo
Oklahoma City
Dubuque
N/A
Turner Brothers Herefords
Transaction ID : 001184452049
Transaction ID : 0009823
O'Connor & Thomas, P.C.
13
14
14
850.00
2016
7
2016
2016
Image# 201604159012514833
01
01
01
119
John O'Connor
2016
2016
Jack Turner
2016
Richard Owings
Retired
Attorney
Owner
Memo Item
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 12/2015)
Earmarked through House Freedom Fund
Total earmarked through conduit. PAC limit notaffected.
500.00
0.00
500.00
500.00
500.00
VA
VA
PO Box 1948
601 W 55th St
500.00
2300 Cedarfield Pkwy Apt 263
Blum for Congress
23233-1942Transaction ID : 0009981-0001
22313
MOKansas City
Richmond
Alexandria
C00552851
CEREAL INGREDIENTS
Retired
Transaction ID : 001119964113
Transaction ID : 0009981
14
18
18
1000.00
2016
8
2016
2016
Image# 201604159012514834
01
01
01
119
House Freedom Fund
2016
2016
James Remington
2016
Robert Hatch
CEO
Retired
Memo Item
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 12/2015)
Total earmarked through conduit. PAC limit notaffected.
35.00
250.00
0.00
250.00
500.00
IL
VA
6 Calvin Cir
2607 Hawthorne Dr
500.00
PO Box 1948
Blum for Congress
22313Transaction ID : 0009982
60201
TXAmarillo
Alexandria
Evanston
C00552851
Self
Transaction ID : 001130679109
Transaction ID : 0011452
None
20
20
27
750.00
2016
9
2016
2016
Image# 201604159012514835
01
01
01
119
Sara Kimble
2016
2016
House Freedom Fund
2016
Harry Phillips
OIL & GAS INVESTMENTS
Retired
Memo Item
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 12/2015)
5400.00
250.00
5400.00
250.00
250.00
VT
TX
PO Box 606
352 Deepwood Rd
250.00
3716 Maplewood Ave
Blum for Congress
75205-2827Transaction ID : 0011953
05091
ILBarrington
Dallas
Woodstock
Retired
Retired
Transaction ID : 001116560010
Transaction ID : 0011565
Retired
27
27
27
5900.00
2016
10
2016
2016
Image# 201604159012514836
01
01
01
119
Charlotte Danly
2016
2016
Elloine H Clark
2016
Marilyn Hayden
Retired
Retired
Retired
Memo Item
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 12/2015)
REDESIGNATION
REDESIGNATION
500.00
5400.00
500.00
2700.00
-2700.00
TX
GA
3716 Maplewood Ave
3716 Maplewood Ave
2700.00
135 Windsor Dr
Blum for Congress
30701Transaction ID : 0010929
75205-2827
TXDallas
Calhoun
Dallas
Retired
NONE
Transaction ID : 001195475205-2827
Transaction ID : 0011955
Retired
27
27
28
500.00
2016
11
2016
2016
Image# 201604159012514837
01
01
01
119
Elloine H Clark
2016
2016
Bobbye Harris
2016
Elloine H Clark
Retired
Retired
RETIRED
Memo Item
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 12/2015)
Total earmarked through conduit. PAC limit notaffected.
250.00
0.00
250.00
30.00
250.00
VA
FL
PO Box 1948
427 Primrose Dr
250.00
7993 Via Vecchia
Blum for Congress
34108Transaction ID : 0010291
22313
IAHudson
Naples
Alexandria
C00552851
Self
SELF
Transaction ID : 000997450643-2232
Transaction ID : 0009894
31
03
08
500.00
2016
12
2016
2016
Image# 201604159012514838
02
02
01
119
House Freedom Fund
2016
2016
Ellis Naegele Jr
2016
William Colwell
Car Dealer
INVESTOR
Memo Item
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 12/2015)
250.00
205.00
500.00
205.00
200.00
NY
FL
1 W 67th St Apt 611
5113 Patricia Ave
400.00
7993 Via Vecchia
Blum for Congress
34108Transaction ID : 0011248
10023
NVLas Vegas
Naples
New York
None
SELF
Transaction ID : 001058989130
Transaction ID : 0010658
RETIRED
08
08
08
655.00
2016
13
2016
2016
Image# 201604159012514839
02
02
02
119
Elizabeth Bryden
2016
2016
Ellis Naegele Jr
2016
Victor E Van Damme
RETIRED
RETIRED
INVESTOR
Memo Item
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 12/2015)
Total earmarked through conduit. PAC limit notaffected.
2400.00
1000.00
0.00
1000.00
250.00
MI
VA
158 Lake Park Dr
7426 Fisher Island Dr
250.00
PO Box 1948
Blum for Congress
22313Transaction ID : 0009923
48009
FLFisher Island
Alexandria
Birmingham
C00552851
SELF
Transaction ID : 001066433109
Transaction ID : 0009913
US House
09
10
16
1250.00
2016
14
2016
2016
Image# 201604159012514840
02
02
02
119
Mr. David A. Trott
2016
2016
House Freedom Fund
2016
Jeffrey Spragens
RETIRED
Representative
Memo Item
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 12/2015)
Total earmarked through conduit. PAC limit notaffected.
Earmarked through House Freedom Fund
200.00
0.00
400.00
75.00
2400.00
TX
IL
PO Box 655
7148 State Hwy 199
2400.00
720 E Cherry Ln
Blum for Congress
60004Transaction ID : 0010402
76008
OHUpper Sandusky
Arlington Heights
Aledo
C00298000
Kalmbach Feeds
RETIRED
Transaction ID : 0009923-000143351-9346
Transaction ID : 0009920
16
17
17
2600.00
2016
15
2016
2016
Image# 201604159012514841
02
02
02
119
Madison Project
2016
2016
Teresa A Regard
2016
Mr. Paul Kalmbach
Owner
RETIRED
Memo Item
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 12/2015)
Total earmarked through conduit. PAC limit notaffected.
5620.00
500.00
0.00
500.00
250.00
WA
VA
3700 14th Ave SE Unit 65
PO Box 10335
250.00
PO Box 1948
Blum for Congress
22313Transaction ID : 0009903
98501
HIHilo
Alexandria
Olympia
C00552851
Retired
Transaction ID : 001120796721
Transaction ID : 0011638
Retired
17
17
18
750.00
2016
16
2016
2016
Image# 201604159012514842
02
02
02
119
Wanda Jones
2016
2016
House Freedom Fund
2016
Sachiko Kawaguchi
Retired
Retired
Memo Item
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 12/2015)
Earmarked through House Freedom Fund
Earmarked through House Freedom Fund
Earmarked through House Freedom Fund
2400.00
8100.00
2400.00
2700.00
500.00
TX
OH
3716 Maplewood Ave
PO Box 586
500.00
PO Box 1507
Blum for Congress
45802-1507Transaction ID : 0009903-0003
75205-2827
GAMonroe
Lima
Dallas
C00544445
Retired
Transaction ID : 0009903-000130655-0586
Transaction ID : 0009903-0002
Retired
18
18
18
5600.00
2016
17
2016
2016
Image# 201604159012514843
02
02
02
119
Elloine H Clark
2016
2016
Leo J. Hawk
2016
Jody Hice for Congress
Retired
Retired
Memo Item
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 12/2015)
2700.00
2000.00
2700.00
1000.00
500.00
IA
FL
PO Box 2620
723 Easton Ave
500.00
9 Diamond Dr
Blum for Congress
33040Transaction ID : 0010729
50704-2620
IAWaterloo
Key West
Waterloo
Fusion Realty
RETIRED
Transaction ID : 000989550702
Transaction ID : 0009900
Aspro
26
26
26
4200.00
2016
18
2016
2016
Image# 201604159012514844
02
02
02
119
Milt Dakovich
2016
2016
Robert Martin
2016
Zach Beschorner
Owner
Business Owner
RETIRED
Memo Item
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 12/2015)
Total earmarked through conduit. PAC limit notaffected.
500.00
0.00
500.00
100.00
250.00
VA
IA
PO Box 1948
3403 Firefly Mdws
550.00
515 Sunset Rdg
Blum for Congress
52003-7762Transaction ID : 0009967
22313
IAToddville
Dubuque
Alexandria
C00552851
Rockwell Collins
Medical Associates
Transaction ID : 001184852341
Transaction ID : 0009956
26
02
06
750.00
2016
19
2016
2016
Image# 201604159012514845
03
03
02
119
House Freedom Fund
2016
2016
Michael Scott
2016
Dan Whetstone
Subcontracts Program Manager
Physician
Memo Item
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 12/2015)
500.00
2100.00
3200.00
1000.00
500.00
IA
IA
17121 Chicory St
560 Villa St
1500.00
1835 Links Glen Dr
Blum for Congress
52003Transaction ID : 0009968
52001
IADubuque
Dubuque
Dubuque
Hartig Drug Co.
Retired
Transaction ID : 000996352003
Transaction ID : 0009964
HK Financial Services
07
07
07
2000.00
2016
20
2016
2016
Image# 201604159012514846
03
03
03
119
John Darrah
2016
2016
Shirley Babka
2016
Richard Hartig
CEO
CEO
Retired
Memo Item
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 12/2015)
Reattributed below
Reattribution below
-2700.00
5400.00
5400.00
5400.00
2000.00
IA
IA
975 Prince Phillip Dr
2000 S Grandview
4700.00
975 Prince Phillip Dr
Blum for Congress
52003Transaction ID : 0009966-REATT
52003
IADubuque
Dubuque
Dubuque
Cottingham Butler
McCoy Group
Transaction ID : 000996952003
Transaction ID : 0009966
McCoy Group
08
09
09
7400.00
2016
21
2016
2016
Image# 201604159012514847
03
03
03
119
Michael McCoy
2016
2016
Michael McCoy
2016
John Butler
Chairman
President
President
Memo Item
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 12/2015)
Reattributed
2000.00
2500.00
4700.00
2500.00
2700.00
IA
IA
610 8th Ave Ct SW
975 Prince Phillip Dr
5400.00
1300 Blackhawk Dr
Blum for Congress
52003Transaction ID : 0009972
52040-1855
IADubuque
Dubuque
Dyersville
None
Retired
Transaction ID : 0009966-000152003
Transaction ID : 0009965
Bard Materials
09
11
11
4500.00
2016
22
2016
2016
Image# 201604159012514848
03
03
03
119
Dennis Thier
2016
2016
Margaret Hendry
2016
Judith McCoy
Homemaker
Contractor
Retired
Memo Item
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 12/2015)
500.00
2500.00
1500.00
500.00
500.00
VA
IA
700 Berry St
282 Laroe Rd
500.00
2527 Hacienda Dr
Blum for Congress
52002-2704Transaction ID : 0010050
50112
NYChester
Dubuque
Falls Church
NONE
Retired
Transaction ID : 001014410918
Transaction ID : 0010028
CUNA
11
13
14
1500.00
2016
23
2016
2016
Image# 201604159012514849
03
03
03
119
Richard Meade
2016
2016
Keith Cook
2016
Edith Palmer
RETIRED
Chief of Staff
Retired
Memo Item
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 12/2015)
Total earmarked through conduit. PAC limit notaffected.
266.00
500.00
0.00
500.00
125.00
WA
VA
7816 196th St SW Apt D7
4181 Fort Jim Rd
225.00
PO Box 1948
Blum for Congress
22313Transaction ID : 0009984
98026
CAPlacerville
Alexandria
Edmonds
C00552851
Retired
Transaction ID : 001060695667
Transaction ID : 0011811
none
14
14
15
625.00
2016
24
2016
2016
Image# 201604159012514850
03
03
03
119
Glee Folsom
2016
2016
House Freedom Fund
2016
Francis Morse
Retired
Retired
Memo Item
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 12/2015)
250.00
1000.00
250.00
1000.00
500.00
IA
CT
480 Wartburg
222 Southgate Dr
1000.00
30 Bokum Rd Apt 308
Blum for Congress
06426Transaction ID : 0010119
52003
IADubuque
Essex
Dubuque
None
NONE
Transaction ID : 000998752003-7156
Transaction ID : 0010002
Conlon Construction
15
15
15
1750.00
2016
25
2016
2016
Image# 201604159012514851
03
03
03
119
Tim Conlon
2016
2016
Maxwell Belding
2016
Joan Weber
Homemaker
Business Owner
RETIRED
Memo Item
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 12/2015)
2000.00
4700.00
3000.00
2000.00
1000.00
IA
IA
895 Main St
193 Ryecroft St SE
1000.00
PO Box 1540
Blum for Congress
52004Transaction ID : 0009991
52001
IACedar Rapids
Dubuque
Dubuque
self-employed
Molo Companies
Transaction ID : 000998852403
Transaction ID : 0010049
American Trust & Savings Bank
16
16
17
5000.00
2016
26
2016
2016
Image# 201604159012514852
03
03
03
119
Nicholas Schrup
2016
2016
Mark Molo
2016
Donald Nelson
Doctor
Executive
Executive
Memo Item
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 12/2015)
REDESIGNATION
REDESIGNATION
75.00
3000.00
225.00
300.00
-300.00
IA
CA
PO Box 1540
PO Box 1540
2700.00
724 E Grinnell Dr
Blum for Congress
91501Transaction ID : 0010549
52004
IADubuque
Burbank
Dubuque
Molo Companies
CA Dept of Justice
Transaction ID : 000999252004
Transaction ID : 0009993
Molo Companies
17
17
17
75.00
2016
27
2016
2016
Image# 201604159012514853
03
03
03
119
Mark Molo
2016
2016
Herbert Levin
2016
Mark Molo
Executive
Executive
LAWYER
Memo Item
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 12/2015)
500.00
2000.00
500.00
2000.00
250.00
IA
IA
1129 Hunters Ridge
1465 Sunshine Dr
350.00
2020 S Grandview
Blum for Congress
52003Transaction ID : 0011853
52003
CAGlendale
Dubuque
Dubuque
NONE
Klauer Mfg Co
Transaction ID : 001055291208
Transaction ID : 0011852
Mike Finnin Ford and Kia
17
17
17
2750.00
2016
28
2016
2016
Image# 201604159012514854
03
03
03
119
Sharon Finnin
2016
2016
Nancy Klauer
2016
Ralph Tufenkian
RETIRED
Car Dealer
Corporation Officer
Memo Item
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 12/2015)
Total earmarked through conduit. PAC limit notaffected.
250.00
0.00
250.00
150.00
250.00
VA
FL
PO Box 1948
1062 Shady Oaks Dr
500.00
50 Club House Rd
Blum for Congress
33037Transaction ID : 0010277
22313
IADubuque
Key Largo
Alexandria
C00552851
Bodine Electric Company
RETIRED
Transaction ID : 000999052003-7302
Transaction ID : 0010024
18
18
18
500.00
2016
29
2016
2016
Image# 201604159012514855
03
03
03
119
House Freedom Fund
2016
2016
Linda Kendall
2016
Jeffrey Bodine
Executive
Retired
Memo Item
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 12/2015)
2700.00
600.00
2700.00
500.00
250.00
NY
FL
83 Cook Ave
14 Quail Ridge Dr
250.00
6670 Riviera Dr
Blum for Congress
33146Transaction ID : 0011855
10701
WIMadison
Coral Gables
Yonkers
IBM
Retired
Transaction ID : 001139353717
Transaction ID : 0011677
None
18
18
18
3450.00
2016
30
2016
2016
Image# 201604159012514856
03
03
03
119
Frederick Gregory
2016
2016
Robert Rust
2016
Paul Aspinwall
Process architect
RETIRED
Retired
Memo Item
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 12/2015)
500.00
1100.00
500.00
500.00
500.00
IA
IA
2602 Hacienda Dr
4200 1st Ave NE
500.00
2418 Beacon Hill Dr
Blum for Congress
52003-0248Transaction ID : 0010045
52002
IACedar Rapids
Dubuque
Dubuque
Cedar Memorial
Dubuque Bank & Trust
Transaction ID : 001004452402
Transaction ID : 0010029
Steel Mart
19
20
20
1500.00
2016
31
2016
2016
Image# 201604159012514857
03
03
03
119
Phillip Mihalakis
2016
2016
Doug Horstmann
2016
C. John Linge
Director
Owner
Banker
Memo Item
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 12/2015)
250.00
500.00
250.00
500.00
250.00
IA
NV
2478 Hacienda Dr
221 W Post St
250.00
6584 Champetre Ct
Blum for Congress
89511Transaction ID : 0010502
52002
IAPostville
Reno
Dubuque
Hall Roberts and Son
Retired
Transaction ID : 001003252162-7722
Transaction ID : 0010040
Riley Auto
21
21
21
1000.00
2016
32
2016
2016
Image# 201604159012514858
03
03
03
119
Jeff Haun
2016
2016
Samuel Wiegand
2016
Hall Roberts
President
Auto Dealer
Retired
Memo Item
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 12/2015)
300.00
500.00
300.00
250.00
100.00
HI
FL
PO Box 10335
100 Vista Bella Way
235.00
15736 Glenisle Way
Blum for Congress
33912Transaction ID : 0011787
96721
GANewnan
Fort Myers
Hilo
RETIRED
Retired
Transaction ID : 001084830265
Transaction ID : 0011206
Retired
21
21
21
650.00
2016
33
2016
2016
Image# 201604159012514859
03
03
03
119
Sachiko Kawaguchi
2016
2016
Joan Reese
2016
Joseph Nault
RETIRED
Retired
Retired
Memo Item
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 12/2015)
250.00
4700.00
250.00
2000.00
500.00
IA
IA
2606 Hacienda Dr
1078 Shady Oaks Dr
1000.00
1550 Innovation Dr
Blum for Congress
52002Transaction ID : 0011940
52002-2700
IADubuque
Dubuque
Dubuque
Medical Associates Clinic
Faley Enterprises
Transaction ID : 001185752003
Transaction ID : 0011902
Theisen's
21
21
21
2750.00
2016
34
2016
2016
Image# 201604159012514860
03
03
03
119
Jim Theisen
2016
2016
Ted Faley
2016
John Tallent
Healthcare Administration
Executive
Executive
Memo Item
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 12/2015)
500.00
750.00
500.00
500.00
500.00
IA
IA
606 Poplar St
2160 Jonathan Ln
750.00
2392 Hilton Ave
Blum for Congress
50677-9033Transaction ID : 0010035
50461-1316
IADubuque
Waverly
Osage
Perfection Oil Company
Retired
Transaction ID : 001003152001-8313
Transaction ID : 0010034
Home Trust & Savings Bank
22
22
22
1500.00
2016
35
2016
2016
Image# 201604159012514861
03
03
03
119
Jeannette Brumm
2016
2016
Barbara Redman
2016
John Kretz
President
Banker
Retired
Memo Item
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 12/2015)
500.00
500.00
1000.00
500.00
500.00
IA
IA
6411 Sandwedge Ct
575 Aspen Ln
1000.00
2481 Spruce Wood Dr
Blum for Congress
52002Transaction ID : 0010048
52002
IARobins
Asbury
Dubuque
Retired
None
Transaction ID : 001003652328
Transaction ID : 0010046
Remax
22
22
22
1500.00
2016
36
2016
2016
Image# 201604159012514862
03
03
03
119
Greg Adams
2016
2016
Diane Peacock
2016
B.D. Cooper
Retired
Realtor
Homemaker
Memo Item
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 12/2015)
1000.00
600.00
2000.00
250.00
250.00
IA
IA
39885 Ideal Rd
4 Coronet Ct
250.00
16792 Thunder Ridge Dr
Blum for Congress
52068-9444Transaction ID : 0011908
52050
NYSchenectady
Peosta
Greeley
Ellis Hospital
7G Distributing
Transaction ID : 001143112309
Transaction ID : 0011907
Self
22
22
22
1500.00
2016
37
2016
2016
Image# 201604159012514863
03
03
03
119
Ronald Cashman
2016
2016
Ron Kirchoff
2016
Deborah Boghosian
Medical Technologist
Milk Hauler
Distributor
Memo Item
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 12/2015)
1000.00
1000.00
1000.00
1000.00
500.00
IA
IA
3135 Pinney Woods Ct SE
307 Maxwell Ct SW
500.00
8034 Slap Tail Trl
Blum for Congress
50613-9303Transaction ID : 0010021
52403-1974
IAShellsburg
Cedar Falls
Cedar Rapids
retired
CBE Group
Transaction ID : 001190952332-9590
Transaction ID : 0010019
None
22
23
23
2500.00
2016
38
2016
2016
Image# 201604159012514864
03
03
03
119
Dina Dusek
2016
2016
Thomas Penaluna
2016
Michael Wood
Retired
Homemaker
Executive
Memo Item
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 12/2015)
250.00
1000.00
250.00
1000.00
398.00
IA
IA
1101 Valentine Dr
231 Third Ave
597.00
2933 Spring Oaks Ct
Blum for Congress
52001Transaction ID : 0011860
52003
MSSaltillo
Dubuque
Dubuque
information requested
SELF
Transaction ID : 001031738866
Transaction ID : 0011859
CRESCENT ELECTRIC SUPPLY COMPANY
23
23
23
1648.00
2016
39
2016
2016
Image# 201604159012514865
03
03
03
119
Richard Schmid
2016
2016
Lori Meyer
2016
George Bogardus
Information requested
OWNER
ORTHODONTIST
Memo Item
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 12/2015)
Earmarked through CLUB FOR GROWTH PAC
Total earmarked through conduit. PAC limit notaffected.
1000.00
5400.00
1500.00
2700.00
2700.00
PA
CO
1420 Walnut St
2001 L St, NW
0.00
448 Circle Dr
Blum for Congress
80206Transaction ID : 0010017
19102-4010
DCWashington
Denver
Philadelphia
C00432260
Self
Transaction ID : 001191920036
Transaction ID : 0011919-0001
ALG
23
23
24
3700.00
2016
40
2016
2016
Image# 201604159012514866
03
03
03
119
Ste 600
STE 1011
Howard S. Rich
2016
2016
Paul Powers
2016
CLUB FOR GROWTH PAC
Realtor
Real Estate Developer
Memo Item
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 12/2015)
250.00
2500.00
250.00
2500.00
250.00
IL
PA
1885 S James Ct
5551 Edgewood Rd SW
250.00
7901 Ardmore Ave
Blum for Congress
19038Transaction ID : 0010180
60045
IACedar Rapids
Wyndmoor
Lake Forest
Retired
NONE
Transaction ID : 001002052404
Transaction ID : 0010033
Guarantee Trust Life Insurance Co
24
24
24
3000.00
2016
41
2016
2016
Image# 201604159012514867
03
03
03
119
Mr. Richard S. Holson III
2016
2016
John Hopkinson
2016
Mr. John T. Anderson Jr.
Retired
Chairman
RETIRED
Memo Item
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 12/2015)
500.00
1000.00
500.00
250.00
250.00
IA
IA
1070 Arrowhead Dr
PO Box 2599
250.00
PO Box 895
Blum for Congress
52004Transaction ID : 0010030
52003
OHMansfield
Dubuque
Dubuque
Gorman Rupp Co.
Dubuque Screw Products Inc
Transaction ID : 001032944906
Transaction ID : 0010023
O'Connor & Thomas, P.C.
24
25
25
1000.00
2016
42
2016
2016
Image# 201604159012514868
03
03
03
119
PO Box 2599
John O'Connor
2016
2016
Michael Scherr
2016
James Gorman
Chairman
Attorney
President
Memo Item
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 12/2015)
100.00
500.00
350.00
500.00
500.00
CA
IL
305 Bloomfield Ave
125 Quassaick Ave
1000.00
352 Deepwood Rd
Blum for Congress
60010Transaction ID : 0011166
95020
NYNew Windsor
Barrington
Gilroy
RETIRED
Retired
Transaction ID : 001099612553
Transaction ID : 0011075
CHRISTOPHER RANCH LLC
25
25
25
1100.00
2016
43
2016
2016
Image# 201604159012514869
03
03
03
119
Donald Christopher
2016
2016
Marilyn Hayden
2016
William Hotaling
RETIRED
GARLIC GROWER/PACKER/SHIP
Retired
Memo Item
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 12/2015)
REDESIGNATION
REDESIGNATION
1000.00
2700.00
3700.00
-1000.00
2700.00
IA
IA
4001 Tama St
4001 Tama St
3700.00
4001 Tama St
Blum for Congress
52302Transaction ID : 0011948
52302
IAMarion
Marion
Marion
Self
Self
Transaction ID : 001186452302
Transaction ID : 0011947
Self
25
25
25
2700.00
2016
44
2016
2016
Image# 201604159012514870
03
03
03
119
Curt Hames
2016
2016
Curt Hames
2016
Curt Hames
Retail Sales
Retail Sales
Retail Sales
Memo Item
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 12/2015)
250.00
250.00
250.00
250.00
250.00
IA
IA
218 Loma St
1545 Gray Lynn Dr
250.00
985 Prince Phillip Dr
Blum for Congress
52003-7887Transaction ID : 0010010
50701-1630
WAWalla Walla
Dubuque
Waterloo
Retired
None
Transaction ID : 000999699362
Transaction ID : 0010000
Kay Park Rec Corp
27
27
27
750.00
2016
45
2016
2016
Image# 201604159012514871
03
03
03
119
Keith Borglum
2016
2016
Laura Chapman
2016
Robert L Rupar
Retired
President
Homemaker
Memo Item
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 12/2015)
125.00
5400.00
250.00
2700.00
1000.00
CO
NY
504 W Bleeker St
2505 Maple Woods Dr
2000.00
1019 Van Siclen Ave Apt 5J
Blum for Congress
11207Transaction ID : 0011239
81611
IAOskaloosa
Brooklyn
Aspen
Interpower Corporation
Retired
Transaction ID : 001001852577-9134
Transaction ID : 0010751
RETIRED
27
28
28
3825.00
2016
46
2016
2016
Image# 201604159012514872
03
03
03
119
Tatnall Lea Hillman
2016
2016
Yvonne Berry
2016
Robert Wersen
President
RETIRED
Retired
Memo Item
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 12/2015)
250.00
500.00
250.00
500.00
250.00
IA
IA
898 Mt Carmel Rd
9745 E Bajada Rd
250.00
PO Box 405
Blum for Congress
52004-0405Transaction ID : 0010009
52003
AZScottsdale
Dubuque
Dubuque
Sequoia Capital
Becker & Becker Stone
Transaction ID : 001174585262
Transaction ID : 0009999
Cottingham & Butler
28
29
29
1000.00
2016
47
2016
2016
Image# 201604159012514873
03
03
03
119
Mr. Andrew J Butler
2016
2016
Mr. Fred Becker
2016
Donald Valentine
Investor
Executive
Owner
Memo Item
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 12/2015)
2700.00
300.00
2700.00
75.00
250.00
CA
TX
724 E Grinnell Dr
109 S Broadway St
500.00
PO Box 158
Blum for Congress
77436Transaction ID : 0011746
91501
IAToledo
Egypt
Burbank
retired
SELF
Transaction ID : 001001652342-1311
Transaction ID : 0010548
CA Dept of Justice
29
29
29
3025.00
2016
48
2016
2016
Image# 201604159012514874
03
03
03
119
Herbert Levin
2016
2016
Clara Lovell
2016
Marjorie Ziskovsky
Retired
LAWYER
RANCHING & FARMING
Memo Item
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 12/2015)
Reattributed
Reattributed below
Reattribution below
5400.00
5400.00
5400.00
-5400.00
10800.00
IA
IA
2168 Grand Ave
2168 Grand Ave
5400.00
2168 Grand Ave
Blum for Congress
50265Transaction ID : 0011913-0001
50265
IAWest Des Moines
West Des Moines
West Des Moines
Conceptual Design Solutions
Unity Point Health
Transaction ID : 001191350265
Transaction ID : 0011913-REATT
Conceptual Design Solutions
29
29
29
10800.00
2016
49
2016
2016
Image# 201604159012514875
03
03
03
119
#7
#7
#7
Tanner Blum
2016
2016
Rusmira Blum
2016
Tanner Blum
Owner
Owner
Respiratory Therapist
Memo Item
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 12/2015)
REDESIGNATION
REDESIGNATION
REDESIGNATION
-2700.00
5400.00
2700.00
2700.00
-2700.00
IA
IA
2168 Grand Ave
2168 Grand Ave
2700.00
2168 Grand Ave
Blum for Congress
50265Transaction ID : 0011916
50265
IAWest Des Moines
West Des Moines
West Des Moines
Conceptual Design Solutions
Unity Point Health
Transaction ID : 001191450265
Transaction ID : 0011915
Conceptual Design Solutions
29
29
29
0.00
2016
50
2016
2016
Image# 201604159012514876
03
03
03
119
#7
#7
#7
Tanner Blum
2016
2016
Rusmira Blum
2016
Tanner Blum
Owner
Owner
Respiratory Therapist
Memo Item
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 12/2015)
REDESIGNATION
2000.00
500.00
2000.00
500.00
2700.00
IL
IA
415 W Bonnet Dr
2168 Grand Ave
5400.00
400 Villa St
Blum for Congress
52003Transaction ID : 0010004
61025-0141
IAWest Des Moines
Dubuque
East Dubuque
Unity Point Health
N/A
Transaction ID : 001191750265
Transaction ID : 0010001
Retired
29
30
30
2500.00
2016
51
2016
2016
Image# 201604159012514877
03
03
03
119
#7
Anne L Trausch
2016
2016
Linda L Giese
2016
Rusmira Blum
Respiratory Therapist
Retired
Homemaker
Memo Item
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 12/2015)
REDESIGNATION
REDESIGNATION
800.00
2700.00
3500.00
-800.00
2000.00
IA
IA
21142 Country Squire Ln
21142 Country Squire Ln
3500.00
21142 Country Squire Ln
Blum for Congress
52001-8006Transaction ID : 0010007
52001-8006
IADubuque
Dubuque
Dubuque
Giese Commercial Roofing
Giese Commercial Roofing
Transaction ID : 001000552001-8006
Transaction ID : 0010006
Giese Commercial Roofing
30
30
30
2000.00
2016
52
2016
2016
Image# 201604159012514878
03
03
03
119
James Giese
2016
2016
James Giese
2016
James Giese
President & CEO
President & CEO
President & CEO
Memo Item
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 12/2015)
100.00
500.00
350.00
500.00
500.00
IA
IA
906 Farrell Ct
1053 Shady Oaks Dr
1500.00
13284 Old Cass Rd
Blum for Congress
52205Transaction ID : 0011868
52001-3196
IADubuque
Anamosa
Dubuque
The Fischer Cos.
None
Transaction ID : 001000852003
Transaction ID : 0010011
Abeln Abstract Co
30
30
30
1100.00
2016
53
2016
2016
Image# 201604159012514879
03
03
03
119
Lynn M. McCullough
2016
2016
John Pearson
2016
Anthony Pfohl
VP
Abstractor
retired
Memo Item
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 12/2015)
250.00
500.00
350.00
250.00
250.00
IA
IA
310 Easy St
601 1st Ave SW
250.00
2385 Timber Creek Dr
Blum for Congress
52302Transaction ID : 0011877
52361
IAMount Vernon
Marion
Williamsburg
SELF
Industrial Energy Applications
Transaction ID : 001187152314
Transaction ID : 0011875
Kinze Mfg
30
30
30
750.00
2016
54
2016
2016
Image# 201604159012514880
03
03
03
119
Gregory Radke
2016
2016
Bryan McGlothlin
2016
James Kelly
CONSULTANT
Engineering
Vice President
Memo Item
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 12/2015)
1000.00
3000.00
1000.00
1000.00
100.00
IA
IA
1824 Maplewood Ct
653 Graf Rd
350.00
2649 Indian Hill Rd
Blum for Congress
52403Transaction ID : 0011881
60030
IADurango
Cedar Rapids
Grayslake
IIW, P.C.
Gray Venture Partners
Transaction ID : 001187852039
Transaction ID : 0011879
Guarantee Trust Life Insurance
30
30
30
2100.00
2016
55
2016
2016
Image# 201604159012514881
03
03
03
119
Il
David Meyer
2016
2016
Stephen Gray
2016
Dennis Waugh
Consulting Engineer
Executive
Chairman
Memo Item
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 12/2015)
Total earmarked through conduit. PAC limit notaffected.
50.00
1000.00
0.00
500.00
100.00
IA
VA
7000 Tower Terrace Rd
5106 Thyme Rd
300.00
PO Box 1948
Blum for Congress
22313Transaction ID : 0011945
52411-7946
IACedar Falls
Alexandria
Cedar Rapids
C00552851
retired
Transaction ID : 001188250613
Transaction ID : 0011918
Sweet Maple Farms
30
30
30
600.00
2016
56
2016
2016
Image# 201604159012514882
03
03
03
119
Cindy Golding
2016
2016
House Freedom Fund
2016
Richard Vande Kieft
retired
Owner
Memo Item
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 12/2015)
REDESIGNATION
Earmarked through House Freedom Fund
Earmarked through House Freedom Fund
-300.00
25.00
2700.00
25.00
25.00
IN
IA
1016 N 400 E
1005 Mariposa St
25.00
1824 Maplewood Ct
Blum for Congress
60030Transaction ID : 0011949
46304-9313
CAVallejo
Grayslake
Chesterton
Retired
Guarantee Trust Life Insurance
Transaction ID : 0011945-000194590-3958
Transaction ID : 0011945-0002
Retired
30
30
30
50.00
2016
57
2016
2016
Image# 201604159012514883
03
03
03
119
Il
Ferro Vito
2016
2016
David Meyer
2016
Marilyn Hinton
Retired
Retired
Executive
Memo Item
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 12/2015)
REDESIGNATION
1000.00
450.00
3600.00
100.00
300.00
IA
IA
306 N Roosevelt St
1824 Maplewood Ct
3000.00
1860 Glen Oaks Dr
Blum for Congress
50266-6608Transaction ID : 0011920
52049
IAGrayslake
West Des Moines
Garnavillo
Guarantee Trust Life Insurance
Kirke Financial Services
Transaction ID : 001195060030
Transaction ID : 0011887
N/A
30
31
31
1100.00
2016
58
2016
2016
Image# 201604159012514884
03
03
03
119
Il
Richard Owings
2016
2016
Gerald Kirke
2016
David Meyer
Executive
Retired
Executive
Memo Item
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 12/2015)
Reattribution below
REDESIGNATION
REDESIGNATION
5400.00
3600.00
5400.00
900.00
-900.00
IA
IA
1860 Glen Oaks Dr
1860 Glen Oaks Dr
2700.00
PO Box 358
Blum for Congress
50704-0358Transaction ID : 0011928
50266-6608
IAWest Des Moines
Waterloo
West Des Moines
Kirke Financial Services
Fahr Beverage
Transaction ID : 001192150266-6608
Transaction ID : 0011922
Kirke Financial Services
31
31
31
5400.00
2016
59
2016
2016
Image# 201604159012514885
03
03
03
119
Gerald Kirke
2016
2016
Robert Fahr
2016
Gerald Kirke
Executive
Executive
Beer Wholesaler
Memo Item
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 12/2015)
Total earmarked through conduit. PAC limit notaffected.
Reattributed
Reattributed below
15.00
5400.00
0.00
2700.00
-2700.00
IA
VA
PO Box 358
PO Box 358
5400.00
PO Box 1948
Blum for Congress
22313Transaction ID : 0011952
50704-0358
IAWaterloo
Alexandria
Waterloo
C00552851
Fahr Beverage
Transaction ID : 0011928-REATT50704-0358
Transaction ID : 0011928-0001
None
31
31
31
0.00
2016
60
2016
2016
Image# 201604159012514886
03
03
03
119
Jane Fahr
2016
2016
House Freedom Fund
2016
Robert Fahr
Beer Wholesaler
Homemaker
Memo Item
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 12/2015)
Earmarked through House Freedom Fund
Earmarked through House Freedom Fund
5.00
5.00
10.00
MI
11312 N Lake Dr
160 Deer Ln
20.00
Blum for Congress
116968.00
48430-8813
MOKirbyville
Fenton
Homemaker
Transaction ID : 0011952-000165679-9382
Transaction ID : 0011952-0002
Retired
31
31
15.00
2016
61
2016
Image# 201604159012514887
03
03
119
Mr. Jack Larzelere
2016
2016
Christina Berkstresser
Homemaker
Retired
Memo Item
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 12/2015)
250.00
6000.00
250.00
1000.00
4000.00
DC
VA
800 Tenth St, NW
800 Tenth St, NW
5000.00
PO Box 1948
Blum for Congress
22313Transaction ID : 0009983
20001-4956
DCWashington
Alexandria
Washington
C00106146
C00106146
C00552851
Transaction ID : 000993320001-4956
Transaction ID : 0009940
21
21
26
5250.00
2016
62
2016
2016
Image# 201604159012514888
01
01
01
119
Two CityCenter, Ste 400
Two CityCenter, Ste 400
American Hospital Association PAC
2016
2016
House Freedom Fund
2016
American Hospital Association PAC
Memo Item
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 12/2015)
1000.00
2000.00
3000.00
2000.00
1000.00
KY
IA
PO Box 821
100 Daingerfield Rd
7000.00
711 High St
Blum for Congress
50392Transaction ID : 0009898
41072
VAAlexandria
Des Moines
Newport
C00509729
C00030809
C00128918
Transaction ID : 000998022314
Transaction ID : 0009904
28
31
01
4000.00
2016
63
2016
2016
Image# 201604159012514889
02
01
01
119
Thomas Massie for Congress
2016
2016
Principal Life Insurance Company PAC
2016
National Community Pharmacists Association PAC
Memo Item
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 12/2015)
1000.00
3000.00
1000.00
1000.00
1000.00
MI
VA
2000 N M-63
700 Anderson Hill Rd
2000.00
12176 Chancery Station Circle
Blum for Congress
20190Transaction ID : 0009891
49022
NYPurchase
Reston
Benton Harbor
C00039040
C00039321
C00404392
Transaction ID : 000992910577
Transaction ID : 0011924
01
02
03
3000.00
2016
64
2016
2016
Image# 201604159012514890
02
02
02
119
#MD3005
Whirlpool Corp. Political Action Committee
2016
2016
Conservative Opportunity Leadership & Enterprise PAC Cole PA
2016
Pepsico, Inc. Concerned Citizens Fund
Memo Item
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 12/2015)
1000.00
5000.00
1000.00
5000.00
2500.00
CA
VA
PO Box 10134
1100 New York Ave NW
2500.00
228 S Washington St
Blum for Congress
22314Transaction ID : 0009934
93389
DCWashington
Alexandria
Bakersfield
C00428052
C00457754
C00510248
Transaction ID : 000989920005
Transaction ID : 0009915
03
03
03
8500.00
2016
65
2016
2016
Image# 201604159012514891
02
02
02
119
STE 450W
STE 115
Majority Committee PAC
2016
2016
Building Our Base Pac
2016
US Travel Association PAC
Memo Item
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 12/2015)
500.00
2000.00
2500.00
2000.00
1000.00
LA
LA
PO Box 23219
PO Box 75000
1000.00
PO Box 23219
Blum for Congress
70183Transaction ID : 0009909
70183
MIDetroit
New Orleans
New Orleans
C00394957
C00393173
C00394957
Transaction ID : 000988948275
Transaction ID : 0009908
04
04
04
3500.00
2016
66
2016
2016
Image# 201604159012514892
02
02
02
119
Scalise for Congress
2016
2016
Scalise for Congress
2016
Comerica Inc. PAC
Memo Item
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 12/2015)
1000.00
1000.00
1000.00
1000.00
1000.00
TX
VA
110 W Louisiana Ave
PO Box 1437
1000.00
PO Box 2485
Blum for Congress
22152Transaction ID : 0009938
79701
TNGallatin
Springfield
Midland
C00409458
C00499996
C00511840
Transaction ID : 000991237066
Transaction ID : 0009916
04
04
04
3000.00
2016
67
2016
2016
Image# 201604159012514893
02
02
02
119
Ste 312
CONA-PAC
2016
2016
CAVPAC
2016
DIANE PAC
Memo Item
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 12/2015)
2500.00
1000.00
2500.00
1000.00
1000.00
NC
VA
PO Box 6507
120 Monument Circle
2000.00
228 S Washington St Ste 115
Blum for Congress
22314Transaction ID : 0009914
28027
INIndianapolis
Alexandria
Concord
C00540146
C00197228
C00540187
Transaction ID : 000993946204
Transaction ID : 0009949
04
04
05
4500.00
2016
68
2016
2016
Image# 201604159012514894
02
02
02
119
First in Freedom PAC
2016
2016
More Conservatives PAC
2016
Anthem PAC
Memo Item
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 12/2015)
500.00
1000.00
1500.00
1000.00
4000.00
TX
DC
208 S Akard St
600 14th St NW
10000.00
777 N Capitol St NE
Blum for Congress
20002Transaction ID : 0009897
75202
DCWashington
Washington
Dallas
C00109017
C00236489
C00475665
Transaction ID : 000993120005
Transaction ID : 0009935
05
05
06
5500.00
2016
69
2016
2016
Image# 201604159012514895
02
02
02
119
Ste 800
STE 805
STE 2701
AT&T Inc. Federal PAC
2016
2016
GROWTH ENERGY PAC
2016
KOCHPAC
Memo Item
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 12/2015)
5000.00
1000.00
10000.00
1000.00
1000.00
VA
VA
228 S Washington St
PO Box 3723
1000.00
1006 Pendleton St
Blum for Congress
22314Transaction ID : 0009937
22314
ALMontgomery
Alexandria
Alexandria
C00589994
C00559633
C00377689
Transaction ID : 000991036109
Transaction ID : 0009932
08
08
08
7000.00
2016
70
2016
2016
Image# 201604159012514896
02
02
02
119
STE 115
Building Renewal in America Now PAC
2016
2016
Prosperity Action Inc
2016
BYRNE PAC
Memo Item
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 12/2015)
2500.00
1000.00
2500.00
1000.00
1000.00
PA
WI
PO Box 435
Mediacom Park
3500.00
720 E Wisconsin Ave
Blum for Congress
53202Transaction ID : 0009888
15143-0435
NYChester
Milwaukee
Sewickley
C00497115
C00477737
C00197095
Transaction ID : 000994110918
Transaction ID : 0009944
08
08
09
4500.00
2016
71
2016
2016
Image# 201604159012514897
02
02
02
119
Rothfus for Congress Inc
2016
2016
Northwestern Mutual Federal PAC
2016
Mediacom PAC
Memo Item
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 12/2015)
1000.00
2500.00
6000.00
2500.00
1000.00
MA
VA
1295 State St
1101 New York Ave NW
1000.00
1300 Wilson Blvd STE 200
Blum for Congress
22209-2307Transaction ID : 0009892
01111
DCWashington
Arlington
Springfield
C00118943
C00431312
C00365684
Transaction ID : 000997020005
Transaction ID : 0009890
09
10
10
4500.00
2016
72
2016
2016
Image# 201604159012514898
02
02
02
119
Ste 800
Massachusetts Mutual Life Insurance Co. PAC
2016
2016
Rockwell Collins Employee PAC
2016
SECURITIES INDUSTRY AND FINANCIAL MARKETS ASSOCIATION POLITI
Memo Item
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 12/2015)
1000.00
1000.00
1000.00
1000.00
1000.00
OH
FL
9856 Archer Ln
PO Box 30844
1000.00
8770 SW 72nd St
Blum for Congress
33173-3512Transaction ID : 0009911
43017-8914
MDBethesda
Miami
Dublin
C00485540
C00415208
C00565630
Transaction ID : 000989620824
Transaction ID : 0009901
10
10
10
3000.00
2016
73
2016
2016
Image# 201604159012514899
02
02
02
119
STE 420
LATTA PAC
2016
2016
MAINTAINING ALL REPUBLICANS IN OFFICE PAC
2016
Lone Star Leadership PAC
Memo Item
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 12/2015)
1000.00
3000.00
1000.00
1000.00
1000.00
WI
MO
4902 N Biltmore Ln
1856 Old Reston Ave
2000.00
PO Box 3535
Blum for Congress
63022Transaction ID : 0009927
53718
VAReston
Ballwin
Madison
C00132092
C00233247
C00531764
Transaction ID : 000992220190
Transaction ID : 0009926
10
10
10
3000.00
2016
74
2016
2016
Image# 201604159012514900
02
02
02
119
Ste 205
Alliant Energy Corporation Employee's PAC
2016
2016
ANN PAC
2016
MAPPS PAC
Memo Item
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 12/2015)
250.00
3999.20
250.00
1000.00
2000.00
DC
WV
101 Constitution Ave NW
4679 Winterset Dr
2000.00
PO Box 1863
Blum for Congress
25401Transaction ID : 0009942
20001
OHColumbus
Martinsburg
Washington
C00096156
C00441352
C00572362
Transaction ID : 000992843220
Transaction ID : 0009936
10
10
10
3250.00
2016
75
2016
2016
Image# 201604159012514901
02
02
02
119
STE 500 W
Honeywell International PAC
2016
2016
Americans for Legislative Excellence
2016
Stivers for Congress
Memo Item
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 12/2015)
1000.00
1000.00
1000.00
1000.00
1000.00
OH
IN
41 S High St
1605 King St
1000.00
PO Box 917
Blum for Congress
46176Transaction ID : 0009948
43215
VAAlexandria
Shelbyville
Columbus
C00165589
C00089458
C00460667
Transaction ID : 000989322314-2726
Transaction ID : 0009924
11
11
11
3000.00
2016
76
2016
2016
Image# 201604159012514902
02
02
02
119
Huntington BancShares Incoporated PAC
2016
2016
Luke Messer for Congress
2016
NSSGA ROCKPAC
Memo Item
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 12/2015)
1000.00
8000.00
1000.00
1000.00
1000.00
VA
NJ
100 Daingerfield Rd
700 13th St NW
3000.00
PO Box 225
Blum for Congress
07067Transaction ID : 0009946
22314
DCWashington
Colonia
Alexandria
C00030809
C00010470
C00581066
Transaction ID : 000990220005
Transaction ID : 0009919
12
12
12
3000.00
2016
77
2016
2016
Image# 201604159012514903
02
02
02
119
Ste 350
National Community Pharmacists Association PAC
2016
2016
TMAC PAC
2016
Union Pacific Corporation Fund for Effective Government
Memo Item
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 12/2015)
1000.00
2500.00
1000.00
2500.00
1000.00
VA
DC
PO Box 2485
47 Flintcock Dr
1000.00
PO Box 15593
Blum for Congress
20003Transaction ID : 0009952
22215
NYShirley
Washington
Springfield
C00445379
C00573626
C00505297
Transaction ID : 000994711967
Transaction ID : 0009953
12
12
15
4500.00
2016
78
2016
2016
Image# 201604159012514904
02
02
02
119
Making America Prosperous PAC
2016
2016
Titletown PAC
2016
LEE PAC
Memo Item
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 12/2015)
1000.00
1000.00
1000.00
1000.00
2500.00
KY
DC
504 Derek Ave
228 S Washington St Ste 115
2500.00
1850 M St
Blum for Congress
20036Transaction ID : 0009994
42701
VAAlexandria
Washington
Elizabethtown
C00483487
C00459123
C00130773
Transaction ID : 000991822314
Transaction ID : 0009917
17
18
18
4500.00
2016
79
2016
2016
Image# 201604159012514905
02
02
02
119
NW Ste 540
BRETTPAC
2016
2016
NATIONAL MULTIFAMILY HOUSING COUNCIL POLITICAL ACTION COMMIT
2016
New Pioneers PAC
Memo Item
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 12/2015)
2500.00
500.00
8500.00
500.00
5000.00
OH
DC
545 E Town St
412 First St SE
12500.00
600 13th St NW
Blum for Congress
20005-3005Transaction ID : 0009950
43215
DCWashington
Washington
Columbus
C00290502
C00040998
C00236414
Transaction ID : 001194620003
Transaction ID : 0009955
18
19
22
8000.00
2016
80
2016
2016
Image# 201604159012514906
02
02
02
119
STE 400B
Fifth Third Bancorp PAC
2016
2016
Aegon USA, LLC TransAmerica Corp PAC
2016
National Automobile Dealers Association PAC
Memo Item
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 12/2015)
1000.00
3500.00
1000.00
1000.00
2500.00
MN
DC
90 S 7th St 8th Floor
701 Pennsylvania Ave NW
2500.00
1155 F St NW
Blum for Congress
20004Transaction ID : 0009961
55402-3903
DCWashington
Washington
Minneapolis
C00034595
C00039578
C00284885
Transaction ID : 000995120004-2661
Transaction ID : 0009954
22
22
25
4500.00
2016
81
2016
2016
Image# 201604159012514907
02
02
02
119
STE 750
Ste 400
Wells Fargo & Co Employee PAC
2016
2016
THE HOME DEPOT INC PAC
2016
COUNCIL OF INSURANCE AGENTS & BROKERS POLITICAL ACTION COMMI
Memo Item
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 12/2015)
500.00
4000.00
1000.00
1000.00
1000.00
DC
GA
700 13th St NW
One General Mills Blvd
2000.00
55 Glenlake Pkwy NE
Blum for Congress
30328Transaction ID : 0011941
20005
MNMinneapolis
Atlanta
Washington
C00010470
C00062646
C00064766
Transaction ID : 000996255426
Transaction ID : 0009960
01
02
03
2500.00
2016
82
2016
2016
Image# 201604159012514908
03
03
03
119
Ste 350
Union Pacific Corporation Fund for Effective Government
2016
2016
UPSPAC
2016
General Mills, Inc. PAC
Memo Item
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 12/2015)
1000.00
1000.00
3000.00
1000.00
1000.00
GA
OH
2470 Daniels Bridge Rd
PO Box 6312
1000.00
2160 Kettering Tower
Blum for Congress
45423-1010Transaction ID : 0009959
30606
ILLibertyville
Dayton
Athens
C00412288
C00572123
Transaction ID : 000995760048
Transaction ID : 0009958
07
07
08
3000.00
2016
83
2016
2016
Image# 201604159012514909
03
03
03
119
STE 2160
STE 121
BILL PAC
2016
2016
Jim Jordan for Congress
2016
EAGLE PAC
Memo Item
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 12/2015)
1000.00
1000.00
7000.00
1000.00
1000.00
OH
DC
150 Smokerise Dr
1015 15th St NW
2000.00
1120 Connecticut Ave
Blum for Congress
20036Transaction ID : 0009995
44281-8701
DCWashington
Washington
Wadsworth
C00494757
C00432252
C00004275
Transaction ID : 000997120005
Transaction ID : 0010013
08
08
10
3000.00
2016
84
2016
2016
Image# 201604159012514910
03
03
03
119
Ste 920
AMERICA'S FUTURE FUND PAC
2016
2016
American BankPAC
2016
Regions Financial Corporation PAC
Memo Item
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 12/2015)
2500.00
1000.00
2500.00
1000.00
1000.00
NJ
VA
PO Box 905
PO Box 50
1000.00
2000 Edmund Halley Dr
Blum for Congress
20191Transaction ID : 0009986
07860
MEOakland
Reston
Newton
C00453324
C00587832
C00488304
Transaction ID : 001001504963
Transaction ID : 0009985
11
15
16
4500.00
2016
85
2016
2016
Image# 201604159012514911
03
03
03
119
Ste 250
Supporting Conservatives of Today & Tomorrow PAC
2016
2016
American Legacy PAC
2016
PINE TREE PAC
Memo Item
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 12/2015)
1000.00
1000.00
8000.00
1000.00
1000.00
DC
DC
1156 15th St NW Suite 1101
4 Waterway Square Pl
1000.00
1120 Connecticut Ave
Blum for Congress
20036Transaction ID : 0010038
20005
TXSpring
Washington
Washington
C00167684
C00443523
C00004275
Transaction ID : 001001277380
Transaction ID : 0010027
21
21
21
3000.00
2016
86
2016
2016
Image# 201604159012514912
03
03
03
119
Ste 100
American Sugarbeets Growers Association PAC
2016
2016
American BankPAC
2016
Newfield PAC
Memo Item
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 12/2015)
1000.00
3000.00
1000.00
1000.00
1000.00
IL
LA
430 N Michigan Ave
201 Townsend St
6500.00
PO Drawer 938
Blum for Congress
70302Transaction ID : 0011929
60611
MILansing
Thibodaux
Chicago
C00030718
C00388462
C00081414
Transaction ID : 001002648933
Transaction ID : 0011923
22
22
23
3000.00
2016
87
2016
2016
Image# 201604159012514913
03
03
03
119
STE 900
Realtors PAC (R.P.A.C.)
2016
2016
AMERICAN SUGAR CANE LEAGUE OF USA INC POLITICAL ACTION COMMI
2016
ITC Holdings Corp PAC
Memo Item
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 12/2015)
1000.00
3000.00
1000.00
2000.00
500.00
DC
VA
1101 Pennsylvania Ave NW
PO Box 80
500.00
1776 Wilson Blvd.
Blum for Congress
22209Transaction ID : 0011930
20004
IAVan Meter
Arlington
Washington
C00034405
C00573394
C00022368
Transaction ID : 001002550261
Transaction ID : 0011925
24
24
28
3500.00
2016
88
2016
2016
Image# 201604159012514914
03
03
03
119
STE 200
Ste 200
International Paper PAC
2016
2016
NATIONAL ASSOCIATION OF CHAIN DRUG STORES, INC. POLITICAL AC
2016
BULLDOG VICTORY PAC
Memo Item
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 12/2015)
1000.00
1000.00
2000.00
1000.00
1000.00
MN
GA
PO Box 500
PO Box 853
1500.00
2470 Daniels Bridge Rd
Blum for Congress
30606Transaction ID : 0011927
56284-0500
ILEdwardsville
Athens
Renville
C00166348
C00390831
C00412288
Transaction ID : 001192662025
Transaction ID : 0011951
29
30
31
3000.00
2016
89
2016
2016
Image# 201604159012514915
03
03
03
119
STE 121
83550 County Rd 21
SOUTHERN MINNESOTA BEET SUGAR COOPERATIVE POLITICAL ACTION C
2016
2016
BILL PAC
2016
John S Fund
Memo Item
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 12/2015)
1000.00
PO Box 2485
1000.00
Blum for Congress
116500.00
VASpringfield
C00469429
Transaction ID : 001193822152
31
1000.00
2016
90
Image# 201604159012514916
03
119
2016
CMR PAC
Memo Item
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 12/2015)
Joint Fundraiser
Joint Fundraiser
ITEMIZATION BELOW
500.00
125.00
500.00
125.00
1817.71
IA
IA
1501 Horton Rd
PO Box 25132
18570.23
300 Walnut Unit 123
Blum for Congress
50309Transaction ID : 0009945-0002
50677
MNSt Paul
Des Moines
Waverly
C00586495
Policy Mgt
Transaction ID : 000994555125
Transaction ID : 0009945-0001
12
12
12
1817.71
2016
91
2016
2016
Image# 201604159012514917
02
02
02
119
Mary Bagelmann
2016
2016
Mary Boote
2016
Friends of Chuck and Rod
Consultant
Memo Item
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 12/2015)
Joint Fundraiser
Joint Fundraiser
Joint Fundraiser
250.00
125.00
250.00
125.00
500.00
IA
IA
1624 Tahoe Ave
908 1st Ave SE
500.00
809 Pole Line Rd
Blum for Congress
52162-8559Transaction ID : 0009945-0005
50674-9080
IAOelwein
Postville
Sumner
Retired
self-employed
Transaction ID : 0009945-000350662
Transaction ID : 0009945-0004
12
12
12
0.00
2016
92
2016
2016
Image# 201604159012514918
02
02
02
119
Timothy Dillon
2016
2016
Donald Elsbernd
2016
Sonia Burco
Retired
Farmer
Memo Item
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 12/2015)
Joint Fundraiser
Joint Fundraiser
Joint Fundraiser
500.00
50.00
500.00
50.00
125.00
IA
IA
3694 240th St
4568 T Ave
125.00
4548 30th St
Blum for Congress
50650Transaction ID : 0009945-0008
50428
IAOelwein
Lamont
Clear Lake
Self
self-employed
Transaction ID : 0009945-000650662
Transaction ID : 0009945-0007
The Crop Shop
12
12
12
0.00
2016
93
2016
2016
Image# 201604159012514919
02
02
02
119
Steven Nicklaus
2016
2016
Ryan Riechers
2016
Kera Gieselman
Farmer
Owner
Farmer
Memo Item
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 12/2015)
Joint Fundraiser
Joint Fundraiser
500.00
500.00
125.00
IA
208 Ridgewood Dr
511 W Iowa St
125.00
Blum for Congress
1817.71
50124
IAMonona
Huxley
Retired
Transaction ID : 0009945-000952159
Transaction ID : 0009945-0010
Summit Agricultural Group
12
12
0.00
2016
94
2016
Image# 201604159012514920
02
02
119
Justin Kirchhoff
2016
2016
Mary Zittergruen
Retired
Investment manager
Memo Item
Memo Item
Memo Item
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 12/2015)
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
504 SHAW Rd Ste 217
1155 - 15TH St, NW Ste 410
11325 RANDOM HILLS Rd
58.02
2481.10
147.85
Blum for Congress
Transaction ID : 0010088
VA
DC
VA
20166
22030
20005
Transaction ID : 0010076
Transaction ID : 0010093
01
01
Caging services
01
Bulk Mail Postage
Banking fees
2016
2686.97
First Virginia Community Bank
2016
Direct Support Services
2016
95
2016
Capitol Caging Corporation
2016
2016
Image# 201604159012514921
04
119
05
05
Washington
Fairfax
Sterling
001
001
006Memo Item
Memo Item
Memo Item
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 12/2015)
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
2395 NW Arterial
1600 Amphitheatre Pkwy
247 Farragut Ave
2490.00
55.00
215.20
Blum for Congress
Transaction ID : 0011936
IA
CA
NY
52002
10706
94043
Transaction ID : 0010055
Transaction ID : 0010052
01
01
Food For Volunteers
01
Email Services
Database Subscription
2016
2760.20
CFB Strategies
2016
Google, Inc.
2016
96
2016
HyVee
2016
2016
Image# 201604159012514922
05
119
05
05
Mountain View
Hastings on Hudson
Asbury
001
001
004Memo Item
Memo Item
Memo Item
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 12/2015)
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
512 Means St
11325 RANDOM HILLS Rd
504 Shaw Rd, Ste 206
6097.52
45.50
50.00
Ste 404
Blum for Congress
Transaction ID : 0010056
GA
VA
VA
30318
20166
22030
Transaction ID : 0010090
Transaction ID : 0010077
01
01
Email Services
01
Banking fees
Direct Mail production
2016
6193.02
Consolidated Mailing Services
2016
First Virginia Community Bank
2016
97
2016
Mailchimp
2016
2016
Image# 201604159012514923
05
119
06
06
Fairfax
Sterling
Atlanta
004
004
001Memo Item
Memo Item
Memo Item
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 12/2015)
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
1155 - 15TH St, NW Ste 410
11325 RANDOM HILLS Rd
815 King St
1618.99
294.75
6502.27
Blum for Congress
Transaction ID : 0010094
DC
VA
VA
20005
22314
22030
Transaction ID : 0010059
Transaction ID : 0010078
01
01
Bulk Mail Postage
01
Banking fees
Fundraising Consulting
2016
8416.01
Delullo & Associates
2016
First Virginia Community Bank
2016
98
2016
Direct Support Services
2016
2016
Image# 201604159012514924
08
119
11
21
Fairfax
Alexandria
Washington
006
003
001Memo Item
Memo Item
Memo Item
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 12/2015)
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
29243 St Just Dr
29243 St Just Dr
4095 River Forth Dr
1723.65
200.95
199.19
Blum for Congress
Transaction ID : 0011901
VA
VA
VA
22567
22030
22567
Transaction ID : 0010096
Transaction ID : 0011900
01
01
Escrow services
01
Escrow services
Data & Lists
2016
2123.79
Direct Support Systems, Inc
2016
Simpkins Escrow LLC
2016
99
2016
Simpkins Escrow LLC
2016
2016
Image# 201604159012514925
21
119
21
21
Unionville
Fairfax
Unionville
001
001
001Memo Item
Memo Item
Memo Item
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 12/2015)
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
1900 N Culpepper St
1155 - 15Th St, NW, Suite 410
1155 - 15Th St, NW, Suite 410
2770.09
268.35
405.61
Blum for Congress
Transaction ID : 0010097
VA
DC
DC
22207
20005
20005
Transaction ID : 0011898
Transaction ID : 0011899
01
01
Direct Mail production
01
List Purchase
List Purchase
2016
3444.05
Legacy Lists, Inc
2016
Legacy Lists, Inc
2016
100
2016
DonorBureau
2016
2016
Image# 201604159012514926
21
119
21
21
Washington
Washington
Arlington
004
001
001Memo Item
Memo Item
Memo Item
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 12/2015)
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
11325 RANDOM HILLS Rd
11325 RANDOM HILLS Rd
1155 - 15th St, NW, Suite 410
3149.28
35.00
50.06
Blum for Congress
Transaction ID : 0010080
VA
VA
DC
22030
20005
22030
Transaction ID : 0011896
Transaction ID : 0010079
01
02
Banking fees
01
Banking fees
Direct Mail production
2016
3234.34
Forthright Strategy, Inc
2016
First Virginia Community Bank
2016
101
2016
First Virginia Community Bank
2016
2016
Image# 201604159012514927
21
119
26
01
Fairfax
Washington
Fairfax
001
004
001Memo Item
Memo Item
Memo Item
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 12/2015)
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
504 Shaw Rd, Ste 206
504 SHAW Rd Ste 217
1155 - 15TH St, NW Ste 410
2800.62
280.73
5903.64
Blum for Congress
Transaction ID : 0010091
VA
VA
DC
20166
20005
20166
Transaction ID : 0010095
Transaction ID : 0010089
02
02
Direct Mail production
02
Caging services
Bulk Mail Postage
2016
8984.99
Direct Support Services
2016
Capitol Caging Corporation
2016
102
2016
Consolidated Mailing Services
2016
2016
Image# 201604159012514928
01
119
01
01
Sterling
Washington
Sterling
004
006
001Memo Item
Memo Item
Memo Item
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 12/2015)
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
1600 Amphitheatre Pkwy
11325 RANDOM HILLS Rd
2225 Central Ave
196.00
43.75
55.00
Blum for Congress
Transaction ID : 0010053
CA
VA
IA
94043
52001
22030
Transaction ID : 0010063
Transaction ID : 0010081
02
02
Email Services
02
Banking fees
Postage, Non-Bulk Mail
2016
294.75
Usps
2016
First Virginia Community Bank
2016
103
2016
Google, Inc.
2016
2016
Image# 201604159012514929
02
119
04
04
Fairfax
Dubuque
Mountain View
004
006
001Memo Item
Memo Item
Memo Item
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 12/2015)
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
11325 RANDOM HILLS Rd
815 King St
512 Means St
Ste 404
50.00
4500.00
212.95
Blum for Congress
Transaction ID : 0010082
VA
VA
GA
22030
30318
22314
Transaction ID : 0010057
Transaction ID : 0010061
02
02
Banking fees
02
Fundraising Consulting
Email Services
2016
4762.95
Mailchimp
2016
Delullo & Associates
2016
104
2016
First Virginia Community Bank
2016
2016
Image# 201604159012514930
08
119
08
10
Alexandria
Atlanta
Fairfax
001
004
003Memo Item
Memo Item
Memo Item
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 12/2015)
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
1155 - 15th St, NW, Suite 410
504 Shaw Rd, Ste 206
815 King St
1520.77
635.80
3141.72
Blum for Congress
Transaction ID : 0011897
DC
VA
VA
20005
22314
20166
Transaction ID : 0010060
Transaction ID : 0010092
02
02
Direct Mail production
02
Direct Mail production
Fundraising Consulting
2016
5298.29
Delullo & Associates
2016
Consolidated Mailing Services
2016
105
2016
Forthright Strategy, Inc
2016
2016
Image# 201604159012514931
16
119
18
18
Sterling
Alexandria
Washington
004
003
004Memo Item
Memo Item
Memo Item
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 12/2015)
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 2nd St Southeast
208 2nd St Southeast
11325 RANDOM HILLS Rd
50.00
21.46
34.15
Blum for Congress
Transaction ID : 0010066
DC
DC
VA
20003
22030
20003
Transaction ID : 0010083
Transaction ID : 0010065
02
02
Shipping
02
Shipping
Banking fees
2016
105.61
First Virginia Community Bank
2016
Fed Ex
2016
106
2016
Fed Ex
2016
2016
Image# 201604159012514932
19
119
22
29
Washington
Fairfax
Washington
001
001
001Memo Item
Memo Item
Memo Item
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 12/2015)
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
1600 Amphitheatre Pkwy
11325 RANDOM HILLS Rd
1 Hacker Way
200.00
29.59
55.00
Blum for Congress
Transaction ID : 0010054
CA
VA
CA
94043
94025
22030
Transaction ID : 0010072
Transaction ID : 0010084
03
03
Email Services
03
Banking fees
Advertising
2016
284.59
2016
First Virginia Community Bank
2016
107
2016
Google, Inc.
2016
2016
Image# 201604159012514933
01
119
01
03
Fairfax
Menlo Park
Mountain View
004
004
001Memo Item
Memo Item
Memo Item
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 12/2015)
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
2225 Central Ave
208 2nd St Southeast
208 2nd St Southeast
2.32
9.75
24.99
Blum for Congress
Transaction ID : 0010064
IA
DC
DC
52001
20003
20003
Transaction ID : 0010067
Transaction ID : 0010068
03
03
Postage, Non-Bulk Mail
03
Shipping
General Printing
2016
37.06
Fed Ex
2016
Fed Ex
2016
108
2016
Usps
2016
2016
Image# 201604159012514934
03
119
03
04
Washington
Washington
Dubuque
006
006
001Memo Item
Memo Item
Memo Item
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 12/2015)
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
815 King St
512 Means St
11325 RANDOM HILLS Rd
Ste 404
33.25
50.00
2031.00
Blum for Congress
Transaction ID : 0010062
VA
GA
VA
22314
22030
30318
Transaction ID : 0010085
Transaction ID : 0010058
03
03
Fundraising Consulting
03
Email Services
Banking fees
2016
2114.25
First Virginia Community Bank
2016
Mailchimp
2016
109
2016
Delullo & Associates
2016
2016
Image# 201604159012514935
07
119
07
07
Atlanta
Fairfax
Alexandria
003
001
004Memo Item
Memo Item
Memo Item
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 12/2015)
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
11325 RANDOM HILLS Rd
208 2nd St Southeast
208 2nd St Southeast
9.75
34.15
83.46
Blum for Congress
Transaction ID : 0010086
VA
DC
DC
22030
20003
20003
Transaction ID : 0010069
Transaction ID : 0010070
03
03
Banking fees
03
Shipping
Shipping
2016
127.36
Fed Ex
2016
Fed Ex
2016
110
2016
First Virginia Community Bank
2016
2016
Image# 201604159012514936
07
119
07
10
Washington
Washington
Fairfax
001
001
001Memo Item
Memo Item
Memo Item
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 12/2015)
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 2nd St Southeast
190 JFK Rd
190 JFK Rd
252.68
64.84
49.25
Blum for Congress
Transaction ID : 0010071
DC
IA
IA
20003
52001
52001
Transaction ID : 0010073
Transaction ID : 0010074
03
03
Shipping
03
Office Supplies
Office Supplies
2016
366.77
Staples
2016
Staples
2016
111
2016
Fed Ex
2016
2016
Image# 201604159012514937
14
119
17
21
Dubuque
Dubuque
Washington
001
001
001Memo Item
Memo Item
Memo Item
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 12/2015)
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
144 2nd St 1st Floor
11325 RANDOM HILLS Rd
12808 Gran Bay Parkway
119.50
35.00
712.41
Blum for Congress
52101.91
Transaction ID : 0011939
CA
VA
FL
94105
32258
22030
Transaction ID : 0010075
Transaction ID : 0010087
03
03
Online contribution processing fees
03
Banking fees
Website Hosting & Domain Name
2016
866.91
Web Network Solutions
2016
First Virginia Community Bank
2016
112
2016
Piryx, Inc.
2016
2016
Image# 201604159012514938
22
119
24
31
Fairfax
Jacksonville
San Francisco
011
001
001Memo Item
Memo Item
Memo Item
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 12/2015)
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
3716 Maplewood Ave
2700.00
Blum for Congress
2700.00
TX 75205-2827
Transaction ID : 0011957
03
Refund Of Contribution
2016
2700.00
Elloine H Clark
2016
113
Image# 201604159012514939
08
119
Dallas
010
Memo Item
Memo Item
Memo Item
FE5AN018
SCHEDULE C (FEC Form 3)
LOANS
PAGE OF
Use separate schedule(s)
for each category of the
Detailed Summary Page
NAME OF COMMITTEE (In Full)
SUBTOTALS This Period This Page (optional) .................................................................
TOTALS This Period (last page in this line only) .............................................................
FEC Schedule C (Form 3) (Revised 12/2015)
Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.
Name of Employer
Occupation
List All Endorsers or Guarantors (if any) to Loan Source
, , .
, , .
, , . , , . , , .
Original Amount of Loan Cumulative Payment To Date Balance Outstanding at Close of This Period
Date Incurred Date Due Interest Rate Secured:
Yes No . % (apr)
Election:
Primary
General
Other (specify)
LOAN SOURCE Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code
1. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
2. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
3. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
4. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
TERMS
FOR LINE NUMBER:
(check only one) 13a
13b
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
0.00
Transaction ID : 8515-14
[PERSONAL FUNDS]
Rod Blum
IA
Blum for Congress
201530
11361 Oakland Farms Rd
none03
Dubuque
500000.00
2016
500000.00
114
500000.00
Image# 201604159012514940
119
on demand
52003
Memo Item
FE5AN018
SCHEDULE C (FEC Form 3)
LOANS
PAGE OF
Use separate schedule(s)
for each category of the
Detailed Summary Page
NAME OF COMMITTEE (In Full)
SUBTOTALS This Period This Page (optional) .................................................................
TOTALS This Period (last page in this line only) .............................................................
FEC Schedule C (Form 3) (Revised 12/2015)
Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.
Name of Employer
Occupation
List All Endorsers or Guarantors (if any) to Loan Source
, , .
, , .
, , . , , . , , .
Original Amount of Loan Cumulative Payment To Date Balance Outstanding at Close of This Period
Date Incurred Date Due Interest Rate Secured:
Yes No . % (apr)
Election:
Primary
General
Other (specify)
LOAN SOURCE Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code
1. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
2. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
3. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
4. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
TERMS
FOR LINE NUMBER:
(check only one) 13a
13b
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
0.00
Transaction ID : 7891-12
[PERSONAL FUNDS]
Rod Blum
IA
Blum for Congress
2014
600000.00
16
11361 Oakland Farms Rd
None09
Dubuque
100000.00
2014
100000.00
115
100000.00
Image# 201604159012514941
119
On Demand
52003
Memo Item
FE5AN018
SCHEDULE D (FEC Form 3)
DEBTS AND OBLIGATIONS
Excluding Loans
(Use separate
schedule(s)
for each
numbered line)
NAME OF COMMITTEE (In Full)
, , .
, , .
1) SUBTOTALS This Period This Page (optional) ...................................................................
2) TOTALS This Period (last page this line number only) ......................................................
3) TOTAL OUTSTANDING LOANS from Schedule C (last page only) ..................................
4) ADD 2) and 3) and carry forward to appropriate line of Summary Page (last page only)
A. Full Name (Last, First, Middle Initial) of Debtor or Creditor
Mailing Address
City State Zip Code
Payment This Period
, , .
FEC Schedule D (Form 3) (Revised 02/2003)
Outstanding Balance at Close of This Period
, , .
, , .
, , .
Outstanding Balance Beginning This Period
, , .Amount Incurred This Period
, , .
Nature of Debt (Purpose):
B. Full Name (Last, First, Middle Initial) of Debtor or Creditor
Mailing Address
City State Zip Code
Payment This Period
, , .
Outstanding Balance at Close of This Period
, , .
Outstanding Balance Beginning This Period
, , .Amount Incurred This Period
, , .
Nature of Debt (Purpose):
C. Full Name (Last, First, Middle Initial) of Debtor or Creditor
Mailing Address
City State Zip Code
Payment This Period
, , .
Outstanding Balance at Close of This Period
, , .
Outstanding Balance Beginning This Period
, , .Amount Incurred This Period
, , .
Nature of Debt (Purpose):
PAGE OF
FOR LINE NUMBER:
(check only one) 9
10
1900 N Culpepper St
22030
4095 River Forth Dr
22207
20005
1155 - 15th St, NW, Suite 410
3937.95
305.18
1500.971500.97
305.18
3937.95
Fairfax
Washington
Arlington
5744.10
116
Image# 201604159012514942
119
Blum for Congress
0.00
0.00
Forthright Strategy, Inc
Transaction ID : 11903-1
DonorBureau
Direct Support Systems, Inc
0.00
0.00
0.00
Data & Lists
DC
VA
Direct Mail production
VA
Direct Mail production
Transaction ID : 11905-1
Transaction ID : 11904-1
0.00
FE5AN018
SCHEDULE D (FEC Form 3)
DEBTS AND OBLIGATIONS
Excluding Loans
(Use separate
schedule(s)
for each
numbered line)
NAME OF COMMITTEE (In Full)
, , .
, , .
1) SUBTOTALS This Period This Page (optional) ...................................................................
2) TOTALS This Period (last page this line number only) ......................................................
3) TOTAL OUTSTANDING LOANS from Schedule C (last page only) ..................................
4) ADD 2) and 3) and carry forward to appropriate line of Summary Page (last page only)
A. Full Name (Last, First, Middle Initial) of Debtor or Creditor
Mailing Address
City State Zip Code
Payment This Period
, , .
FEC Schedule D (Form 3) (Revised 02/2003)
Outstanding Balance at Close of This Period
, , .
, , .
, , .
Outstanding Balance Beginning This Period
, , .Amount Incurred This Period
, , .
Nature of Debt (Purpose):
B. Full Name (Last, First, Middle Initial) of Debtor or Creditor
Mailing Address
City State Zip Code
Payment This Period
, , .
Outstanding Balance at Close of This Period
, , .
Outstanding Balance Beginning This Period
, , .Amount Incurred This Period
, , .
Nature of Debt (Purpose):
C. Full Name (Last, First, Middle Initial) of Debtor or Creditor
Mailing Address
City State Zip Code
Payment This Period
, , .
Outstanding Balance at Close of This Period
, , .
Outstanding Balance Beginning This Period
, , .Amount Incurred This Period
, , .
Nature of Debt (Purpose):
PAGE OF
FOR LINE NUMBER:
(check only one) 9
10
7669 Stagers Loop
43015
20036
1220 Connecticut Ave NW
4119.00
0.00 10000.00
4119.00
Washington
Delaware
14119.00
117
600000.00
Image# 201604159012514943
119
Blum for Congress
19863.10
10000.00
The Polling Company
Strategy Group for Media
0.00
0.00
DC
OH
Win bonus
Polling
Transaction ID : 11906-1
Transaction ID : 8297-1
619863.10
0.00
FE5AN018
FEC FORM 3Z (File with Form 3)
CONSOLIDATION REPORT OF RECEIPTS AND DISBURSEMENTS
(To Be Used By A Principal Campaign Committee)
(a)
Line No. 11(a)
Total Contributions From
Indiv./Persons Other Than
Political Committees
(b)
Line No. 11(b)
Total Contributions
From Political Party
Committees
(c)
Line No. 11(c)
Total Contributions
From Other Political
Committees
(d)
Line No. 11(d)
Total Contributions
From The
Candidate
(e)
Line No. 11(e)
Total
Contributions
(f)
Line No. 12
Total Transfers
From Other Authorized
Committees
(g)
Line No. 13(a)
Total Loans Made or
Guaranteed by
the Candidate
(h)
Line No. 13(b)
Total All
Other Loans
(i)
Line No. 13(c)
Total
Loans
(j)
Line No. 14
Total Offsets to
Operating
Expenditures
(k)
Line No. 15
Total
Other
Receipts
(l)
Line No. 16
Total
Receipts
(m)
Line No. 17
Total
Operating
Expenditures
(n)
Line No. 18
Total Transfers to
Other Authorized
Committees
(o)Line No. 19(a)
Total Loan Repayments of Loans Made or
Guaranteed by The Can-didate
(p)
Line No. 19(b)
Total Loan Repayments
of All Other Loans
(q)
Line No. 19(c)
Total Loan
Repayments
(r)
Line No. 20(a)
Total Contribution
Refunds to
Individuals/Persons
(s)
Line No. 20(b)
Total Contribution
Refunds to Political
Party Committees
(t)
Line No. 20(c)
Total Contribution
Refunds to Other
Political Committees
(u)
Line No. 20(d)
Total
Contribution
Refunds
(v)
Line No. 21
Total Other
Disbursements
(w)
Line No. 22
Total
Disbursements
(x)
Line No. 23
Cash on Hand
Beginning of
Reporting Period
(y)
Line No. 27
Cash on Hand
Close of
Reporting Period
(z)
Line No. 9
Debts & Obligations
Owed TO the
Committee
(aa)
Line No. 10
Debts & Obligations
Owed BY the
Committee
(bb)
Line No. 6(c)
Net Contributions
(cc)
Line No. 7(c)
Net Operating
Expenditures
Name of Principal Campaign Committee (In Full)
Committee Name
A
B Column Total Last Page Only.............................................................................................................
Report Covering Period:
From: To:
A
B
A
B
A
B
A
B
A
B
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
FEC Form 3Z (Revised 02/2003)
0.00
0.00
0.00
54997.84
0.00
291173.40116500.00
0.00
1035407.67
0.00
0.00
0.00
1273400.94
288473.40
0.00
0.00
0.00
1817.71
174673.40
0.00
0.00
0.00
201601
0.00
0.00
0.00
2016
0.00
01
292991.11
0.00
2700.00
Friends of Chuck & Rod
0.00
03
Blum for Congress
0.00
Image# 201604159012514944
0.00
52297.84
0.00
0.00
0.00
0.00
0.00 0.00 0.00
0.00
0.00
Blum for Congress
0.00
0.00
0.00
31
0.00
0.00
0.00
0.000.00
0.00
0.00
0.00
0.00
619863.10
PAGE 118 / 119
0.00
52297.84
2700.00
FE5AN018
FEC FORM 3Z (File with Form 3)
CONSOLIDATION REPORT OF RECEIPTS AND DISBURSEMENTS
(To Be Used By A Principal Campaign Committee)
(a)
Line No. 11(a)
Total Contributions From
Indiv./Persons Other Than
Political Committees
(b)
Line No. 11(b)
Total Contributions
From Political Party
Committees
(c)
Line No. 11(c)
Total Contributions
From Other Political
Committees
(d)
Line No. 11(d)
Total Contributions
From The
Candidate
(e)
Line No. 11(e)
Total
Contributions
(f)
Line No. 12
Total Transfers
From Other Authorized
Committees
(g)
Line No. 13(a)
Total Loans Made or
Guaranteed by
the Candidate
(h)
Line No. 13(b)
Total All
Other Loans
(i)
Line No. 13(c)
Total
Loans
(j)
Line No. 14
Total Offsets to
Operating
Expenditures
(k)
Line No. 15
Total
Other
Receipts
(l)
Line No. 16
Total
Receipts
(m)
Line No. 17
Total
Operating
Expenditures
(n)
Line No. 18
Total Transfers to
Other Authorized
Committees
(o)Line No. 19(a)
Total Loan Repayments of Loans Made or
Guaranteed by The Can-didate
(p)
Line No. 19(b)
Total Loan Repayments
of All Other Loans
(q)
Line No. 19(c)
Total Loan
Repayments
(r)
Line No. 20(a)
Total Contribution
Refunds to
Individuals/Persons
(s)
Line No. 20(b)
Total Contribution
Refunds to Political
Party Committees
(t)
Line No. 20(c)
Total Contribution
Refunds to Other
Political Committees
(u)
Line No. 20(d)
Total
Contribution
Refunds
(v)
Line No. 21
Total Other
Disbursements
(w)
Line No. 22
Total
Disbursements
(x)
Line No. 23
Cash on Hand
Beginning of
Reporting Period
(y)
Line No. 27
Cash on Hand
Close of
Reporting Period
(z)
Line No. 9
Debts & Obligations
Owed TO the
Committee
(aa)
Line No. 10
Debts & Obligations
Owed BY the
Committee
(bb)
Line No. 6(c)
Net Contributions
(cc)
Line No. 7(c)
Net Operating
Expenditures
Name of Principal Campaign Committee (In Full)
Committee Name
A
B Column Total Last Page Only.............................................................................................................
Report Covering Period:
From: To:
A
B
A
B
A
B
A
B
A
B
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
FEC Form 3Z (Revised 02/2003)
116500.00
54997.84 1035407.67
291173.40
1273400.94
0.00174673.40
1817.71
288473.40
0.00
0.00
201601
0.00
2016
0.00
01
292991.11
2700.00
03
Blum for Congress
0.00
Image# 201604159012514945
52297.84
0.00
0.00
619863.10
0.00
Blum for Congress
0.00
31
0.00
0.00
0.00 2700.00
0.00
0.00
PAGE 119 / 119
52297.84