Iron Eyes July Quarterly

07/15/2016 18 : 50
Image# 201607159020614938
PAGE 1 / 40
REPORT OF RECEIPTS
AND DISBURSEMENTS
FEC
FORM 3
1.
For An Authorized Committee
NAME OF
COMMITTEE (in full)
Office Use Only
Example: If typing, type

over the lines.
TYPE OR PRINT
12FE4M5
Committee to Elect Chase Iron Eyes to Congress
PO Box 4112
ADDRESS (number and street)

Check if different
than previously
reported. (ACC)
2.
Bismarck
ND
FEC IDENTIFICATION NUMBER
STATE
3. IS THIS
REPORT
C00614891
4. TYPE OF REPORT
(a)
CITY
(Choose One)
(b)
58501
NEW
(N)
ZIP CODE
STATE
DISTRICT
AMENDED
(A)
OR
01
ND
12-Day PRE-Election Report for the:
Quarterly Reports:
Primary (12P)
General (12G)
Convention (12C)
Special (12S)
Runoff (12R)
April 15 Quarterly Report (Q1)

July 15 Quarterly Report (Q2)
M
October 15 Quarterly Report (Q3)
in the
State of
Election on
January 31 Year-End Report (YE)
(c)
30-Day POST-Election Report for the:

General (30G)
Termination Report (TER)
Runoff (30R)
D
Special (30S)
in the
State of
Election on
5.
Covering Period
05
26
2016
through
06
2016
30
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
Marlo Hunte-Beaubrun
M
Signature of Treasurer
Marlo Hunte-Beaubrun
[Electronically Filed]
Date
07
15
2016
NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 2 U.S.C. 437g.
Office
Use
Only
FE5AN018
FEC FORM 3
(Revised 02/2003)
Image# 201607159020614939
SUMMARY PAGE
of Receipts and Disbursements
FEC Form 3 (Revised 02/2003)
PAGE
Page
2 2 / 40
Write or Type Committee Name

M
Report Covering the Period:
From:
05
2016
26
To:
COLUMN A
This Period
6.
47044.78
Total Contribution Refunds

(from Line 20(d)) ..................................
10.00
Net Contributions (other than loans)

(subtract Line 6(b) from Line 6(a)) ......
47034.78
Total Operating Expenditures

(from Line 17) ......................................
35382.73
Total Offsets to Operating

Expenditures (from Line 14) ................
0.00
Net Operating Expenditures

(subtract Line 7(b) from Line 7(a)) ......
35382.73
Cash on Hand at Close of

Reporting Period (from Line 27) .................
30866.67
Debts and Obligations Owed TO

the Committee (Itemize all on
Schedule C and/or Schedule D) ................
0.00
10. Debts and Obligations Owed BY

the Committee (Itemize all on
Schedule C and/or Schedule D) ................
53378.93
(b)
(c)
30
2016
82136.78
10.00
82126.78
51260.11
0.00
51260.11
.
.
Net Operating Expenditures

(a)
(b)
(c)
9.
COLUMN B
Election Cycle-to-Date
Total Contributions
(other than loans) (from Line 11(e)) ....
8.
Net Contributions (other than loans)

(a)
7.
06
.
.
.
For further information contact:

Federal Election Commission
999 E Street, NW
Washington, DC 20463
Toll Free 800-424-9530
Local 202-694-1100
FE5AN018
.
.
.
Image# 201607159020614940
DETAILED SUMMARY PAGE

of Receipts
PAGE
Page
3 3 / 40
Write or Type Committee Name

M
Report Covering the Period:
From:
05
2016
26
To:
30
2016
COLUMN B
COLUMN A
Total This Period
I. RECEIPTS
06
11. CONTRIBUTIONS (other than loans) FROM:

(a)
Individuals/Persons Other Than

Political Committees
(i) Itemized (use Schedule A) ...........
46565.00
25521.78
,
,
,
,
72086.78
,
,
,
,
82136.78
0.00
0.00
.
0.00
.
,
,
0.00
,
,
0.00
0.00
82136.78
27400.00
(ii) Unitemized ....................................

(iii) TOTAL of contributions
from individuals .......................
The Candidate ....................................

TOTAL CONTRIBUTIONS
(other than loans)
(add Lines 11(a)(iii), (b), (c), and (d)) ..
,
,
,
,
,
16644.78
Political Party Committees .................

Other Political Committees
(such as PACs) ...................................
,
,
,
,
,
47044.78
12. TRANSFERS FROM OTHER

AUTHORIZED COMMITTEES ....................
0.00
13. LOANS:
(a) Made or Guaranteed by the
Candidate ............................................
0.00
,
,
0.00
,
,
14. OFFSETS TO OPERATING

EXPENDITURES
(Refunds, Rebates, etc.) ............................
0.00
15. OTHER RECEIPTS

(Dividends, Interest, etc.) ...........................
0.00
16. TOTAL RECEIPTS (add Lines

11(e), 12, 13(c), 14, and 15)
(Carry Total to Line 24, page 4) ............
47044.78
(b)
(c)
(d)
(e)
(b)
(c)
FE5AN018
All Other Loans...................................

TOTAL LOANS
(add Lines 13(a) and (b)) ....................
.
44044.78
.
0.00
.
3000.00
.
0.00
.
.
.
.
0.00
.
10000.00
.
50.00
.
.
.
.
.
0.00
.
.
.
.
Image# 201607159020614941
DETAILED SUMMARY PAGE

of Disbursements
PAGE
Page
4 4 / 40
COLUMN A
Total This Period
II. DISBURSEMENTS
COLUMN B
17. OPERATING EXPENDITURES .....................
35382.73
51260.11
18. TRANSFERS TO OTHER

AUTHORIZED COMMITTEES .....................
0.00
19. LOAN REPAYMENTS:

(a) Of Loans Made or Guaranteed
by the Candidate .................................
,
,
,
,
,
,
0.00
0.00
.
0.00
.
0.00
.
,
,
,
,
,
,
.
0.00
.
0.00
.
,
,
,
10.00
,
,
,
.
0.00
.
0.00
.
,
,
,
10.00
,
,
,
TOTAL CONTRIBUTION REFUNDS

(add Lines 20(a), (b), and (c))..............
10.00
10.00
21. OTHER DISBURSEMENTS .........................
0.00
0.00
22. TOTAL DISBURSEMENTS

(add Lines 17, 18, 19(c), 20(d), and 21)
35392.73
51270.11
23. CASH ON HAND AT BEGINNING OF REPORTING PERIOD ...............................................
19214.62
24
TOTAL RECEIPTS THIS PERIOD (from Line 16, page 3) .....................................................
47044.78
25. SUBTOTAL (add Line 23 and Line 24) ..................................................................................
66259.40
26. TOTAL DISBURSEMENTS THIS PERIOD (from Line 22) ......................................................
35392.73
27. CASH ON HAND AT CLOSE OF REPORTING PERIOD

(subtract Line 26 from Line 25)..............................................................................................
30866.67
(b)
(c)
Of All Other Loans ..............................

TOTAL LOAN REPAYMENTS
(add Lines 19(a) and (b)) .....................
20. REFUNDS OF CONTRIBUTIONS TO:

(a) Individuals/Persons Other
Than Political Committees ..................
(b)
(c)
(d)
Political Party Committees ..................

Other Political Committees
(such as PACs) ....................................
.
.
0.00
.
0.00
.
0.00
.
.
.
.
III. CASH SUMMARY
FE5AN018
.
.
.
.
.
Image# 201607159020614942
SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS
Use separate schedule(s)

for each category of the
Detailed Summary Page
PAGE
FOR LINE NUMBER:

(check only one)
OF
11a
11b
11c
11d
12
13a
13b
14
40
15
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)

Full Name (Last, First, Middle Initial)
A.
Joshua Alkin
Date of Receipt
Mailing Address 5132 Fulton St NW
06
City
State
DC
Washington
FEC ID number of contributing
federal political committee.
Zip Code
2016
22
Transaction ID : VSH5CC5K965
20016-3449
Amount of Each Receipt this Period
Name of Employer
Information Requested
Occupation
Receipt For: 2016

Primary
Other (specify)
250.00
Memo Item
General
250.00
B.
Erica Andrews
Date of Receipt
Mailing Address 2249 Veranda Ave
06
City
Roanoke
State
TX

Zip Code
76262-5425
2016
Transaction ID : VSH5CCDJA33
Occupation
Not employed
Not employed
1000.00
Name of Employer
Receipt For: 2016
Primary
Other (specify)
10
Memo Item
General
1000.00
* Earmarked Contribution: See Below
C.
ACTBLUE
Date of Receipt
Mailing Address PO Box 441146
06
City
West Somerville
State
MA

Name of Employer
Receipt For: 2016
Primary
Other (specify)
Zip Code
28
2016
Transaction ID : VSH5CCDJA33E
02144-0031
C00401224
Occupation
Conduit total listed in Agg. field
1000.00
Memo Item
General
19120.78
SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ...............................................................
Note: Above Contribution earmarked through this

organization.
,
,
,
,
1250.00
.
.
FEC Schedule A (Form 3) (Revised 12/2015)
Image# 201607159020614943

ITEMIZED RECEIPTS

PAGE
FOR LINE NUMBER:

(check only one)
OF
11a
11b
11c
11d
12
13a
13b
14
40
15

A.
Troy Bassingthwaite
Date of Receipt
Mailing Address 9222 Island Rd
06
City
State
ND
Bismarck
Zip Code
2016
28
Transaction ID : VSH5CCBDNV4
58503-9203
Name of Employer
Occupation
Receipt For: 2016

Primary
Other (specify)
400.00
Memo Item
General
400.00
B.
Ashley Bentley
Date of Receipt
Mailing Address 2814 N Underwood St
05
City
Arlington
State
VA

Zip Code
22213-1515
2016
Transaction ID : VSH5CCDH213
Occupation
Not employed
Not employed
250.00
Name of Employer
Receipt For: 2016
Primary
Other (specify)
24
Memo Item
General
250.00
C.
ACTBLUE
Date of Receipt
06
City
West Somerville
State
MA

Name of Employer
Receipt For: 2016
Primary
Other (specify)
Zip Code
08
2016
Transaction ID : VSH5CCDH213E
02144-0031
C00401224
Occupation
250.00
Memo Item
General
19120.78


organization.
,
,
,
,
650.00
.
.
Image# 201607159020614944

ITEMIZED RECEIPTS

PAGE
FOR LINE NUMBER:

(check only one)
OF
11a
11b
11c
11d
12
13a
13b
14
40
15

A.
Henry Bichler
Date of Receipt
05
City
State
ND
Hillsboro
Zip Code
2016
17
Transaction ID : VSH5CCDEPM0
58045-0063
Occupation
Not employed
Receipt For: 2016

Primary
Other (specify)
50.00
Name of Employer
Not employed
Memo Item
General

100.00
B.
ACTBLUE
Date of Receipt
06
City
West Somerville
State
MA

Name of Employer
Zip Code
02144-0031
2016
Transaction ID : VSH5CCDEPM0E
C00401224
50.00
Occupation
Memo Item

Receipt For: 2016
Primary
Other (specify)
08
General
19120.78

organization.
C.
Henry Bichler
Date of Receipt
05
City
Hillsboro
State
ND

Name of Employer
2016
Transaction ID : VSH5CCDH4M7
58045-0063
Occupation
Not employed
Not employed
Receipt For: 2016
Primary
Other (specify)
Zip Code
25
50.00
Memo Item
General
100.00

,
,
,
,
100.00
.
.
Image# 201607159020614945

ITEMIZED RECEIPTS

PAGE
FOR LINE NUMBER:

(check only one)
OF
11a
11b
11c
11d
12
13a
13b
14
40
15

A.
ACTBLUE
Date of Receipt
06
City
State
MA
West Somerville
Zip Code
2016
Transaction ID : VSH5CCDH4M7E
02144-0031
C00401224
Name of Employer
Occupation
Receipt For: 2016

Primary
Other (specify)
50.00
Memo Item
General
08
19120.78

organization.
B.
Henry Bichler
Date of Receipt
06
City
Hillsboro
State
ND

Zip Code
58045-0063
2016
Transaction ID : VSH5CCDJ948
Occupation
Not employed
Not employed
50.00
Name of Employer
Receipt For: 2016
Primary
Other (specify)
06
Memo Item
General
150.00
C.
ACTBLUE
Date of Receipt
06
City
West Somerville
State
MA

Name of Employer
Receipt For: 2016
Primary
Other (specify)
Zip Code
28
2016
Transaction ID : VSH5CCDJ948E
02144-0031
C00401224
Occupation
50.00
Memo Item
General
19120.78


organization.
,
,
,
,
50.00
.
.
Image# 201607159020614946

ITEMIZED RECEIPTS

PAGE
FOR LINE NUMBER:

(check only one)
OF
11a
11b
11c
11d
12
13a
13b
14
40
15

A.
Henry Bichler
Date of Receipt
06
City
State
ND
Hillsboro
Zip Code
2016
20
Transaction ID : VSH5CCDJNX1
58045-0063
Occupation
Not employed
Receipt For: 2016

Primary
Other (specify)
50.00
Name of Employer
Not employed
Memo Item
General

250.00
B.
ACTBLUE
Date of Receipt
06
City
West Somerville
State
MA

Name of Employer
Zip Code
02144-0031
2016
Transaction ID : VSH5CCDJNX1E
C00401224
50.00
Occupation
Memo Item

Receipt For: 2016
Primary
Other (specify)
30
General
19120.78

organization.
C.
Henry Bichler
Date of Receipt
06
City
Hillsboro
State
ND

Name of Employer
2016
Transaction ID : VSH5CCDKS18
58045-0063
Occupation
Not employed
Not employed
Receipt For: 2016
Primary
Other (specify)
Zip Code
30
50.00
Memo Item
General
250.00

,
,
,
,
100.00
.
.
Image# 201607159020614947

ITEMIZED RECEIPTS

10 OF
PAGE
FOR LINE NUMBER:

(check only one)
11a
11b
11c
11d
12
13a
13b
14
40
15

A.
ACTBLUE
Date of Receipt
06
City
State
MA
West Somerville
Zip Code
2016
Transaction ID : VSH5CCDKS18E
02144-0031
C00401224
Name of Employer
Occupation
Receipt For: 2016

Primary
Other (specify)
50.00
Memo Item
General
30
19120.78

organization.
B.
Kevin Carvell
Date of Receipt
Mailing Address 408 Illinois Ave
06
City
Mott
State
ND

Zip Code
58646-7248
2016
Transaction ID : VSH5CCBDNP4
Occupation
250.00
Name of Employer
Receipt For: 2016
Primary
Other (specify)
28
Memo Item
General
250.00
C.
Charles Cheristianson
Date of Receipt
Mailing Address 3701 15th Ave S
05
City
Grand Forks
State
ND

Name of Employer
2016
58201-3725
Occupation
Professor
Univ of North Dakota

Receipt For: 2016
Primary
Other (specify)
Zip Code
24
250.00
Memo Item
General
250.00

,
,
,
,
500.00
.
.
Image# 201607159020614948

ITEMIZED RECEIPTS

11 OF
PAGE
FOR LINE NUMBER:

(check only one)
11a
11b
11c
11d
12
13a
13b
14
40
15

A.
ACTBLUE
Date of Receipt
06
City
State
MA
West Somerville
Zip Code
2016
02144-0031
C00401224
Name of Employer
Occupation
Receipt For: 2016

Primary
Other (specify)
250.00
Memo Item
General
08
19120.78

organization.
B.
Charles Cheristianson
Date of Receipt
06
City
Grand Forks
State
ND

Zip Code
58201-3725
2016
Transaction ID : VSH5CCDJQ08
Name of Employer
Occupation
Univ of North Dakota
Professor
Receipt For: 2016

Primary
Other (specify)
24
250.00
Memo Item
General
500.00
C.
ACTBLUE
Date of Receipt
06
City
West Somerville
State
MA

Name of Employer
Receipt For: 2016
Primary
Other (specify)
Zip Code
30
2016
Transaction ID : VSH5CCDJQ08E
02144-0031
C00401224
Occupation
250.00
Memo Item
General
19120.78


organization.
,
,
,
,
250.00
.
.
Image# 201607159020614949

ITEMIZED RECEIPTS

12 OF
PAGE
FOR LINE NUMBER:

(check only one)
11a
11b
11c
11d
12
13a
13b
14
40
15

A.
Kathleen Cunningham
Date of Receipt
06
City
State
ND
Burlington
Zip Code
2016
10
Transaction ID : VSH5CC0VPN4
58722-0002
Occupation
retired
Receipt For: 2016

Primary
Other (specify)
2000.00
Name of Employer
retired
Memo Item
General
4000.00
B.
Kenneth Davis
Date of Receipt
05
City
Belcourt
State
ND

Zip Code
58316-0663
2016
Transaction ID : VSH5CBYRD77
Occupation
1000.00
Name of Employer
Receipt For: 2016
Primary
Other (specify)
31
Memo Item
General
1000.00
C.
Elizabeth Gore
Date of Receipt
Mailing Address 6500 Smoot Dr
05
City
McLean
State
VA

Name of Employer
2016
Transaction ID : VSH5CBYP1S9
22101-4003
Occupation
Receipt For: 2016
Primary
Other (specify)
Zip Code
28
250.00
,
,
3250.00
Memo Item
General
250.00

,
,
.
.
Image# 201607159020614950

ITEMIZED RECEIPTS

13 OF
PAGE
FOR LINE NUMBER:

(check only one)
11a
11b
11c
11d
12
13a
13b
14
40
15

A.
Nancy Guy
Date of Receipt
Mailing Address 3423 Crocus Ave
06
City
State
ND
Bismarck
Zip Code
2016
08
Transaction ID : VSH5CC08PX6
58501-3212
Name of Employer
Occupation
Receipt For: 2016

Primary
Other (specify)
250.00
Memo Item
General
250.00
B.
Chad Haber
Date of Receipt
06
City
Tea
State
SD

Zip Code
57064-0130
2016
Transaction ID : VSH5CCDJPE5
Name of Employer
Occupation
Self
GM
Receipt For: 2016

Primary
Other (specify)
24
500.00
Memo Item
General
500.00
C.
ACTBLUE
Date of Receipt
06
City
West Somerville
State
MA

Name of Employer
Receipt For: 2016
Primary
Other (specify)
Zip Code
30
2016
Transaction ID : VSH5CCDJPE5E
02144-0031
C00401224
Occupation
500.00
Memo Item
General
19120.78


organization.
,
,
,
,
750.00
.
.
Image# 201607159020614951

ITEMIZED RECEIPTS

14 OF
PAGE
FOR LINE NUMBER:

(check only one)
11a
11b
11c
11d
12
13a
13b
14
40
15

A.
Erin Hill-Oban
Date of Receipt
Mailing Address 1319 Apache St
05
City
State
ND
Bismarck
Zip Code
2016
31
58501-2632
Occupation
Consultant
Receipt For: 2016

Primary
Other (specify)
200.00
Name of Employer
Self
Memo Item
General

200.00
B.
ACTBLUE
Date of Receipt
06
City
West Somerville
State
MA

Name of Employer
Zip Code
02144-0031
2016
C00401224
200.00
Occupation
Memo Item

Receipt For: 2016
Primary
Other (specify)
10
General
19120.78

organization.
C.
Erin Hill-Oban
Date of Receipt
Mailing Address 1319 Apache St
06
City
Bismarck
State
ND

Name of Employer
2016
Transaction ID : VSH5CCDKQX3
58501-2632
Occupation
Consultant
Self
Receipt For: 2016
Primary
Other (specify)
Zip Code
30
200.00
Memo Item
General
400.00

,
,
,
,
400.00
.
.
Image# 201607159020614952

ITEMIZED RECEIPTS

15 OF
PAGE
FOR LINE NUMBER:

(check only one)
11a
11b
11c
11d
12
13a
13b
14
40
15

A.
ACTBLUE
Date of Receipt
06
City
State
MA
West Somerville
Zip Code
2016
Transaction ID : VSH5CCDKQX3E
02144-0031
C00401224
Name of Employer
Occupation
Receipt For: 2016

Primary
Other (specify)
200.00
Memo Item
General
30
19120.78

organization.
B.
Susan Hochhalter
Date of Receipt
Mailing Address 212 W Avenue F
05
City
Bismarck
State
ND

Zip Code
58501-3503
2016
Transaction ID : VSH5CCDENT5
Occupation
Self employed
Speech pathologist
500.00
Name of Employer
Receipt For: 2016
Primary
Other (specify)
16
Memo Item
General
600.00
C.
ACTBLUE
Date of Receipt
06
City
West Somerville
State
MA

Name of Employer
Receipt For: 2016
Primary
Other (specify)
Zip Code
08
2016
Transaction ID : VSH5CCDENT5E
02144-0031
C00401224
Occupation
500.00
Memo Item
General
19120.78


organization.
,
,
,
,
500.00
.
.
Image# 201607159020614953

ITEMIZED RECEIPTS

16 OF
PAGE
FOR LINE NUMBER:

(check only one)
11a
11b
11c
11d
12
13a
13b
14
40
15

A.
Susan Hochhalter
Date of Receipt
Mailing Address 212 W Avenue F
05
City
State
ND
Bismarck
Zip Code
2016
29
Transaction ID : VSH5CCDJ6W1
58501-3503
Name of Employer
Self employed
Occupation
Speech pathologist
Receipt For: 2016

Primary
Other (specify)
100.00
Memo Item
General

600.00
B.
ACTBLUE
Date of Receipt
06
City
West Somerville
State
MA

Name of Employer
Zip Code
02144-0031
2016
Transaction ID : VSH5CCDJ6W1E
C00401224
100.00
Occupation
Memo Item

Receipt For: 2016
Primary
Other (specify)
08
General
19120.78

organization.
C.
Byron Howard
Date of Receipt
Mailing Address 1025A 61st Ave NW
05
City
Garrison
State
ND

Name of Employer
2016
Transaction ID : VSH5CBY5DM9
58540-9384
Occupation
Retired
Dakota Gasification Co.

Receipt For: 2016
Primary
Other (specify)
Zip Code
26
250.00
,
,
350.00
Memo Item
General
250.00

,
,
.
.
Image# 201607159020614954

ITEMIZED RECEIPTS

17 OF
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FOR LINE NUMBER:

(check only one)
11a
11b
11c
11d
12
13a
13b
14
40
15

A.
Sara Jumping Eagle
Date of Receipt
City
State
ND
Fort Yates
06
PO Box 888
Zip Code
2016
14
Transaction ID : VSH5CCDJAY6
58538-0888
Name of Employer
US Public Health Service
Occupation
Physician/Medical Director
Receipt For: 2016

Primary
Other (specify)
250.00
Memo Item
General

1450.00
B.
ACTBLUE
Date of Receipt
06
City
West Somerville
State
MA

Name of Employer
Zip Code
02144-0031
2016
Transaction ID : VSH5CCDJAY6E
C00401224
250.00
Occupation
Memo Item

Receipt For: 2016
Primary
Other (specify)
22
General
19120.78

organization.
C.
Warren Dwight Larson
Date of Receipt
Mailing Address 4618 Feldspar Dr
05
City
Bismarck
State
ND

Name of Employer
2016
Transaction ID : VSH5CCDH4C4
58503-6132
Occupation
none
none
Receipt For: 2016
Primary
Other (specify)
Zip Code
25
250.00
Memo Item
General
600.00

,
,
,
,
500.00
.
.
Image# 201607159020614955

ITEMIZED RECEIPTS

18 OF
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FOR LINE NUMBER:

(check only one)
11a
11b
11c
11d
12
13a
13b
14
40
15

A.
ACTBLUE
Date of Receipt
06
City
State
MA
West Somerville
Zip Code
2016
Transaction ID : VSH5CCDH4C4E
02144-0031
C00401224
Name of Employer
Occupation
Receipt For: 2016

Primary
Other (specify)
250.00
Memo Item
General
08
19120.78

organization.
B.
Warren Dwight Larson
Date of Receipt
Mailing Address 4618 Feldspar Dr
06
City
Bismarck
State
ND

Zip Code
58503-6132
2016
Transaction ID : VSH5CCDJMP5
Name of Employer
Occupation
none
none
Receipt For: 2016

Primary
Other (specify)
15
50.00
Memo Item
General
650.00
C.
ACTBLUE
Date of Receipt
06
City
West Somerville
State
MA

Name of Employer
Receipt For: 2016
Primary
Other (specify)
Zip Code
28
2016
Transaction ID : VSH5CCDJMP5E
02144-0031
C00401224
Occupation
50.00
Memo Item
General
19120.78


organization.
,
,
,
,
50.00
.
.
Image# 201607159020614956

ITEMIZED RECEIPTS

19 OF
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FOR LINE NUMBER:

(check only one)
11a
11b
11c
11d
12
13a
13b
14
40
15

A.
Mandan Hidatsa And Arikara Nation
Date of Receipt
Mailing Address 202 Frontage Rd
06
City
State
ND
New Town
Zip Code
2016
10
Transaction ID : VSH5CC0VPP2
58763-9405
Occupation
Receipt For: 2016

Primary
Other (specify)
2700.00
Name of Employer
Memo Item
General
5000.00
B.
Mandan Hidatsa And Arikara Nation
Date of Receipt
06
City
New Town
State
ND

Name of Employer
Zip Code
58763-9405
10
2016
Transaction ID : VSH5CC0VPT4

2300.00
Occupation
Memo Item
Receipt For: 2016
Primary
Other (specify)
General
5000.00
C.
R. James Maxson
Date of Receipt
Mailing Address 6 9th St SE
06
City
Minot
State
ND

Name of Employer
2016
Transaction ID : VSH5CC0VPQ0
58701-4040
Occupation
Receipt For: 2016
Primary
Other (specify)
Zip Code
10
500.00
,
,
5500.00
Memo Item
General
500.00

,
,
.
.
Image# 201607159020614957

ITEMIZED RECEIPTS

20 OF
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FOR LINE NUMBER:

(check only one)
11a
11b
11c
11d
12
13a
13b
14
40
15

A.
Madeline Miller
Date of Receipt
06
City
State
ND
Wahpeton
Zip Code
2016
28
Transaction ID : VSH5CCBDNF9
58075-4659
Name of Employer
Occupation
Receipt For: 2016

Primary
Other (specify)
250.00
Memo Item
General
250.00
B.
Perry Miller
Date of Receipt
06
City
Wahpeton
State
ND

Zip Code
58074-0455
2016
Transaction ID : VSH5CCBDNT6
Occupation
400.00
Name of Employer
Receipt For: 2016
Primary
Other (specify)
28
Memo Item
General
400.00
C.
John Petrik
Date of Receipt
Mailing Address 417 24th St NW
05
City
Minot
State
ND

Name of Employer
JMAC Corporate Services LLC
Receipt For: 2016
Primary
Other (specify)
Zip Code
29
2016
Transaction ID : VSH5CCDJ6N6
58703-1861
Occupation
lawyer
250.00
Memo Item
General
250.00

,
,
,
,
900.00
.
.
Image# 201607159020614958

ITEMIZED RECEIPTS

21 OF
PAGE
FOR LINE NUMBER:

(check only one)
11a
11b
11c
11d
12
13a
13b
14
40
15

A.
ACTBLUE
Date of Receipt
06
City
State
MA
West Somerville
Zip Code
2016
Transaction ID : VSH5CCDJ6N6E
02144-0031
C00401224
Name of Employer
Occupation
Receipt For: 2016

Primary
Other (specify)
250.00
Memo Item
General
08
19120.78

organization.
B.
John Petrik
Date of Receipt
06
City
Minot
State
ND

Zip Code
58703-1861
29
2016
Transaction ID : VSH5CCDKSK0
Occupation
JMAC Corporate Services LLC
lawyer
Receipt For: 2016

Primary
Other (specify)
250.00
Name of Employer
Memo Item
General
500.00
C.
ACTBLUE
Date of Receipt
06
City
West Somerville
State
MA

Name of Employer
Receipt For: 2016
Primary
Other (specify)
Zip Code
30
2016
Transaction ID : VSH5CCDKSK0E
02144-0031
C00401224
Occupation
250.00
Memo Item
General
19120.78


organization.
,
,
,
,
250.00
.
.
Image# 201607159020614959

ITEMIZED RECEIPTS

22 OF
PAGE
FOR LINE NUMBER:

(check only one)
11a
11b
11c
11d
12
13a
13b
14
40
15

A.
Earl Pomeroy
Date of Receipt
Mailing Address 127 Quay St
05
City
State
VA
Alexandria
Zip Code
2016
28
Transaction ID : VSH5CBYP1R1
22314-2608
Name of Employer
Occupation
Receipt For: 2016

Primary
Other (specify)
500.00
Memo Item
General
500.00
B.
Margaret Potter
Date of Receipt
Mailing Address 3308 18th St S
06
City
Fargo
State
ND

Zip Code
58104-6524
27
2016
Transaction ID : VSH5CCDKQP8
Occupation
Minnesota State University Moorhead
Professor
Receipt For: 2016

Primary
Other (specify)
250.00
Name of Employer
Memo Item
General
250.00
C.
ACTBLUE
Date of Receipt
06
City
West Somerville
State
MA

Name of Employer
Receipt For: 2016
Primary
Other (specify)
Zip Code
30
2016
Transaction ID : VSH5CCDKQP8E
02144-0031
C00401224
Occupation
250.00
Memo Item
General
19120.78


organization.
,
,
,
,
750.00
.
.
Image# 201607159020614960

ITEMIZED RECEIPTS

23 OF
PAGE
FOR LINE NUMBER:

(check only one)
11a
11b
11c
11d
12
13a
13b
14
40
15

A.
Muriel Richardson
Date of Receipt
06
City
State
ND
Fargo
Zip Code
2016
17
Transaction ID : VSH5CCDJM51
58103-5033
Occupation
Not employed
Receipt For: 2016

Primary
Other (specify)
50.00
Name of Employer
Not employed
Memo Item
General

300.00
B.
ACTBLUE
Date of Receipt
06
City
West Somerville
State
MA

Name of Employer
Zip Code
02144-0031
2016
Transaction ID : VSH5CCDJM51E
C00401224
50.00
Occupation
Memo Item

Receipt For: 2016
Primary
Other (specify)
28
General
19120.78

organization.
C.
Muriel Richardson
Date of Receipt
06
City
Fargo
State
ND

Name of Employer
2016
Transaction ID : VSH5CCDJPY2
58103-5033
Occupation
Not employed
Not employed
Receipt For: 2016
Primary
Other (specify)
Zip Code
21
50.00
Memo Item
General
350.00

,
,
,
,
100.00
.
.
Image# 201607159020614961

ITEMIZED RECEIPTS

24 OF
PAGE
FOR LINE NUMBER:

(check only one)
11a
11b
11c
11d
12
13a
13b
14
40
15

A.
ACTBLUE
Date of Receipt
06
City
State
MA
West Somerville
Zip Code
2016
Transaction ID : VSH5CCDJPY2E
02144-0031
C00401224
Name of Employer
Occupation
Receipt For: 2016

Primary
Other (specify)
50.00
Memo Item
General
30
19120.78

organization.
B.
David Sable
Date of Receipt
Mailing Address 201 W 70th St

Apt 11HI
City
New York
State
NY
Zip Code
10023-4387
24
2016
Occupation
Young & Rubicam
Global Chief Executive Officer
500.00
Name of Employer
Receipt For: 2016
Primary
Other (specify)
05
Memo Item
General
500.00
C.
ACTBLUE
Date of Receipt
06
City
West Somerville
State
MA

Name of Employer
Receipt For: 2016
Primary
Other (specify)
Zip Code
08
2016
02144-0031
C00401224
Occupation
500.00
Memo Item
General
19120.78


organization.
,
,
,
,
500.00
.
.
Image# 201607159020614962

ITEMIZED RECEIPTS

25 OF
PAGE
FOR LINE NUMBER:

(check only one)
11a
11b
11c
11d
12
13a
13b
14
40
15

A.
San Manuel Band of Mission Indians
Date of Receipt
Mailing Address 515 S Figueroa St
06
City
State
CA
Los Angeles
Zip Code
2016
07
Transaction ID : VSH5CC02YM6
90071-3314
Occupation
Receipt For: 2016

Primary
Other (specify)
2700.00
Name of Employer
Memo Item
General
2700.00
B.
Shakopee Mdewakanton Sioux Community
Date of Receipt
Mailing Address 2330 Sioux Trl NW
06
City
Prior Lake
State
MN

Name of Employer
Zip Code
55372-9077
10
2016
Transaction ID : VSH5CC0VPM7

1000.00
Occupation
Memo Item
Receipt For: 2016
Primary
Other (specify)
General
1000.00
C.
Robert Siggins
Date of Receipt
Mailing Address 10631 Summersweet Ct
05
City
Fairfax Station
State
VA

Name of Employer
2016
Transaction ID : VSH5CBYP1T7
22039-1925
Occupation
Receipt For: 2016
Primary
Other (specify)
Zip Code
28
250.00
,
,
3950.00
Memo Item
General
250.00

,
,
.
.
Image# 201607159020614963

ITEMIZED RECEIPTS

26 OF
PAGE
FOR LINE NUMBER:

(check only one)
11a
11b
11c
11d
12
13a
13b
14
40
15

A.
Three Affiliated Tribes
Date of Receipt
06
City
State
ND
New Town
Zip Code
2016
30
Transaction ID : VSH5CCC9C84
58763-9404
Occupation
Receipt For: 2016

Primary
Other (specify)
5000.00
Name of Employer
Memo Item
General
5000.00
B.
Grace Tinderholt
Date of Receipt
Mailing Address 615 3rd St E
06
City
Dickinson
State
ND

Zip Code
58601-4506
2016
Transaction ID : VSH5CCDKRH1
Name of Employer
Occupation
Great Plains Clinic
nurse
Receipt For: 2016

Primary
Other (specify)
30
250.00
Memo Item
General
250.00
C.
ACTBLUE
Date of Receipt
06
City
West Somerville
State
MA

Name of Employer
Receipt For: 2016
Primary
Other (specify)
Zip Code
30
2016
Transaction ID : VSH5CCDKRH1E
02144-0031
C00401224
Occupation
250.00
Memo Item
General
19120.78


organization.
,
,
,
,
5250.00
.
.
PAGE 27 / 40
Image# 201607159020614964
)(&0,6&(//$1(2867(;75(/$7('72$5(32576&+('8/(25,7(0,=$7,21

Form/Schedule: SA11AI
Transaction ID : VSH5CCC9C84
Excess amount of contribution - $2,300.00 was returned to donor on 7/1/2016. See Committee's October 15 Report.
Form/Schedule:
Transaction ID:
Image# 201607159020614965

ITEMIZED RECEIPTS

28 OF
PAGE
FOR LINE NUMBER:

(check only one)
11a
11b
11c
11d
12
13a
13b
14
40
15

A.
Derek Valdo
Date of Receipt
Mailing Address 9809 Benton St NW
06
City
State
NM
Albuquerque
Zip Code
2016
28
Transaction ID : VSH5CCDKSA9
87114-5209
Occupation
CEO
Receipt For: 2016

Primary
Other (specify)
250.00
Name of Employer
AMERIND Risk
Memo Item
General

250.00
B.
ACTBLUE
Date of Receipt
06
City
West Somerville
State
MA

Name of Employer
Zip Code
02144-0031
2016
Transaction ID : VSH5CCDKSA9E
C00401224
250.00
Occupation
Memo Item

Receipt For: 2016
Primary
Other (specify)
30
General
19120.78

organization.
C.
Jennifer Weddle
Date of Receipt
Mailing Address 4626 Montview Blvd
05
City
Denver
State
CO

Name of Employer
2016
Transaction ID : VSH5CBY5Z84
80207-3759
Occupation
Attorney
Greenberg Traurig LLP

Receipt For: 2016
Primary
Other (specify)
Zip Code
27
900.00
,
,
1150.00
Memo Item
General
1000.00

,
,
.
.
Image# 201607159020614966

ITEMIZED RECEIPTS

29 OF
PAGE
FOR LINE NUMBER:

(check only one)
11a
11b
11c
11d
12
13a
13b
14
40
15

A.
Jennifer Weddle
Date of Receipt
Mailing Address 4626 Montview Blvd
05
City
State
CO
Denver
Zip Code
2016
27
Transaction ID : VSH5CBY5Z92
80207-3759
Occupation
Attorney
Receipt For: 2016

Primary
Other (specify)
100.00
Name of Employer
Greenberg Traurig LLP
Memo Item
General
1000.00
B.
Dirk Whitebreast
Date of Receipt
Mailing Address 175 E Quail Rd
06
City
Tama
State
IA

Zip Code
52339-9613
01
2016
Occupation
Meskwaki Bingo Casino Hotel
Assistant General Manager
Receipt For: 2016

Primary
Other (specify)
Memo Item
General
250.00
250.00
Name of Employer
C.
ACTBLUE
Date of Receipt
06
City
West Somerville
State
MA

Name of Employer
Receipt For: 2016
Primary
Other (specify)
Zip Code
10
2016
02144-0031
C00401224
Occupation
250.00
Memo Item
General
19120.78


organization.
,
,
,
,
350.00
.
27400.00
.
Image# 201607159020614967

ITEMIZED RECEIPTS

30 OF
PAGE
FOR LINE NUMBER:

(check only one)
11a
11b
11c
11d
12
13a
13b
14
40
15

A.
FRIENDS OF BYRON DORGAN
Date of Receipt
Mailing Address 918 Pennsylvania Ave SE
City
State
DC
Washington
05
918 PENNSYLVANIA AVE SE
Zip Code
1000.00
Receipt For: 2016

Primary
Other (specify)
C00143438
Occupation
2016
Transaction ID : VSH5CBYP238
20003-2140
Name of Employer
28
Memo Item
General
1000.00
B.
NATIONAL INDIAN GAMING ASSOCIATION SOVEREIGNTY PAC

Mailing Address 224 2nd St SE
Date of Receipt
M
05
City
Washington
State
DC

Name of Employer
Zip Code
20003-1943
31
2016
C00367177
1000.00
Occupation
Memo Item
Receipt For: 2016
Primary
Other (specify)
General
1000.00
C.
UNITED TRANSPORTATION UNION POLITICAL ACTION COMMITTEE (UTU PAC)

Mailing Address 24950 Country Club Blvd
Ste 340
City
North Olmsted
Name of Employer
Date of Receipt
M
05
State
OH
Zip Code
31
2016
44070-5333
C00001636
Occupation
1000.00
,
,
3000.00
Memo Item
Receipt For: 2016
Primary
Other (specify)
General
1000.00

,
,
.
3000.00
.
Image# 201607159020614968
SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

31 OF
PAGE
FOR LINE NUMBER:

(check only one)
40
17
18
19a
19b
20a
20b
20c
21

A.
ActBlue Technical Services
Date of Disbursement
M
City
Somerville
Purpose of Disbursement
Merchant Fees
06
Mailing Address 366 Summer St

State
MA
Zip Code
02144-3132
2016
08
Amount of Each Disbursement this Period
285.19
Memo Item
Candidate Name
Category/
Type
Office Sought:
House
Senate
President
State:
District:
B.
Transaction ID : VSG649PKC31
Disbursement For: 2016

Primary
Other (specify)
General
M

City
Somerville
Merchant Fees
State
MA
Zip Code
State:
10
2016
02144-3132
70.40
Memo Item
Candidate Name
Office Sought:
06
Category/
Type
House
Senate
President
District:

Primary
General
Other (specify)
C.
M

City
Somerville
Merchant Fees
State
MA
Zip Code
02144-3132
State:
22
2016
37.73
Memo Item
Category/
Type
House
Senate
President
District:

Primary
Other (specify)
General
SUBTOTAL of Disbursements This Page (optional) ..................................................................

FE5AN018
Candidate Name
Office Sought:
06
,
,
,
,
393.32
.
.
FEC Schedule B (Form 3) (Revised 12/2015)
Image# 201607159020614969


32 OF
PAGE
FOR LINE NUMBER:

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40
17
18
19a
19b
20a
20b
20c
21

A.
M
City
Somerville
Merchant Fees
06

State
MA
Zip Code
02144-3132
2016
28
147.48
Memo Item
Candidate Name
Category/
Type
Office Sought:
House
Senate
President
State:
District:
B.

Primary
Other (specify)
General
M

City
Somerville
Merchant Fees
State
MA
Zip Code
State:
30
2016
02144-3132
215.81
Memo Item
Candidate Name
Office Sought:
06
Category/
Type
House
Senate
President
District:
Transaction ID : VSG649PKCC2

Primary
General
Other (specify)
C.
American Airlines
M
Mailing Address 4333 Amon Carter Blvd

City
Ft Worth
Travel Insurance
State
TX
Zip Code
76155-2605
State:
13
2016
21.88
Memo Item
Category/
Type
House
Senate
President
District:

Primary
Other (specify)
Transaction ID : VSG649PKD41
General

FE5AN018
Candidate Name
Office Sought:
06
,
,
,
,
385.17
.
.
Image# 201607159020614970


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PAGE
FOR LINE NUMBER:

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40
17
18
19a
19b
20a
20b
20c
21

A.
American Airlines
M
06
Mailing Address 4333 Amon Carter Blvd

City
Ft Worth
Airfare
State
TX
Zip Code
76155-2605
2016
13
188.10
Memo Item
Candidate Name
Category/
Type
Office Sought:
House
Senate
President
State:
District:
B.

Primary
Other (specify)
General
Delta Airlines
M

City
State
GA
Atlanta
Airfare
Zip Code
State:
14
2016
30320-6001
641.10
Memo Item
Candidate Name
Office Sought:
06
Category/
Type
House
Senate
President
District:

Primary
General
Other (specify)
C.
Focus Matters
M
Mailing Address 1900 NW Expressway, Suite 825

City
Oklahoma City
Online Fundraising Consulting Fees
State
OK
Zip Code
73118
State:
08
2016
3750.00
Memo Item
Category/
Type
House
Senate
President
District:

Primary
Other (specify)
Transaction ID : VSG649PKCX6
General

FE5AN018
Candidate Name
Office Sought:
06
,
,
,
,
4579.20
.
.
Image# 201607159020614971


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PAGE
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40
17
18
19a
19b
20a
20b
20c
21

A.
NGPVan
M

Ste 500
City
Washington
Software License Fee
06
State
DC
Zip Code
20005-5006
2016
01
1650.00
Memo Item
Candidate Name
Category/
Type
Office Sought:
House
Senate
President
State:
District:
B.
Transaction ID : VSG649PKCF5

Primary
Other (specify)
General
NGPVan
M

Ste 500
City
Washington
State
DC
Zip Code
State:
08
2016
20005-5006
1650.00
Memo Item
Candidate Name
Office Sought:
06
Category/
Type
House
Senate
President
District:
Transaction ID : VSG649PKCH1

Primary
General
Other (specify)
C.
NGPVan
M

Ste 500
City
Washington
State
DC
Zip Code
20005-5006
State:
08
2016
150.00
Memo Item
Category/
Type
House
Senate
President
District:

Primary
Other (specify)
Transaction ID : VSG649PKCJ9
General

FE5AN018
Candidate Name
Office Sought:
06
,
,
,
,
3450.00
.
.
Image# 201607159020614972


35 OF
PAGE
FOR LINE NUMBER:

(check only one)
40
17
18
19a
19b
20a
20b
20c
21

A.
Jaime Peters
M
City
Manorville
Campaign Management Fees
06
Mailing Address 443 Wading River Rd

State
NY
Zip Code
11949-3446
2016
08
8750.00
Memo Item
Candidate Name
Category/
Type
Office Sought:
House
Senate
President
State:
District:
B.
Transaction ID : VSG649PKCY4

Primary
Other (specify)
General
Political C.F.O.s., Inc
M
Mailing Address 2452 Vale Way

City
Erie
Accounting & Compliance Services
State
CO
Zip Code
State:
08
2016
80516-4035
3540.00
Memo Item
Candidate Name
Office Sought:
06
Category/
Type
House
Senate
President
District:

Primary
General
Other (specify)
C.
Signapay
M
Mailing Address 105 Decker Ct

Ste 650
City
Irving
Merchant Fees
State
TX
Zip Code
75062-2814
State:
02
2016
317.85
Memo Item
Category/
Type
House
Senate
President
District:

Primary
Other (specify)
Transaction ID : VSG649PKCP1
General

FE5AN018
Candidate Name
Office Sought:
06
,
,
,
,
12607.85
.
.
Image# 201607159020614973


36 OF
PAGE
FOR LINE NUMBER:

(check only one)
40
17
18
19a
19b
20a
20b
20c
21

A.
The Printers
M
06
Mailing Address 311 S 8th St

City
Bismarck
Printing/Campaign Materials and Stationary
State
ND
Zip Code
58504-5608
2016
08
2196.04
Memo Item
Candidate Name
Category/
Type
Office Sought:
House
Senate
President
State:
District:
B.

Primary
Other (specify)
General
The Winding Creek Group
M
Mailing Address 18118 Chesterfield Airport Rd

Ste A
City
Chesterfield
Website Design Services
State
MO
Zip Code
State:
08
2016
63005-1124
11250.00
Memo Item
Candidate Name
Office Sought:
06
Category/
Type
House
Senate
President
District:

Primary
General
Other (specify)
C.
US Postal Service
M
Mailing Address 220 E Rosser Ave

Rm 112
City
Bismarck
Postage
State
ND
Zip Code
58501-3869
State:
02
2016
141.00
Memo Item
Category/
Type
House
Senate
President
District:

Primary
Other (specify)
Transaction ID : VSG649PKCK7
General

FE5AN018
Candidate Name
Office Sought:
06
,
,
,
,
13587.04
.
.
Image# 201607159020614974


37 OF
PAGE
FOR LINE NUMBER:

(check only one)
40
17
18
19a
19b
20a
20b
20c
21

A.
US Postal Service
M
Mailing Address 220 E Rosser Ave

Rm 112
City
Bismarck
Postage/Stamps
06
State
ND
Zip Code
58501-3869
2016
14
94.00
Memo Item
Candidate Name
Category/
Type
Office Sought:
House
Senate
President
State:
District:

Primary
Other (specify)
General
B.
Mailing Address
City
State
Zip Code
Candidate Name
Office Sought:
State:
Memo Item
Category/
Type
House
Senate
President
District:
Disbursement For:
Primary
Other (specify)
General

C.
Mailing Address
City
State
Zip Code
Candidate Name
Office Sought:
State:
,
,
94.00
Category/
Type
House
Senate
President
District:
Disbursement For:
Primary
Other (specify)
General

FE5AN018
Memo Item
,
,
.
35096.58
.
Image# 201607159020614975
SCHEDULE D (FEC Form 3)

DEBTS AND OBLIGATIONS
PAGE
(Use separate
schedule(s)
for each
numbered line)
Excluding Loans
38 OF
FOR LINE NUMBER:

(check only one)
40
9
10

Nature of Debt (Purpose):
Candidate Media Training
A. Full Name (Last, First, Middle Initial) of Debtor or Creditor
BAE Executive Media Training, LLC

Mailing Address
City
3451 Halliday Ave
State
Zip Code
Saint Louis
MO
63118-1101
Transaction ID : VSE7M9H78F3
Outstanding Balance Beginning This Period
4860.70
Amount Incurred This Period
0.00
Outstanding Balance at Close of This Period
Payment This Period
0.00
B. Full Name (Last, First, Middle Initial) of Debtor or Creditor
Zip Code
OK
Transaction ID : VSE7M9H78G1
7158.21
2500.00
Payment This Period
3750.00
C. Full Name (Last, First, Middle Initial) of Debtor or Creditor
State
DC
Washington
5908.21
Zip Code
20003-4303
Transaction ID : VSE7M9H78H9
611 Pennsylvania Ave SE

Ste 112
City

Polling
Lincoln Park Strategies

Mailing Address
4860.70
73118
1900 NW Expressway, Suite 825
City
State
Oklahoma City

Online Fundraising Consulting Fees
Focus Matters
Mailing Address
10463.00
Payment This Period

0.00
22875.00
1) SUBTOTALS This Period This Page (optional) ...................................................................
,
,
33643.91
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)
,
,
,
,
12412.00
.
.
.
.
FEC Schedule D (Form 3) (Revised 02/2003)
FE5AN018
Image# 201607159020614976

PAGE
(Use separate
schedule(s)
for each
numbered line)
Excluding Loans
39 OF
FOR LINE NUMBER:

(check only one)
40
9
10

New Media Strategy Services
New Blue Interactive

Mailing Address
1146 19th St NW
Ste 750
State
City
Zip Code
Washington
DC
20036-3740
Transaction ID : VSE7M9H7FP2
0.00
3500.00
Payment This Period
0.00
3500.00

NGPVan
Mailing Address
City
Washington
1101 15th St NW
Ste 500
State
Zip Code
DC
20005-5006
Transaction ID : VSE7M9H78J7
3300.00
0.00
Payment This Period
3300.00
State
NY
Manorville
Zip Code
11949-3446
Transaction ID : VSE7M9H7FC3
0.00
443 Wading River Rd
City

Expense Reimbursement
Jaime Peters
Mailing Address
0.00
Payment This Period

0.00
3235.02
,
,
6735.02
,
,
,
,
,
,
3235.02
.
.
.
.
FE5AN018
Image# 201607159020614977

PAGE
(Use separate
schedule(s)
for each
numbered line)
Excluding Loans
40 OF
FOR LINE NUMBER:

(check only one)
40
9
10

Campaign Management Consulting Fees
Jaime Peters
Mailing Address
City
443 Wading River Rd
State
Zip Code
Manorville
NY
11949-3446
Transaction ID : VSE7M9H7FD1
0.00
2500.00
Payment This Period
0.00
City
Erie
Zip Code
CO
Transaction ID : VSE7M9H78K5
3540.00
6000.00
Payment This Period
3540.00
State
MO
Chesterfield
6000.00
Zip Code
63005-1124
Transaction ID : VSE7M9H78E5
18118 Chesterfield Airport Rd

Ste A
City

Website Design
The Winding Creek Group

Mailing Address
2500.00
80516-4035
2452 Vale Way
State

Accounting and Compliance Services
Political C.F.O.s., Inc

Mailing Address
15750.00
Payment This Period

11250.00
4500.00
,
,
,
,
.
53378.93
.
,
,
0.00
,
,
0.00
13000.00
.
53378.93
.
FE5AN018

Iron Eyes July Quarterly

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Iron Eyes July Quarterly

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07/15/2016 18 : 50

For An Authorized Committee

Office Use Only

Example: If typing, type

Committee to Elect Chase Iron Eyes to Congress

ADDRESS (number and street)

FEC IDENTIFICATION NUMBER

12-Day PRE-Election Report for the:

April 15 Quarterly Report (Q1)

October 15 Quarterly Report (Q3)

January 31 Year-End Report (YE)

30-Day POST-Election Report for the:

Termination Report (TER)

FEC Form 3 (Revised 02/2003)

Write or Type Committee Name

Committee to Elect Chase Iron Eyes to Congress

Report Covering the Period:

Total Contribution Refunds

Net Contributions (other than loans)

Total Operating Expenditures

Total Offsets to Operating

Net Operating Expenditures

Cash on Hand at Close of

Debts and Obligations Owed TO

10. Debts and Obligations Owed BY

Net Operating Expenditures

Net Contributions (other than loans)

For further information contact:

DETAILED SUMMARY PAGE

FEC Form 3 (Revised 12/2003)

Write or Type Committee Name

Committee to Elect Chase Iron Eyes to Congress

Report Covering the Period:

11. CONTRIBUTIONS (other than loans) FROM:

Individuals/Persons Other Than

(ii) Unitemized ....................................

The Candidate ....................................

Political Party Committees .................

12. TRANSFERS FROM OTHER

14. OFFSETS TO OPERATING

15. OTHER RECEIPTS

16. TOTAL RECEIPTS (add Lines

All Other Loans...................................

DETAILED SUMMARY PAGE

17. OPERATING EXPENDITURES .....................

18. TRANSFERS TO OTHER

19. LOAN REPAYMENTS:

TOTAL CONTRIBUTION REFUNDS

21. OTHER DISBURSEMENTS .........................

22. TOTAL DISBURSEMENTS

23. CASH ON HAND AT BEGINNING OF REPORTING PERIOD ...............................................

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

Of All Other Loans ..............................

20. REFUNDS OF CONTRIBUTIONS TO:

Political Party Committees ..................

III. CASH SUMMARY

SCHEDULE A (FEC Form 3)

Use separate schedule(s)

FOR LINE NUMBER:

Committee to Elect Chase Iron Eyes to Congress

Mailing Address 5132 Fulton St NW