PAGE 1 / 329

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 T

12FE4M5

Tom Smith for Senate

2340 SMITH ROAD

ADDRESS (number and street)
T

SHELOCTA

PA

T

FEC IDENTIFICATION NUMBER T

C

(a)

CITY

STATE

3. IS THIS
REPORT

C00501189

4. TYPE OF REPORT

T

2.

(Choose One)

(b)

15774

T

Check if different
than previously
reported. (ACC)

NEW
(N)

ZIP CODE
STATE T DISTRICT
AMENDED
(A)

OR

00

PA

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)

M

/

D

D

/

Y

Y

Y

in the
State of

Y

Election on

January 31 Year-End Report (YE)

(c)

30-Day POST-Election Report for the:
General (30G)

Termination Report (TER)

M

M

/

Runoff (30R)
D

D

/

Y

Y

M

/

D

Y

Y

D

/

Special (30S)
in the
State of

Election on

M

5.

Covering Period

M

/

04

D

D

05

/

Y

Y

Y

2012

M

Y

through

06

Y

Y

Y

Y

2012

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

Lisa Lisker
M

Signature of Treasurer

Lisa Lisker

Date

M

07

/

D

D

12

/

Y

Y

Y

Y

2012

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)

SUMMARY PAGE
of Receipts and Disbursements

FEC Form 3 (Revised 02/2003)

PAGE
Page
2 2 / 329

Write or Type Committee Name

Tom Smith for Senate
M

Report Covering the Period:

From:

M

04

/

D

D

05

/

Y

Y

Y

Y

M

2012

To:

COLUMN A
This Period
6.

9.

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)) ......

D

D

/

Y

Y

Y

2012

30

COLUMN B
Election Cycle-to-Date

,
S

,
S

703881.08

.
S

,
S

,
S

1459234.92

,
S

,
S

,
S

.
S

1000.00

.
S

,
S

,
S

1000.00

,
S

702881.08

.
S

,
S

,
S

1458234.92

,
S

,
S

1893763.74

.
S

,
S

,
S

5667660.96

,
S

,
S

2603.15

.
S

,
S

,
S

3941.68

,
S

,
S

1891160.59

.
S

,
S

,
S

5663719.28

,
S

,
S

2280655.41

,
S

,
S

,
S

,
S

.
S
.
S

Net Operating Expenditures
(a)

8.

/

Net Contributions (other than loans)
(a)

7.

M

06

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)) ......

Cash on Hand at Close of
Reporting Period (from Line 27) .................
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) ................

.
S
.
S

0.00

.
S

6475000.00

For further information contact:
Federal Election Commission
999 E Street, NW
Washington, DC 20463
Toll Free 800-424-9530
Local 202-694-1100

FE5AN018

.
S
.
S
.
S

Y

DETAILED SUMMARY PAGE
of Receipts

FEC Form 3 (Revised 12/2003)

PAGE
Page
3 3 / 329

Write or Type Committee Name

Tom Smith for Senate
M

Report Covering the Period:

M

04

From:

/

D

D

/

Y

Y

Y

Y

M

2012

05

To:

/

D

D

/

30

Y

Y

Y

2012

COLUMN B
Election Cycle-to-Date

COLUMN A
Total This Period

I. RECEIPTS

M

06

11. CONTRIBUTIONS (other than loans) FROM:
(a)

Individuals/Persons Other Than
Political Committees
(i) Itemized (use Schedule A) ...........

.
S

,
S

,
S

852524.45

.
S

,
S

,
S

225553.28

.
S

,
S

,
S

1078077.73

.
S

,
S

,
S

.
S

,
S

,
S

58890.62

.
S

,
S

,
S

322266.57

.
S

,
S

,
S

1459234.92

9425.68

.
S

,
S

,
S

9425.68

1500000.00

.
S

,
S

,
S

6475000.00

.
S

0.00

,
S

,
S

.
S

,
S

,
S

6475000.00

2603.15

.
S

,
S

,
S

3941.68

315.70

.
S

,
S

,
S

6177.89

2216225.61

,
S

,
S

7953780.17

,
S

473575.45

(ii) Unitemized ....................................
(iii) TOTAL of contributions
from individuals .......................

,
S

,
S

139863.91

,
S

,
S

613439.36

Political Party Committees .................
Other Political Committees
(such as PACs) ...................................

,
S

,
S

,
S

,
S

48365.62

The Candidate ....................................
TOTAL CONTRIBUTIONS
(other than loans)
(add Lines 11(a)(iii), (b), (c), and (d)) ..

,
S

,
S

42076.10

,
S

,
S

703881.08

12. TRANSFERS FROM OTHER
AUTHORIZED COMMITTEES ....................

,
S

,
S

13. LOANS:
(a) Made or Guaranteed by the
Candidate ............................................

,
S

,
S

,
S

,
S

,
S

,
S

1500000.00

14. OFFSETS TO OPERATING
EXPENDITURES
(Refunds, Rebates, etc.) ............................

,
S

,
S

15. OTHER RECEIPTS
(Dividends, Interest, etc.) ...........................

,
S

,
S

16. TOTAL RECEIPTS (add Lines
11(e), 12, 13(c), 14, and 15)
(Carry Total to Line 24, page 4) ............

,
S

,
S

T

,
S

(d)
(e)

(b)
(c)

FE5AN018

All Other Loans...................................
TOTAL LOANS
(add Lines 13(a) and (b)) ....................

T

(b)
(c)

0.00

.
S

.
S
.
S
.
S
.
S

0.00

.
S
.
S
.
S
.
S
.
S

0.00

.
S
.
S
.
S
.
S
.
S

Y

DETAILED SUMMARY PAGE
of Disbursements

FEC Form 3 (Revised 02/2003)

PAGE
Page
4 4 / 329

COLUMN A
Total This Period

II. DISBURSEMENTS

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

,
S

,
S

18. TRANSFERS TO OTHER
AUTHORIZED COMMITTEES .....................

,
S

19. LOAN REPAYMENTS:
(a) Of Loans Made or Guaranteed
by the Candidate .................................

COLUMN B
Election Cycle-to-Date

.
S

,
S

,
S

,
S

.
S

0.00

,
S

,
S

.
S

,
S

,
S

.
S

0.00

,
S

,
S

.
S

,
S

,
S

.
S

0.00

,
S

,
S

.
S

,
S

,
S

.
S

0.00

,
S

,
S

.
S

,
S

,
S

1000.00

.
S

,
S

,
S

1000.00

,
S

,
S

.
S

0.00

,
S

,
S

.
S

,
S

,
S

.
S

0.00

,
S

,
S

.
S

TOTAL CONTRIBUTION REFUNDS
(add Lines 20(a), (b), and (c))..............

,
S

,
S

1000.00

.
S

,
S

,
S

1000.00

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

,
S

,
S

1250.00

.
S

,
S

,
S

4463.80

22. TOTAL DISBURSEMENTS
(add Lines 17, 18, 19(c), 20(d), and 21)

,
S

,
S

1896013.74

.
S

,
S

,
S

5673124.76

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

,
S

,
S

1960443.54

TOTAL RECEIPTS THIS PERIOD (from Line 16, page 3) .....................................................

,
S

,
S

2216225.61

24

25. SUBTOTAL (add Line 23 and Line 24) ..................................................................................

,
S

,
S

4176669.15

,
S

,
S

1896013.74

26. TOTAL DISBURSEMENTS THIS PERIOD (from Line 22) ......................................................
27. CASH ON HAND AT CLOSE OF REPORTING PERIOD
(subtract Line 26 from Line 25)..............................................................................................

,
S

,
S

2280655.41

(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 ..................

(d)

Political Party Committees ..................
Other Political Committees
(such as PACs) ....................................

T

(b)
(c)

1893763.74

.
S

5667660.96

0.00

0.00
0.00

0.00

.
S

0.00
0.00

.
S
.
S
.
S

III. CASH SUMMARY

FE5AN018

.
S
.
S
.
S
.
S
.
S

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