10/25/2012 14 : 53 Image# 12940440254 PAGE 1 / 112

FEC FORM 3
1. NAME OF COMMITTEE (in full)

REPORT OF RECEIPTS AND DISBURSEMENTS
For An Authorized Committee
TYPE OR PRINT
Office Use Only

Example: If typing, type over the lines.

12FE4M5

Collins for Congress

PO Box 386

ADDRESS (number and street) Check if different than previously reported. (ACC) 2.

Clarence

NY

14031-0386

FEC IDENTIFICATION NUMBER

CITY 3. IS THIS REPORT NEW (N)

STATE AMENDED (A)

ZIP CODE STATE DISTRICT
NY 27

C

C00520379

OR

4. TYPE OF REPORT
(a) Quarterly Reports:

(Choose One)

(b)

12-Day PRE-Election Report for the: Primary (12P) General (12G) Special (12S)
D / Y Y Y Y

Runoff (12R)

April 15 Quarterly Report (Q1)

Convention (12C)
July 15 Quarterly Report (Q2)
M M / D

October 15 Quarterly Report (Q3) January 31 Year-End Report (YE)

Election on (c)

11

06

2012

in the State of

NY

30-Day POST-Election Report for the: General (30G) Runoff (30R)
D D / Y Y Y Y

Special (30S) in the State of

Termination Report (TER)

M

M

/

Election on

M

M

/

D

D

/

Y

Y

Y

Y

M

M

/

D

D

/

Y

Y

Y

Y

5.

Covering Period

10

01

2012

through

10

17

2012

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
Jocelyn Jakubus
M M / D D / Y Y Y Y

Signature of Treasurer

Jocelyn Jakubus

[Electronically Filed]

Date

10

25

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)

Image# 12940440255

SUMMARY PAGE
FEC Form 3 (Revised 02/2003) Write or Type Committee Name

of Receipts and Disbursements

PAGE Page 2 2 / 112

Collins for Congress
M M / D D / Y Y Y Y M M / D D / Y Y Y Y

Report Covering the Period:

From:

10

01

2012

To:

10

17

2012

COLUMN A This Period
6. Net Contributions (other than loans) (a) Total Contributions (other than loans) (from Line 11(e)) .... Total Contribution Refunds (from Line 20(d)) .................................. Net Contributions (other than loans) (subtract Line 6(b) from Line 6(a)) ......

COLUMN B Election Cycle-to-Date

฀ ฀ ฀

,฀ ,฀ ,฀

,฀ ,฀ ,฀

173200.94

. . .

฀ ฀ ฀

,฀ ,฀ ,฀

,฀ ,฀ ,฀

506907.94

. . .

(b)

0

0

(c)

173200.94

506907.94

7.

Net Operating Expenditures (a) Total Operating Expenditures (from Line 17) ...................................... Total Offsets to Operating Expenditures (from Line 14) ................ Net Operating Expenditures (subtract Line 7(b) from Line 7(a)) ......

฀ ฀ ฀ ฀

,฀ ,฀ ,฀ ,฀ ,฀ ,฀

,฀ ,฀ ,฀ ,฀ ,฀ ,฀

160643.53

. . . . . .

฀ ฀ ฀

,฀ ,฀ ,฀

,฀ ,฀ ,฀

982092.8

. . .

(b)

0

0

(c)

160643.53

982092.8

8.

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) ................

179328.85

9.

0

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

681325.15

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# 12940440256

DETAILED SUMMARY PAGE
FEC Form 3 (Revised 12/2003) Write or Type Committee Name

of Receipts

PAGE Page 3 3 / 112

Collins for Congress
M M / D D / Y Y Y Y M M / D D / Y Y Y Y

Report Covering the Period:

From:

10

01

2012

To:

10

17

2012

I. RECEIPTS
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) (c) Political Party Committees ................. Other Political Committees (such as PACs) ................................... The Candidate .................................... TOTAL CONTRIBUTIONS (other than loans) (add Lines 11(a)(iii), (b), (c), and (d)) ..

COLUMN A Total This Period

COLUMN B Election Cycle-to-Date

฀ ฀ ฀ ฀ ฀ ฀ ฀ ฀

,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀

,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀

91701

.

฀ ฀ ฀ ฀ ฀ ฀ ฀ ฀

,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀

,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀

91701 246207

. .

(d) (e)

. 0 91701 . 2000 . 79499.94 . .0
173200.94

. 9000 . 159999.94 . .0
337908 506907.94

. . . . . . . .

. . .

12. TRANSFERS FROM OTHER AUTHORIZED COMMITTEES .................... 13. LOANS: (a) Made or Guaranteed by the Candidate ............................................ (b) (c) All Other Loans................................... TOTAL LOANS (add Lines 13(a) and (b)) ....................

0

4513.71

฀ ฀ ฀

0 0 0

฀ ฀ ฀

650000

. 0 650000 . . . .
0

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) ............

฀ ฀ ฀

0

฀ ฀ ฀

0

0

173200.94

1161421.65

FE5AN018

Image# 12940440257

DETAILED SUMMARY PAGE
FEC Form 3 (Revised 02/2003)

of Disbursements
COLUMN A Total This Period

PAGE Page 4 4 / 112

II. DISBURSEMENTS

COLUMN B Election Cycle-to-Date

17. OPERATING EXPENDITURES ..................... 18. TRANSFERS TO OTHER AUTHORIZED COMMITTEES ..................... 19. LOAN REPAYMENTS: (a) Of Loans Made or Guaranteed by the Candidate ................................. (b) (c) Of All Other Loans .............................. TOTAL LOAN REPAYMENTS (add Lines 19(a) and (b)) .....................

฀ ฀

,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀

,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀

160643.53

. . . . . . . . . . .

฀ ฀

,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀

,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀ ,฀

982092.8

. . . . . . . . . . .

0

0

฀ ฀ ฀

0 0 0

฀ ฀ ฀

0 0 0

20. REFUNDS OF CONTRIBUTIONS TO: (a) Individuals/Persons Other Than Political Committees .................. (b) (c) Political Party Committees .................. Other Political Committees (such as PACs) .................................... TOTAL CONTRIBUTION REFUNDS (add Lines 20(a), (b), and (c))..............

฀ ฀ ฀ ฀ ฀ ฀

0 0 0

฀ ฀ ฀ ฀ ฀ ฀

0 0 0

(d)

0

0

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

0

0

160643.53

982092.8

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

฀ ฀ ฀ ฀ ฀

,฀ ,฀ ,฀ ,฀ ,฀

,฀ ,฀ ,฀ ,฀ ,฀

166771.44

. . . . .

24

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

173200.94

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

339972.38

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

160643.53

179328.85

FE5AN018

Image# 12940440258

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

5

OF

112

11d 14 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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Joseph M. McMahon
Mailing Address 814 Wurlitzer Drive City
North Tonawanda

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

10

09

2012

State NY

Zip Code
14120-3042

Transaction ID : A-PI458

FEC ID number of contributing federal political committee. Name of Employer Audubon Machinery Receipt For: 2012 Primary Other (specify) General

C
Occupation President Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
1000

,

1000

.

[MEMO ITEM] Partnership Itemization Memo

.

Full Name (Last, First, Middle Initial)

B.

Joseph Gerbasi
Mailing Address 4850 Martingale Court City East Aurora FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

12

2012

State NY

Zip Code 14052-3114

Transaction ID : A-C9454

C
Occupation
Information Requested

Amount of Each Receipt this Period

, , ,
100 .

,

.100

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

Timothy McGrath
Mailing Address 118 Cook Road City East Aurora FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

05

2012

State NY

Zip Code
14052-2731

Transaction ID : A-PI411

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .150

,

.150

Receipt For: 2012 Primary Other (specify)

General

,

[MEMO ITEM] Partnership Itemization Memo

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

, ,

, ,

100.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440259

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

6

OF

112

11d 14 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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Robert Lipp
Mailing Address 6629 N Canal Road City
Lockport

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

10

16

2012

State NY

Zip Code
14094-9401

Transaction ID : A-C9420

FEC ID number of contributing federal political committee. Name of Employer Information Requested Receipt For: 2012 Primary Other (specify) General

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .100
Date of Receipt
M M / D D /

,

.100

,

Full Name (Last, First, Middle Initial)

B.

Philip Kadet
Mailing Address 395 Linden Avenue City East Aurora FEC ID number of contributing federal political committee. Name of Employer
NA

Y

Y

Y

Y

10

12

2012

State NY

Zip Code 14052-2932

Transaction ID : A-C9463

C
Occupation
Retired

Amount of Each Receipt this Period

, , ,
200 .

,

.200

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

Philip M Corwin
Mailing Address 5151 Rockledge Drive City Clarence FEC ID number of contributing federal political committee. Name of Employer
NA

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

10

09

2012

State NY

Zip Code
14031-2441

Transaction ID : A-PI443

C
Occupation retired Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
2800

,

.300

Receipt For: 2012 Primary Other (specify)

General

.

[MEMO ITEM] Partnership Itemization Memo

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

, ,

, ,

300.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440260

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

7

OF

112

11d 14 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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Denise Rapalje
Mailing Address 47 Park Place City
East Aurora

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

10

12

2012

State NY

Zip Code
14052-2309

Transaction ID : A-C9451

FEC ID number of contributing federal political committee. Name of Employer Information Requested Receipt For: 2012 Primary Other (specify) General

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .125
Date of Receipt
M M / D D /

,

.125

,

Full Name (Last, First, Middle Initial)

B.

Joseph McLaughlin
Mailing Address 12 Colonial Lane City Riverside FEC ID number of contributing federal political committee. Name of Employer
Sidley Austin

Y

Y

Y

Y

10

02

2012

State CT

Zip Code 06878-2301

Transaction ID : A-C9376

C
Occupation
Lawyer

Amount of Each Receipt this Period

, , ,
500 .

,

.500

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

Michael F Newman
Mailing Address 23 Four Seasons Road W City Buffalo FEC ID number of contributing federal political committee. Name of Employer
NOCO Energy Corp.

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

10

17

2012

State NY

Zip Code
14226-4246

Transaction ID : A-C9413

C
Occupation Manager Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
5000

,

2500

.

Receipt For: 2012 Primary Other (specify)

General

.

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

, ,

, ,

3125.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440261

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

8

OF

112

11d 14 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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Steven Baldo
Mailing Address 4701 Red Oak Court City
Hamburg

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

10

09

2012

State NY

Zip Code
14075-5441

Transaction ID : A-PI437

FEC ID number of contributing federal political committee. Name of Employer Information Requested Receipt For: 2012 Primary Other (specify) General

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .150
Date of Receipt
M M / D D /

,

.150

[MEMO ITEM] Partnership Itemization Memo

,

Full Name (Last, First, Middle Initial)

B.

JD Crane
Mailing Address PO Box 589 City Amherst FEC ID number of contributing federal political committee. Name of Employer
Tonawanda Coke

Y

Y

Y

Y

10

09

2012

State NY

Zip Code 14226-0589

Transaction ID : A-PI454

C
Occupation
CEO

Amount of Each Receipt this Period

, , ,
5000

,

2500

.

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

[MEMO ITEM] Partnership Itemization Memo

.

Full Name (Last, First, Middle Initial)

C.

John R Yurtchuk
Mailing Address 27 S Woodside Lane City Williamsville FEC ID number of contributing federal political committee. Name of Employer
Calspan Corp.

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

10

09

2012

State NY

Zip Code
14221-5950

Transaction ID : A-PI466

C
Occupation Chairman Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
1500

,

1500

.

Receipt For: 2012 Primary Other (specify)

General

.

[MEMO ITEM] Partnership Itemization Memo

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

, ,

, ,

0.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440262

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

9

OF

112

11d 14 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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Michael J. Songin
Mailing Address 8612 Main Street City
Williamsville

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

10

12

2012

State NY

Zip Code
14221-7462

Transaction ID : A-PI405

FEC ID number of contributing federal political committee. Name of Employer Songin CPAs, PLLC Receipt For: 2012 Primary Other (specify) General

C
Occupation Partner Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .250
Date of Receipt
M M / D D /

,

.250

[MEMO ITEM] Partnership Itemization Memo

Full Name (Last, First, Middle Initial)

B.

The Committee to Elect George Marziarz
Mailing Address 3280 Craig Drive City North Tonawanda FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify) State NY Zip Code 14120-1252

Y

Y

Y

Y

10

05

2012

Transaction ID : A-PI414

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
150 .

,

.150

General

[MEMO ITEM] Partnership Itemization Memo

Full Name (Last, First, Middle Initial)

C.

Scott Yanity
Mailing Address 43 Koster Row City Amherst FEC ID number of contributing federal political committee. Name of Employer
Quest Communications

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

10

09

2012

State NY

Zip Code
14226-3420

Transaction ID : A-PI465

C
Occupation Senior Accountant Election Cycle-to-Date

Amount of Each Receipt this Period

, , .150

,

.150

Receipt For: 2012 Primary Other (specify)

General

,

[MEMO ITEM] Partnership Itemization Memo

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

, ,

, ,

0.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440263

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

10 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Douglas Hedges
Mailing Address 8 Miller Drive City
Lyndonville

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

10

05

2012

State NY

Zip Code
14098-9762

Transaction ID : A-C9369

FEC ID number of contributing federal political committee. Name of Employer NA Receipt For: 2012 Primary Other (specify) General

C
Occupation Retired Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .100
Date of Receipt
M M / D D /

,

. 50

Full Name (Last, First, Middle Initial)

B.

William Grove
Mailing Address 9030 Cliffside Drive City Clarence FEC ID number of contributing federal political committee. Name of Employer
NA

Y

Y

Y

Y

10

09

2012

State NY

Zip Code 14031-1460

Transaction ID : A-PI406

C
Occupation
Retired

Amount of Each Receipt this Period

, , ,
500 .

,

.500

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

[MEMO ITEM] Partnership Itemization Memo

Full Name (Last, First, Middle Initial)

C.

Kevin Stowell
Mailing Address PO Box 71552 City Fairbanks FEC ID number of contributing federal political committee. Name of Employer
Dept. of the Army

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

10

02

2012

State AK

Zip Code
99707-1552

Transaction ID : A-C9378

C
Occupation Auditor Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .100 , ,

,

.100

Receipt For: 2012 Primary Other (specify)

General

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

, ,

150.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440264

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

11 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Alphonso O'Neil-White
Mailing Address 15 Woodhaven Road City
Buffalo

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

10

12

2012

State NY

Zip Code
14226-4352

Transaction ID : A-C9475

FEC ID number of contributing federal political committee. Name of Employer Health Now New York Inc Receipt For: 2012 Primary Other (specify) General

C
Occupation CEO Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
1000

,

1000

.

.

Full Name (Last, First, Middle Initial)

B.

Thomas H Waring , Jr.
Mailing Address 3815 Hampton Brook Drive City Hamburg FEC ID number of contributing federal political committee. Name of Employer
Waring Financial Group

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

10

09

2012

State NY

Zip Code 14075-6334

Transaction ID : A-PI468

C
Occupation
Principal

Amount of Each Receipt this Period

, , ,
2600

,

.100

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

[MEMO ITEM] Partnership Itemization Memo

.

Full Name (Last, First, Middle Initial)

C.

Patricia M Brammer
Mailing Address 1 Orchard Hill Drive City Orchard Park FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

09

2012

State NY

Zip Code
14127-3535

Transaction ID : A-PI432

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .150

,

.150

Receipt For: 2012 Primary Other (specify)

General

,

[MEMO ITEM] Partnership Itemization Memo

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

, ,

, ,

1000.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440265

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

12 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

John B Long
Mailing Address 1550 Colvin Boulevard City
Buffalo

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

10

09

2012

State NY

Zip Code
14223-1120

Transaction ID : A-PI430

FEC ID number of contributing federal political committee. Name of Employer Information Requested Receipt For: 2012 Primary Other (specify) General

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .150
Date of Receipt
M M / D D /

,

.150

[MEMO ITEM] Partnership Itemization Memo

,

Full Name (Last, First, Middle Initial)

B.

Jeffrey Davis
Mailing Address 120 W Tupper Street City Buffalo FEC ID number of contributing federal political committee. Name of Employer
Information Requested

Y

Y

Y

Y

10

12

2012

State NY

Zip Code 14201-2170

Transaction ID : A-C9484

C
Occupation
Information Requested

Amount of Each Receipt this Period

, , ,
250 .

,

.250

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

James E Lee
Mailing Address 30 Dart Street City Buffalo FEC ID number of contributing federal political committee. Name of Employer
NA

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

10

12

2012

State NY

Zip Code
14213-1051

Transaction ID : A-C9478

C
Occupation Retired Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .130 , ,

,

. 53

Receipt For: 2012 Primary Other (specify)

General

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

, ,

303.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440266

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

13 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

John Waring
Mailing Address 3815 Hampton Brook Drive City
Hamburg

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

10

12

2012

State NY

Zip Code
14075-6334

Transaction ID : A-C9486

FEC ID number of contributing federal political committee. Name of Employer Information Requested Receipt For: 2012 Primary Other (specify) General

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .250
Date of Receipt
M M / D D /

,

.250

,

Full Name (Last, First, Middle Initial)

B.

Edwin Gozelski
Mailing Address 6175 East Lake Rd City Silver Springs FEC ID number of contributing federal political committee. Name of Employer
NA

Y

Y

Y

Y

10

09

2012

State NY

Zip Code 14550

Transaction ID : A-C9515

C
Occupation
Retired

Amount of Each Receipt this Period

, , ,
350 .

,

.250

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

Judith Attea
Mailing Address 5490 Via Marina City Williamsville FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

09

2012

State NY

Zip Code
14221-2839

Transaction ID : A-PI436

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .150

,

.150

Receipt For: 2012 Primary Other (specify)

General

,

[MEMO ITEM] Partnership Itemization Memo

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

, ,

, ,

500.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440267

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

14 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Friends of Rock Updegrove
Mailing Address 4688 Day Road City
Lockport

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

10

12

2012

State NY

Zip Code
14094-1650

Transaction ID : A-C9426

FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify)

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .300
Date of Receipt
M M / D D /

,

.300

General

Full Name (Last, First, Middle Initial)

B.

Peter M. Vito
Mailing Address 461 Linwood Avenue City Buffalo FEC ID number of contributing federal political committee. Name of Employer
Pete Vito & Associates

Y

Y

Y

Y

10

09

2012

State NY

Zip Code 14209-1630

Transaction ID : A-PI462

C
Occupation
President

Amount of Each Receipt this Period

, , ,
4000

,

1500

.

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

[MEMO ITEM] Partnership Itemization Memo

.

Full Name (Last, First, Middle Initial)

C.

James Finamore
Mailing Address 44 Belmont Avenue City Buffalo FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

09

2012

State NY

Zip Code
14223-1927

Transaction ID : A-PI445

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .150

,

.150

Receipt For: 2012 Primary Other (specify)

General

,

[MEMO ITEM] Partnership Itemization Memo

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

, ,

, ,

300.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440268

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

15 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

John O'Brien
Mailing Address 8622 Seven Springs Road City
Batavia

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

10

05

2012

State NY

Zip Code
14020-9601

Transaction ID : A-C9549

FEC ID number of contributing federal political committee. Name of Employer NA Receipt For: 2012 Primary Other (specify) General

C
Occupation Retired Election Cycle-to-Date

Amount of Each Receipt this Period

, , , . 20
Date of Receipt
M M / D D /

,

. 20

Full Name (Last, First, Middle Initial)

B.

Friends of James J Bach
Mailing Address 26 Hickory Lane City East Aurora FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify) State NY Zip Code 14052-2136

Y

Y

Y

Y

10

12

2012

Transaction ID : A-C9458

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
200 .

,

.200

General

Full Name (Last, First, Middle Initial)

C.

Frank Ciminelli
Mailing Address 350 Essjay Road Suite 101 City Williamsville FEC ID number of contributing federal political committee. Name of Employer
Ciminelli Development

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

10

09

2012

State NY

Zip Code
14221-8200

Transaction ID : A-PI439

C
Occupation CEO Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
3500

,

2500

.

Receipt For: 2012 Primary Other (specify)

General

.

[MEMO ITEM] Partnership Itemization Memo

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

, ,

, ,

220.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440269

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

16 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Robert LoMonaco
Mailing Address 564 Stonebridge Boulevard City
Pickerington

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

10

09

2012

State OH

Zip Code
43147-2098

Transaction ID : A-C9364

FEC ID number of contributing federal political committee. Name of Employer NA Receipt For: 2012 Primary Other (specify) General

C
Occupation Veteran Election Cycle-to-Date

Amount of Each Receipt this Period

, , , . 25
Date of Receipt
M M / D D /

,

. 25

Full Name (Last, First, Middle Initial)

B.

Matthew Dorn
Mailing Address 97 Depew Avenue City Buffalo FEC ID number of contributing federal political committee. Name of Employer
Information Requested

Y

Y

Y

Y

10

12

2012

State NY

Zip Code 14214-1509

Transaction ID : A-C9492

C
Occupation
Information Requested

Amount of Each Receipt this Period

, , ,
250 .

,

.250

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

Marc Smith
Mailing Address 7230 Woodhaven Drive City Lockport FEC ID number of contributing federal political committee. Name of Employer
Town of Lockport

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

10

01

2012

State NY

Zip Code
14094-6243

Transaction ID : A-C9575

C
Occupation Supervisor Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .300 , ,

,

.300

Receipt For: 2012 Primary Other (specify)

General

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

, ,

575.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440270

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

17 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Mark E Hamister
Mailing Address 136 Harbridge Manor City
Williamsville

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

10

09

2012

State NY

Zip Code
14221-5829

Transaction ID : A-PI449

FEC ID number of contributing federal political committee. Name of Employer Hamister Group Receipt For: 2012 Primary Other (specify) General

C
Occupation CEO Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
2500

,

2500

.

[MEMO ITEM] Partnership Itemization Memo

.

Full Name (Last, First, Middle Initial)

B.

Robert Glidden Jr.
Mailing Address 24 Dockside Lane # 18 City Key Largo FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

09

2012

State FL

Zip Code 33037-5267

Transaction ID : A-C9538

C
Occupation
Information Requested

Amount of Each Receipt this Period

, , ,
2500

,

2500

.

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

.

Full Name (Last, First, Middle Initial)

C.

Kevin McCabe
Mailing Address 66 S New York Street City Lockport FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

12

2012

State NY

Zip Code
14094-4227

Transaction ID : A-C9437

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, ,
2000

,

2000

.

Receipt For: 2012 Primary Other (specify)

General

,

.

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

, ,

, ,

4500.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440271

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

18 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Southtowns Financial Group LLP
Mailing Address 3438 Orchard Park Road City
Orchard Park

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

10

09

2012

State NY

Zip Code
14127-1619

Transaction ID : A-C9536

FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify)

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .
100

,

.100

General

Contribution from Partnership. Partners exceeding reporting threshold itemized as memos.

Full Name (Last, First, Middle Initial)

B.

John Marcus
Mailing Address PO Box 101 City Canandaigua FEC ID number of contributing federal political committee. Name of Employer
Self

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

10

14

2012

State NY

Zip Code 14424-0101

Transaction ID : A-C9355

C
Occupation
Self

Amount of Each Receipt this Period

, , ,
100 .

,

.100

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

Carol Bogenrieder
Mailing Address 300 Northrup Road City Elma FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

17

2012

State NY

Zip Code
14059-9677

Transaction ID : A-C9587

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , . 50 , ,

,

. 50

Receipt For: 2012 Primary Other (specify)

General

,

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

, ,

250.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440272

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

19 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

James Collins
Mailing Address 14 Ruskin Road City
East Aurora

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

10

12

2012

State NY

Zip Code
14052-1421

Transaction ID : A-C9466

FEC ID number of contributing federal political committee. Name of Employer Collins Agency Receipt For: 2012 Primary Other (specify) General

C
Occupation Insurance Agent Election Cycle-to-Date

Amount of Each Receipt this Period

, , .200
Date of Receipt
M M / D D /

,

.200

,

Full Name (Last, First, Middle Initial)

B.

George Kugler
Mailing Address 44 Gaffney Road City Lockport FEC ID number of contributing federal political committee. Name of Employer
Information Requested

Y

Y

Y

Y

10

05

2012

State NY

Zip Code 14094-5536

Transaction ID : A-PI413

C
Occupation
Information Requested

Amount of Each Receipt this Period

, , ,
300 .

,

.300

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

[MEMO ITEM] Partnership Itemization Memo

Full Name (Last, First, Middle Initial)

C.

Edward Weissman
Mailing Address 112 Delaware Avenue City Ithaca FEC ID number of contributing federal political committee. Name of Employer
Cornell University

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

10

03

2012

State NY

Zip Code
14850-4708

Transaction ID : A-C9373

C
Occupation Librarian Election Cycle-to-Date

Amount of Each Receipt this Period

, , , . 50 , ,

,

. 50

Receipt For: 2012 Primary Other (specify)

General

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

, ,

250.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440273

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

20 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Timothy Keller
Mailing Address 162 Stonham Way City
Williamsville

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

10

09

2012

State NY

Zip Code
14221-5831

Transaction ID : A-C9534

FEC ID number of contributing federal political committee. Name of Employer Information Requested Receipt For: 2012 Primary Other (specify) General

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .200
Date of Receipt
M M / D D /

,

.200

,

Full Name (Last, First, Middle Initial)

B.

Terrance Flynn
Mailing Address 69 Delaware Avenue Room 900 City Buffalo FEC ID number of contributing federal political committee. Name of Employer
Harris Beach

Y

Y

Y

Y

10

01

2012

State NY

Zip Code 14202-3809

Transaction ID : A-PI409

C
Occupation
Attorney

Amount of Each Receipt this Period

, , ,
150 .

,

.150

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

[MEMO ITEM] Partnership Itemization Memo

Full Name (Last, First, Middle Initial)

C.

Peter Krog
Mailing Address 4 Centre Drive City Orchard Park FEC ID number of contributing federal political committee. Name of Employer
The Krog Corporation

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

10

03

2012

State NY

Zip Code
14127-4117

Transaction ID : A-C9576

C
Occupation Partner Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
3500

,

2500

.

Receipt For: 2012 Primary Other (specify)

General

.

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

, ,

, ,

2700.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440274

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

21 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Dan Panarella
Mailing Address 125 Eltingville Boulevard City
Staten Island

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

10

10

2012

State NY

Zip Code
10312-3859

Transaction ID : A-C9365

FEC ID number of contributing federal political committee. Name of Employer US Dept. of HUD Receipt For: 2012 Primary Other (specify) General

C
Occupation Admin Staff Specialist Election Cycle-to-Date

Amount of Each Receipt this Period

, , . 25
Date of Receipt
M M / D D /

,

. 25

,

Full Name (Last, First, Middle Initial)

B.

Mark Kostrzewski
Mailing Address 107 Oakland Place Unit 2 City Buffalo FEC ID number of contributing federal political committee. Name of Employer
MBK & Associates

Y

Y

Y

Y

10

12

2012

State NY

Zip Code 14222-2047

Transaction ID : A-C9483

C
Occupation
President

Amount of Each Receipt this Period

, , ,
250 .

,

.250

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

Susan Reisdorf
Mailing Address 1914 Welch Road City North Java FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

09

2012

State NY

Zip Code
14113-9712

Transaction ID : A-C9517

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .250 , ,

,

.250

Receipt For: 2012 Primary Other (specify)

General

,

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

, ,

525.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440275

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

22 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Donald I. Dussing , Jr.
Mailing Address 6201 Senate Circle City
East Amherst

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

10

05

2012

State NY

Zip Code
14051-1979

Transaction ID : A-PI423

FEC ID number of contributing federal political committee. Name of Employer Information Requested Receipt For: 2012 Primary Other (specify) General

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .500
Date of Receipt
M M / D D /

,

.500

[MEMO ITEM] Partnership Itemization Memo

,

Full Name (Last, First, Middle Initial)

B.

Michail Kouimanis
Mailing Address PO Box 454 City Clarence Center FEC ID number of contributing federal political committee. Name of Employer
Amstar of WNY Inc.

Y

Y

Y

Y

10

09

2012

State NY

Zip Code 14032-0454

Transaction ID : A-C9510

C
Occupation
Owner

Amount of Each Receipt this Period

, , ,
1000

,

1000

.

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

.

Full Name (Last, First, Middle Initial)

C.

Patricia Schiavone
Mailing Address 7198 Brookside Drive City Lockport FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

17

2012

State NY

Zip Code
14094-6261

Transaction ID : A-C9409

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , . 49 , ,

,

. 49

Receipt For: 2012 Primary Other (specify)

General

,

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

, ,

1049.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440276

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

23 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Gregory Marchiori
Mailing Address 6653 Main Street City
Williamsville

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

10

12

2012

State NY

Zip Code
14221-5906

Transaction ID : A-C9502

FEC ID number of contributing federal political committee. Name of Employer Energy Mark, LLC Receipt For: 2012 Primary Other (specify) General

C
Occupation President Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .500
Date of Receipt
M M / D D /

,

.500

Full Name (Last, First, Middle Initial)

B.

Robert Glidden III
Mailing Address 60 S Woodside Lane City Williamsville FEC ID number of contributing federal political committee. Name of Employer
Robert-James Sales

Y

Y

Y

Y

10

09

2012

State NY

Zip Code 14221-5949

Transaction ID : A-C9537

C
Occupation
Director

Amount of Each Receipt this Period

, , ,
2500

,

2500

.

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

.

Full Name (Last, First, Middle Initial)

C.

MDI, LLC
Mailing Address PO Box 2117 City Williamsville FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify) State NY Zip Code
14231-2117

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

10

09

2012

Transaction ID : A-C9535

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .150 , ,

,

.150

General

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

, ,

3150.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440277

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

24 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Berton Steir
Mailing Address 11444 W Olympic Boulevard City
Los Angeles

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

10

12

2012

State CA

Zip Code
90064-1549

Transaction ID : A-C9472

FEC ID number of contributing federal political committee. Name of Employer Service Corp. of America Receipt For: 2012 Primary Other (specify) General

C
Occupation President Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
1000

,

1000

.

.

Full Name (Last, First, Middle Initial)

B.

Daniel Michnik
Mailing Address 4735 Margaret Drive City Clarence FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

09

2012

State NY

Zip Code 14031-2250

Transaction ID : A-PI453

C
Occupation
Information Requested

Amount of Each Receipt this Period

, , ,
150 .

,

.150

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

[MEMO ITEM] Partnership Itemization Memo

Full Name (Last, First, Middle Initial)

C.

Robert Liguori
Mailing Address 276 Middlesex Road City Buffalo FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

05

2012

State NY

Zip Code
14216-3118

Transaction ID : A-PI421

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .100

,

.100

Receipt For: 2012 Primary Other (specify)

General

,

[MEMO ITEM] Partnership Itemization Memo

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

, ,

, ,

1000.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440278

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

25 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Gerald Buchheit
Mailing Address 6210 Old Lake Shore City
Lakeview

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

10

11

2012

State NY

Zip Code
14075

Transaction ID : A-C9507

FEC ID number of contributing federal political committee. Name of Employer Self Receipt For: 2012 Primary Other (specify) General

C
Occupation Developer Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
5000

,

2500

.

.

Full Name (Last, First, Middle Initial)

B.

Alan Randaccio
Mailing Address 8173 Driftwood Court City Williamsville FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

12

2012

State NY

Zip Code 14221-8501

Transaction ID : A-C9477

C
Occupation
Information Requested

Amount of Each Receipt this Period

, , ,
100 .

,

.100

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

John Butcher
Mailing Address 210 Summit Street City Lockport FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

12

2012

State NY

Zip Code
14094-4860

Transaction ID : A-C9430

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .300 , ,

,

.300

Receipt For: 2012 Primary Other (specify)

General

,

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

, ,

2900.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440279

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

26 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Seaman, Jones, Hogan & Brooks
Mailing Address 76 West Avenue City
Lockport

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

10

12

2012

State NY

Zip Code
14094-3641

Transaction ID : A-C9435

FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify)

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .500
Date of Receipt
M M / D D /

,

.500

General

Full Name (Last, First, Middle Initial)

B.

Michael J. McDermid
Mailing Address 37 Franklin Street Suite 500 City Buffalo FEC ID number of contributing federal political committee. Name of Employer
Mass Mutual

Y

Y

Y

Y

10

01

2012

State NY

Zip Code 14202-4118

Transaction ID : A-C9569

C
Occupation
Investment Agent

Amount of Each Receipt this Period

, , ,
100 .

,

.100

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

Frederick Zimmerman
Mailing Address 5 Hedwig Circle City Houston FEC ID number of contributing federal political committee. Name of Employer
Texas Independent

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

10

03

2012

State TX

Zip Code
77024-4521

Transaction ID : A-C9374

C
Occupation Geologist Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .100 , ,

,

.100

Receipt For: 2012 Primary Other (specify)

General

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

, ,

700.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440280

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

27 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Peter Glor
Mailing Address 9589 Cobblestone Drive City
Clarence

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

10

03

2012

State NY

Zip Code
14031-2421

Transaction ID : A-C9560

FEC ID number of contributing federal political committee. Name of Employer Schmitt Sales, Inc. Receipt For: 2012 Primary Other (specify) General

C
Occupation Executive Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .500
Date of Receipt
M M / D D /

,

.500

Full Name (Last, First, Middle Initial)

B.

Donald J Siwek Funeral Home
Mailing Address 3000 Delaware Avenue City Kenmore FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify) State NY Zip Code 14217-2324

Y

Y

Y

Y

10

12

2012

Transaction ID : A-C9461

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
125 .

,

.125

General

Full Name (Last, First, Middle Initial)

C.

Gail Alexander
Mailing Address 152 Howell Street City Canandaigua FEC ID number of contributing federal political committee. Name of Employer
NA

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

10

15

2012

State NY

Zip Code
14424-1254

Transaction ID : A-C9416

C
Occupation Homemaker Election Cycle-to-Date

Amount of Each Receipt this Period

, ,
2500

,

2500

.

Receipt For: 2012 Primary Other (specify)

General

,

.

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

, ,

, ,

3125.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440281

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

28 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Peter C Grollitsch
Mailing Address PO Box 768 City
Williamsville

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

10

05

2012

State NY

Zip Code
14231-0768

Transaction ID : A-PI419

FEC ID number of contributing federal political committee. Name of Employer Information Requested Receipt For: 2012 Primary Other (specify) General

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .150
Date of Receipt
M M / D D /

,

.150

[MEMO ITEM] Partnership Itemization Memo

,

Full Name (Last, First, Middle Initial)

B.

Paul B Iskalo
Mailing Address 5166 Main Street City Williamsville FEC ID number of contributing federal political committee. Name of Employer
Iskalo Development Corp.

Y

Y

Y

Y

10

16

2012

State NY

Zip Code 14221-5246

Transaction ID : A-C9418

C
Occupation
CEO

Amount of Each Receipt this Period

, , ,
1000

,

.500

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

.

Full Name (Last, First, Middle Initial)

C.

Steven Reid
Mailing Address 11 Harding Avenue City Lockport FEC ID number of contributing federal political committee. Name of Employer
Reid Petroleum Corp.

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

10

12

2012

State NY

Zip Code
14094-6020

Transaction ID : A-C9439

C
Occupation Manager Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .250 , ,

,

.250

Receipt For: 2012 Primary Other (specify)

General

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

, ,

750.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440282

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

29 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Christopher Pannozzo
Mailing Address 796 Oneida Street City
Lewiston

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

10

12

2012

State NY

Zip Code
14092-1340

Transaction ID : A-C9428

FEC ID number of contributing federal political committee. Name of Employer Information Requested Receipt For: 2012 Primary Other (specify) General

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .300
Date of Receipt
M M / D D /

,

.300

,

Full Name (Last, First, Middle Initial)

B.

Jeff Johnson
Mailing Address 12118 E Yates Center Road City Lyndonville FEC ID number of contributing federal political committee. Name of Employer
Information Requested

Y

Y

Y

Y

10

09

2012

State NY

Zip Code 14098-9678

Transaction ID : A-C9524

C
Occupation
Information Requested

Amount of Each Receipt this Period

, , ,
250 .

,

.250

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

Paul Cannon
Mailing Address 905 River Road City Youngstown FEC ID number of contributing federal political committee. Name of Employer
Cannon Design

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

10

12

2012

State NY

Zip Code
14174-1332

Transaction ID : A-C9504

C
Occupation CEO Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .300 , ,

,

.300

Receipt For: 2012 Primary Other (specify)

General

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

, ,

850.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440283

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

30 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Brian Costello
Mailing Address 58 Beverly Avenue City
Lockport

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

10

12

2012

State NY

Zip Code
14094-2552

Transaction ID : A-C9440

FEC ID number of contributing federal political committee. Name of Employer Information Requested Receipt For: 2012 Primary Other (specify) General

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, ,
1000

,

1000

.

,

.

Full Name (Last, First, Middle Initial)

B.

Richard Hamister
Mailing Address 19 Lakeridge Drive City Orchard Park FEC ID number of contributing federal political committee. Name of Employer
First Niagara Bank

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

10

05

2012

State NY

Zip Code 14127-3364

Transaction ID : A-C9548

C
Occupation
Banker

Amount of Each Receipt this Period

, , ,
250 .

,

.250

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

Tim Mulvey
Mailing Address 7414 Canal Road City Lockport FEC ID number of contributing federal political committee. Name of Employer
Mulvey Construction Inc.

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

10

09

2012

State NY

Zip Code
14094-9405

Transaction ID : A-C9509

C
Occupation Contractor Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
1000

,

1000

.

Receipt For: 2012 Primary Other (specify)

General

.

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

, ,

, ,

2250.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440284

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

31 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Sarah Waring
Mailing Address 3815 Hampton Brook Drive City
Hamburg

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

10

09

2012

State NY

Zip Code
14075-6334

Transaction ID : A-C9532

FEC ID number of contributing federal political committee. Name of Employer NA Receipt For: 2012 Primary Other (specify) General

C
Occupation Homemaker Election Cycle-to-Date

Amount of Each Receipt this Period

, , .100
Date of Receipt
M M / D D /

,

.100

,

Full Name (Last, First, Middle Initial)

B.

Wayne Keller
Mailing Address 220 Carnoustie Drive City East Aurora FEC ID number of contributing federal political committee. Name of Employer
Information Requested

Y

Y

Y

Y

10

12

2012

State NY

Zip Code 14052-9471

Transaction ID : A-C9452

C
Occupation
Information Requested

Amount of Each Receipt this Period

, , ,
100 .

,

.100

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

Jeanne Makowski
Mailing Address 2296 Union Road City Cheektowaga FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

05

2012

State NY

Zip Code
14227-2726

Transaction ID : A-C9547

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .100 , ,

,

.100

Receipt For: 2012 Primary Other (specify)

General

,

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

, ,

300.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440285

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

32 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Niagara Group, LP
Mailing Address 295 Main Street
Room 210

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

10

05

2012

City
Buffalo

State NY

Zip Code
14203-2402

Transaction ID : A-PI426

FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify)

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .500
Date of Receipt
M M / D D /

,

.500

General

[MEMO ITEM] Partnership Itemization Memo

Full Name (Last, First, Middle Initial)

B.

James E. Hornung , Sr.
Mailing Address 137 Winston Road City Buffalo FEC ID number of contributing federal political committee. Name of Employer
Great Lakes Athletic Fields

Y

Y

Y

Y

10

05

2012

State NY

Zip Code 14216-2119

Transaction ID : A-PI418

C
Occupation
Owner

Amount of Each Receipt this Period

, , ,
150 .

,

.150

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

[MEMO ITEM] Partnership Itemization Memo

Full Name (Last, First, Middle Initial)

C.

Christopher Jacobs
Mailing Address 120 W Tupper Street City Buffalo FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

05

2012

State NY

Zip Code
14201-2170

Transaction ID : A-PI415

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, ,
1500

,

1500

.

Receipt For: 2012 Primary Other (specify)

General

,

.

[MEMO ITEM] Partnership Itemization Memo

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

, ,

, ,

0.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440286

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

33 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Friends of Joe Mesi
Mailing Address 93 Darwin Drive City
Amherst

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

10

09

2012

State NY

Zip Code
14226-4510

Transaction ID : A-C9531

FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify)

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .300
Date of Receipt
M M / D D /

,

.300

General

Full Name (Last, First, Middle Initial)

B.

Ebets Judson
Mailing Address PO Box 1010 City Rochester FEC ID number of contributing federal political committee. Name of Employer
The Pike Company

Y

Y

Y

Y

10

12

2012

State NY

Zip Code 14603

Transaction ID : A-C9482

C
Occupation
Owner

Amount of Each Receipt this Period

, , ,
2500

,

2500

.

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

.

Full Name (Last, First, Middle Initial)

C.

Jaqueline George
Mailing Address 3605 Beverly Drive City Dallas FEC ID number of contributing federal political committee. Name of Employer
NA

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

10

09

2012

State TX

Zip Code
75205-2803

Transaction ID : A-C9405

C
Occupation Retired Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
2500

,

2500

.

Receipt For: 2012 Primary Other (specify)

General

.

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

, ,

, ,

5300.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440287

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

34 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Walter Piatkowski
Mailing Address 5516 Hartford Drive City
Lockport

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

10

12

2012

State NY

Zip Code
14094-6255

Transaction ID : A-C9441

FEC ID number of contributing federal political committee. Name of Employer Piatkowski, Riteway Meats Receipt For: 2012 Primary Other (specify) General

C
Occupation President Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
1000

,

1000

.

.

Full Name (Last, First, Middle Initial)

B.

David A Huck
Mailing Address 6278 Gott Creek Trail City East Amherst FEC ID number of contributing federal political committee. Name of Employer
RDI

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

10

09

2012

State NY

Zip Code 14051-1951

Transaction ID : A-PI447

C
Occupation
Engineer

Amount of Each Receipt this Period

, , ,
650 .

,

.150

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

[MEMO ITEM] Partnership Itemization Memo

Full Name (Last, First, Middle Initial)

C.

Jesse Lenney
Mailing Address 581 Grand Avenue City Rochester FEC ID number of contributing federal political committee. Name of Employer
Comm. & Labor Admin Services

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

10

12

2012

State NY

Zip Code
14609-6432

Transaction ID : A-C9358

C
Occupation Political Director Election Cycle-to-Date

Amount of Each Receipt this Period

, , . 10 , ,

,

. 10

Receipt For: 2012 Primary Other (specify)

General

,

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

, ,

1010.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440288

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

35 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Stephanie Demartino
Mailing Address 181 Breezewood Cmn City
East Amherst

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

10

09

2012

State NY

Zip Code
14051-1426

Transaction ID : A-PI431

FEC ID number of contributing federal political committee. Name of Employer Information Requested Receipt For: 2012 Primary Other (specify) General

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .200
Date of Receipt
M M / D D /

,

.200

[MEMO ITEM] Partnership Itemization Memo

,

Full Name (Last, First, Middle Initial)

B.

Joan McNamara
Mailing Address 8478 East Avenue City Gasport FEC ID number of contributing federal political committee. Name of Employer
Information Requested

Y

Y

Y

Y

10

05

2012

State NY

Zip Code 14067-9226

Transaction ID : A-C9543

C
Occupation
Information Requested

Amount of Each Receipt this Period

, , ,
100 .

,

.100

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

David J Nasca
Mailing Address 54 Lanoche Court City Williamsville FEC ID number of contributing federal political committee. Name of Employer
Evans Bank

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

10

12

2012

State NY

Zip Code
14221-1977

Transaction ID : A-C9495

C
Occupation Banker Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .500 , ,

,

.500

Receipt For: 2012 Primary Other (specify)

General

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

, ,

600.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440289

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

36 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Carl Calabrese
Mailing Address 15 Forest Lake Drive City
North Tonawanda

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

10

12

2012

State NY

Zip Code
14120-3710

Transaction ID : A-C9473

FEC ID number of contributing federal political committee. Name of Employer Masiello, Martucci Calabrese Receipt For: 2012 Primary Other (specify) General

C
Occupation Partner Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
1000

,

1000

.

.

Full Name (Last, First, Middle Initial)

B.

June Kreutzer
Mailing Address 54 Argyle Place City Orchard Park FEC ID number of contributing federal political committee. Name of Employer
Hunt Real Estate

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

10

16

2012

State NY

Zip Code 14127-2615

Transaction ID : A-C9419

C
Occupation
Real Estate Sales

Amount of Each Receipt this Period

, , ,
300 .

,

.300

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

Linda Dobmeier
Mailing Address 160 Greenaway Road City Amherst FEC ID number of contributing federal political committee. Name of Employer
Dobmeier Janitorial

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

10

09

2012

State NY

Zip Code
14226-4166

Transaction ID : A-C9512

C
Occupation President Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .500 , ,

,

.500

Receipt For: 2012 Primary Other (specify)

General

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

, ,

1800.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440290

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

37 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Scott Westermeier
Mailing Address 950 Main Street City
East Aurora

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

10

12

2012

State NY

Zip Code
14052-1924

Transaction ID : A-PI404

FEC ID number of contributing federal political committee. Name of Employer Westermeier & Martin Dental Receipt For: 2012 Primary Other (specify) General

C
Occupation Partner Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .200
Date of Receipt
M M / D D /

,

.200

[MEMO ITEM] Partnership Itemization Memo

Full Name (Last, First, Middle Initial)

B.

Christian Henrich
Mailing Address 9 Ventura Drive City Orchard Park FEC ID number of contributing federal political committee. Name of Employer
Damon Morey

Y

Y

Y

Y

10

12

2012

State NY

Zip Code 14127-2381

Transaction ID : A-C9489

C
Occupation
Lawyer

Amount of Each Receipt this Period

, , ,
250 .

,

.250

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

Morgan Jones Jr
Mailing Address 39 Grasmere Road City Lockport FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

12

2012

State NY

Zip Code
14094-3409

Transaction ID : A-C9476

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .200 , ,

,

.200

Receipt For: 2012 Primary Other (specify)

General

,

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

, ,

450.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440291

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

38 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Jane Vosseller
Mailing Address 138 Glenridge Road City
East Aurora

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

10

12

2012

State NY

Zip Code
14052-2627

Transaction ID : A-C9446

FEC ID number of contributing federal political committee. Name of Employer Information Requested Receipt For: 2012 Primary Other (specify) General

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .125
Date of Receipt
M M / D D /

,

.125

,

Full Name (Last, First, Middle Initial)

B.

Joan Maher
Mailing Address 1933 Hanley Drive City Lake View FEC ID number of contributing federal political committee. Name of Employer
Information Requested

Y

Y

Y

Y

10

05

2012

State NY

Zip Code 14085-9704

Transaction ID : A-PI417

C
Occupation
Information Requested

Amount of Each Receipt this Period

, , , . 50

,

. 50

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

[MEMO ITEM] Partnership Itemization Memo

Full Name (Last, First, Middle Initial)

C.

John Draegert
Mailing Address 326 Mill Road City East Aurora FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

12

2012

State NY

Zip Code
14052-2830

Transaction ID : A-C9460

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .125 , ,

,

.125

Receipt For: 2012 Primary Other (specify)

General

,

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

, ,

250.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440292

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

39 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Patricia Ziolkowski
Mailing Address 19 Christen Court City
Lancaster

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

10

16

2012

State NY

Zip Code
14086-3101

Transaction ID : A-C9421

FEC ID number of contributing federal political committee. Name of Employer Information Requested Receipt For: 2012 Primary Other (specify) General

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , . 70
Date of Receipt
M M / D D /

,

. 25

,

Full Name (Last, First, Middle Initial)

B.

Maureen Schmitt
Mailing Address 2101 Saint Ritas Lane City Williamsville FEC ID number of contributing federal political committee. Name of Employer
Schmitt Sales, Inc.

Y

Y

Y

Y

10

03

2012

State NY

Zip Code 14221-2055

Transaction ID : A-C9559

C
Occupation
Executive

Amount of Each Receipt this Period

, , ,
1000

,

1000

.

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

.

Full Name (Last, First, Middle Initial)

C.

Karen Bradley
Mailing Address 61 Rehm Road City Lancaster FEC ID number of contributing federal political committee. Name of Employer
NA

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

10

02

2012

State NY

Zip Code
14086-1067

Transaction ID : A-C9565

C
Occupation Homemaker Election Cycle-to-Date

Amount of Each Receipt this Period

, ,
1000

,

1000

.

Receipt For: 2012 Primary Other (specify)

General

,

.

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

, ,

, ,

2025.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440293

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

40 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Diane Hanitz
Mailing Address 121 Old Orchard Lane City
Orchard Park

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

10

12

2012

State NY

Zip Code
14127-4639

Transaction ID : A-C9445

FEC ID number of contributing federal political committee. Name of Employer Information Requested Receipt For: 2012 Primary Other (specify) General

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , . 10
Date of Receipt
M M / D D /

,

. 10

,

Full Name (Last, First, Middle Initial)

B.

Joseph Sturkey
Mailing Address PO Box 29849 City San Jose FEC ID number of contributing federal political committee. Name of Employer
NA

Y

Y

Y

Y

10

15

2012

State CA

Zip Code 95159

Transaction ID : A-C9354

C
Occupation
Retired

Amount of Each Receipt this Period

, , ,
300 .

,

.200

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

Nickole Garrison
Mailing Address 1465 W Blood Road City East Aurora FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

12

2012

State NY

Zip Code
14052-9434

Transaction ID : A-C9459

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , . 75 , ,

,

. 75

Receipt For: 2012 Primary Other (specify)

General

,

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

, ,

285.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440294

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

41 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Wolcott Hinchey
Mailing Address 7101 Randall Road City
Le Roy

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

10

09

2012

State NY

Zip Code
14482-9309

Transaction ID : A-C9518

FEC ID number of contributing federal political committee. Name of Employer Information Requested Receipt For: 2012 Primary Other (specify) General

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .250
Date of Receipt
M M / D D /

,

.250

,

Full Name (Last, First, Middle Initial)

B.

Gary Haas
Mailing Address 6856 Milestrip Road City Orchard Park FEC ID number of contributing federal political committee. Name of Employer
Information Requested

Y

Y

Y

Y

10

05

2012

State NY

Zip Code 14127-1613

Transaction ID : A-PI416

C
Occupation
Information Requested

Amount of Each Receipt this Period

, , , . 25

,

. 25

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

[MEMO ITEM] Partnership Itemization Memo

Full Name (Last, First, Middle Initial)

C.

William Green
Mailing Address 216 Treehaven Drive City East Aurora FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

12

2012

State NY

Zip Code
14052-1355

Transaction ID : A-C9449

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , . 75 , ,

,

. 75

Receipt For: 2012 Primary Other (specify)

General

,

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

, ,

325.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440295

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

42 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Frederick A Wolf , Esq.
Mailing Address 200 Delaware Avenue
Suite 1200

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

10

12

2012

City
Buffalo

State NY

Zip Code
14202-2150

Transaction ID : A-C9499

FEC ID number of contributing federal political committee. Name of Employer Damon Morey LLP Receipt For: 2012 Primary Other (specify) General

C
Occupation Attorney Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .700
Date of Receipt
M M / D D /

,

.200

Full Name (Last, First, Middle Initial)

B.

Hiscock & Barclay, LLP
Mailing Address 300 S State Street City Syracuse FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify) State NY Zip Code 13202-2024

Y

Y

Y

Y

10

09

2012

Transaction ID : A-PI441

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
1500

,

1500

.

General

[MEMO ITEM] Partnership Itemization Memo

.

Full Name (Last, First, Middle Initial)

C.

Valerie Montgomery Duell
Mailing Address 30 Gordon Terrace City Warsaw FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

09

2012

State NY

Zip Code
14569-1114

Transaction ID : A-C9516

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .250 , ,

,

.250

Receipt For: 2012 Primary Other (specify)

General

,

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

, ,

450.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440296

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

43 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Jonathan Solomon
Mailing Address 401 S Washington Square
Unit 305

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

10

02

2012

City
Lansing

State MI

Zip Code
48933-2148

Transaction ID : A-C9562

FEC ID number of contributing federal political committee. Name of Employer Information Requested Receipt For: 2012 Primary Other (specify) General

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, ,
2500

,

2500

.

,

.

Full Name (Last, First, Middle Initial)

B.

Frederick Hill
Mailing Address 1755 Grover Road City East Aurora FEC ID number of contributing federal political committee. Name of Employer
International Aggregato

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

10

12

2012

State NY

Zip Code 14052-9721

Transaction ID : A-C9468

C
Occupation
Owner

Amount of Each Receipt this Period

, , ,
200 .

,

.200

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

Brian Sibiga
Mailing Address 5707 Jennifer Drive W City Lockport FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

12

2012

State NY

Zip Code
14094-6009

Transaction ID : A-C9427

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .300 , ,

,

.300

Receipt For: 2012 Primary Other (specify)

General

,

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

, ,

3000.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440297

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

44 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Walter Zurowski
Mailing Address 311 Crag Burn Drive City
East Aurora

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

10

12

2012

State NY

Zip Code
14052-9470

Transaction ID : A-C9490

FEC ID number of contributing federal political committee. Name of Employer Information Requested Receipt For: 2012 Primary Other (specify) General

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, ,
1000

,

1000

.

,

.

Full Name (Last, First, Middle Initial)

B.

Peggy LaGree
Mailing Address 55 Heritage Road E City Williamsville FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

09

2012

State NY

Zip Code 14221-2307

Transaction ID : A-C9542

C
Occupation
Information Requested

Amount of Each Receipt this Period

, , ,
150 .

,

.150

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

Susan Keene
Mailing Address PO Box 19402 City Roanoke FEC ID number of contributing federal political committee. Name of Employer
NA

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

10

01

2012

State VA

Zip Code
24019-1041

Transaction ID : A-C9572

C
Occupation Retired Election Cycle-to-Date

Amount of Each Receipt this Period

, , , . 35 , ,

,

. 35

Receipt For: 2012 Primary Other (specify)

General

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

, ,

1185.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440298

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

45 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Adam Krouskop
Mailing Address 51 Latchmere Drive City
Victor

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

10

08

2012

State NY

Zip Code
14564-1282

Transaction ID : A-C9366

FEC ID number of contributing federal political committee. Name of Employer Information Requested Receipt For: 2012 Primary Other (specify) General

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .150
Date of Receipt
M M / D D /

,

.150

,

Full Name (Last, First, Middle Initial)

B.

Rosemary Ivery
Mailing Address 2100 Lapham Road City East Aurora FEC ID number of contributing federal political committee. Name of Employer
Information Requested

Y

Y

Y

Y

10

12

2012

State NY

Zip Code 14052-2722

Transaction ID : A-C9457

C
Occupation
Information Requested

Amount of Each Receipt this Period

, , ,
125 .

,

.125

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

John Amershadian
Mailing Address 794 Auburn Avenue City Buffalo FEC ID number of contributing federal political committee. Name of Employer
Hodgson Russ

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

10

12

2012

State NY

Zip Code
14222-1417

Transaction ID : A-C9493

C
Occupation Lawyer Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .250 , ,

,

.250

Receipt For: 2012 Primary Other (specify)

General

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

, ,

525.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440299

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

46 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

James Wekenmann
Mailing Address 701 Willardshire Road City
Orchard Park

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

10

12

2012

State NY

Zip Code
14127-2038

Transaction ID : A-C9455

FEC ID number of contributing federal political committee. Name of Employer Information Requested Receipt For: 2012 Primary Other (specify) General

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , . 75
Date of Receipt
M M / D D /

,

. 75

,

Full Name (Last, First, Middle Initial)

B.

Dan Wilson
Mailing Address 100 Haines Street City Lockport FEC ID number of contributing federal political committee. Name of Employer
Information Requested

Y

Y

Y

Y

10

12

2012

State NY

Zip Code 14094-5143

Transaction ID : A-C9433

C
Occupation
Information Requested

Amount of Each Receipt this Period

, , ,
300 .

,

.300

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

Andre Cook
Mailing Address 270 North Pointe Parkway Suite 10 City Amherst FEC ID number of contributing federal political committee. Name of Employer
Smith, Cook & Associates Inc

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

10

01

2012

State NY

Zip Code
14051

Transaction ID : A-C9568

C
Occupation President Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
1000

,

1000

.

Receipt For: 2012 Primary Other (specify)

General

.

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

, ,

, ,

1375.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440300

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

47 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Richard Ermer
Mailing Address 57 Wisner Road City
Rochester

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

10

15

2012

State NY

Zip Code
14622-1163

Transaction ID : A-C9353

FEC ID number of contributing federal political committee. Name of Employer JnJ Receipt For: 2012 Primary Other (specify) General

C
Occupation Embedded SW Engineer Election Cycle-to-Date

Amount of Each Receipt this Period

, .100
Date of Receipt
M M / D D /

,

.100

,

,

Full Name (Last, First, Middle Initial)

B.

Songin CPA's PLLC
Mailing Address 8612 Main Street City Williamsville FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify) State NY Zip Code 14221-7462

Y

Y

Y

Y

10

12

2012

Transaction ID : A-C9500

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .
250

,

.250

General

Contribution from Partnership. Partners exceeding reporting threshold itemized as memos.

Full Name (Last, First, Middle Initial)

C.

Gertrude Penepent
Mailing Address PO Box 21 City Batavia FEC ID number of contributing federal political committee. Name of Employer
NA

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

10

03

2012

State NY

Zip Code
14021-0021

Transaction ID : A-C9557

C
Occupation Retired Election Cycle-to-Date

Amount of Each Receipt this Period

, , , . 20 , ,

,

. 20

Receipt For: 2012 Primary Other (specify)

General

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

, ,

370.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440301

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

48 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

James Brawdy
Mailing Address PO Box 470 City
Clarence Center

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

10

09

2012

State NY

Zip Code
14032-0470

Transaction ID : A-C9530

FEC ID number of contributing federal political committee. Name of Employer Brawdy Construction Receipt For: 2012 Primary Other (specify) General

C
Occupation Owner Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
1000

,

1000

.

.

Full Name (Last, First, Middle Initial)

B.

Frank Luzi
Mailing Address 9660 Rocky Point City Clarence FEC ID number of contributing federal political committee. Name of Employer
Northtowns Orthopedics

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

10

05

2012

State NY

Zip Code 14031-1588

Transaction ID : A-PI422

C
Occupation
Physician

Amount of Each Receipt this Period

, , ,
1300

,

.300

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

[MEMO ITEM] Partnership Itemization Memo

.

Full Name (Last, First, Middle Initial)

C.

Jane Pastor
Mailing Address 222 Hillcrest Road City East Aurora FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

12

2012

State NY

Zip Code
14052-1316

Transaction ID : A-C9450

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , . 75 , ,

,

. 75

Receipt For: 2012 Primary Other (specify)

General

,

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

, ,

1075.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440302

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

49 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Citizens for Dan Burling
Mailing Address PO Box 208 City
Warsaw

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

10

09

2012

State NY

Zip Code
14569-0208

Transaction ID : A-C9521

FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify)

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .250
Date of Receipt
M M / D D /

,

.250

General

Full Name (Last, First, Middle Initial)

B.

Vastye Gillespie
Mailing Address 104 Croy Avenue City Buffalo FEC ID number of contributing federal political committee. Name of Employer
Information Requested

Y

Y

Y

Y

10

05

2012

State NY

Zip Code 14215-1360

Transaction ID : A-PI412

C
Occupation
Information Requested

Amount of Each Receipt this Period

, , ,
150 .

,

.150

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

[MEMO ITEM] Partnership Itemization Memo

Full Name (Last, First, Middle Initial)

C.

Michael Murphy
Mailing Address 4980 Shadow Rock Lane City Clarence FEC ID number of contributing federal political committee. Name of Employer
Self employed

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

10

09

2012

State NY

Zip Code
14031-1585

Transaction ID : A-PI456

C
Occupation Attorney Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
1000

,

1000

.

Receipt For: 2012 Primary Other (specify)

General

.

[MEMO ITEM] Partnership Itemization Memo

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

, ,

, ,

250.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440303

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

50 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

John Hart
Mailing Address 1584 Reading Road City
West Falls

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

10

12

2012

State NY

Zip Code
14170-9759

Transaction ID : A-C9491

FEC ID number of contributing federal political committee. Name of Employer Northwest Mutual Finacnial Receipt For: 2012 Primary Other (specify) General

C
Occupation Investment Advisor Election Cycle-to-Date

Amount of Each Receipt this Period

, , .250
Date of Receipt
M M / D D /

,

.250

,

Full Name (Last, First, Middle Initial)

B.

Thomas Grys
Mailing Address 106 Hillside Drive City Orchard Park FEC ID number of contributing federal political committee. Name of Employer
Wells Fargo

Y

Y

Y

Y

10

11

2012

State NY

Zip Code 14127-3237

Transaction ID : A-C9361

C
Occupation
Banking

Amount of Each Receipt this Period

, , ,
250 .

,

.250

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

Jason A Lahti
Mailing Address 5005 Goodrich Road City Clarence FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

09

2012

State NY

Zip Code
14031-2403

Transaction ID : A-PI429

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .150

,

.150

Receipt For: 2012 Primary Other (specify)

General

,

[MEMO ITEM] Partnership Itemization Memo

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

, ,

, ,

500.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440304

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

51 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Edward Morgan
Mailing Address 3132 Hulberton Road City
Holley

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

10

09

2012

State NY

Zip Code
14470-9371

Transaction ID : A-C9525

FEC ID number of contributing federal political committee. Name of Employer Information Requested Receipt For: 2012 Primary Other (specify) General

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .250
Date of Receipt
M M / D D /

,

.250

,

Full Name (Last, First, Middle Initial)

B.

Jeffery Murray
Mailing Address 2989 S Creek Road City Hamburg FEC ID number of contributing federal political committee. Name of Employer
Information Requested

Y

Y

Y

Y

10

15

2012

State NY

Zip Code 14075-6022

Transaction ID : A-C9417

C
Occupation
Information Requested

Amount of Each Receipt this Period

, , ,
1500

,

1500

.

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

.

Full Name (Last, First, Middle Initial)

C.

William Christ
Mailing Address 103 Wood Acres Drive City East Amherst FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

09

2012

State NY

Zip Code
14051-1713

Transaction ID : A-PI438

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .150

,

.150

Receipt For: 2012 Primary Other (specify)

General

,

[MEMO ITEM] Partnership Itemization Memo

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

, ,

, ,

1750.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440305

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

52 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Henry Meyer
Mailing Address 34 Maple Road City
Setauket

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

10

12

2012

State NY

Zip Code
11733-3220

Transaction ID : A-C9357

FEC ID number of contributing federal political committee. Name of Employer Fonar Corporation Receipt For: 2012 Primary Other (specify) General

C
Occupation Attorney Election Cycle-to-Date

Amount of Each Receipt this Period

, , , . 45
Date of Receipt
M M / D D /

,

. 15

Full Name (Last, First, Middle Initial)

B.

Adam Newton
Mailing Address 3368 Shore Parkway Apt. A4 City Brooklyn FEC ID number of contributing federal political committee. Name of Employer
Retired

Y

Y

Y

Y

10

12

2012

State NY

Zip Code 11235-2712

Transaction ID : A-C9360

C
Occupation
Retired

Amount of Each Receipt this Period

, , ,
200 .

,

.100

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

Timothy Call
Mailing Address 3592 Galloway Road City Batavia FEC ID number of contributing federal political committee. Name of Employer
Empire Tractor Inc.

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

10

01

2012

State NY

Zip Code
14020-9434

Transaction ID : A-C9570

C
Occupation Manager Election Cycle-to-Date

Amount of Each Receipt this Period

, , , . 50 , ,

,

. 50

Receipt For: 2012 Primary Other (specify)

General

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

, ,

165.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440306

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

53 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Robert W. Reid
Mailing Address 41 Hawthorne Avenue City
Albany

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

10

12

2012

State NY

Zip Code
12203-2113

Transaction ID : A-C9438

FEC ID number of contributing federal political committee. Name of Employer McNally Weingarten, Reid Receipt For: 2012 Primary Other (specify) General

C
Occupation Partner Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
1000

,

1000

.

.

Full Name (Last, First, Middle Initial)

B.

Kutter's Cheese Factory, LLC
Mailing Address 1330 Main Road City Corfu FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify) State NY Zip Code 14036-9757

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

10

01

2012

Transaction ID : A-C9573

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .
25

,

. 25

General

Contribution from Partnership. Partners exceeding reporting threshold itemized as memos.

Full Name (Last, First, Middle Initial)

C.

Charles Snyder
Mailing Address 359 Snyder Road City East Aurora FEC ID number of contributing federal political committee. Name of Employer
Self employed

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

10

12

2012

State NY

Zip Code
14052-9708

Transaction ID : A-C9462

C
Occupation Builder Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .200 , ,

,

.200

Receipt For: 2012 Primary Other (specify)

General

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

, ,

1225.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440307

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

54 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Anne E. Martin
Mailing Address 301 Lakefront Boulevard City
Buffalo

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

10

09

2012

State NY

Zip Code
14202-4325

Transaction ID : A-PI452

FEC ID number of contributing federal political committee. Name of Employer Information Requested Receipt For: 2012 Primary Other (specify) General

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .150
Date of Receipt
M M / D D /

,

.150

[MEMO ITEM] Partnership Itemization Memo

,

Full Name (Last, First, Middle Initial)

B.

Peggy Winter
Mailing Address 26 Radcliffe Drive City Getzville FEC ID number of contributing federal political committee. Name of Employer
Information Requested

Y

Y

Y

Y

10

09

2012

State NY

Zip Code 14068-1284

Transaction ID : A-PI464

C
Occupation
Information Requested

Amount of Each Receipt this Period

, , ,
2500

,

2500

.

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

[MEMO ITEM] Partnership Itemization Memo

.

Full Name (Last, First, Middle Initial)

C.

Swan Group
Mailing Address 295 Main Street Room 210 City Buffalo FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify) State NY Zip Code
14203-2402

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

10

05

2012

Transaction ID : A-PI427

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .500

,

.500

General

[MEMO ITEM] Partnership Itemization Memo

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

, ,

, ,

0.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440308

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

55 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Carl Reggentine
Mailing Address PO Box 612 City
Lockport

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

10

05

2012

State NY

Zip Code
14095-0612

Transaction ID : A-C9368

FEC ID number of contributing federal political committee. Name of Employer NA Receipt For: 2012 Primary Other (specify) General

C
Occupation Retired Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .450
Date of Receipt
M M / D D /

,

.250

Full Name (Last, First, Middle Initial)

B.

Glenn Diemer
Mailing Address City State Zip Code

Y

Y

Y

Y

10

12

2012

Transaction ID : A-C9456

FEC ID number of contributing federal political committee. Name of Employer
Information Requested

C
Occupation
Information Requested

Amount of Each Receipt this Period

, , , . 75
Date of Receipt
M M / D D /

,

. 75

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

John Schiavone
Mailing Address 7198 Brookside Drive City Lockport FEC ID number of contributing federal political committee. Name of Employer
Information Requested

Y

Y

Y

Y

10

17

2012

State NY

Zip Code
14094-6261

Transaction ID : A-C9408

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , . 50 , ,

,

. 50

Receipt For: 2012 Primary Other (specify)

General

,

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

, ,

375.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440309

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

56 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Bouvier Partnership, LLP
Mailing Address 350 Main Street
Suite 1400

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

10

05

2012

City
Buffalo

State NY

Zip Code
14202-3750

Transaction ID : A-PI424

FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify)

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
2500

,

2500

.

General

[MEMO ITEM] Partnership Itemization Memo

.

Full Name (Last, First, Middle Initial)

B.

William Buscaglia , Jr.
Mailing Address 104 Lexington Avenue City Buffalo FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

17

2012

State NY

Zip Code 14222-1810

Transaction ID : A-C9414

C
Occupation
Information Requested

Amount of Each Receipt this Period

, , ,
100 .

,

.100

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

Nripendra Das
Mailing Address 166 W 72nd Street Apt. 4B City New York FEC ID number of contributing federal political committee. Name of Employer
Billinge Group

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

10

14

2012

State NY

Zip Code
10023-3327

Transaction ID : A-C9356

C
Occupation Consultant Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .100 , ,

,

.100

Receipt For: 2012 Primary Other (specify)

General

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

, ,

200.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440310

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

57 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Timothy Lederhaus
Mailing Address 5499 Hallmark Lane City
Lockport

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

10

12

2012

State NY

Zip Code
14094-6258

Transaction ID : A-C9443

FEC ID number of contributing federal political committee. Name of Employer Information Requested Receipt For: 2012 Primary Other (specify) General

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, ,
1000

,

1000

.

,

.

Full Name (Last, First, Middle Initial)

B.

Frances Hudson
Mailing Address 670 Lagoon Road City Vero Beach FEC ID number of contributing federal political committee. Name of Employer
Hudson Advisors

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

10

01

2012

State FL

Zip Code 32963-2259

Transaction ID : A-PI410

C
Occupation
Executive VP

Amount of Each Receipt this Period

, , ,
1500

,

1500

.

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

[MEMO ITEM] Partnership Itemization Memo

.

Full Name (Last, First, Middle Initial)

C.

Patricia Dufour
Mailing Address 5937 Wynkoop Road City Lockport FEC ID number of contributing federal political committee. Name of Employer
Self Employed

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

10

17

2012

State NY

Zip Code
14094-9370

Transaction ID : A-C9407

C
Occupation Real Estate Broker Election Cycle-to-Date

Amount of Each Receipt this Period

, , .200 , ,

,

.200

Receipt For: 2012 Primary Other (specify)

General

,

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

, ,

1200.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440311

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

58 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Robert Montone
Mailing Address 4 Ravine Court City
East Aurora

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

10

12

2012

State NY

Zip Code
14052-2646

Transaction ID : A-C9444

FEC ID number of contributing federal political committee. Name of Employer Information Requested Receipt For: 2012 Primary Other (specify) General

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .200
Date of Receipt
M M / D D /

,

.200

,

Full Name (Last, First, Middle Initial)

B.

Christian Peck
Mailing Address 7337 Paddock Ridge Road City North Tonawanda FEC ID number of contributing federal political committee. Name of Employer
Information Requested

Y

Y

Y

Y

10

12

2012

State NY

Zip Code 14120-9730

Transaction ID : A-C9434

C
Occupation
Information Requested

Amount of Each Receipt this Period

, , ,
500 .

,

.500

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

Heather Jermak
Mailing Address 9540 Turnstone Drive City Clarence FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

05

2012

State NY

Zip Code
14031-2416

Transaction ID : A-C9554

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .300 , ,

,

.300

Receipt For: 2012 Primary Other (specify)

General

,

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

, ,

1000.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440312

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

59 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Richard Tice
Mailing Address 17 Sussex Road City
Glenmont

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

10

17

2012

State NY

Zip Code
12077-3239

Transaction ID : A-C9410

FEC ID number of contributing federal political committee. Name of Employer Information Requested Receipt For: 2012 Primary Other (specify) General

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , . 25
Date of Receipt
M M / D D /

,

. 25

,

Full Name (Last, First, Middle Initial)

B.

Michael F Newman
Mailing Address 23 Four Seasons Road W City Buffalo FEC ID number of contributing federal political committee. Name of Employer
NOCO Energy Corp.

Y

Y

Y

Y

10

17

2012

State NY

Zip Code 14226-4246

Transaction ID : A-C9412

C
Occupation
Manager

Amount of Each Receipt this Period

, , ,
5000

,

2500

.

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

.

Full Name (Last, First, Middle Initial)

C.

Damon & Morey LLP
Mailing Address 200 Delaware Avenue Suite 1200 City Buffalo FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify) State NY Zip Code
14202-2150

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

10

09

2012

Transaction ID : A-PI442

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
2000

,

2000

.

General

.

[MEMO ITEM] Partnership Itemization Memo

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

, ,

, ,

2525.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440313

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

60 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Denise Roche
Mailing Address 320 Porter Avenue City
Buffalo

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

10

12

2012

State NY

Zip Code
14201-1032

Transaction ID : A-C9485

FEC ID number of contributing federal political committee. Name of Employer D'Youville College Receipt For: 2012 Primary Other (specify) General

C
Occupation President Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .250
Date of Receipt
M M / D D /

,

.250

Full Name (Last, First, Middle Initial)

B.

Kevin Reilly
Mailing Address 163 Mount Vernon Road City Buffalo FEC ID number of contributing federal political committee. Name of Employer
John W. Danforth

Y

Y

Y

Y

10

09

2012

State NY

Zip Code 14226-4321

Transaction ID : A-PI448

C
Occupation
CEO

Amount of Each Receipt this Period

, , ,
2500

,

2500

.

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

[MEMO ITEM] Partnership Itemization Memo

.

Full Name (Last, First, Middle Initial)

C.

Henry Meyer
Mailing Address 34 Maple Road City Setauket FEC ID number of contributing federal political committee. Name of Employer
Fonar Corporation

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

10

05

2012

State NY

Zip Code
11733-3220

Transaction ID : A-C9370

C
Occupation Attorney Election Cycle-to-Date

Amount of Each Receipt this Period

, , , . 45 , ,

,

. 10

Receipt For: 2012 Primary Other (specify)

General

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

, ,

260.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440314

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

61 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Raymond Kent
Mailing Address 7255 Lower East Hill Road City
Colden

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

10

09

2012

State NY

Zip Code
14033-9752

Transaction ID : A-PI428

FEC ID number of contributing federal political committee. Name of Employer Information Requested Receipt For: 2012 Primary Other (specify) General

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .300
Date of Receipt
M M / D D /

,

.300

[MEMO ITEM] Partnership Itemization Memo

,

Full Name (Last, First, Middle Initial)

B.

Ronald Truax
Mailing Address 29 Spruce Street City Lockport FEC ID number of contributing federal political committee. Name of Employer
NA

Y

Y

Y

Y

10

12

2012

State NY

Zip Code 14094-4921

Transaction ID : A-C9474

C
Occupation
Retired

Amount of Each Receipt this Period

, , ,
100 .

,

.100

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

Henry Koziol
Mailing Address 1750 Hall Road City Elma FEC ID number of contributing federal political committee. Name of Employer
Freed Maxick & Battaglia

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

10

03

2012

State NY

Zip Code
14059-9771

Transaction ID : A-C9555

C
Occupation Director Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
1500

,

1500

.

Receipt For: 2012 Primary Other (specify)

General

.

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

, ,

, ,

1600.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440315

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

62 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Frank P. Wilton
Mailing Address 123 N Grove Street City
East Aurora

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

10

09

2012

State NY

Zip Code
14052-1744

Transaction ID : A-PI463

FEC ID number of contributing federal political committee. Name of Employer NA Receipt For: 2012 Primary Other (specify) General

C
Occupation Retired Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .250
Date of Receipt
M M / D D /

,

.150

[MEMO ITEM] Partnership Itemization Memo

Full Name (Last, First, Middle Initial)

B.

Richard Planavsky
Mailing Address 909 N Colony Road City Grand Island FEC ID number of contributing federal political committee. Name of Employer
Information Requested

Y

Y

Y

Y

10

09

2012

State NY

Zip Code 14072-2801

Transaction ID : A-PI455

C
Occupation
Information Requested

Amount of Each Receipt this Period

, , ,
150 .

,

.150

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

[MEMO ITEM] Partnership Itemization Memo

Full Name (Last, First, Middle Initial)

C.

Pater Ahrens
Mailing Address 688 W Ferry Street City Buffalo FEC ID number of contributing federal political committee. Name of Employer
Five Star Bank

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

10

12

2012

State NY

Zip Code
14222-1606

Transaction ID : A-C9494

C
Occupation Banker Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .250 , ,

,

.250

Receipt For: 2012 Primary Other (specify)

General

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

, ,

250.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440316

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

63 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Jeffrey Dorn
Mailing Address 31 Castle Creek Trail City
Williamsville

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

10

12

2012

State NY

Zip Code
14221-6900

Transaction ID : A-C9505

FEC ID number of contributing federal political committee. Name of Employer NA Receipt For: 2012 Primary Other (specify) General

C
Occupation Retired Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .250
Date of Receipt
M M / D D /

,

.250

Full Name (Last, First, Middle Initial)

B.

Henry F Wojtaszek
Mailing Address 620 E Goundry Street City North Tonawanda FEC ID number of contributing federal political committee. Name of Employer
Information Requested

Y

Y

Y

Y

10

12

2012

State NY

Zip Code 14120-5619

Transaction ID : A-C9431

C
Occupation
Information Requested

Amount of Each Receipt this Period

, , ,
500 .

,

.500

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

William Mattar
Mailing Address 95 Huxley Drive City Amherst FEC ID number of contributing federal political committee. Name of Employer
William Mattar, PC

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

10

03

2012

State NY

Zip Code
14226-4512

Transaction ID : A-C9375

C
Occupation Attorney Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
1000

,

1000

.

Receipt For: 2012 Primary Other (specify)

General

.

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

, ,

, ,

1750.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440317

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

64 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Philip Perna
Mailing Address Supermarket Management, Inc.
460 Niagara Street

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

10

12

2012

City
Buffalo

State NY

Zip Code
14201

Transaction ID : A-C9479

FEC ID number of contributing federal political committee. Name of Employer Supermarket Management Inc Receipt For: 2012 Primary Other (specify) General

C
Occupation CEO Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .500
Date of Receipt
M M / D D /

,

.500

Full Name (Last, First, Middle Initial)

B.

Staats St. Group
Mailing Address 295 Main Street City Buffalo FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify) State NY Zip Code 14203-2412

Y

Y

Y

Y

10

05

2012

Transaction ID : A-PI425

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
500 .

,

.500

General

[MEMO ITEM] Partnership Itemization Memo

Full Name (Last, First, Middle Initial)

C.

Patricia McCabe
Mailing Address 66 S New York Street City Lockport FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

12

2012

State NY

Zip Code
14094-4227

Transaction ID : A-C9436

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, ,
1000

,

1000

.

Receipt For: 2012 Primary Other (specify)

General

,

.

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

, ,

, ,

1500.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440318

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

65 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Turnbull Heating & Air
Mailing Address 50 Franklin Street City
Batavia

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

10

01

2012

State NY

Zip Code
14020-3019

Transaction ID : A-C9574

FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify)

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .
250

,

.250

General

Contribution from Partnership. Partners exceeding reporting threshold itemized as memos.

Full Name (Last, First, Middle Initial)

B.

Joseph Huber
Mailing Address 121 Ponderosa Drive City Buffalo FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

05

2012

State NY

Zip Code 14221-2422

Transaction ID : A-C9544

C
Occupation
Information Requested

Amount of Each Receipt this Period

, , , . 25
Date of Receipt
M M / D D /

,

. 25

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

Arthur Jackson
Mailing Address 1201 S Eads Street City Arlington FEC ID number of contributing federal political committee. Name of Employer
T-Mobil USA

Y

Y

Y

Y

10

12

2012

State VA

Zip Code
22202-2812

Transaction ID : A-C9359

C
Occupation Senior Analyst Election Cycle-to-Date

Amount of Each Receipt this Period

, , . 25 , ,

,

. 25

Receipt For: 2012 Primary Other (specify)

General

,

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

, ,

300.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440319

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

66 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Richard Shine
Mailing Address 8100 Clarence Center Road City
East Amherst

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

10

01

2012

State NY

Zip Code
14051-1986

Transaction ID : A-C9567

FEC ID number of contributing federal political committee. Name of Employer Manatoba Receipt For: 2012 Primary Other (specify) General

C
Occupation Manager Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .250
Date of Receipt
M M / D D /

,

.250

Full Name (Last, First, Middle Initial)

B.

Robert Stuart Jr.
Mailing Address 150 N Field Drive Suite 100 City Lake Forest FEC ID number of contributing federal political committee. Name of Employer
NA

Y

Y

Y

Y

10

02

2012

State IL

Zip Code 60045-2583

Transaction ID : A-C9564

C
Occupation
Retired

Amount of Each Receipt this Period

, , ,
1000

,

1000

.

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

.

Full Name (Last, First, Middle Initial)

C.

Nancy Berger
Mailing Address 760 W Ferry Street City Buffalo FEC ID number of contributing federal political committee. Name of Employer
NA

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

10

12

2012

State NY

Zip Code
14222-1617

Transaction ID : A-C9465

C
Occupation Homemaker Election Cycle-to-Date

Amount of Each Receipt this Period

, , .500 , ,

,

.500

Receipt For: 2012 Primary Other (specify)

General

,

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

, ,

1750.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440320

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

67 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Janet Mattar
Mailing Address 6402 Woodberry Court City
East Amherst

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

10

09

2012

State NY

Zip Code
14051-1547

Transaction ID : A-C9508

FEC ID number of contributing federal political committee. Name of Employer NA Receipt For: 2012 Primary Other (specify) General

C
Occupation Homemaker Election Cycle-to-Date

Amount of Each Receipt this Period

, , .200
Date of Receipt
M M / D D /

,

.200

,

Full Name (Last, First, Middle Initial)

B.

Gerald Buchheit
Mailing Address 6210 Old Lake Shore City Lakeview FEC ID number of contributing federal political committee. Name of Employer
Self

Y

Y

Y

Y

10

11

2012

State NY

Zip Code 14075

Transaction ID : A-C9506

C
Occupation
Developer

Amount of Each Receipt this Period

, , ,
5000

,

2500

.

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

.

Full Name (Last, First, Middle Initial)

C.

Mark Schoell
Mailing Address 19 Lakeridge Drive S City Orchard Park FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

09

2012

State NY

Zip Code
14127-3370

Transaction ID : A-C9526

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .250 , ,

,

.250

Receipt For: 2012 Primary Other (specify)

General

,

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

, ,

2950.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440321

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

68 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Roger Triftshauser
Mailing Address 1333 Eagle Run Drive City
Sanibel

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

10

09

2012

State FL

Zip Code
33957-6709

Transaction ID : A-C9522

FEC ID number of contributing federal political committee. Name of Employer Information Requested Receipt For: 2012 Primary Other (specify) General

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .500
Date of Receipt
M M / D D /

,

.500

,

Full Name (Last, First, Middle Initial)

B.

Robert Marlowe
Mailing Address 33 Bentley Avenue City Jersey City FEC ID number of contributing federal political committee. Name of Employer
Spencer-Fontayne Corp

Y

Y

Y

Y

10

11

2012

State NJ

Zip Code 07304-1901

Transaction ID : A-C9362

C
Occupation
Consultant

Amount of Each Receipt this Period

, , , . 19
Date of Receipt
M M / D D /

,

. 19

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

Tyler Showalter
Mailing Address 8617 Sheridan Hill Drive City Buffalo FEC ID number of contributing federal political committee. Name of Employer
Information Requested

Y

Y

Y

Y

10

09

2012

State NY

Zip Code
14221-6321

Transaction ID : A-PI459

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .150

,

.150

Receipt For: 2012 Primary Other (specify)

General

,

[MEMO ITEM] Partnership Itemization Memo

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

, ,

, ,

519.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440322

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

69 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Donna Porter
Mailing Address 205 Reiter Road City
East Aurora

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

10

12

2012

State NY

Zip Code
14052-2716

Transaction ID : A-C9464

FEC ID number of contributing federal political committee. Name of Employer Lancaster Central Schools Receipt For: 2012 Primary Other (specify) General

C
Occupation Teacher Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .200
Date of Receipt
M M / D D /

,

.200

Full Name (Last, First, Middle Initial)

B.

Marcia J Irish
Mailing Address 5048 Brookhaven Drive City Clarence FEC ID number of contributing federal political committee. Name of Employer
NA

Y

Y

Y

Y

10

08

2012

State NY

Zip Code 14031-1610

Transaction ID : A-C9367

C
Occupation
Retired

Amount of Each Receipt this Period

, , ,
500 .

,

.500

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

Robert F. Schlehr
Mailing Address 7380 Erica Lane City North Tonawanda FEC ID number of contributing federal political committee. Name of Employer
OGSI

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

10

09

2012

State NY

Zip Code
14120-4903

Transaction ID : A-PI457

C
Occupation Vice President Election Cycle-to-Date

Amount of Each Receipt this Period

, ,
1000

,

1000

.

Receipt For: 2012 Primary Other (specify)

General

,

.

[MEMO ITEM] Partnership Itemization Memo

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

, ,

, ,

700.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440323

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

70 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

John Somers
Mailing Address 535 N Forest Road City
Williamsville

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

10

05

2012

State NY

Zip Code
14221-4935

Transaction ID : A-C9546

FEC ID number of contributing federal political committee. Name of Employer Harmac Receipt For: 2012 Primary Other (specify) General

C
Occupation President Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
2500

,

2500

.

.

Full Name (Last, First, Middle Initial)

B.

Rosemary Quebral
Mailing Address 66 Brookdale Drive City Williamsville FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

12

2012

State NY

Zip Code 14221-3215

Transaction ID : A-C9432

C
Occupation
Information Requested

Amount of Each Receipt this Period

, , ,
500 .

,

.500

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

Thomas Judson
Mailing Address PO Box 1010 City Rochester FEC ID number of contributing federal political committee. Name of Employer
The Pike Company

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

10

12

2012

State NY

Zip Code
14603

Transaction ID : A-C9481

C
Occupation Owner Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
2500

,

2500

.

Receipt For: 2012 Primary Other (specify)

General

.

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

, ,

, ,

5500.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440324

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

71 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Jeffrey Williams
Mailing Address 636 Mountain View Drive City
Lewiston

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

10

12

2012

State NY

Zip Code
14092-1910

Transaction ID : A-C9442

FEC ID number of contributing federal political committee. Name of Employer Information Requested Receipt For: 2012 Primary Other (specify) General

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, ,
1000

,

1000

.

,

.

Full Name (Last, First, Middle Initial)

B.

David Ulrich
Mailing Address Ulrich Dev. Co., LLC 45 Main Street City Lockport FEC ID number of contributing federal political committee. Name of Employer
Ulrich Development Co., LLC

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

10

03

2012

State NY

Zip Code 14094

Transaction ID : A-C9556

C
Occupation
Partner

Amount of Each Receipt this Period

, , ,
1000

,

1000

.

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

.

Full Name (Last, First, Middle Initial)

C.

Trade Credit Insurance Agency
Mailing Address 140 Summershade Court City East Amherst FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify) State NY Zip Code
14051-1678

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

10

09

2012

Transaction ID : A-PI435

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .125

,

.125

General

[MEMO ITEM] Partnership Itemization Memo

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

, ,

, ,

2000.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440325

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

72 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Laurie Kostrzewski
Mailing Address 107 Oakland Place City
Buffalo

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

10

05

2012

State NY

Zip Code
14222-2047

Transaction ID : A-C9545

FEC ID number of contributing federal political committee. Name of Employer City Gate Receipt For: 2012 Primary Other (specify) General

C
Occupation Office Manager Election Cycle-to-Date

Amount of Each Receipt this Period

, , .150
Date of Receipt
M M / D D /

,

.150

,

Full Name (Last, First, Middle Initial)

B.

Drew Tidwell
Mailing Address 156 Colony Court City Amherst FEC ID number of contributing federal political committee. Name of Employer
Self employed

Y

Y

Y

Y

10

16

2012

State NY

Zip Code 14226-3509

Transaction ID : A-C9422

C
Occupation
Consultant

Amount of Each Receipt this Period

, , , . 30
Date of Receipt
M M / D D /

,

. 30

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

Robin L Sion
Mailing Address 59 Woodward Avenue City Springville FEC ID number of contributing federal political committee. Name of Employer
Information Requested

Y

Y

Y

Y

10

09

2012

State NY

Zip Code
14141-1021

Transaction ID : A-PI460

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .150

,

.150

Receipt For: 2012 Primary Other (specify)

General

,

[MEMO ITEM] Partnership Itemization Memo

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

, ,

, ,

180.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440326

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

73 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Paul Banas
Mailing Address 27 N Long Street City
Williamsville

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

10

12

2012

State NY

Zip Code
14221-5311

Transaction ID : A-C9496

FEC ID number of contributing federal political committee. Name of Employer Banas Mortgage Co. Receipt For: 2012 Primary Other (specify) General

C
Occupation Mortgage Broker Election Cycle-to-Date

Amount of Each Receipt this Period

, , .250
Date of Receipt
M M / D D /

,

.250

,

Full Name (Last, First, Middle Initial)

B.

Bradley Marble
Mailing Address 122 Northledge Drive City Lockport FEC ID number of contributing federal political committee. Name of Employer
Information Requested

Y

Y

Y

Y

10

12

2012

State NY

Zip Code 14094

Transaction ID : A-C9429

C
Occupation
Information Requested

Amount of Each Receipt this Period

, , ,
300 .

,

.300

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

Westermeier & Martin Dental Care PLLC
Mailing Address 950 Main Street City East Aurora FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify) State NY Zip Code
14052-1924

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

10

12

2012

Transaction ID : A-C9467

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .200

,

.200

General

Contribution from Partnership. Partners exceeding reporting threshold itemized as memos.

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

, ,

, ,

750.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440327

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

74 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Dan Alexander
Mailing Address 152 Howell Street City
Canandaigua

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

10

15

2012

State NY

Zip Code
14424-1254

Transaction ID : A-C9415

FEC ID number of contributing federal political committee. Name of Employer Self employed Receipt For: 2012 Primary Other (specify) General

C
Occupation Physician Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
2500

,

2500

.

.

Full Name (Last, First, Middle Initial)

B.

Henry Williams Jr.
Mailing Address 12 Rochester Street City Scottsville FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

09

2012

State NY

Zip Code 14546-1324

Transaction ID : A-PI434

C
Occupation
Information Requested

Amount of Each Receipt this Period

, , , . 25

,

. 25

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

[MEMO ITEM] Partnership Itemization Memo

Full Name (Last, First, Middle Initial)

C.

Scott Garrett for Congress
Mailing Address PO Box 905 City Newton FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify) State NJ Zip Code
07860-0905

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

10

12

2012

Transaction ID : A-C9498

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
1000

,

1000

.

General

.

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

, ,

, ,

3500.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440328

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

75 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Robert Moore
Mailing Address 3987 Graywood Center City
Geneseo

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

10

09

2012

State NY

Zip Code
14454-9777

Transaction ID : A-C9519

FEC ID number of contributing federal political committee. Name of Employer Information Requested Receipt For: 2012 Primary Other (specify) General

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , .500
Date of Receipt
M M / D D /

,

.500

,

Full Name (Last, First, Middle Initial)

B.

Raymond Fink
Mailing Address 12 Fountain Plaza Suite 400 City Buffalo FEC ID number of contributing federal political committee. Name of Employer
Information Requested

Y

Y

Y

Y

10

09

2012

State NY

Zip Code 14202-2222

Transaction ID : A-PI450

C
Occupation
Information Requested

Amount of Each Receipt this Period

, , ,
200 .

,

.200

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

[MEMO ITEM] Partnership Itemization Memo

Full Name (Last, First, Middle Initial)

C.

WS Grove Orthopaedic Supplies LLC
Mailing Address 247 Cayuga Road City Cheektowaga FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify) State NY Zip Code
14225-1900

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

10

09

2012

Transaction ID : A-C9513

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .500

,

.500

General

Contribution from Partnership. Partners exceeding reporting threshold itemized as memos.

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

, ,

, ,

1000.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440329

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

76 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Richard Kutter
Mailing Address 1330 Main Road City
Corfu

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

10

01

2012

State NY

Zip Code
14036-9757

Transaction ID : A-PI407

FEC ID number of contributing federal political committee. Name of Employer Kutter's Cheese Factory Receipt For: 2012 Primary Other (specify) General

C
Occupation Owner Election Cycle-to-Date

Amount of Each Receipt this Period

, , , . 25
Date of Receipt
M M / D D /

,

. 25

[MEMO ITEM] Partnership Itemization Memo

Full Name (Last, First, Middle Initial)

B.

David Lipinoga
Mailing Address PO Box 537 City North Tonawanda FEC ID number of contributing federal political committee. Name of Employer
First Asset Recovery Group

Y

Y

Y

Y

10

09

2012

State NY

Zip Code 14120-0537

Transaction ID : A-PI433

C
Occupation
Principal

Amount of Each Receipt this Period

, , ,
150 .

,

.150

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

[MEMO ITEM] Partnership Itemization Memo

Full Name (Last, First, Middle Initial)

C.

Grant Hamilton
Mailing Address 710 Main Street City East Aurora FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

12

2012

State NY

Zip Code
14052-2406

Transaction ID : A-C9453

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , . 75 , ,

,

. 75

Receipt For: 2012 Primary Other (specify)

General

,

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

, ,

75.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440330

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

77 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Joseph Delvecchio
Mailing Address 180 Pratt Street City
East Aurora

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

10

12

2012

State NY

Zip Code
14052-1416

Transaction ID : A-C9447

FEC ID number of contributing federal political committee. Name of Employer Information Requested Receipt For: 2012 Primary Other (specify) General

C
Occupation Information Requested Election Cycle-to-Date

Amount of Each Receipt this Period

, , . 50
Date of Receipt
M M / D D /

,

. 50

,

Full Name (Last, First, Middle Initial)

B.

John Ott
Mailing Address 1407 Townline Road City Elma FEC ID number of contributing federal political committee. Name of Employer
Information Requested

Y

Y

Y

Y

10

05

2012

State NY

Zip Code 14059-8822

Transaction ID : A-PI420

C
Occupation
Information Requested

Amount of Each Receipt this Period

, , ,
100 .

,

.100

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

[MEMO ITEM] Partnership Itemization Memo

Full Name (Last, First, Middle Initial)

C.

Randall Dipert
Mailing Address 6026 Wellesley Cmn City East Amherst FEC ID number of contributing federal political committee. Name of Employer
SUNY NY

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

10

03

2012

State NY

Zip Code
14051-1950

Transaction ID : A-C9371

C
Occupation Professor Election Cycle-to-Date

Amount of Each Receipt this Period

, , , . 50 , ,

,

. 50

Receipt For: 2012 Primary Other (specify)

General

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

, ,

100.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440331

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

78 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Henry Meyer
Mailing Address 34 Maple Road City
Setauket

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

10

02

2012

State NY

Zip Code
11733-3220

Transaction ID : A-C9377

FEC ID number of contributing federal political committee. Name of Employer Fonar Corporation Receipt For: 2012 Primary Other (specify) General

C
Occupation Attorney Election Cycle-to-Date

Amount of Each Receipt this Period

, , , . 45
Date of Receipt
M M / D D /

,

. 10

Full Name (Last, First, Middle Initial)

B.

Andrew Dorn , IV
Mailing Address 27 Chicory Lane City Lancaster FEC ID number of contributing federal political committee. Name of Employer
Information Requested

Y

Y

Y

Y

10

12

2012

State NY

Zip Code 14086-4403

Transaction ID : A-C9497

C
Occupation
Information Requested

Amount of Each Receipt this Period

, , ,
250 .

,

.250

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

Joseph Dileo
Mailing Address 300 Corporate Parkway Suite 216N City Amherst FEC ID number of contributing federal political committee. Name of Employer
Self

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

10

09

2012

State NY

Zip Code
14226-1259

Transaction ID : A-C9533

C
Occupation Financial Planner Election Cycle-to-Date

Amount of Each Receipt this Period

, ,
1000

,

1000

.

Receipt For: 2012 Primary Other (specify)

General

,

.

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

, ,

, ,

1260.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440332

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

79 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Timothy Bidlack
Mailing Address 102 Coriander Court City
East Amherst

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

10

10

2012

State NY

Zip Code
14051-2470

Transaction ID : A-C9363

FEC ID number of contributing federal political committee. Name of Employer Southwest Airlines Receipt For: 2012 Primary Other (specify) General

C
Occupation Pilot Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
1000

,

1000

.

.

Full Name (Last, First, Middle Initial)

B.

Virginia Lindberg
Mailing Address 8286 Garrock Road City Williamsville FEC ID number of contributing federal political committee. Name of Employer
Information Requested

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

10

09

2012

State NY

Zip Code 14221-4186

Transaction ID : A-C9514

C
Occupation
Information Requested

Amount of Each Receipt this Period

, , , . 30
Date of Receipt
M M / D D /

,

. 30

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

William H. Gurney
Mailing Address 144 Middlesex Road City Buffalo FEC ID number of contributing federal political committee. Name of Employer
Courier Capitol Corp.

Y

Y

Y

Y

10

12

2012

State NY

Zip Code
14216-3543

Transaction ID : A-C9488

C
Occupation Financial Advisor Election Cycle-to-Date

Amount of Each Receipt this Period

, , .250 , ,

,

.250

Receipt For: 2012 Primary Other (specify)

General

,

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

, ,

1280.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440333

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

80 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Daniel Cantara , III
Mailing Address 331 Depew Avenue City
Buffalo

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

10

12

2012

State NY

Zip Code
14214-1657

Transaction ID : A-C9501

FEC ID number of contributing federal political committee. Name of Employer First Niagara Financial Receipt For: 2012 Primary Other (specify) General

C
Occupation Exec. Vice President Election Cycle-to-Date

Amount of Each Receipt this Period

, ,
1000

,

1000

.

,

.

Full Name (Last, First, Middle Initial)

B.

Mike George
Mailing Address 3605 Beverly Drive City Dallas FEC ID number of contributing federal political committee. Name of Employer
NA

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

10

09

2012

State TX

Zip Code 75205-2803

Transaction ID : A-C9406

C
Occupation
Retired

Amount of Each Receipt this Period

, , ,
2500

,

2500

.

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

.

Full Name (Last, First, Middle Initial)

C.

Michael Klimoski
Mailing Address 201 E 83rd Street Apt. 11F City New York FEC ID number of contributing federal political committee. Name of Employer
NA

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

10

02

2012

State NY

Zip Code
10028-2870

Transaction ID : A-C9566

C
Occupation Retired Election Cycle-to-Date

Amount of Each Receipt this Period

, , , . 40 , ,

,

. 40

Receipt For: 2012 Primary Other (specify)

General

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

, ,

3540.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440334

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

81 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Webster Szanyi, LLP
Mailing Address 424 Main Street
Room 1400

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

10

09

2012

City
Buffalo

State NY

Zip Code
14202-3614

Transaction ID : A-PI440

FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify)

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .900
Date of Receipt
M M / D D /

,

.900

General

[MEMO ITEM] Partnership Itemization Memo

Full Name (Last, First, Middle Initial)

B.

Colleen DiPirro
Mailing Address 13 Thamesford Lane City Buffalo FEC ID number of contributing federal political committee. Name of Employer
Amherst Chamber of Commerce

Y

Y

Y

Y

10

09

2012

State NY

Zip Code 14221-5961

Transaction ID : A-PI444

C
Occupation
President & CEO

Amount of Each Receipt this Period

, , ,
500 .

,

.500

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

[MEMO ITEM] Partnership Itemization Memo

Full Name (Last, First, Middle Initial)

C.

Kent Frey
Mailing Address 5329 Green Valley Drive City Clarence FEC ID number of contributing federal political committee. Name of Employer
Frey Electric

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

10

09

2012

State NY

Zip Code
14031-1232

Transaction ID : A-PI446

C
Occupation President Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
2500

,

2500

.

Receipt For: 2012 Primary Other (specify)

General

.

[MEMO ITEM] Partnership Itemization Memo

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

, ,

, ,

0.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440335

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

82 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

William Embick
Mailing Address 110 Ashwood Lane City
Orchard Park

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

10

01

2012

State NY

Zip Code
14127-4844

Transaction ID : A-C9571

FEC ID number of contributing federal political committee. Name of Employer NA Receipt For: 2012 Primary Other (specify) General

C
Occupation Retired Election Cycle-to-Date

Amount of Each Receipt this Period

, , , . 25
Date of Receipt
M M / D D /

,

. 25

Full Name (Last, First, Middle Initial)

B.

Nora Sullivan
Mailing Address 4042 Foxwood Lane City Buffalo FEC ID number of contributing federal political committee. Name of Employer
Foxwood Capital, Inc

Y

Y

Y

Y

10

12

2012

State NY

Zip Code 14221-7368

Transaction ID : A-C9487

C
Occupation
President

Amount of Each Receipt this Period

, , ,
250 .

,

.250

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

Kenneth Jaskier
Mailing Address 18 Sussex Lane City Lancaster FEC ID number of contributing federal political committee. Name of Employer
Frey Electric

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

10

09

2012

State NY

Zip Code
14086-9458

Transaction ID : A-PI451

C
Occupation Controller Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
2500

,

2500

.

Receipt For: 2012 Primary Other (specify)

General

.

[MEMO ITEM] Partnership Itemization Memo

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

, ,

, ,

275.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440336

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

83 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Roy Turnbull
Mailing Address 50 Franklin Street City
Batavia

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

10

01

2012

State NY

Zip Code
14020-3019

Transaction ID : A-PI408

FEC ID number of contributing federal political committee. Name of Employer Turnbull Refrigeration Receipt For: 2012 Primary Other (specify) General

C
Occupation Manager Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .300
Date of Receipt
M M / D D /

,

.250

[MEMO ITEM] Partnership Itemization Memo

Full Name (Last, First, Middle Initial)

B.

Kathleen Kneeland
Mailing Address 6777 E Quaker Street Apt. 8 City Orchard Park FEC ID number of contributing federal political committee. Name of Employer
Information Requested

Y

Y

Y

Y

10

12

2012

State NY

Zip Code 14127-2500

Transaction ID : A-C9448

C
Occupation
Information Requested

Amount of Each Receipt this Period

, , , . 75
Date of Receipt
M M / D D /

,

. 75

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

Timothy Rowe
Mailing Address 815 Palmer Road City Churchville FEC ID number of contributing federal political committee. Name of Employer
Retired

Y

Y

Y

Y

10

03

2012

State NY

Zip Code
14428-9513

Transaction ID : A-C9372

C
Occupation Engineer Election Cycle-to-Date

Amount of Each Receipt this Period

, , , . 50 , ,

,

. 50

Receipt For: 2012 Primary Other (specify)

General

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

, ,

125.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440337

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

84 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Susan Palmer
Mailing Address 400 Essjay Road
Suite 320

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

10

09

2012

City
Williamsville

State NY

Zip Code
14221-8228

Transaction ID : A-C9511

FEC ID number of contributing federal political committee. Name of Employer Jaeckle LLP Receipt For: 2012 Primary Other (specify) General

C
Occupation Attorney Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .200
Date of Receipt
M M / D D /

,

.200

Full Name (Last, First, Middle Initial)

B.

Paul Battaglia
Mailing Address 1 Evans Street City Batavia FEC ID number of contributing federal political committee. Name of Employer
Freed Maxick & Bataglia

Y

Y

Y

Y

10

03

2012

State NY

Zip Code 14020-3151

Transaction ID : A-C9558

C
Occupation
Accountant

Amount of Each Receipt this Period

, , ,
250 .

,

.250

Receipt For: 2012 Primary Other (specify)

Election Cycle-to-Date General

Full Name (Last, First, Middle Initial)

C.

Date of Receipt Mailing Address City State Zip Code
M M / D D / Y Y Y Y

FEC ID number of contributing federal political committee. Name of Employer Receipt For: Primary Other (specify)

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , , . , ,

,

.

General

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

, ,

. 91701.00 .

450.00

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440338

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

85 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Wyoming County Republican Committee
Mailing Address PO Box 191 City
Warsaw

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

10

09

2012

State NY

Zip Code
14569-0191

Transaction ID : A-C9523

FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify)

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .500
Date of Receipt
M M / D D /

,

.500

General

Full Name (Last, First, Middle Initial)

B.

North Tonawanda Republican City Comm.
Mailing Address PO Box 173 City North Tonawanda FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify) State NY Zip Code 14120-0173

Y

Y

Y

Y

10

09

2012

Transaction ID : A-C9529

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
1000

,

1000

.

General

.

Full Name (Last, First, Middle Initial)

C.

Boston Republican Committee
Mailing Address PO Box 142 City North Boston FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify) State NY Zip Code
14110-0142

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

10

09

2012

Transaction ID : A-PI461

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .300

,

.300

General

[MEMO ITEM] Partnership Itemization Memo

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

, ,

, ,

1500.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440339

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

86 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Orleans County Republican Comm.
Mailing Address City State Zip Code

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

10

09

2012

Transaction ID : A-C9520

FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify)

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .500
Date of Receipt
M M / D D /

,

.500

General

Full Name (Last, First, Middle Initial)

B.

Mailing Address City State Zip Code

Y

Y

Y

Y

FEC ID number of contributing federal political committee. Name of Employer Receipt For: Primary Other (specify)

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .
Date of Receipt
M M / D D /

,

.

General

Full Name (Last, First, Middle Initial)

C.

Mailing Address City State Zip Code

Y

Y

Y

Y

FEC ID number of contributing federal political committee. Name of Employer Receipt For: Primary Other (specify)

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , , . , ,

,

.

General

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

, ,

. 2000.00 .

500.00

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440340

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

87 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Credit Union Legislative Action Council PAC
Mailing Address 601 Pennsylvania Ave NW
South Building Suite 600

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

10

05

2012

City
Washington

State DC

Zip Code
20004 C00007880

Transaction ID : A-C9553

FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify)

C

Amount of Each Receipt this Period

Occupation Election Cycle-to-Date General

, , ,
5000

,

5000

.

.

Full Name (Last, First, Middle Initial)

B.

TACO PAC
Mailing Address 6405 Metcalf Avenue Suite 503 City Shawnee Mission FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify) State KS Zip Code 66202-4084

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

10

12

2012

Transaction ID : A-C9470

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
2000

,

2000

.

General

.

Full Name (Last, First, Middle Initial)

C.

Voice for Freedom PAC
Mailing Address 2700 Cumberland Parkway SE Suite 150 City Atlanta FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify) State GA Zip Code
30339-3321

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

10

02

2012

Transaction ID : A-C9561

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
1000

,

1000

.

General

.

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

, ,

, ,

8000.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440341

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

88 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Business Industry PAC
Mailing Address 888 16th Street NW City
Washington

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

10

16

2012

State DC

Zip Code
20006-4103

Transaction ID : A-C9423

FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify)

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
1000

,

1000

.

General

.

Full Name (Last, First, Middle Initial)

B.

ROSKAM PAC
Mailing Address 610 S Boulevard City Tampa FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify) State FL Zip Code 33606-2693

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

10

09

2012

Transaction ID : A-C9541

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
2000

,

2000

.

General

.

Full Name (Last, First, Middle Initial)

C.

Wholesaler-Distributor PAC
Mailing Address 1325 G Street NW Suite 1000 City Washington FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify) State DC Zip Code
20005-3134

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

10

09

2012

Transaction ID : A-C9540

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
1000

,

1000

.

General

.

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

, ,

, ,

4000.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440342

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

89 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Pete Sessions for Congress
Mailing Address PO Box 823047 City
Dallas

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

10

05

2012

State TX

Zip Code
75382-3047 C00520379

Transaction ID : A-C9551

FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify)

C

Amount of Each Receipt this Period

Occupation Election Cycle-to-Date General

, , ,
2000

,

2000

.

.

Full Name (Last, First, Middle Initial)

B.

KOCH Industries PAC
Mailing Address 600 14th Street NW Suite 800 City Washington FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify) State DC Zip Code 20005-2099

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

10

12

2012

Transaction ID : A-C9471

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
5000

,

5000

.

General

.

Full Name (Last, First, Middle Initial)

C.

NFG FEDPAC
Mailing Address 10 Lafayette Square City Buffalo FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify) State NY Zip Code
14203-1824

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

10

09

2012

Transaction ID : A-PI467

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
6500

,

1500

.

General

.

[MEMO ITEM] Partnership Itemization Memo

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

, ,

, ,

7000.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440343

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

90 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

George PAC
Mailing Address 120 N Congress Street
Suite 300

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

10

17

2012

City
Jackson

State MS

Zip Code
39201-2685

Transaction ID : A-C9411

FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify)

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
1000

,

1000

.

General

.

Full Name (Last, First, Middle Initial)

B.

National Venture Capital Assn. PAC
Mailing Address 1655 Fort Myer Drive Suite 850 City Arlington FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify) State VA Zip Code 22209-3199

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

10

05

2012

Transaction ID : A-C9550

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
5000

,

5000

.

General

.

Full Name (Last, First, Middle Initial)

C.

Nuclear Energy Institute Federal PAC
Mailing Address 1776 I Street NW Lobby 4 City Washington FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify) State DC Zip Code
20006-3759

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

10

12

2012

Transaction ID : A-C9469

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .500 , ,

,

.500

General

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

, ,

6500.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440344

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

91 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Town of Lockport Republican Committee
Mailing Address 6705 W. Jennifer Drive City
Lockport

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

10

09

2012

State NY

Zip Code
14094

Transaction ID : A-C9528

FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify)

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .500
Date of Receipt
M M / D D /

,

.500

General

Full Name (Last, First, Middle Initial)

B.

Pancake PAC
Mailing Address 1340 Hamlet Avenue City Clearwater FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify) State FL Zip Code 33756-3332

Y

Y

Y

Y

10

12

2012

Transaction ID : A-C9503

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
500 .

,

.500

General

Full Name (Last, First, Middle Initial)

C.

MVP Health Care Federal PAC
Mailing Address 625 State Street City Schenectady FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify) State NY Zip Code
12305-2111

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

10

16

2012

Transaction ID : A-C9424

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
1000

,

1000

.

General

.

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

, ,

, ,

2000.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440345

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

92 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

American Society of Anesthesioligists PAC
Mailing Address 520 N Northwest Highway City
Park Ridge

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

10

09

2012

State IL

Zip Code
60068-2538

Transaction ID : A-C9527

FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify)

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
1500

,

1500

.

General

.

Full Name (Last, First, Middle Initial)

B.

Western New York Victory Fund
Mailing Address 2470 Daniels Bridge Road Suite 121 City Athens FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify) State GA Zip Code 30606-6191
C00529826

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

10

17

2012

Transaction ID : A-C9588

C

Amount of Each Receipt this Period

Occupation Election Cycle-to-Date General

, , ,
38999.94

,

38999.94

.

.

Contribution from Partnership. Partners exceeding reporting threshold itemized as memos.

Full Name (Last, First, Middle Initial)

C.

Fluor Corporation PAC
Mailing Address 403 E Capitol Street SE City Washington FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify) State DC Zip Code
20003-3810

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

10

12

2012

Transaction ID : A-C9480

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
2500

,

2500

.

General

.

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

, ,

, ,

42999.94

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440346

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

93 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Conservative Opportunity Leadership & Enterprise PAC
Mailing Address 12176 Chancery Station Circle City
Reston

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

10

16

2012

State VA

Zip Code
20190-5803

Transaction ID : A-C9425

FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify)

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
1000

,

1000

.

General

.

Full Name (Last, First, Middle Initial)

B.

TRUCK PAC
Mailing Address 430 1st Street SE City Washington FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify) State DC Zip Code 20003-1826

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

10

02

2012

Transaction ID : A-C9563

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
1000

,

1000

.

General

.

Full Name (Last, First, Middle Initial)

C.

NFG FEDPAC
Mailing Address 10 Lafayette Square City Buffalo FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify) State NY Zip Code
14203-1824

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

10

09

2012

Transaction ID : A-C9539

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
6500

,

5000

.

General

.

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

, ,

, ,

7000.00

. .

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440347

SCHEDULE A (FEC Form 3) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)
11a 12 11b 13a

PAGE
11c 13b

94 OF
11d 14

112

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A.

Trust PAC Team Republicans
Mailing Address 228 S Washington Street
Suite 115

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

10

05

2012

City
Alexandria

State VA

Zip Code
22314-5404

Transaction ID : A-C9552

FEC ID number of contributing federal political committee. Name of Employer Receipt For: 2012 Primary Other (specify)

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , ,
2000

,

2000

.

General

.

Full Name (Last, First, Middle Initial)

B.

Date of Receipt Mailing Address City State Zip Code
M M / D D / Y Y Y Y

FEC ID number of contributing federal political committee. Name of Employer Receipt For: Primary Other (specify)

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , , .
Date of Receipt
M M / D D /

,

.

General

Full Name (Last, First, Middle Initial)

C.

Mailing Address City State Zip Code

Y

Y

Y

Y

FEC ID number of contributing federal political committee. Name of Employer Receipt For: Primary Other (specify)

C
Occupation Election Cycle-to-Date

Amount of Each Receipt this Period

, , , . , ,

,

.

General

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

, ,

. 79499.94 .

2000.00

FEC Schedule A (Form 3) (Revised 02/2009)

Image# 12940440348

SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS

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

FOR LINE NUMBER: (check only one)
17 20a 18 20b

PAGE

95 OF
19a 20c

112
19b 21

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A. Piryx, Inc.
Mailing Address 144 2nd Street Floor 1 City San Francisco Purpose of Disbursement Credit Card fee Candidate Name House Senate President State: District: Full Name (Last, First, Middle Initial) Office Sought: Disbursement For: 2012 Primary Other (specify)

Date of Disbursement
M M / D D / Y Y Y Y

10

15

2012

State CA

Zip Code 94105-3718
001

Amount of Each Disbursement this Period

,

,

.4.5

Transaction ID : B-E-9383

Category/ Type General

B. Piryx, Inc.
Mailing Address 144 2nd Street Floor 1 City
San Francisco Purpose of Disbursement Credit Card fee

Date of Disbursement
M M / D D / Y Y Y Y

10

03

2012

State CA

Zip Code
94105-3718 001

Amount of Each Disbursement this Period

,

,

. 4.5

Candidate Name Office Sought: House Senate President District: Disbursement For: 2012 Primary General Other (specify)

Transaction ID : B-E-9402

Category/ Type

State:

Full Name (Last, First, Middle Initial)

C. Piryx, Inc.
Mailing Address 144 2nd Street Floor 1 City San Francisco Purpose of Disbursement Credit Card fee Candidate Name Office Sought: House Senate President District: Disbursement For: 2012 Primary Other (specify)

Date of Disbursement
M M / D D / Y Y Y Y

10

12

2012

State CA

Zip Code 94105-3718
001

Amount of Each Disbursement this Period

,

,

.1.13

Transaction ID : B-E-9388

Category/ Type General

State:

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

, ,

, ,

10.13

. .

FE5AN018

FEC Schedule B (Form 3) (Revised 02/2009)

Image# 12940440349

SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS

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

FOR LINE NUMBER: (check only one)
17 20a 18 20b

PAGE

96 OF
19a 20c

112
19b 21

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A. Piryx, Inc.
Mailing Address 144 2nd Street Floor 1 City San Francisco Purpose of Disbursement Credit Card fee Candidate Name House Senate President State: District: Full Name (Last, First, Middle Initial) Office Sought: Disbursement For: 2012 Primary Other (specify)

Date of Disbursement
M M / D D / Y Y Y Y

10

11

2012

State CA

Zip Code 94105-3718
001

Amount of Each Disbursement this Period

,

,

0.86 .

Transaction ID : B-E-9391

Category/ Type General

B. Piryx, Inc.
Mailing Address 144 2nd Street Floor 1 City
San Francisco Purpose of Disbursement Credit Card fee

Date of Disbursement
M M / D D / Y Y Y Y

10

15

2012

State CA

Zip Code
94105-3718 001

Amount of Each Disbursement this Period

,

,

.

9

Candidate Name Office Sought: House Senate President District: Disbursement For: 2012 Primary General Other (specify)

Transaction ID : B-E-9384

Category/ Type

State:

Full Name (Last, First, Middle Initial)

C. Piryx, Inc.
Mailing Address 144 2nd Street Floor 1 City San Francisco Purpose of Disbursement Credit Card fee Candidate Name Office Sought: House Senate President District: Disbursement For: 2012 Primary Other (specify)

Date of Disbursement
M M / D D / Y Y Y Y

10

08

2012

State CA

Zip Code 94105-3718
001

Amount of Each Disbursement this Period

,

,

.6.75

Transaction ID : B-E-9395

Category/ Type General

State:

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

, ,

, ,

16.61

. .

FE5AN018

FEC Schedule B (Form 3) (Revised 02/2009)

Image# 12940440350

SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS

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

FOR LINE NUMBER: (check only one)
17 20a 18 20b

PAGE

97 OF
19a 20c

112
19b 21

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A. Piryx, Inc.
Mailing Address 144 2nd Street Floor 1 City San Francisco Purpose of Disbursement Credit Card fee Candidate Name House Senate President State: District: Full Name (Last, First, Middle Initial) Office Sought: Disbursement For: 2012 Primary Other (specify)

Date of Disbursement
M M / D D / Y Y Y Y

10

02

2012

State CA

Zip Code 94105-3718
001

Amount of Each Disbursement this Period

,

,

.4.5

Transaction ID : B-E-9382

Category/ Type General

B. Piryx, Inc.
Mailing Address 144 2nd Street Floor 1 City
San Francisco Purpose of Disbursement Credit Card fee

Date of Disbursement
M M / D D / Y Y Y Y

10

03

2012

State CA

Zip Code
94105-3718 001

Amount of Each Disbursement this Period

,

,

2.25 .

Candidate Name Office Sought: House Senate President District: Disbursement For: 2012 Primary General Other (specify)

Transaction ID : B-E-9399

Category/ Type

State:

Full Name (Last, First, Middle Initial)

C. Piryx, Inc.
Mailing Address 144 2nd Street Floor 1 City San Francisco Purpose of Disbursement Credit Card fee Candidate Name Office Sought: House Senate President District: Disbursement For: 2012 Primary Other (specify)

Date of Disbursement
M M / D D / Y Y Y Y

10

05

2012

State CA

Zip Code 94105-3718
001

Amount of Each Disbursement this Period

,

,

.2.25

Transaction ID : B-E-9398

Category/ Type General

State:

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

, ,

, ,

9.00 . .

FE5AN018

FEC Schedule B (Form 3) (Revised 02/2009)

Image# 12940440351

SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS

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

FOR LINE NUMBER: (check only one)
17 20a 18 20b

PAGE

98 OF
19a 20c

112
19b 21

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A. Piryx, Inc.
Mailing Address 144 2nd Street Floor 1 City San Francisco Purpose of Disbursement Credit Card fee Candidate Name House Senate President State: District: Full Name (Last, First, Middle Initial) Office Sought: Disbursement For: 2012 Primary Other (specify)

Date of Disbursement
M M / D D / Y Y Y Y

10

14

2012

State CA

Zip Code 94105-3718
001

Amount of Each Disbursement this Period

,

,

.4.5

Transaction ID : B-E-9385

Category/ Type General

B. Piryx, Inc.
Mailing Address 144 2nd Street Floor 1 City
San Francisco Purpose of Disbursement Credit Card fee

Date of Disbursement
M M / D D / Y Y Y Y

10

10

2012

State CA

Zip Code
94105-3718 001

Amount of Each Disbursement this Period

,

,

1.13 .

Candidate Name Office Sought: House Senate President District: Disbursement For: 2012 Primary General Other (specify)

Transaction ID : B-E-9394

Category/ Type

State:

Full Name (Last, First, Middle Initial)

C. Piryx, Inc.
Mailing Address 144 2nd Street Floor 1 City San Francisco Purpose of Disbursement Credit Card fee Candidate Name Office Sought: House Senate President District: Disbursement For: 2012 Primary Other (specify)

Date of Disbursement
M M / D D / Y Y Y Y

10

05

2012

State CA

Zip Code 94105-3718
001

Amount of Each Disbursement this Period

,

,

.0.45

Transaction ID : B-E-9380

Category/ Type General

State:

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

, ,

, ,

6.08 . .

FE5AN018

FEC Schedule B (Form 3) (Revised 02/2009)

Image# 12940440352

SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS

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

FOR LINE NUMBER: (check only one)
17 20a 18 20b

PAGE

99 OF
19a 20c

112
19b 21

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A. Piryx, Inc.
Mailing Address 144 2nd Street Floor 1 City San Francisco Purpose of Disbursement Credit Card fee Candidate Name House Senate President State: District: Full Name (Last, First, Middle Initial) Office Sought: Disbursement For: 2012 Primary Other (specify)

Date of Disbursement
M M / D D / Y Y Y Y

10

10

2012

State CA

Zip Code 94105-3718
001

Amount of Each Disbursement this Period

,

,

. 45

Transaction ID : B-E-9392

Category/ Type General

B. Piryx, Inc.
Mailing Address 144 2nd Street Floor 1 City
San Francisco Purpose of Disbursement Credit Card fee

Date of Disbursement
M M / D D / Y Y Y Y

10

12

2012

State CA

Zip Code
94105-3718 001

Amount of Each Disbursement this Period

,

,

. 4.5

Candidate Name Office Sought: House Senate President District: Disbursement For: 2012 Primary General Other (specify)

Transaction ID : B-E-9389

Category/ Type

State:

Full Name (Last, First, Middle Initial)

C. Piryx, Inc.
Mailing Address 144 2nd Street Floor 1 City San Francisco Purpose of Disbursement Credit Card fee Candidate Name Office Sought: House Senate President District: Disbursement For: 2012 Primary Other (specify)

Date of Disbursement
M M / D D / Y Y Y Y

10

03

2012

State CA

Zip Code 94105-3718
001

Amount of Each Disbursement this Period

,

,

. 45

Transaction ID : B-E-9403

Category/ Type General

State:

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

, ,

, ,

94.50

. .

FE5AN018

FEC Schedule B (Form 3) (Revised 02/2009)

Image# 12940440353

SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS

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

FOR LINE NUMBER: (check only one)
17 20a 18 20b

PAGE 100 OF
19a 20c

112
19b 21

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A. Piryx, Inc.
Mailing Address 144 2nd Street Floor 1 City San Francisco Purpose of Disbursement Credit Card fee Candidate Name House Senate President State: District: Full Name (Last, First, Middle Initial) Office Sought: Disbursement For: 2012 Primary Other (specify)

Date of Disbursement
M M / D D / Y Y Y Y

10

14

2012

State CA

Zip Code 94105-3718
001

Amount of Each Disbursement this Period

,

,

.4.5

Transaction ID : B-E-9386

Category/ Type General

B. Crossroads Media, LLC.
Mailing Address 66 Canal Center Plaza Suite 500 City
Alexandria Purpose of Disbursement Other: Television

Date of Disbursement
M M / D D / Y Y Y Y

10

05

2012

State VA

Zip Code
22314-1576

Amount of Each Disbursement this Period

,
Category/ Type Disbursement For: 2012 Primary General Other (specify)

,

80230

.

Candidate Name Office Sought: House Senate President District:

Transaction ID : B-E-9577

State:

Full Name (Last, First, Middle Initial)

C. Crossroads Media, LLC.
Mailing Address 66 Canal Center Plaza Suite 500 City Alexandria Purpose of Disbursement Television Candidate Name Office Sought: House Senate President District: Disbursement For: 2012 Primary Other (specify)

Date of Disbursement
M M / D D / Y Y Y Y

10

11

2012

State VA

Zip Code 22314-1576
001

Amount of Each Disbursement this Period

,

,

80090

.

Transaction ID : B-E-9578

Category/ Type General

State:

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

, ,

, ,

160324.50

. .

FE5AN018

FEC Schedule B (Form 3) (Revised 02/2009)

Image# 12940440354

SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS

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

FOR LINE NUMBER: (check only one)
17 20a 18 20b

PAGE 101 OF
19a 20c

112
19b 21

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A. Piryx, Inc.
Mailing Address 144 2nd Street Floor 1 City San Francisco Purpose of Disbursement Credit Card fee Candidate Name House Senate President State: District: Full Name (Last, First, Middle Initial) Office Sought: Disbursement For: 2012 Primary Other (specify)

Date of Disbursement
M M / D D / Y Y Y Y

10

02

2012

State CA

Zip Code 94105-3718
001

Amount of Each Disbursement this Period

,

,

22.5 .

Transaction ID : B-E-9404

Category/ Type General

B. Piryx, Inc.
Mailing Address 144 2nd Street Floor 1 City
San Francisco Purpose of Disbursement Credit Card fee

Date of Disbursement
M M / D D / Y Y Y Y

10

03

2012

State CA

Zip Code
94105-3718 001

Amount of Each Disbursement this Period

,

,

2.25 .

Candidate Name Office Sought: House Senate President District: Disbursement For: 2012 Primary General Other (specify)

Transaction ID : B-E-9400

Category/ Type

State:

Full Name (Last, First, Middle Initial)

C. Piryx, Inc.
Mailing Address 144 2nd Street Floor 1 City San Francisco Purpose of Disbursement Credit Card fee Candidate Name Office Sought: House Senate President District: Disbursement For: 2012 Primary Other (specify)

Date of Disbursement
M M / D D / Y Y Y Y

10

02

2012

State CA

Zip Code 94105-3718
001

Amount of Each Disbursement this Period

,

,

.0.45

Transaction ID : B-E-9379

Category/ Type General

State:

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

, ,

, ,

25.20

. .

FE5AN018

FEC Schedule B (Form 3) (Revised 02/2009)

Image# 12940440355

SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS

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

FOR LINE NUMBER: (check only one)
17 20a 18 20b

PAGE 102 OF
19a 20c

112
19b 21

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A. Piryx, Inc.
Mailing Address 144 2nd Street Floor 1 City San Francisco Purpose of Disbursement Credit Card fee Candidate Name House Senate President State: District: Full Name (Last, First, Middle Initial) Office Sought: Disbursement For: 2012 Primary Other (specify)

Date of Disbursement
M M / D D / Y Y Y Y

10

08

2012

State CA

Zip Code 94105-3718
001

Amount of Each Disbursement this Period

,

,

22.5 .

Transaction ID : B-E-9396

Category/ Type General

B. Piryx, Inc.
Mailing Address 144 2nd Street Floor 1 City
San Francisco Purpose of Disbursement Credit Card fee

Date of Disbursement
M M / D D / Y Y Y Y

10

03

2012

State CA

Zip Code
94105-3718 001

Amount of Each Disbursement this Period

,

,

2.25 .

Candidate Name Office Sought: House Senate President District: Disbursement For: 2012 Primary General Other (specify)

Transaction ID : B-E-9401

Category/ Type

State:

Full Name (Last, First, Middle Initial)

C. Piryx, Inc.
Mailing Address 144 2nd Street Floor 1 City San Francisco Purpose of Disbursement Credit Card fee Candidate Name Office Sought: House Senate President District: Disbursement For: 2012 Primary Other (specify)

Date of Disbursement
M M / D D / Y Y Y Y

10

05

2012

State CA

Zip Code 94105-3718
001

Amount of Each Disbursement this Period

,

,

11.25

.

Transaction ID : B-E-9397

Category/ Type General

State:

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

, ,

, ,

36.00

. .

FE5AN018

FEC Schedule B (Form 3) (Revised 02/2009)

Image# 12940440356

SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS

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

FOR LINE NUMBER: (check only one)
17 20a 18 20b

PAGE 103 OF
19a 20c

112
19b 21

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A. Piryx, Inc.
Mailing Address 144 2nd Street Floor 1 City San Francisco Purpose of Disbursement Credit Card fee Candidate Name House Senate President State: District: Full Name (Last, First, Middle Initial) Office Sought: Disbursement For: 2012 Primary Other (specify)

Date of Disbursement
M M / D D / Y Y Y Y

10

09

2012

State CA

Zip Code 94105-3718
001

Amount of Each Disbursement this Period

,

,

1.13 .

Transaction ID : B-E-9393

Category/ Type General

B. Piryx, Inc.
Mailing Address 144 2nd Street Floor 1 City
San Francisco Purpose of Disbursement Credit card fee

Date of Disbursement
M M / D D / Y Y Y Y

10

12

2012

State CA

Zip Code
94105-3718 001

Amount of Each Disbursement this Period

,

,

0.68 .

Candidate Name Office Sought: House Senate President District: Disbursement For: 2012 Primary General Other (specify)

Transaction ID : B-E-9381

Category/ Type

State:

Full Name (Last, First, Middle Initial)

C. Piryx, Inc.
Mailing Address 144 2nd Street Floor 1 City San Francisco Purpose of Disbursement Credit Card fee Candidate Name Office Sought: House Senate President District: Disbursement For: 2012 Primary Other (specify)

Date of Disbursement
M M / D D / Y Y Y Y

10

12

2012

State CA

Zip Code 94105-3718
001

Amount of Each Disbursement this Period

,

,

.0.45

Transaction ID : B-E-9387

Category/ Type General

State:

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

, ,

, ,

2.26 . .

FE5AN018

FEC Schedule B (Form 3) (Revised 02/2009)

Image# 12940440357

SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS

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

FOR LINE NUMBER: (check only one)
17 20a 18 20b

PAGE 104 OF
19a 20c

112
19b 21

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)

Collins for Congress
Full Name (Last, First, Middle Initial)

A. Piryx, Inc.
Mailing Address 144 2nd Street Floor 1 City San Francisco Purpose of Disbursement Credit Card fee Candidate Name House Senate President State: District: Full Name (Last, First, Middle Initial) Office Sought: Disbursement For: 2012 Primary Other (specify)

Date of Disbursement
M M / D D / Y Y Y Y

10

11

2012

State CA

Zip Code 94105-3718
001

Amount of Each Disbursement this Period

,

,

11.25

.

Transaction ID : B-E-9390

Category/ Type General

B.
Mailing Address City Purpose of Disbursement Candidate Name Office Sought: House Senate President District: Disbursement For: Primary Other (specify) State Zip Code

Date of Disbursement
M M / D D / Y Y Y Y

Amount of Each Disbursement this Period

,
Category/ Type General

,

.

State:

Full Name (Last, First, Middle Initial)

C.
Mailing Address City Purpose of Disbursement Candidate Name Office Sought: House Senate President District: Disbursement For: Primary Other (specify) State Zip Code

Date of Disbursement
M M / D D / Y Y Y Y

Amount of Each Disbursement this Period

,
Category/ Type General

,

.

State:

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

, ,

, ,

. 160535.53 .

11.25

FE5AN018

FEC Schedule B (Form 3) (Revised 02/2009)

Image# 12940440358

SCHEDULE C (FEC Form 3) LOANS
NAME OF COMMITTEE (In Full)

PAGE 105 OF Use separate schedule(s) for each category of the Detailed Summary Page FOR LINE NUMBER: (check only one)

112
13a 13b

Transaction ID : SC/10-L4

Collins for Congress
LOAN SOURCE Full Name (Last, First, Middle Initial)
[PERSONAL FUNDS]

Christopher C Collins
Mailing Address
9660 Cobblestone Drive

Election: 2012 Primary General Other (specify)

City
Clarence

State
NY

ZIP Code
14031-1576

Original Amount of Loan

Cumulative Payment To Date
4500

Balance Outstanding at Close of This Period


TERMS
M

,฀
/ D

,฀
Date Incurred
26
D / Y

.

,฀
Date Due
D D / Y

,฀
None
Y Y Y

.

0

,฀
%
(apr)

,฀

4500

.

Interest Rate
0.00

Secured:

03

M

2012

Y

Y

Y

M

M

/

.

Yes

No

List All Endorsers or Guarantors (if any) to Loan Source
1. Full Name (Last, First, Middle Initial) Mailing Address
Name of Employer Occupation Amount Guaranteed Outstanding: Name of Employer Occupation Amount Guaranteed Outstanding: Name of Employer Occupation Amount Guaranteed Outstanding: Name of Employer Occupation Amount Guaranteed Outstanding:

City

State

ZIP Code

,฀

,฀

.

2. Full Name (Last, First, Middle Initial) Mailing Address

City

State

ZIP Code

,฀

,฀

.

3. Full Name (Last, First, Middle Initial) Mailing Address

City

State

ZIP Code

,฀

,฀

.

4. Full Name (Last, First, Middle Initial) Mailing Address

City

State

ZIP Code

,฀
฀ ฀

,฀ ,฀ ,฀ ,฀ ,฀

.
4500.00

SUBTOTALS This Period This Page (optional) ................................................................. TOTALS This Period (last page in this line only) .............................................................

. .

Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.
FE5AN018

FEC Schedule C (Form 3) (Revised 02/2003)

Image# 12940440359

SCHEDULE C (FEC Form 3) LOANS
NAME OF COMMITTEE (In Full)

PAGE 106 OF Use separate schedule(s) for each category of the Detailed Summary Page FOR LINE NUMBER: (check only one)

112
13a 13b

Transaction ID : SC/10-L5

Collins for Congress
LOAN SOURCE Full Name (Last, First, Middle Initial)
[PERSONAL FUNDS]

Christopher C Collins
Mailing Address
9660 Cobblestone Drive

Election: 2012 Primary General Other (specify)

City
Clarence

State
NY

ZIP Code
14031-1576

Original Amount of Loan

Cumulative Payment To Date
245500

Balance Outstanding at Close of This Period


TERMS
M

,฀
/ D

,฀
Date Incurred
17
D / Y Y

.

,฀
Date Due
D D / Y

,฀
None
Y Y Y

.

0

,฀
%
(apr)

,฀

245500

.

Interest Rate
0.00

Secured:

04

M

2012

Y

Y

M

M

/

.

Yes

No

List All Endorsers or Guarantors (if any) to Loan Source
1. Full Name (Last, First, Middle Initial) Mailing Address
Name of Employer Occupation Amount Guaranteed Outstanding: Name of Employer Occupation Amount Guaranteed Outstanding: Name of Employer Occupation Amount Guaranteed Outstanding: Name of Employer Occupation Amount Guaranteed Outstanding:

City

State

ZIP Code

,฀

,฀

.

2. Full Name (Last, First, Middle Initial) Mailing Address

City

State

ZIP Code

,฀

,฀

.

3. Full Name (Last, First, Middle Initial) Mailing Address

City

State

ZIP Code

,฀

,฀

.

4. Full Name (Last, First, Middle Initial) Mailing Address

City

State

ZIP Code

,฀
฀ ฀

,฀ ,฀ ,฀ ,฀ ,฀

.
245500.00

SUBTOTALS This Period This Page (optional) ................................................................. TOTALS This Period (last page in this line only) .............................................................

. .

Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.
FE5AN018

FEC Schedule C (Form 3) (Revised 02/2003)

Image# 12940440360

SCHEDULE C (FEC Form 3) LOANS
NAME OF COMMITTEE (In Full)

PAGE 107 OF Use separate schedule(s) for each category of the Detailed Summary Page FOR LINE NUMBER: (check only one)

112
13a 13b

Transaction ID : SC/10-L6

Collins for Congress
LOAN SOURCE Full Name (Last, First, Middle Initial)
[PERSONAL FUNDS]

Christopher C Collins
Mailing Address
9660 Cobblestone Drive

Election: 2012 Primary General Other (specify)

City
Clarence

State
NY

ZIP Code
14031-1576

Original Amount of Loan

Cumulative Payment To Date
100000

Balance Outstanding at Close of This Period


TERMS
M

,฀
/ D

,฀
Date Incurred
30
D / Y Y

.

,฀
Date Due
D D / Y

,฀
None
Y Y Y

.

0

,฀
%
(apr)

,฀

100000

.

Interest Rate
0.00

Secured:

08

M

2012

Y

Y

M

M

/

.

Yes

No

List All Endorsers or Guarantors (if any) to Loan Source
1. Full Name (Last, First, Middle Initial) Mailing Address
Name of Employer Occupation Amount Guaranteed Outstanding: Name of Employer Occupation Amount Guaranteed Outstanding: Name of Employer Occupation Amount Guaranteed Outstanding: Name of Employer Occupation Amount Guaranteed Outstanding:

City

State

ZIP Code

,฀

,฀

.

2. Full Name (Last, First, Middle Initial) Mailing Address

City

State

ZIP Code

,฀

,฀

.

3. Full Name (Last, First, Middle Initial) Mailing Address

City

State

ZIP Code

,฀

,฀

.

4. Full Name (Last, First, Middle Initial) Mailing Address

City

State

ZIP Code

,฀
฀ ฀

,฀ ,฀ ,฀ ,฀ ,฀

.
100000.00

SUBTOTALS This Period This Page (optional) ................................................................. TOTALS This Period (last page in this line only) .............................................................

. .

Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.
FE5AN018

FEC Schedule C (Form 3) (Revised 02/2003)

Image# 12940440361

SCHEDULE C (FEC Form 3) LOANS
NAME OF COMMITTEE (In Full)

PAGE 108 OF Use separate schedule(s) for each category of the Detailed Summary Page FOR LINE NUMBER: (check only one)

112
13a 13b

Transaction ID : SC/10-L7

Collins for Congress
LOAN SOURCE Full Name (Last, First, Middle Initial)
[PERSONAL FUNDS]

Christopher C Collins
Mailing Address
9660 Cobblestone Drive

Election: 2012 Primary General Other (specify)

City
Clarence

State
NY

ZIP Code
14031-1576

Original Amount of Loan

Cumulative Payment To Date
150000

Balance Outstanding at Close of This Period


TERMS
M

,฀
/ D

,฀
Date Incurred
28
D / Y Y

.

,฀
Date Due
D D / Y

,฀
None
Y Y Y

.

0

,฀
%
(apr)

,฀

150000

.

Interest Rate
0.00

Secured:

09

M

2012

Y

Y

M

M

/

.

Yes

No

List All Endorsers or Guarantors (if any) to Loan Source
1. Full Name (Last, First, Middle Initial) Mailing Address
Name of Employer Occupation Amount Guaranteed Outstanding: Name of Employer Occupation Amount Guaranteed Outstanding: Name of Employer Occupation Amount Guaranteed Outstanding: Name of Employer Occupation Amount Guaranteed Outstanding:

City

State

ZIP Code

,฀

,฀

.

2. Full Name (Last, First, Middle Initial) Mailing Address

City

State

ZIP Code

,฀

,฀

.

3. Full Name (Last, First, Middle Initial) Mailing Address

City

State

ZIP Code

,฀

,฀

.

4. Full Name (Last, First, Middle Initial) Mailing Address

City

State

ZIP Code

,฀
฀ ฀

,฀ ,฀ ,฀ ,฀ ,฀

.
150000.00

SUBTOTALS This Period This Page (optional) ................................................................. TOTALS This Period (last page in this line only) .............................................................

. .

Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.
FE5AN018

FEC Schedule C (Form 3) (Revised 02/2003)

Image# 12940440362

SCHEDULE C (FEC Form 3) LOANS
NAME OF COMMITTEE (In Full)

PAGE 109 OF Use separate schedule(s) for each category of the Detailed Summary Page FOR LINE NUMBER: (check only one)

112
13a 13b

Transaction ID : SC/10-L8

Collins for Congress
LOAN SOURCE Full Name (Last, First, Middle Initial)
[PERSONAL FUNDS]

Christopher C Collins
Mailing Address
9660 Cobblestone Drive

Election: 2012 Primary General Other (specify)

City
Clarence

State
NY

ZIP Code
14031-1576

Original Amount of Loan

Cumulative Payment To Date
150000

Balance Outstanding at Close of This Period


TERMS
M

,฀
/ D

,฀
Date Incurred
13
D / Y Y

.

,฀
Date Due
D D / Y

,฀
None
Y Y Y

.

0

,฀
%
(apr)

,฀

150000

.

Interest Rate
0.00

Secured:

09

M

2012

Y

Y

M

M

/

.

Yes

No

List All Endorsers or Guarantors (if any) to Loan Source
1. Full Name (Last, First, Middle Initial) Mailing Address
Name of Employer Occupation Amount Guaranteed Outstanding: Name of Employer Occupation Amount Guaranteed Outstanding: Name of Employer Occupation Amount Guaranteed Outstanding: Name of Employer Occupation Amount Guaranteed Outstanding:

City

State

ZIP Code

,฀

,฀

.

2. Full Name (Last, First, Middle Initial) Mailing Address

City

State

ZIP Code

,฀

,฀

.

3. Full Name (Last, First, Middle Initial) Mailing Address

City

State

ZIP Code

,฀

,฀

.

4. Full Name (Last, First, Middle Initial) Mailing Address

City

State

ZIP Code

,฀
฀ ฀

,฀ ,฀ ,฀ ,฀ ,฀

. . 650000.00 .
150000.00

SUBTOTALS This Period This Page (optional) ................................................................. TOTALS This Period (last page in this line only) .............................................................

Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.
FE5AN018

FEC Schedule C (Form 3) (Revised 02/2003)

Image# 12940440363

SCHEDULE D (FEC Form 3) DEBTS AND OBLIGATIONS
Excluding Loans
NAME OF COMMITTEE (In Full)

(Use separate schedule(s) for each numbered line)

PAGE

110 OF

112
9 10

FOR LINE NUMBER: (check only one)

Collins for Congress
A. Full Name (Last, First, Middle Initial) of Debtor or Creditor

Tom Wolf Imaging
Mailing Address City
Williamsville 388 N Forest Road

Nature of Debt (Purpose): Administrative/Salary/Overhead: Photos

State

Zip Code
NY 14221-5035 Transaction ID : SD10-DEBT9581

Outstanding Balance Beginning This Period

฀ ฀

,฀ ,฀

,฀ ,฀

. .

0

Amount Incurred This Period
641.63

Payment This Period

Outstanding Balance at Close of This Period

,฀

,฀

.

0

,฀

,฀

641.63

.

B. Full Name (Last, First, Middle Initial) of Debtor or Creditor

Bravo Events Expo Displays
Mailing Address City Buffalo
71 Park Street

Nature of Debt (Purpose): Campaign Event: Rental

State

Zip Code NY

14201-2020 Transaction ID : SD10-DEBT9582

Outstanding Balance Beginning This Period

฀ ฀

,฀ ,฀

,฀ ,฀

. .

0

Amount Incurred This Period
191.4

Payment This Period

Outstanding Balance at Close of This Period

,฀

,฀

.

0

,฀

,฀

191.4

.

C. Full Name (Last, First, Middle Initial) of Debtor or Creditor

Public Opinion Strategies
Mailing Address City
Alexandria 214 N Fayette Street

Nature of Debt (Purpose): Polling: Poll

State VA

Zip Code
22314-2433 Transaction ID : SD10-DEBT9585

Outstanding Balance Beginning This Period

฀ ฀

,฀ ,฀

,฀ ,฀

. .

0

Amount Incurred This Period
7500

Payment This Period

Outstanding Balance at Close of This Period

,฀

,฀

.

0

฀ ฀ ฀ ฀ ฀

,฀ ,฀ ,฀ ,฀ ,฀

,฀ ,฀ ,฀ ,฀ ,฀

7500

.

1) SUBTOTALS This Period This Page (optional) ................................................................... 2) TOTALS This Period (last page this line number only) ...................................................... 3) TOTAL OUTSTANDING LOANS from Schedule C (last page only) .................................. 4) ADD 2) and 3) and carry forward to appropriate line of Summary Page (last page only)

8333.03

. . . .

FEC Schedule D (Form 3) (Revised 02/2003)

FE5AN018

Image# 12940440364

SCHEDULE D (FEC Form 3) DEBTS AND OBLIGATIONS
Excluding Loans
NAME OF COMMITTEE (In Full)

(Use separate schedule(s) for each numbered line)

PAGE

111 OF

112
9 10

FOR LINE NUMBER: (check only one)

Collins for Congress
A. Full Name (Last, First, Middle Initial) of Debtor or Creditor

Epiphany Productions
Mailing Address City
Alexandria 104 Hume Avenue

Nature of Debt (Purpose): Administrative/Salary/Overhead: Fundraising consultant

State

Zip Code
VA 22301-1015 Transaction ID : SD10-DEBT9584

Outstanding Balance Beginning This Period

฀ ฀

,฀ ,฀

,฀ ,฀

. .

0

Amount Incurred This Period
3036.38

Payment This Period

Outstanding Balance at Close of This Period

,฀

,฀

.

0

,฀

,฀

3036.38

.

B. Full Name (Last, First, Middle Initial) of Debtor or Creditor

Roland-Kelly, Inc.
Mailing Address City Alexandria
340 S Pickett Street Unit 9712 State

Nature of Debt (Purpose): Other: Radio

Zip Code VA

22304-8125 Transaction ID : SD10-DEBT9579

Outstanding Balance Beginning This Period

฀ ฀

,฀ ,฀

,฀ ,฀

. .

0

Amount Incurred This Period
10436.88

Payment This Period

Outstanding Balance at Close of This Period

,฀

,฀

.

0

,฀

,฀

10436.88

.

C. Full Name (Last, First, Middle Initial) of Debtor or Creditor

Henninger Media Services
Mailing Address City
Arlington 2601-A Wilson Vlvd.

Nature of Debt (Purpose): Other: Media

State VA

Zip Code
22201 Transaction ID : SD10-DEBT9580

Outstanding Balance Beginning This Period

฀ ฀

,฀ ,฀

,฀ ,฀

. .

0

Amount Incurred This Period
4782.75

Payment This Period

Outstanding Balance at Close of This Period

,฀

,฀

.

0

฀ ฀ ฀ ฀ ฀

,฀ ,฀ ,฀ ,฀ ,฀

,฀ ,฀ ,฀ ,฀ ,฀

4782.75

.

1) SUBTOTALS This Period This Page (optional) ................................................................... 2) TOTALS This Period (last page this line number only) ...................................................... 3) TOTAL OUTSTANDING LOANS from Schedule C (last page only) .................................. 4) ADD 2) and 3) and carry forward to appropriate line of Summary Page (last page only)

18256.01

. . . .

FEC Schedule D (Form 3) (Revised 02/2003)

FE5AN018

Image# 12940440365

SCHEDULE D (FEC Form 3) DEBTS AND OBLIGATIONS
Excluding Loans
NAME OF COMMITTEE (In Full)

(Use separate schedule(s) for each numbered line)

PAGE

112 OF

112
9 10

FOR LINE NUMBER: (check only one)

Collins for Congress
A. Full Name (Last, First, Middle Initial) of Debtor or Creditor

Samuel's Grande Manor
Mailing Address City
Williamsville 8750 Main Street

Nature of Debt (Purpose): Campaign Event: Fundraising event

State

Zip Code
NY 14221-7602 Transaction ID : SD10-DEBT9583

Outstanding Balance Beginning This Period

฀ ฀

,฀ ,฀

,฀ ,฀

. .

0

Amount Incurred This Period
4081.98

Payment This Period

Outstanding Balance at Close of This Period

,฀

,฀

.

0

,฀

,฀

4081.98

.

B. Full Name (Last, First, Middle Initial) of Debtor or Creditor

Falcon Paymasters
Mailing Address City Columbus
L-3507

Nature of Debt (Purpose): Administrative/Salary/Overhead

State

Zip Code OH

43260-0001 Transaction ID : SD10-DEBT9586

Outstanding Balance Beginning This Period

฀ ฀

,฀ ,฀

,฀ ,฀

. .

0

Amount Incurred This Period
654.13

Payment This Period

Outstanding Balance at Close of This Period

,฀

,฀

.

0

,฀

,฀

654.13

.

C. Full Name (Last, First, Middle Initial) of Debtor or Creditor

Nature of Debt (Purpose):

Mailing Address City State Zip Code

Outstanding Balance Beginning This Period

฀ ฀

,฀ ,฀

,฀ ,฀

.
Payment This Period Outstanding Balance at Close of This Period

Amount Incurred This Period

.

,฀

,฀

.

฀ ฀ ฀ ฀ ฀

,฀ ,฀ ,฀ ,฀ ,฀

,฀ ,฀ ,฀ ,฀ ,฀

. . 31325.15 .
4736.11

1) SUBTOTALS This Period This Page (optional) ................................................................... 2) TOTALS This Period (last page this line number only) ...................................................... 3) TOTAL OUTSTANDING LOANS from Schedule C (last page only) .................................. 4) ADD 2) and 3) and carry forward to appropriate line of Summary Page (last page only)

. 681325.15 .
650000.00

FEC Schedule D (Form 3) (Revised 02/2003)

FE5AN018

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