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SCHEDULE A (FEC Form 3X) ITEMIZED RECEIPTS

Use separate schedule(s) for each category of the Detailed Summary Page

FOR LINE NUMBER: (check only one)


11a 13 11b 14

PAGE 10451OF 18187


11c 15 12 16 17

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Full)

ROMNEY VICTORY, INC.


Full Name (Last, First, Middle Initial)

A. MR. JOHN E. MELBON


Mailing Address REDACTED City REDACTED FEC ID number of contributing federal political committee. State CA Zip Code REDACTED

Date of Receipt
M M / D D / Y Y Y Y

10 16 2012 Transaction ID : SA11.3540233 Amount of Each Receipt this Period

C
Occupation CONSULTANT

250.00

CONTRIBUTION

Receipt For: Primary Other (specify)

Aggregate Year-to-Date General

250.00

Full Name (Last, First, Middle Initial)

B. ALAN MELCHIOR
Mailing Address REDACTED State UT FEC ID number of contributing federal political committee. Name of Employer FUTURE 2000 LC Receipt For: Primary Other (specify) General Zip Code REDACTED

Date of Receipt
M M / D D / Y Y Y Y

10

13

2012

Transaction ID : SA11.3430071 Amount of Each Receipt this Period

C
Occupation OWNER Aggregate Year-to-Date

250.00

CONTRIBUTION

460.00

Full Name (Last, First, Middle Initial)

C. MRS. ANDREA MELCHIORRE


Mailing Address REDACTED City REDACTED FEC ID number of contributing federal political committee. Name of Employer HOMEMAKER Receipt For: Primary Other (specify) State NJ Zip Code REDACTED

Date of Receipt
M M / D D / Y Y Y Y

10

08

2012

Transaction ID : SA11.3252026 Amount of Each Receipt this Period

C
Occupation HOMEMAKER Aggregate Year-to-Date

10000.00

CONTRIBUTION

General

30000.00

SUBTOTAL of Receipts This Page (optional) ............................................................................ TOTAL This Period (last page this line number only) ...............................................................

, ,

, ,

10500.00

. .

FE6AN026

FEC Schedule A (Form 3X) Rev. 02/2003

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