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C M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y 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
T
TYPE OR PRINT
REPORT OF RECEIPTS
AND DISBURSEMENTSFor An Authorized Committee
5. Covering Period through
T
T
in the
Election on State of
STATE DISTRICT
T T
Office Use Only
T
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)
T Example: If typing, type over the lines.
(c)
12FE4M5
15
89134
04
07
Ellis Landau
Ellis Landau
2015
[Electronically Filed]
C00578476
PAGE 1 / 91
201504
Las Vegas NV
Susie Lee for Nevada
1930 Village Center Dr
Suite 229
07/15/2015 13 : 33Image# 201507159000141912
2015
01 3006
NV
-
S S S , , . S S S , , .
S S S , , . S S S , , .
S S S , , . S S S , , .
S S S , , . S S S , , .
S S S , , . S S S , , .
S S S , , . S S S , , .
S S S , , .
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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
280260.00
4020.37
326239.63
280260.00
PAGE 2 / 91
2015
280260.00
201504
4020.37
0.00
0.00 0.00
50000.00
280260.00
Susie Lee for Nevada
0.00
Image# 201507159000141913
0.00
4020.37
01 3006
4020.37
-
S S S , , . S S S , , .
S S S , , . S S S , , .
S S S , , . S S S , , .
S S S , , . S S S , , .
S S S , , . S S S , , .
S S S , , . S S S , , .
S S S , , . S S S , , .
S S S , , . S S S , , .
S S S , , . S S S , , .
S S S , , . S S S , , .
S S S , , . S S S , , .
S S S , , . S S S , , .
S S S , , .
S S S , , .
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
S S S , , .
S S S , , .
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
TT
Report Covering the Period: From: To:
Write or Type Committee Name
0.00
2500.00
50000.00
0.00
0.00
330260.00
277760.00
0.00
272600.00
0.00
0.00
PAGE 3 / 91
2015
5160.00
280260.00
2015
0.00
50000.00
04
0.00
0.00
330260.00
0.00
0.00
50000.00
Susie Lee for Nevada
277760.00
50000.00
0.00
Image# 201507159000141914
280260.00
01
2500.00
3006
272600.00
5160.00
-
S S S , , . S S S , , .
S S S , , . S S S , , .
S S S , , . S S S , , .
S S S , , . S S S , , .
S S S , , . S S S , , .
S S S , , . S S S , , .
S S S , , . S S S , , .
S S S , , . S S S , , .
S S S , , . S S S , , .
S S S , , . S S S , , .
S S S S S S
S S S , , .
S S S , , .
S S S , , .
S S S , , .
S S S , , .
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)..............................................................................................
T , , . , , .
326239.63
4020.37
0.00
0.00
4020.37
0.00
0.00
0.00
0.00
0.00
0.00
PAGE 4 / 91
4020.37
0.00
0.00
0.00
0.00
0.00
0.00
330260.00
0.00
0.00
330260.00
0.00
0.00
Image# 201507159000141915
4020.37
0.00
4020.37
-
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
2700.00
5400.00
5400.00
2700.00
500.00
NV
NV
36 Gulf Stream Ct
3805 Frost Ln
36 Gulf Stream Ct
500.00
Susie Lee for Nevada
89113-1354Transaction ID : VR01RAF5086
89113-1354
NVReno
Las Vegas
Las Vegas
Lewis Roca Rothgerber, LLP
N/A
Transaction ID : VR01RAP50B489511-7670
Transaction ID : VR01RAF5029
N/A
23
12
12
5900.00
2016
5
2016
2016
Image# 201507159000141916
06
06
06
91
Lovee Arum
2015
2015
Lovee Arum
2015
Michael Alonso
Attorney
Homemaker
Homemaker
-
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
1000.00
47490.00
1000.00
500.00
500.00
MA
NV
PO Box 441146
3281 S Highland Dr
8550 W Desert Inn Rd
500.00
Susie Lee for Nevada
89117-4401Transaction ID : VR01RAR3ET0
02144-0031
NVLas Vegas
Las Vegas
West Somerville
C00401224
M.A.Engineering, Inc
Equity Residential
Transaction ID : VR01RAQ16K089109-5404
Transaction ID : VR01RAQ16K0E
15
21
30
1500.00
2016
6
2016
2016
Image# 201507159000141917
06
06
06
91
Ste 108
Ste 102-188
ActBlue
2015
2015
Charles L. Atwood
2015
Mustapha Assi
Engineer
Conduit total listed in Agg. field
Trustee
[MEMO ITEM]
-
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
2700.00
5400.00
2700.00
2700.00
2700.00
NV
NV
PO Box 7700
PO Box 7700
9417 Tournament Canyon Dr
5400.00
Susie Lee for Nevada
89144-0820Transaction ID : VR01RAQAEM5
89177-0700
NVLas Vegas
Las Vegas
Las Vegas
MGM Mirage
The JABarrett Company
Transaction ID : VR01RAFTHK489177-0700
Transaction ID : VR01RAFTHQ6
MGM Mirage
18
18
29
8100.00
2016
7
2016
2016
Image# 201507159000141918
06
06
06
91
Bobby Baldwin
2015
2015
James Barrett Jr.
2015
Bobby Baldwin
President
President
Business Advisor
-
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
500.00
47490.00
500.00
500.00
500.00
MA
NV
PO Box 441146
3727 Beverly Dr
438 Paso De Montana St
500.00
Susie Lee for Nevada
89138-1130Transaction ID : VR01RAQ16G6
02144-0031
TXDallas
Las Vegas
West Somerville
C00401224
N/A
N/A
Transaction ID : VR01RA31C8675205-2805
Transaction ID : VR01RA31C86E
30
31
16
1000.00
2016
8
2016
2016
Image# 201507159000141919
06
05
05
91
ActBlue
2015
2015
Neyda Becker
2015
Carrie Becker
Not Employed
Conduit total listed in Agg. field
Not Employed
[MEMO ITEM]
-
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
Note: Above Contribution earmarked through thisorganization.
250.00
500.00
250.00
500.00
500.00
CA
NV
1255 Pearl St
PO Box 441146
1500 Reisling Ct
47490.00
Susie Lee for Nevada
89144-1140Transaction ID : VR01RAR9T08
92037-5220
MAWest Somerville
Las Vegas
La Jolla
C00401224
N/A
Transaction ID : VR01RAQ16G6E02144-0031
Transaction ID : VR01RAF5266
Self-Employed
21
15
25
750.00
2016
9
2016
2016
Image# 201507159000141920
06
06
06
91
Patricia Becker
2015
2015
Erin Bendavid
2015
ActBlue
Conduit total listed in Agg. field
Attorney
Not Employed
[MEMO ITEM]
-
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
2700.00
5400.00
5400.00
2700.00
250.00
NV
NV
770 Dragon Ridge Dr
PO Box 441146
770 Dragon Ridge Dr
47490.00
Susie Lee for Nevada
89012-0100Transaction ID : VR01RAFB2X4
89012-0100
MAWest Somerville
Henderson
Henderson
C00401224
Paragon Gaming
Transaction ID : VR01RAR9T08E02144-0031
Transaction ID : VR01RAFB2T1
Paragon Gaming
28
03
03
5400.00
2016
10
2016
2016
Image# 201507159000141921
06
06
06
91
Diana Bennett
2015
2015
Diana Bennett
2015
ActBlue
Conduit total listed in Agg. field
CEO
CEO
[MEMO ITEM]
-
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
2700.00
2500.00
2700.00
2500.00
1000.00
NV
NV
2965 S Jones Blvd
8139 Pinnacle Peak Ave
53 Soaring Bird Ct
1000.00
Susie Lee for Nevada
89135-7866Transaction ID : VR01RA31C52
89146-5606
NVLas Vegas
Las Vegas
Las Vegas
Bergman Walls & Associates
Equestrian Life LLC
Transaction ID : VR01RAR3ES289113-1217
Transaction ID : VR01RAR3EQ6
Bergman, Walls & Associates, Ltd.
30
30
28
6200.00
2016
11
2016
2016
Image# 201507159000141922
05
06
06
91
Ste C
Leonard Bergman
2015
2015
Deana Bergquist
2015
Joel Bergman
President
President & CEO
Partner
-
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
2700.00
5400.00
5400.00
2700.00
2700.00
NV
NV
7996 Dark Hollow Pl
PO Box 441146
7996 Dark Hollow Pl
47490.00
Susie Lee for Nevada
89117-7615Transaction ID : VR01RAF50G9
89117-7615
MAWest Somerville
Las Vegas
Las Vegas
C00401224
Pisanelli/Bice
Transaction ID : VR01RA31C52E02144-0031
Transaction ID : VR01RAF50E4
Pisanelli/Bice
31
12
12
5400.00
2016
12
2016
2016
Image# 201507159000141923
06
06
05
91
Todd Bice
2015
2015
Todd Bice
2015
ActBlue
Conduit total listed in Agg. field
Information Requested
Information Requested
[MEMO ITEM]
-
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
2700.00
47490.00
2700.00
1000.00
1000.00
MA
NV
PO Box 441146
8917 Canyon Springs Dr
1 Howard Hughes Pkwy
1000.00
Susie Lee for Nevada
89169Transaction ID : VR01RA9R687
02144-0031
NVLas Vegas
Las Vegas
West Somerville
C00401224
Elizabeth Blau & Associates
Boyd Gaming
Transaction ID : VR01RA31B8389117-5848
Transaction ID : VR01RA31B83E
29
31
04
3700.00
2016
13
2016
2016
Image# 201507159000141924
06
05
05
91
#1501-D
ActBlue
2015
2015
Robert L. Boughner
2015
Elizabeth Blau
Restaurater
Conduit total listed in Agg. field
Executive
[MEMO ITEM]
-
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
2000.00
47490.00
2000.00
500.00
500.00
MA
UT
PO Box 441146
605 N Bar Y Rd
136 E South Temple
500.00
Susie Lee for Nevada
84111-1180Transaction ID : VR01RA9R6K4
02144-0031
WYJackson
Salt Lake City
West Somerville
C00401224
Re/Max Obsidian
Barrick Gold Corporation
Transaction ID : VR01RAF4QD683001-8623
Transaction ID : VR01RAF4QD6E
03
07
04
2500.00
2016
14
2016
2016
Image# 201507159000141925
06
06
06
91
Ste 1800
ActBlue
2015
2015
Michael J. Brown
2015
Deanna Briggs
Real Estate Agent
Conduit total listed in Agg. field
Vice President
[MEMO ITEM]
-
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
2700.00
5400.00
5400.00
2700.00
2700.00
NV
NV
1808 White Hawk Ct
1808 White Hawk Ct
1808 White Hawk Ct
5400.00
Susie Lee for Nevada
89134-6112Transaction ID : VR01RAJ1TK3
89134-6112
NVLas Vegas
Las Vegas
Las Vegas
Self-Employed
Innovative Pain Care Center
Transaction ID : VR01RAJ1TF189134-6112
Transaction ID : VR01RAJ1TN9
Self-Employed
29
29
29
8100.00
2016
15
2016
2016
Image# 201507159000141926
05
05
05
91
Dan Burkhead
2015
2015
Lisa Burkhead
2015
Dan Burkhead
Physician
Physician
Nurse
-
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
400.00
400.00
47490.00
400.00
2700.00
NV
MA
6125 N Conquistador St
1808 White Hawk Ct
PO Box 441146
5400.00
Susie Lee for Nevada
02144-0031Transaction ID : VR01RA31BV3E
89149-1339
NVLas Vegas
West Somerville
Las Vegas
C00401224
Innovative Pain Care Center
Transaction ID : VR01RAJ1TQ589134-6112
Transaction ID : VR01RA31BV3
N/A
29
31
31
3100.00
2016
16
2016
2016
Image# 201507159000141927
05
05
05
91
Patricia Butler
2015
2015
ActBlue
2015
Lisa Burkhead
Nurse
Not Employed
Conduit total listed in Agg. field
[MEMO ITEM]
-
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
* Earmarked Contribution: See Below
250.00
500.00
250.00
500.00
1000.00
DC
NV
4505 Argyle Ter NW
15 Painted Feather Way
2013 Trailside Village Ave
1000.00
Susie Lee for Nevada
89012-3220Transaction ID : VR01RAREJ18
20011-4234
NVLas Vegas
Henderson
Washington
N/A
BHFS
Transaction ID : VR01RAJ1TS089135-7856
Transaction ID : VR01RAPWMZ7
Communites In Schools, Inc
29
25
29
1750.00
2016
17
2016
2016
Image# 201507159000141928
06
06
05
91
Ste 801
Daniel J. Cardinali
2015
2015
Jennifer Carleton
2015
Patricia G. Capp
Retired
President
Attorney
-
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
2700.00
5400.00
5400.00
2700.00
250.00
PA
PA
475 Butler St
PO Box 441146
475 Butler St
47490.00
Susie Lee for Nevada
15223-2126Transaction ID : VR01RAFTHN0
15223-2126
MAWest Somerville
Etna
Etna
C00401224
US Senate
Transaction ID : VR01RAREJ18E02144-0031
Transaction ID : VR01RAFTHJ6
US Senate
30
18
18
5400.00
2016
18
2016
2016
Image# 201507159000141929
06
06
06
91
Bob Casey
2015
2015
Bob Casey
2015
ActBlue
Conduit total listed in Agg. field
Senator
Senator
[MEMO ITEM]
-
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
2700.00
1000.00
2700.00
1000.00
2700.00
NV
NV
9811 W Charleston Blvd
22 Burning Tree Ct
113 Quail Run Rd
2700.00
Susie Lee for Nevada
89014-2129Transaction ID : VR01RAFTHP8
89117-7519
NVLas Vegas
Henderson
Las Vegas
Cashman Equipment Co
Lied Children Museum Board of Trustees
Transaction ID : VR01RA2DR4289113-1329
Transaction ID : VR01RA9R695
Self-Employed
04
04
18
6400.00
2016
19
2016
2016
Image# 201507159000141930
06
06
06
91
Suite 2
Kelly Cavanagh
2015
2015
Judy Cebulko
2015
MaryKaye Cashman
Owner/CEO/Chairman
Business Owner
President
-
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
1000.00
1000.00
47490.00
1000.00
2700.00
NV
MA
309 Royal Aberdeen Way
217 Rosemary Ln
PO Box 441146
2700.00
Susie Lee for Nevada
02144-0031Transaction ID : VR01RA31BT5E
89144-4331
NVLas Vegas
West Somerville
Las Vegas
C00401224
Self-Employed
Transaction ID : VR01RA9R6B189107-3235
Transaction ID : VR01RA31BT5
Self-Employed
04
28
31
3700.00
2016
20
2016
2016
Image# 201507159000141931
05
05
06
91
Stephanie Chen
2015
2015
ActBlue
2015
Edward Cecchi
Information Requested
Bowin Associates
Conduit total listed in Agg. field
[MEMO ITEM]
-
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
PARTNERSHIP--partners below if itemized
1000.00
2700.00
1000.00
2700.00
2700.00
NV
LA
3330 W Desert Inn Rd
3330 W Desert Inn Rd
673 Kiskatom Ln
2700.00
Susie Lee for Nevada
70471-1613Transaction ID : VR01RAJ17A1
89102-8441
NVLas Vegas
Mandeville
Las Vegas
Mandeville
Transaction ID : VR01RAS1VQ289102-8441
Transaction ID : VR01RAS1VT6
Steelman Partners
30
30
20
3700.00
2016
21
2016
2016
Image# 201507159000141932
06
06
06
91
Paul Steelman
2015
2015
Steve Croxton
2015
Christiania Limited Partnership
CEO
Banking
[MEMO ITEM]
-
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
500.00
500.00
47490.00
500.00
250.00
NV
MA
11621 Cabo Del Verde Ave
305 Prince Charming Ct
PO Box 441146
250.00
Susie Lee for Nevada
02144-0031Transaction ID : VR01RAFTGR1E
89138-6063
NVLas Vegas
West Somerville
Las Vegas
C00401224
Las Vegas Metro Chamber of Commerce
Transaction ID : VR01RA1G1T889145-8001
Transaction ID : VR01RAFTGR1
Scott Dean CPA, LLC
31
08
14
750.00
2016
22
2016
2016
Image# 201507159000141933
06
06
05
91
Scott Dean
2015
2015
ActBlue
2015
Krista Darnold
Management
Accounting Officer
Conduit total listed in Agg. field
[MEMO ITEM]
-
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
1000.00
47490.00
1000.00
500.00
500.00
MA
NV
PO Box 441146
300 Sand Hill Cir
520 Fremont St
500.00
Susie Lee for Nevada
89101-5621Transaction ID : VR01RAFC0P4
02144-0031
CAMenlo Park
Las Vegas
West Somerville
C00401224
Alce Partners,LLP
Moonridge Group
Transaction ID : VR01RAFTH3894025-7102
Transaction ID : VR01RAFTH38E
11
14
01
1500.00
2016
23
2016
2016
Image# 201507159000141934
06
06
06
91
Apt 202
ActBlue
2015
2015
Miles Dickson
2015
Douglas DeVivo
Investment Fund Manager
Conduit total listed in Agg. field
Founder
[MEMO ITEM]
-
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
1000.00
2700.00
1000.00
2700.00
2000.00
NV
NV
10200 Stone Briar Ct
8176 Horseshoe Bend Ln
8001 Castle Pines Ave
2000.00
Susie Lee for Nevada
89113-1204Transaction ID : VR01RA9R6C9
89144-4311
NVLas Vegas
Las Vegas
Las Vegas
Dupro, Inc
N/A
Transaction ID : VR01RAF509489113-0135
Transaction ID : VR01RA9R6R4
Nevada's Women Philanthropy
12
04
04
5700.00
2016
24
2016
2016
Image# 201507159000141935
06
06
06
91
Heather D. DuBoef
2015
2015
Larry DuBoef
2015
Dena DuBoef
CEO
Founder/President
Retired
-
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
1000.00
2000.00
1000.00
2000.00
500.00
NV
NV
222 Karen Ave
2729 Baltic Cir
11727 Morning Grove Dr
500.00
Susie Lee for Nevada
89135-1542Transaction ID : VR01RAE2TP8
89109-5302
NVLas Vegas
Las Vegas
Las Vegas
Information Requested
Mark L. Fine & Associates
Transaction ID : VR01RAFTHR489121-1107
Transaction ID : VR01RAF50D6
Full House Resorts
18
12
12
3500.00
2016
25
2016
2016
Image# 201507159000141936
06
06
06
91
Unit 1207
Lewis Fanger
2015
2015
Mark Fine
2015
Cindy Ellis
Information Requested
CFO
President
-
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
2500.00
5400.00
2500.00
2700.00
2700.00
OH
NV
211 23rd St NW
211 23rd St NW
32 Painted Feather Way
5400.00
Susie Lee for Nevada
89135-7855Transaction ID : VR01RAQANV6
44709-3919
OHCanton
Las Vegas
Canton
Stark Sandblasting and Painting Compan
ASF Realty & Investments, Inc.
Transaction ID : VR01RAJ1TC844709-3919
Transaction ID : VR01RAJ1TJ5
Stark Sandblasting and Painting Compan
29
29
29
7900.00
2016
26
2016
2016
Image# 201507159000141937
06
05
05
91
Stelio Flamos
2015
2015
Andrew Fonfa
2015
Stelio Flamos
Information Requested
Information Requested
Broker/Developer
-
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
500.00
47490.00
500.00
2500.00
2500.00
MA
NV
PO Box 441146
9317 Tournament Canyon Dr
3216 W Charleston Blvd
2500.00
Susie Lee for Nevada
89102-0082Transaction ID : VR01RAFTHW5
02144-0031
NVLas Vegas
Las Vegas
West Somerville
C00401224
N/A
Self-Employed
Transaction ID : VR01RAREHS789144-0818
Transaction ID : VR01RAREHS7E
30
30
18
3000.00
2016
27
2016
2016
Image# 201507159000141938
06
06
06
91
Ste A
ActBlue
2015
2015
Valarie Fujii2015
Nazanin Ford
Not Employed
Conduit total listed in Agg. field
Attorney
[MEMO ITEM]
-
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
2000.00
500.00
2000.00
500.00
2700.00
NV
NV
10 Misty Peaks Ct
100 Worth Ave
2700 Horseshoe Dr
2700.00
Susie Lee for Nevada
89120-3310Transaction ID : VR01RAD20S2
89135-7857
FLPalm Beach
Las Vegas
Las Vegas
Lynch Interactive Corp
Self-Employed
Transaction ID : VR01RAR3EY233480-6710
Transaction ID : VR01RAJ1TA2
Gage & Gage LLP
30
29
11
5200.00
2016
28
2016
2016
Image# 201507159000141939
06
05
06
91
Ivy Gage
2015
2015
Tom Gallagher
2015
Mario Gabelli
Chairman & CEO
Attorney
Investor
-
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
2200.00
500.00
2700.00
500.00
1000.00
NV
NV
9121 Eagle Hills Dr
2120 Silver Ave
9121 Eagle Hills Dr
1000.00
Susie Lee for Nevada
89134-6117Transaction ID : VR01RAF5037
89134-6117
NVLas Vegas
Las Vegas
Las Vegas
Educational Support Systems
Discovery Children's Museum
Transaction ID : VR01RA3ZK0389102-2222
Transaction ID : VR01RA9R6D7
Discovery Children's Museum
05
04
12
3700.00
2016
29
2016
2016
Image# 201507159000141940
06
06
06
91
Emily Goodman
2015
2015
Emily Goodman
2015
Elizabeth Giovannetti
Education Consultant
Leadership
Leadership
-
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
, , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 02/2009)
Note: Above Contribution earmarked through thisorganization.
* Earmarked Contribution: See Below
2700.00
47490.00
2700.00
250.00
250.00
MA
NV
PO Box 441146
5363 Foxhound Way
6 Dovetail Cir
250.00
Susie Lee for Nevada
89014-2117Transaction ID : VR01RAJ1TD6
02144-0031
NVLas Vegas
Henderson
West Somerville
C00401224
N/A
Self-Employed
Transaction ID : VR01RA31BW189135
Transaction ID : VR01RA31BW1E
29
31
29
2950.00
2016
30
2016
2016
Image# 201507159000141941
05
05
05
91
ActBlue
2015
2015
Brian Greenspun
2015
Rachel Grassi
Not Employed
Conduit total listed in Agg. field
Investor
[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