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PAGE 1 / 180

REPORT OF RECEIPTS
AND DISBURSEMENTS

FEC
FORM 3
1.

For An Authorized Committee

NAME OF
COMMITTEE (in full)

Office Use Only

Example: If typing, type


over the lines.

TYPE OR PRINT

12FE4M5

Kirkpatrick for Arizona

PO Box 12011

ADDRESS (number and street)


Check if different
than previously
reported. (ACC)
2.

Casa Grande

AZ

FEC IDENTIFICATION NUMBER

STATE

3. IS THIS
REPORT

C00437293

4. TYPE OF REPORT
(a)

CITY

(Choose One)

(b)

85130

NEW
(N)

ZIP CODE
STATE
DISTRICT
AMENDED
(A)

OR

01

AZ

12-Day PRE-Election Report for the:

Quarterly Reports:
Primary (12P)

General (12G)

Convention (12C)

Special (12S)

Runoff (12R)

April 15 Quarterly Report (Q1)


July 15 Quarterly Report (Q2)
M

October 15 Quarterly Report (Q3)

in the
State of

Election on

January 31 Year-End Report (YE)

(c)

30-Day POST-Election Report for the:


General (30G)

Termination Report (TER)

Runoff (30R)
D

Special (30S)
in the
State of

Election on

5.

Covering Period

04

01

2015

through

06

2015

30

I certify that I have examined this Report and to the best of my knowledge and belief it is true, correct and complete.
Type or Print Name of Treasurer

Daniel A Flores
M

Signature of Treasurer

Daniel A Flores

[Electronically Filed]

Date

07

15

2015

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# 201507159000193735

SUMMARY PAGE
of Receipts and Disbursements

FEC Form 3 (Revised 02/2003)

PAGE
Page
2 2 / 180

Write or Type Committee Name

Kirkpatrick for Arizona


M

Report Covering the Period:

From:

04

2015

01

To:

COLUMN A
This Period
6.

100071.77

Total Contribution Refunds


(from Line 20(d)) ..................................

2207.19

Net Contributions (other than loans)


(subtract Line 6(b) from Line 6(a)) ......

97864.58

Total Operating Expenditures


(from Line 17) ......................................

138617.82

Total Offsets to Operating


Expenditures (from Line 14) ................

9064.68

Net Operating Expenditures


(subtract Line 7(b) from Line 7(a)) ......

129553.14

Cash on Hand at Close of


Reporting Period (from Line 27) .................

1278.15

Debts and Obligations Owed TO


the Committee (Itemize all on
Schedule C and/or Schedule D) ................

0.00

10. Debts and Obligations Owed BY


the Committee (Itemize all on
Schedule C and/or Schedule D) ................

0.00

(b)

(c)

30

2015

446722.72

15547.79

431174.93

311727.32

9157.44

302569.88

.
.

Net Operating Expenditures


(a)

(b)

(c)

9.

COLUMN B
Election Cycle-to-Date

Total Contributions
(other than loans) (from Line 11(e)) ....

8.

Net Contributions (other than loans)


(a)

7.

06

.
.
.

For further information contact:


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

FE5AN018

.
.
.

Image# 201507159000193736

DETAILED SUMMARY PAGE


of Receipts

FEC Form 3 (Revised 12/2003)

PAGE
Page
3 3 / 180

Write or Type Committee Name

Kirkpatrick for Arizona


M

Report Covering the Period:

From:

04

2015

01

To:

30

2015

COLUMN B
Election Cycle-to-Date

COLUMN A
Total This Period

I. RECEIPTS

06

11. CONTRIBUTIONS (other than loans) FROM:


(a)

Individuals/Persons Other Than


Political Committees
(i) Itemized (use Schedule A) ...........

127024.17

110098.22

,
,
,
,

237122.39

,
,
,
,

446722.72

588.16

.0.00

.
0.00
.

,
,

,
,

.0.00
.0.00

9157.44

2060.11

458528.43

31350.80

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


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

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


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

,
,
,
,
,

26603.85

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


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

,
,
,
,
,

100071.77

12. TRANSFERS FROM OTHER


AUTHORIZED COMMITTEES ....................

588.16

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

0.00

,
,

0.00

,
,

14. OFFSETS TO OPERATING


EXPENDITURES
(Refunds, Rebates, etc.) ............................

9064.68

15. OTHER RECEIPTS


(Dividends, Interest, etc.) ...........................

0.00

16. TOTAL RECEIPTS (add Lines


11(e), 12, 13(c), 14, and 15)
(Carry Total to Line 24, page 4) ............

109724.61

(b)
(c)

(d)
(e)

(b)
(c)

FE5AN018

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


TOTAL LOANS
(add Lines 13(a) and (b)) ....................

.
57954.65
.
117.12
.
42000.00
.
0.00
.

.
.

.
600.33
.
209000.00
.
0.00
.
.
.

.
.
.

Image# 201507159000193737

DETAILED SUMMARY PAGE


FEC Form 3 (Revised 02/2003)

of Disbursements

PAGE
Page
4 4 / 180

COLUMN A
Total This Period

II. DISBURSEMENTS

COLUMN B
Election Cycle-to-Date

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

138617.82

311727.32

18. TRANSFERS TO OTHER


AUTHORIZED COMMITTEES .....................

263517.91

19. LOAN REPAYMENTS:


(a) Of Loans Made or Guaranteed
by the Candidate .................................

,
,
,

,
,
,

0.00

272836.61

.
0.00
.
0.00
.

,
,
,

,
,
,

.0.00
.0.00
.0.00

,
,
,

2207.19

,
,
,

.
0.00
.
0.00
.

,
,
,

15547.79

,
,
,

TOTAL CONTRIBUTION REFUNDS


(add Lines 20(a), (b), and (c))..............

2207.19

15547.79

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

910.00

910.00

22. TOTAL DISBURSEMENTS


(add Lines 17, 18, 19(c), 20(d), and 21)

405252.92

601021.72

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

296806.46

24

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

109724.61

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

406531.07

26. TOTAL DISBURSEMENTS THIS PERIOD (from Line 22) ......................................................

405252.92

27. CASH ON HAND AT CLOSE OF REPORTING PERIOD


(subtract Line 26 from Line 25)..............................................................................................

1278.15

(b)
(c)

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


TOTAL LOAN REPAYMENTS
(add Lines 19(a) and (b)) .....................

20. REFUNDS OF CONTRIBUTIONS TO:


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

(d)

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


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

.
.

.
.0.00
.0.00
.
.
.

III. CASH SUMMARY

FE5AN018

.
.
.
.
.

Image# 201507159000193738

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE

FOR LINE NUMBER:


(check only one)

OF

11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Anne Stephansky

Date of Receipt

Mailing Address 3517 Bancroft Pl

04

City

State
DC

Washington

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

01

Transaction ID : 11ai-000116203

20008

Amount of Each Receipt this Period

Occupation
Not Employed

50.00

Election Cycle-to-Date
General

250.00

Earmarked through ActBlue Conduit Committee 04-052015 $2,549.39-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Darin R. Fisher

Date of Receipt

Mailing Address 814 E Desert Trumpet Rd

04

City
Phoenix

State
AZ

FEC ID number of contributing


federal political committee.

Zip Code
85048

01

2015

Transaction ID : 11ai-000116199

Amount of Each Receipt this Period

Name of Employer

Occupation

Vision Community Management

CEO

Receipt For: 2016


Primary
Other (specify)

Election Cycle-to-Date
General

1250.00

250.00

Earmarked through ActBlue Conduit Committee 04-052015 $2,549.39-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Kenneth Dowlin

Date of Receipt

Mailing Address 5001 E Main St

04

City
Mesa

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000116251

85205

Amount of Each Receipt this Period

Occupation
Not Employed

N/A

Receipt For: 2016


Primary

Zip Code

03

500.00

Election Cycle-to-Date
General

1500.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 04-052015 $2,549.39-See memo on Sch A for line 11c

,
,

,
,

800.00

.
.

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

Image# 201507159000193739

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE

FOR LINE NUMBER:


(check only one)

OF

11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Mary Royer

Date of Receipt

Mailing Address 733 S Ridge

04

City

State
UT

Cedar Citu

FEC ID number of contributing


federal political committee.

Zip Code

2015

03

Transaction ID : 11ai-000116236

84720

Amount of Each Receipt this Period

Name of Employer
Iron County School District

Occupation
School Counselor

Receipt For: 2016


Primary
Other (specify)

Election Cycle-to-Date

General

300.00

50.00

Earmarked through ActBlue Conduit Committee 04-052015 $2,549.39-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Barbara Curry-Kaufman

Date of Receipt

Mailing Address 124 Casitas Ave

04

City
San Francisco

State
CA

FEC ID number of contributing


federal political committee.

Zip Code
94127

03

2015

Transaction ID : 11ai-000116238

Amount of Each Receipt this Period

Name of Employer

Occupation

The Permanente Medical Group

Physician

Receipt For: 2016


Primary
Other (specify)

Election Cycle-to-Date
General

250.00

50.00

Earmarked through ActBlue Conduit Committee 04-052015 $2,549.39-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Elinor L. Hallowell

Date of Receipt

Mailing Address 115 E Calle Resplendor

04

City
Tucson

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000116268

85716-4939

Amount of Each Receipt this Period

Occupation
Retired

N/A

Receipt For: 2016


Primary

Zip Code

04

250.00

Election Cycle-to-Date
General

805.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 04-052015 $2,549.39-See memo on Sch A for line 11c

,
,

,
,

350.00

.
.

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

Image# 201507159000193740

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE

FOR LINE NUMBER:


(check only one)

OF

11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Margaret A. Staton

Date of Receipt

Mailing Address 1639 Fernald Point Ln

04

City

State
CA

Santa Barbara

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

04

Transaction ID : 11ai-000116256

93108

Amount of Each Receipt this Period

Occupation
Not Employed

40.00

Election Cycle-to-Date
General

558.75

Earmarked through ActBlue Conduit Committee 04-052015 $2,549.39-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Ruth Glotzer

Date of Receipt

Mailing Address 70 Greylock Rd

04

City
West Newton

State
MA

FEC ID number of contributing


federal political committee.

Zip Code
02465

2015

Transaction ID : 11ai-000116295

Amount of Each Receipt this Period

Name of Employer

Occupation

N/A

Not Employed

Receipt For: 2016


Primary
Other (specify)

05

15.00

Election Cycle-to-Date
General

597.86

Earmarked through ActBlue Conduit Committee 04-052015 $2,549.39-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Peg Yorkin

Date of Receipt

Mailing Address 21348 Pacific Coast Hwy

04

City
Malibu

State
CA

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000116356

90265

Amount of Each Receipt this Period

Occupation
Retired

N/A

Receipt For: 2016


Primary

Zip Code

06

25.00

Election Cycle-to-Date
General

580.02

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 04-122015 $3,462.68-See memo on Sch A for line 11c

,
,

,
,

80.00

.
.

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

Image# 201507159000193741

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE

FOR LINE NUMBER:


(check only one)

OF

11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Ruth Glotzer

Date of Receipt

Mailing Address 70 Greylock Rd

04

City

State
MA

West Newton

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

06

Transaction ID : 11ai-000116405

02465

Amount of Each Receipt this Period

Occupation
Not Employed

15.00

Election Cycle-to-Date
General

612.86

Earmarked through ActBlue Conduit Committee 04-122015 $3,462.68-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Karen Lawrence

Date of Receipt

Mailing Address 8612 Tebbs Ln

04

City
McLean

State
VA

FEC ID number of contributing


federal political committee.

Zip Code
22102

2015

Transaction ID : 11ai-000118860

Amount of Each Receipt this Period

Name of Employer

Occupation

N/A

Not Employed

Receipt For: 2016


Primary
Other (specify)

06

Election Cycle-to-Date
General

620.33

-250.00

[MEMO ITEM]
Contribution Refunded

Full Name (Last, First, Middle Initial)

C.

Karen Lawrence

Date of Receipt

Mailing Address 8612 Tebbs Ln

04

City
McLean

State
VA

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000116410

22102

Amount of Each Receipt this Period

Occupation
Not Employed

N/A

Receipt For: 2016


Primary

Zip Code

06

250.00

Election Cycle-to-Date
General

870.33

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 04-122015 $3,462.68-See memo on Sch A for line 11c

,
,

,
,

265.00

.
.

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

Image# 201507159000193742

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE

FOR LINE NUMBER:


(check only one)

OF

11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Alison Bardrick

Date of Receipt

Mailing Address 6072 GPO Box Hk Gpo

04

City

State
CT

Hong Kong

FEC ID number of contributing


federal political committee.
Name of Employer
Self
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

06

Transaction ID : 11ai-000116392

00000

Amount of Each Receipt this Period

Occupation
Sculptor

250.00

Election Cycle-to-Date
General

275.00

Earmarked through ActBlue Conduit Committee 04-122015 $3,462.68-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Carolyn Kaluzniacki

Date of Receipt

Mailing Address 2235 W Emelita Ave

04

City
Mesa

State
AZ

FEC ID number of contributing


federal political committee.

Occupation

Self

Attorney

2015

Transaction ID : 11ai-000116191

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
85202

07

Amount of Each Receipt this Period

250.00

Election Cycle-to-Date
General

250.00

Full Name (Last, First, Middle Initial)

C.

Richard P. Mike

Date of Receipt

Mailing Address PO Box 1219

04

City
Kayenta

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer
Burger King Corporation

Receipt For: 2016


Primary
Other (specify)

Zip Code

07

2015

Transaction ID : 11ai-000116177

86033

Amount of Each Receipt this Period

Occupation
Franchisee

2000.00

,
,

,
,

2500.00

Election Cycle-to-Date
General

2000.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

.
.

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

Image# 201507159000193743

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

10 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Margaret A. Staton

Date of Receipt

Mailing Address 1639 Fernald Point Ln

04

City

State
CA

Santa Barbara

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

07

Transaction ID : 11ai-000116421

93108

Amount of Each Receipt this Period

Occupation
Not Employed

15.00

Election Cycle-to-Date
General

573.75

Earmarked through ActBlue Conduit Committee 04-122015 $3,462.68-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Sally L. Carlson

Date of Receipt

Mailing Address 70 S 300 East

04

City
Kanab

State
UT

FEC ID number of contributing


federal political committee.

Zip Code
84741

2015

Transaction ID : 11ai-000116456

Amount of Each Receipt this Period

Name of Employer

Occupation

N/A

Not Employed

Receipt For: 2016


Primary
Other (specify)

08

50.00

Election Cycle-to-Date
General

500.00

Earmarked through ActBlue Conduit Committee 04-122015 $3,462.68-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Barbara Duehn

Date of Receipt

Mailing Address 2200 Wilson Dr

04

City
Arlington

State
TX

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000116496

76011-3226

Amount of Each Receipt this Period

Occupation
None

N/A

Receipt For: 2016


Primary

Zip Code

09

15.00

Election Cycle-to-Date
General

225.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 04-122015 $3,462.68-See memo on Sch A for line 11c

,
,

,
,

80.00

.
.

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

Image# 201507159000193744

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

11 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Barbara Duehn

Date of Receipt

Mailing Address 2200 Wilson Dr

04

City

State
TX

Arlington

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

09

Transaction ID : 11ai-000116503

76011-3226

Amount of Each Receipt this Period

Occupation
None

15.00

Election Cycle-to-Date
General

240.00

Earmarked through ActBlue Conduit Committee 04-122015 $3,462.68-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Sally L. Carlson

Date of Receipt

Mailing Address 70 S 300 East

04

City
Kanab

State
UT

FEC ID number of contributing


federal political committee.

Zip Code
84741

2015

Transaction ID : 11ai-000116569

Amount of Each Receipt this Period

Name of Employer

Occupation

N/A

Not Employed

Receipt For: 2016


Primary
Other (specify)

10

50.00

Election Cycle-to-Date
General

550.00

Earmarked through ActBlue Conduit Committee 04-122015 $3,462.68-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Edwin Brown

Date of Receipt

Mailing Address 25 Bearden Ave

04

City
Asheville

State
NC

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000116599

28801

Amount of Each Receipt this Period

Occupation
Retired

N/A

Receipt For: 2016


Primary

Zip Code

11

.1.00

Election Cycle-to-Date
General

448.25

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 04-122015 $3,462.68-See memo on Sch A for line 11c

,
,

,
,

66.00

.
.

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

Image# 201507159000193745

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

12 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Margaret A. Staton

Date of Receipt

Mailing Address 1639 Fernald Point Ln

04

City

State
CA

Santa Barbara

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

11

Transaction ID : 11ai-000116575

93108

Amount of Each Receipt this Period

Occupation
Not Employed

6.00

Election Cycle-to-Date
General

579.75

Earmarked through ActBlue Conduit Committee 04-122015 $3,462.68-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Margaret P. Hogan

Date of Receipt

Mailing Address 9434 N 125 Pl

04

City
Scottsdale

State
AZ

FEC ID number of contributing


federal political committee.

Zip Code
85259

2015

Transaction ID : 11ai-000116631

Amount of Each Receipt this Period

Name of Employer

Occupation

N/A

Not Employed

Receipt For: 2016


Primary
Other (specify)

12

Election Cycle-to-Date
General

250.00

-25.00

[MEMO ITEM]
Contribution Refunded

Full Name (Last, First, Middle Initial)

C.

Ruth Glotzer

Date of Receipt

Mailing Address 70 Greylock Rd

04

City
West Newton

State
MA

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000116610

02465

Amount of Each Receipt this Period

Occupation
Not Employed

N/A

Receipt For: 2016


Primary

Zip Code

12

25.00

Election Cycle-to-Date
General

637.86

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 04-122015 $3,462.68-See memo on Sch A for line 11c

,
,

,
,

31.00

.
.

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

Image# 201507159000193746

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

13 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Karen Lawrence

Date of Receipt

Mailing Address 8612 Tebbs Ln

04

City

State
VA

McLean

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

12

Transaction ID : 11ai-000118859

22102

Amount of Each Receipt this Period

Occupation
Not Employed
Election Cycle-to-Date

-250.00

[MEMO ITEM]
Contribution Refunded

General

620.33

Full Name (Last, First, Middle Initial)

B.

Karen Lawrence

Date of Receipt

Mailing Address 8612 Tebbs Ln

04

City
McLean

State
VA

FEC ID number of contributing


federal political committee.

Zip Code
22102

2015

Transaction ID : 11ai-000116608

Amount of Each Receipt this Period

Name of Employer

Occupation

N/A

Not Employed

Receipt For: 2016


Primary
Other (specify)

12

250.00

Election Cycle-to-Date
General

870.33

Earmarked through ActBlue Conduit Committee 04-122015 $3,462.68-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Barbara Duehn

Date of Receipt

Mailing Address 2200 Wilson Dr

04

City
Arlington

State
TX

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000116703

76011-3226

Amount of Each Receipt this Period

Occupation
None

N/A

Receipt For: 2016


Primary

Zip Code

13

15.00

Election Cycle-to-Date
General

255.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked throguh ActBlue Conduit Committee 04-192015 $3,866.07-See memo on Sch A for line 11c

,
,

,
,

265.00

.
.

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

Image# 201507159000193747

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

14 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Elinor L. Hallowell

Date of Receipt

Mailing Address 115 E Calle Resplendor

04

City

State
AZ

Tucson

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

13

Transaction ID : 11ai-000116694

85716-4939

Amount of Each Receipt this Period

Occupation
Retired

15.00

Election Cycle-to-Date
General

820.00

Earmarked throguh ActBlue Conduit Committee 04-192015 $3,866.07-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Karen Lawrence

Date of Receipt

Mailing Address 8612 Tebbs Ln

04

City
McLean

State
VA

FEC ID number of contributing


federal political committee.

Zip Code
22102

2015

Transaction ID : 11ai-000118855

Amount of Each Receipt this Period

Name of Employer

Occupation

N/A

Not Employed

Receipt For: 2016


Primary
Other (specify)

13

Election Cycle-to-Date
General

865.78

-4.55

[MEMO ITEM]
Contribution Refunded

Full Name (Last, First, Middle Initial)

C.

Karen Lawrence

Date of Receipt

Mailing Address 8612 Tebbs Ln

04

City
McLean

State
VA

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000116669

22102

Amount of Each Receipt this Period

Occupation
Not Employed

N/A

Receipt For: 2016


Primary

Zip Code

13

.4.55

Election Cycle-to-Date
General

870.33

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked throguh ActBlue Conduit Committee 04-192015 $3,866.07-See memo on Sch A for line 11c

,
,

,
,

19.55

.
.

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

Image# 201507159000193748

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

15 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Venkateswarlu Pothapragada

Date of Receipt

Mailing Address 6330 Humboldt Ave S

04

City

State
MN

Richfield

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

13

Transaction ID : 11ai-000116672

55423

Amount of Each Receipt this Period

Occupation
Retired

100.00

Election Cycle-to-Date
General

600.00

Earmarked throguh ActBlue Conduit Committee 04-192015 $3,866.07-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Evan Hazard

Date of Receipt

Mailing Address 3119 Apple Tree Ct NW

04

City
Bemidji

State
MN

FEC ID number of contributing


federal political committee.

Occupation

N/A

Retired

2015

Transaction ID : 11ai-000116693

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
56601-2107

13

Amount of Each Receipt this Period

100.00

Election Cycle-to-Date
General

322.23

Earmarked throguh ActBlue Conduit Committee 04-192015 $3,866.07-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Robert S. Aiken

Date of Receipt

Mailing Address 801 Pennsylvania Avenue, NW, Suite

04

City
Washington

State
DC

FEC ID number of contributing


federal political committee.
Name of Employer
Pinnacle West Capital Corp.

Receipt For: 2016


Primary
Other (specify)

Zip Code

14

2015

Transaction ID : 11ai-000116742

20004

Amount of Each Receipt this Period

Occupation
Vice President Federal Affairs

500.00

Election Cycle-to-Date
General

500.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked throguh ActBlue Conduit Committee 04-192015 $3,866.07-See memo on Sch A for line 11c

,
,

,
,

700.00

.
.

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

Image# 201507159000193749

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

16 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Steven Torkelson

Date of Receipt

Mailing Address 66A Bailey St

04

City

State
MA

Lawrence

FEC ID number of contributing


federal political committee.
Name of Employer
CIL
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

14

Transaction ID : 11ai-000116721

01843

Amount of Each Receipt this Period

Occupation
Scientist

10.00

Election Cycle-to-Date
General

212.00

Earmarked throguh ActBlue Conduit Committee 04-192015 $3,866.07-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Edwin Brown

Date of Receipt

Mailing Address 25 Bearden Ave

04

City
Asheville

State
NC

FEC ID number of contributing


federal political committee.

Occupation

N/A

Retired

2015

Transaction ID : 11ai-000116755

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
28801

15

Amount of Each Receipt this Period

10.00

Election Cycle-to-Date
General

458.25

Earmarked throguh ActBlue Conduit Committee 04-192015 $3,866.07-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Margaret A. Staton

Date of Receipt

Mailing Address 1639 Fernald Point Ln

04

City
Santa Barbara

State
CA

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000116751

93108

Amount of Each Receipt this Period

Occupation
Not Employed

N/A

Receipt For: 2016


Primary

Zip Code

15

25.00

Election Cycle-to-Date
General

604.75

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked throguh ActBlue Conduit Committee 04-192015 $3,866.07-See memo on Sch A for line 11c

,
,

,
,

45.00

.
.

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

Image# 201507159000193750

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

17 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Bernard Spector

Date of Receipt

Mailing Address 6927 Haycock Rd

04

City

State
VA

Falls Church

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

15

Transaction ID : 11ai-000116750

22043-2304

Amount of Each Receipt this Period

Occupation
Not Employed

35.00

Election Cycle-to-Date
General

336.14

Earmarked throguh ActBlue Conduit Committee 04-192015 $3,866.07-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Lawrence Wiedemann

Date of Receipt

Mailing Address 3923 Audubon Trace

04

City
New Orleans

State
LA

FEC ID number of contributing


federal political committee.

Occupation

Wiedemann Law Firm

Attorney

2015

Transaction ID : 11ai-000116753

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
70121-1570

15

Amount of Each Receipt this Period

35.00

Election Cycle-to-Date
General

360.00

Earmarked throguh ActBlue Conduit Committee 04-192015 $3,866.07-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Margaret Mary Ann Pope

Date of Receipt

Mailing Address 2820 E 4th Street

04

City
Tucson

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000116794

85716

Amount of Each Receipt this Period

Occupation
Artist

Self

Receipt For: 2016


Primary

Zip Code

16

100.00

Election Cycle-to-Date
General

275.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked throguh ActBlue Conduit Committee 04-192015 $3,866.07-See memo on Sch A for line 11c

,
,

,
,

170.00

.
.

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

Image# 201507159000193751

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

18 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Richard Gaxiola

Date of Receipt

Mailing Address PO Box 45362

04

City

State
AZ

Phoenix

FEC ID number of contributing


federal political committee.
Name of Employer
Self
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

16

Transaction ID : 11ai-000116627

85064

Amount of Each Receipt this Period

Occupation
Attorney

500.00

Election Cycle-to-Date
General

500.00

Full Name (Last, First, Middle Initial)

B.

William Pederson Sr.

Date of Receipt

Mailing Address 39825 S Winding Trl

04

City
Tucson

State
AZ

FEC ID number of contributing


federal political committee.

Zip Code
85739

2015

Transaction ID : 11ai-000116797

Amount of Each Receipt this Period

Name of Employer

Occupation

N/A

Not Employed

Receipt For: 2016


Primary
Other (specify)

16

15.00

Election Cycle-to-Date
General

230.00

Earmarked throguh ActBlue Conduit Committee 04-192015 $3,866.07-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Lawrence Wiedemann

Date of Receipt

Mailing Address 3923 Audubon Trace

04

City
New Orleans

State
LA

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000116782

70121-1570

Amount of Each Receipt this Period

Occupation
Attorney

Wiedemann Law Firm

Receipt For: 2016


Primary

Zip Code

16

35.00

Election Cycle-to-Date
General

395.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked throguh ActBlue Conduit Committee 04-192015 $3,866.07-See memo on Sch A for line 11c

,
,

,
,

550.00

.
.

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

Image# 201507159000193752

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

19 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Margaret A. Staton

Date of Receipt

Mailing Address 1639 Fernald Point Ln

04

City

State
CA

Santa Barbara

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

17

Transaction ID : 11ai-000116803

93108

Amount of Each Receipt this Period

Occupation
Not Employed

25.00

Election Cycle-to-Date
General

629.75

Earmarked throguh ActBlue Conduit Committee 04-192015 $3,866.07-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Tamas Tamas

Date of Receipt

Mailing Address 165 Walnut Ave

04

City
Somerset

State
NJ

FEC ID number of contributing


federal political committee.

Occupation

N/A

Retired

2015

Transaction ID : 11ai-000116827

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
08873

17

Amount of Each Receipt this Period

25.00

Election Cycle-to-Date
General

235.00

Earmarked throguh ActBlue Conduit Committee 04-192015 $3,866.07-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

James Taylor

Date of Receipt

Mailing Address 1200 S Catalina Ave

04

City
Redondo Beach

State
CA

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000116816

90277

Amount of Each Receipt this Period

Occupation
Retired

N/A

Receipt For: 2016


Primary

Zip Code

17

100.00

Election Cycle-to-Date
General

300.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked throguh ActBlue Conduit Committee 04-192015 $3,866.07-See memo on Sch A for line 11c

,
,

,
,

150.00

.
.

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

Image# 201507159000193753

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

20 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Jeffrey W. Winkler

Date of Receipt

Mailing Address 4615 E Palomino Road

04

City

State
AZ

Phoenix

FEC ID number of contributing


federal political committee.

Zip Code

2015

18

Transaction ID : 11ai-000116665

85018

Amount of Each Receipt this Period

Name of Employer
AZ Senate Democratic Caucus

Occupation
Policy Advisor

Receipt For: 2016


Primary
Other (specify)

Election Cycle-to-Date

100.00

General

550.00

Full Name (Last, First, Middle Initial)

B.

Peg Yorkin

Date of Receipt

Mailing Address 21348 Pacific Coast Hwy

04

City
Malibu

State
CA

FEC ID number of contributing


federal political committee.

Occupation

N/A

Retired

2015

Transaction ID : 11ai-000116949

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
90265

18

Amount of Each Receipt this Period

5.00

Election Cycle-to-Date
General

585.02

Earmarked throguh ActBlue Conduit Committee 04-192015 $3,866.07-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Ruth Glotzer

Date of Receipt

Mailing Address 70 Greylock Rd

04

City
West Newton

State
MA

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000116905

02465

Amount of Each Receipt this Period

Occupation
Not Employed

N/A

Receipt For: 2016


Primary

Zip Code

18

15.00

Election Cycle-to-Date
General

652.86

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked throguh ActBlue Conduit Committee 04-192015 $3,866.07-See memo on Sch A for line 11c

,
,

,
,

120.00

.
.

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

Image# 201507159000193754

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

21 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Ruth Glotzer

Date of Receipt

Mailing Address 70 Greylock Rd

04

City

State
MA

West Newton

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

18

Transaction ID : 11ai-000116893

02465

Amount of Each Receipt this Period

Occupation
Not Employed

25.00

Election Cycle-to-Date
General

677.86

Earmarked throguh ActBlue Conduit Committee 04-192015 $3,866.07-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Lawrence D. Hirsch

Date of Receipt

Mailing Address 9329 N 58 St

04

City
Phoenix

State
AZ

FEC ID number of contributing


federal political committee.

Zip Code
85253-1766

18

2015

Transaction ID : 11ai-000116662

Amount of Each Receipt this Period

Name of Employer

Occupation

Deconcini Mcdonald Yetwin & Lacy

Attorney

Receipt For: 2016


Primary
Other (specify)

Election Cycle-to-Date

100.00

General

400.00

Full Name (Last, First, Middle Initial)

C.

Patricia Downey

Date of Receipt

Mailing Address 4825 E 12 St

04

City
Tucson

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000116887

85711

Amount of Each Receipt this Period

Occupation
Not Employed

N/A

Receipt For: 2016


Primary

Zip Code

18

25.00

Election Cycle-to-Date
General

225.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked throguh ActBlue Conduit Committee 04-192015 $3,866.07-See memo on Sch A for line 11c

,
,

,
,

150.00

.
.

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

Image# 201507159000193755

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

22 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Stephens Weinstein

Date of Receipt

Mailing Address 3558 Shore Dr

04

City

State
VA

Virginia Beach

FEC ID number of contributing


federal political committee.
Name of Employer
Self
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

18

Transaction ID : 11ai-000116889

23455

Amount of Each Receipt this Period

Occupation
Architect

50.00

Election Cycle-to-Date
General

250.00

Earmarked throguh ActBlue Conduit Committee 04-192015 $3,866.07-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Teresa Montanelli

Date of Receipt

Mailing Address 11 Castlebar Pl

04

City
Alameda

State
CA

FEC ID number of contributing


federal political committee.

Zip Code
94502

2015

Transaction ID : 11ai-000116890

Amount of Each Receipt this Period

Name of Employer

Occupation

Self

Owner Self Storage Businesses

Receipt For: 2016


Primary
Other (specify)

18

35.00

Election Cycle-to-Date
General

265.00

Earmarked throguh ActBlue Conduit Committee 04-192015 $3,866.07-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Anton Tyler

Date of Receipt

Mailing Address 2951 Siena Heights Drive, 423

04

City
Henderson

State
NV

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000117042

89052-3874

Amount of Each Receipt this Period

Occupation
Not Employed

N/A

Receipt For: 2016


Primary

Zip Code

19

10.00

Election Cycle-to-Date
General

310.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked throguh ActBlue Conduit Committee 04-192015 $3,866.07-See memo on Sch A for line 11c

,
,

,
,

95.00

.
.

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

Image# 201507159000193756

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

23 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Bernard Spector

Date of Receipt

Mailing Address 6927 Haycock Rd

04

City

State
VA

Falls Church

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

19

Transaction ID : 11ai-000117040

22043-2304

Amount of Each Receipt this Period

Occupation
Not Employed

25.00

Election Cycle-to-Date
General

361.14

Earmarked throguh ActBlue Conduit Committee 04-192015 $3,866.07-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Steven Torkelson

Date of Receipt

Mailing Address 66A Bailey St

04

City
Lawrence

State
MA

FEC ID number of contributing


federal political committee.

Occupation

CIL

Scientist

2015

Transaction ID : 11ai-000117058

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
01843

19

Amount of Each Receipt this Period

5.00

Election Cycle-to-Date
General

217.00

Earmarked throguh ActBlue Conduit Committee 04-192015 $3,866.07-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Steven Torkelson

Date of Receipt

Mailing Address 66A Bailey St

04

City
Lawrence

State
MA

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000117046

01843

Amount of Each Receipt this Period

Occupation
Scientist

CIL

Receipt For: 2016


Primary

Zip Code

19

10.00

Election Cycle-to-Date
General

227.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked throguh ActBlue Conduit Committee 04-192015 $3,866.07-See memo on Sch A for line 11c

,
,

,
,

40.00

.
.

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

Image# 201507159000193757

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

24 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Peter Chesson

Date of Receipt

Mailing Address 3811 N Camino De Oeste

04

City

State
AZ

Tucson

FEC ID number of contributing


federal political committee.
Name of Employer
University of Arizona
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

20

Transaction ID : 11ai-000117492

85745-9062

Amount of Each Receipt this Period

Occupation
Professor

25.00

Election Cycle-to-Date
General

275.00

Earmarked through ActBlue Conduit Committee 04-262015 $3,187.93-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

William Pederson Sr.

Date of Receipt

Mailing Address 39825 S Winding Trl

04

City
Tucson

State
AZ

FEC ID number of contributing


federal political committee.

Zip Code
85739

2015

Transaction ID : 11ai-000117488

Amount of Each Receipt this Period

Name of Employer

Occupation

N/A

Not Employed

Receipt For: 2016


Primary
Other (specify)

20

25.00

Election Cycle-to-Date
General

255.00

Earmarked through ActBlue Conduit Committee 04-262015 $3,187.93-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Patricia Brown

Date of Receipt

Mailing Address 1175 Brushup Ln

04

City
Union

State
KY

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000117499

41091

Amount of Each Receipt this Period

Occupation
Retired

N/A

Receipt For: 2016


Primary

Zip Code

20

25.00

Election Cycle-to-Date
General

250.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 04-262015 $3,187.93-See memo on Sch A for line 11c

,
,

,
,

75.00

.
.

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

Image# 201507159000193758

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

25 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Debbie Hicks

Date of Receipt

Mailing Address 3797 N Camino de Oeste

04

City

State
AZ

Tucson

FEC ID number of contributing


federal political committee.
Name of Employer
Saltwater Inc.
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

20

Transaction ID : 11ai-000117502

85745

Amount of Each Receipt this Period

Occupation
Administrator

100.00

Election Cycle-to-Date
General

350.00

Earmarked through ActBlue Conduit Committee 04-262015 $3,187.93-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Teresa Montanelli

Date of Receipt

Mailing Address 11 Castlebar Pl

04

City
Alameda

State
CA

FEC ID number of contributing


federal political committee.

Zip Code
94502

2015

Transaction ID : 11ai-000117490

Amount of Each Receipt this Period

Name of Employer

Occupation

Self

Owner Self Storage Businesses

Receipt For: 2016


Primary
Other (specify)

20

25.00

Election Cycle-to-Date
General

290.00

Earmarked through ActBlue Conduit Committee 04-262015 $3,187.93-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Kevin Goff

Date of Receipt

Mailing Address 3079 E Fruitvale Ct

04

City
Gilbert

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000118048

85297-5258

Amount of Each Receipt this Period

Occupation
Attorney

Self Employed

Receipt For: 2016


Primary

Zip Code

21

500.00

Election Cycle-to-Date
General

500.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 04-262015 $3,187.93-See memo on Sch A for line 11c

,
,

,
,

625.00

.
.

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

Image# 201507159000193759

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

26 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Mary Dundas

Date of Receipt

Mailing Address 2406 E Hermosa Dr

04

City

State
AZ

Tempe

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

21

Transaction ID : 11ai-000117927

85282

Amount of Each Receipt this Period

Occupation
Not Employed

50.00

Election Cycle-to-Date
General

300.00

Earmarked through ActBlue Conduit Committee 04-262015 $3,187.93-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Albert Rossignol

Date of Receipt

Mailing Address 212 15th St

04

City
Seal Beach

State
CA

FEC ID number of contributing


federal political committee.

Occupation

N/A

Retired

2015

Transaction ID : 11ai-000117946

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
90740

21

Amount of Each Receipt this Period

1.25

Election Cycle-to-Date
General

331.44

Earmarked through ActBlue Conduit Committee 04-262015 $3,187.93-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Anton Tyler

Date of Receipt

Mailing Address 2951 Siena Heights Drive, 423

04

City
Henderson

State
NV

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000118074

89052-3874

Amount of Each Receipt this Period

Occupation
Not Employed

N/A

Receipt For: 2016


Primary

Zip Code

22

20.00

Election Cycle-to-Date
General

330.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 04-262015 $3,187.93-See memo on Sch A for line 11c

,
,

,
,

71.25

.
.

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

Image# 201507159000193760

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

27 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Edwin Brown

Date of Receipt

Mailing Address 25 Bearden Ave

04

City

State
NC

Asheville

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

22

Transaction ID : 11ai-000118071

28801

Amount of Each Receipt this Period

Occupation
Retired

38.00

Election Cycle-to-Date
General

496.25

Earmarked through ActBlue Conduit Committee 04-262015 $3,187.93-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Patricia Downey

Date of Receipt

Mailing Address 4825 E 12 St

04

City
Tucson

State
AZ

FEC ID number of contributing


federal political committee.

Zip Code
85711

2015

Transaction ID : 11ai-000118078

Amount of Each Receipt this Period

Name of Employer

Occupation

N/A

Not Employed

Receipt For: 2016


Primary
Other (specify)

22

15.00

Election Cycle-to-Date
General

240.00

Earmarked through ActBlue Conduit Committee 04-262015 $3,187.93-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Anton Tyler

Date of Receipt

Mailing Address 2951 Siena Heights Drive, 423

04

City
Henderson

State
NV

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000118114

89052-3874

Amount of Each Receipt this Period

Occupation
Not Employed

N/A

Receipt For: 2016


Primary

Zip Code

23

10.00

Election Cycle-to-Date
General

340.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 04-262015 $3,187.93-See memo on Sch A for line 11c

,
,

,
,

63.00

.
.

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

Image# 201507159000193761

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

28 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Edwin Brown

Date of Receipt

Mailing Address 25 Bearden Ave

04

City

State
NC

Asheville

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

23

Transaction ID : 11ai-000118116

28801

Amount of Each Receipt this Period

Occupation
Retired

5.00

Election Cycle-to-Date
General

501.25

Earmarked through ActBlue Conduit Committee 04-262015 $3,187.93-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Patricia Brown

Date of Receipt

Mailing Address 1175 Brushup Ln

04

City
Union

State
KY

FEC ID number of contributing


federal political committee.

Occupation

N/A

Retired

2015

Transaction ID : 11ai-000118127

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
41091

23

Amount of Each Receipt this Period

50.00

Election Cycle-to-Date
General

300.00

Earmarked through ActBlue Conduit Committee 04-262015 $3,187.93-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Ann Miller

Date of Receipt

Mailing Address 21771 Co Rd W

04

City
Lewis

State
CO

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000118124

81327

Amount of Each Receipt this Period

Occupation
Director

Unlimited Learning, Inc.

Receipt For: 2016


Primary

Zip Code

23

15.00

Election Cycle-to-Date
General

322.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 04-262015 $3,187.93-See memo on Sch A for line 11c

,
,

,
,

70.00

.
.

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

Image# 201507159000193762

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

29 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Nestor Guzman

Date of Receipt

Mailing Address 7521 E Beryl Ave

04

City

State
AZ

Scottsdale

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

24

Transaction ID : 11ai-000118196

85258

Amount of Each Receipt this Period

Occupation
Not Employed

25.00

Election Cycle-to-Date
General

1075.00

Earmarked through ActBlue Conduit Committee 04-262015 $3,187.93-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Albert Rossignol

Date of Receipt

Mailing Address 212 15th St

04

City
Seal Beach

State
CA

FEC ID number of contributing


federal political committee.

Occupation

N/A

Retired

2015

Transaction ID : 11ai-000118275

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
90740

25

Amount of Each Receipt this Period

25.00

Election Cycle-to-Date
General

356.44

Earmarked through ActBlue Conduit Committee 04-262015 $3,187.93-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Peter Chesson

Date of Receipt

Mailing Address 3811 N Camino De Oeste

04

City
Tucson

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000118300

85745-9062

Amount of Each Receipt this Period

Occupation
Professor

University of Arizona

Receipt For: 2016


Primary

Zip Code

26

25.00

Election Cycle-to-Date
General

300.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 04-262015 $3,187.93-See memo on Sch A for line 11c

,
,

,
,

75.00

.
.

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

Image# 201507159000193763

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

30 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Anton Tyler

Date of Receipt

Mailing Address 2951 Siena Heights Drive, 423

04

City

State
NV

Henderson

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

26

Transaction ID : 11ai-000118297

89052-3874

Amount of Each Receipt this Period

Occupation
Not Employed

20.00

Election Cycle-to-Date
General

360.00

Earmarked through ActBlue Conduit Committee 04-262015 $3,187.93-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Lawrence Wiedemann

Date of Receipt

Mailing Address 3923 Audubon Trace

04

City
New Orleans

State
LA

FEC ID number of contributing


federal political committee.

Occupation

Wiedemann Law Firm

Attorney

2015

Transaction ID : 11ai-000118302

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
70121-1570

26

Amount of Each Receipt this Period

35.00

Election Cycle-to-Date
General

430.00

Earmarked through ActBlue Conduit Committee 04-262015 $3,187.93-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

George Orr

Date of Receipt

Mailing Address 980 County Rd W

04

City
Fremont

State
NE

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000118337

68025-7147

Amount of Each Receipt this Period

Occupation
Not Employed

N/A

Receipt For: 2016


Primary

Zip Code

27

100.00

Election Cycle-to-Date
General

550.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-032015 $5,675.69-See memo on Sch A for line 11c

,
,

,
,

155.00

.
.

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

Image# 201507159000193764

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

31 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Steven Torkelson

Date of Receipt

Mailing Address 66A Bailey St

04

City

State
MA

Lawrence

FEC ID number of contributing


federal political committee.
Name of Employer
CIL
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

27

Transaction ID : 11ai-000118338

01843

Amount of Each Receipt this Period

Occupation
Scientist

5.00

Election Cycle-to-Date
General

232.00

Earmarked through ActBlue Conduit Committee 05-032015 $5,675.69-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Lawrence Wiedemann

Date of Receipt

Mailing Address 3923 Audubon Trace

04

City
New Orleans

State
LA

FEC ID number of contributing


federal political committee.

Occupation

Wiedemann Law Firm

Attorney

2015

Transaction ID : 11ai-000118331

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
70121-1570

27

Amount of Each Receipt this Period

35.00

Election Cycle-to-Date
General

465.00

Earmarked through ActBlue Conduit Committee 05-032015 $5,675.69-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Margaret P. Hogan

Date of Receipt

Mailing Address 9434 N 125 Pl

04

City
Scottsdale

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000118392

85259

Amount of Each Receipt this Period

Occupation
Not Employed

N/A

Receipt For: 2016


Primary

Zip Code

28

25.00

Election Cycle-to-Date
General

275.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-032015 $5,675.69-See memo on Sch A for line 11c

,
,

,
,

65.00

.
.

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

Image# 201507159000193765

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

32 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Karen Riddle

Date of Receipt

Mailing Address 107 High Street

04

City

State
IA

Lake View

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

28

Transaction ID : 11ai-000118432

51450-0774

Amount of Each Receipt this Period

Occupation
Not Employed

25.00

Election Cycle-to-Date
General

225.00

Earmarked through ActBlue Conduit Committee 05-032015 $5,675.69-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Michael Haener

Date of Receipt

Mailing Address 11825 N 55 Pl

04

City
Scottsdale

State
AZ

FEC ID number of contributing


federal political committee.

Zip Code
85254

2015

Transaction ID : 11ai-000118429

Amount of Each Receipt this Period

Name of Employer

Occupation

Willetta Partners Inc

Government Relations

Receipt For: 2016


Primary
Other (specify)

28

250.00

Election Cycle-to-Date
General

250.00

Earmarked through ActBlue Conduit Committee 05-032015 $5,675.69-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Edwin Brown

Date of Receipt

Mailing Address 25 Bearden Ave

04

City
Asheville

State
NC

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000118389

28801

Amount of Each Receipt this Period

Occupation
Retired

N/A

Receipt For: 2016


Primary

Zip Code

28

35.00

Election Cycle-to-Date
General

536.25

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-032015 $5,675.69-See memo on Sch A for line 11c

,
,

,
,

310.00

.
.

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

Image# 201507159000193766

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

33 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Ruth Glotzer

Date of Receipt

Mailing Address 70 Greylock Rd

04

City

State
MA

West Newton

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

28

Transaction ID : 11ai-000118393

02465

Amount of Each Receipt this Period

Occupation
Not Employed

15.00

Election Cycle-to-Date
General

692.86

Earmarked through ActBlue Conduit Committee 05-032015 $5,675.69-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Deborah R. Sliz

Date of Receipt

Mailing Address 2826 S Buchanan Street

04

City
Arlington

State
VA

FEC ID number of contributing


federal political committee.

Zip Code
22206

2015

Transaction ID : 11ai-000117434

Amount of Each Receipt this Period

Name of Employer

Occupation

Morgan Meguive

Vice President

Receipt For: 2016


Primary
Other (specify)

29

250.00

Election Cycle-to-Date
General

300.00

Full Name (Last, First, Middle Initial)

C.

Barbara Duehn

Date of Receipt

Mailing Address 2200 Wilson Dr

04

City
Arlington

State
TX

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000118552

76011-3226

Amount of Each Receipt this Period

Occupation
None

N/A

Receipt For: 2016


Primary

Zip Code

29

15.00

Election Cycle-to-Date
General

270.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-032015 $5,675.69-See memo on Sch A for line 11c

,
,

,
,

280.00

.
.

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

Image# 201507159000193767

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

34 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Ann Miller

Date of Receipt

Mailing Address 21771 Co Rd W

04

City

State
CO

Lewis

FEC ID number of contributing


federal political committee.
Name of Employer
Unlimited Learning, Inc.
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

29

Transaction ID : 11ai-000118498

81327

Amount of Each Receipt this Period

Occupation
Director

10.00

Election Cycle-to-Date
General

332.00

Earmarked through ActBlue Conduit Committee 05-032015 $5,675.69-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Ann Miller

Date of Receipt

Mailing Address 21771 Co Rd W

04

City
Lewis

State
CO

FEC ID number of contributing


federal political committee.

Occupation

Unlimited Learning, Inc.

Director

2015

Transaction ID : 11ai-000118486

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
81327

29

Amount of Each Receipt this Period

25.00

Election Cycle-to-Date
General

357.00

Earmarked through ActBlue Conduit Committee 05-032015 $5,675.69-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

William Freije

Date of Receipt

Mailing Address 31220 Beach View Est Dr

04

City
Malibu

State
CA

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000118514

90265

Amount of Each Receipt this Period

Occupation
Not Employed

N/A

Receipt For: 2016


Primary

Zip Code

29

35.00

Election Cycle-to-Date
General

210.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-032015 $5,675.69-See memo on Sch A for line 11c

,
,

,
,

70.00

.
.

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

Image# 201507159000193768

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

35 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Albert Rossignol

Date of Receipt

Mailing Address 212 15th St

04

City

State
CA

Seal Beach

FEC ID number of contributing


federal political committee.

2015

Transaction ID : 11ai-000118497

90740

Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

29

Amount of Each Receipt this Period

Occupation
Retired

50.00

Election Cycle-to-Date
General

406.44

Earmarked through ActBlue Conduit Committee 05-032015 $5,675.69-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Jennifer B. DiJames

Date of Receipt

Mailing Address 2411 Culpeper Rd

04

City
Alexandria

State
VA

FEC ID number of contributing


federal political committee.

Zip Code
22308

29

2015

Transaction ID : 11ai-000117435

Amount of Each Receipt this Period

Name of Employer

Occupation

Alignment Government Strategies

Attorney

Receipt For: 2016


Primary
Other (specify)

Election Cycle-to-Date

500.00

General

500.00

Full Name (Last, First, Middle Initial)

C.

Tina Baker

Date of Receipt

Mailing Address 4809 E Thistle Landing Dr #100

04

City
Phoenix

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer
Advanced Mediation Solutions, PLC

Receipt For: 2016


Primary
Other (specify)

Zip Code

29

2015

Transaction ID : 11ai-000118491

85044

Amount of Each Receipt this Period

Occupation
Attorney Mediator

50.00

Election Cycle-to-Date
General

300.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-032015 $5,675.69-See memo on Sch A for line 11c

,
,

,
,

600.00

.
.

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

Image# 201507159000193769

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

36 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Lawrence Wiedemann

Date of Receipt

Mailing Address 3923 Audubon Trace

04

City

State
LA

New Orleans

FEC ID number of contributing


federal political committee.
Name of Employer
Wiedemann Law Firm
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

29

Transaction ID : 11ai-000118510

70121-1570

Amount of Each Receipt this Period

Occupation
Attorney

15.00

Election Cycle-to-Date
General

480.00

Earmarked through ActBlue Conduit Committee 05-032015 $5,675.69-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Rik Farrow

Date of Receipt

Mailing Address 160 Hohokam Cir

04

City
Sedona

State
AZ

FEC ID number of contributing


federal political committee.

Occupation

Self

Consultant

2015

Transaction ID : 11ai-000118613

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
86336-4353

30

Amount of Each Receipt this Period

25.00

Election Cycle-to-Date
General

275.00

Earmarked through ActBlue Conduit Committee 05-032015 $5,675.69-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Rik Farrow

Date of Receipt

Mailing Address 160 Hohokam Cir

04

City
Sedona

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000118620

86336-4353

Amount of Each Receipt this Period

Occupation
Consultant

Self

Receipt For: 2016


Primary

Zip Code

30

25.00

Election Cycle-to-Date
General

300.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-032015 $5,675.69-See memo on Sch A for line 11c

,
,

,
,

65.00

.
.

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

Image# 201507159000193770

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

37 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

William Pederson Sr.

Date of Receipt

Mailing Address 39825 S Winding Trl

04

City

State
AZ

Tucson

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

30

Transaction ID : 11ai-000118629

85739

Amount of Each Receipt this Period

Occupation
Not Employed

25.00

Election Cycle-to-Date
General

280.00

Earmarked through ActBlue Conduit Committee 05-032015 $5,675.69-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Ruth Glotzer

Date of Receipt

Mailing Address 70 Greylock Rd

04

City
West Newton

State
MA

FEC ID number of contributing


federal political committee.

Zip Code
02465

2015

Transaction ID : 11ai-000118655

Amount of Each Receipt this Period

Name of Employer

Occupation

N/A

Not Employed

Receipt For: 2016


Primary
Other (specify)

30

15.00

Election Cycle-to-Date
General

707.86

Earmarked through ActBlue Conduit Committee 05-032015 $5,675.69-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Ruth Glotzer

Date of Receipt

Mailing Address 70 Greylock Rd

04

City
West Newton

State
MA

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000118653

02465

Amount of Each Receipt this Period

Occupation
Not Employed

N/A

Receipt For: 2016


Primary

Zip Code

30

25.00

Election Cycle-to-Date
General

732.86

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-032015 $5,675.69-See memo on Sch A for line 11c

,
,

,
,

65.00

.
.

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

Image# 201507159000193771

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

38 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Ilene Abraham Skinner

Date of Receipt

Mailing Address 62715 E Border Rock Rd

04

City

State
AZ

Tucson

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

30

Transaction ID : 11ai-000118595

85739

Amount of Each Receipt this Period

Occupation
Not Employed

50.00

Election Cycle-to-Date
General

300.00

Earmarked through ActBlue Conduit Committee 05-032015 $5,675.69-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Ann Miller

Date of Receipt

Mailing Address 21771 Co Rd W

04

City
Lewis

State
CO

FEC ID number of contributing


federal political committee.

Occupation

Unlimited Learning, Inc.

Director

2015

Transaction ID : 11ai-000118616

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
81327

30

Amount of Each Receipt this Period

25.00

Election Cycle-to-Date
General

382.00

Earmarked through ActBlue Conduit Committee 05-032015 $5,675.69-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Janice Dowlin

Date of Receipt

Mailing Address 5001 E Main St #254

04

City
Mesa

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000118685

85205

Amount of Each Receipt this Period

Occupation
Not Employed

N/A

Receipt For: 2016


Primary

Zip Code

30

250.00

Election Cycle-to-Date
General

1500.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-032015 $5,675.69-See memo on Sch A for line 11c

,
,

,
,

325.00

.
.

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

Image# 201507159000193772

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

39 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Steven Torkelson

Date of Receipt

Mailing Address 66A Bailey St

04

City

State
MA

Lawrence

FEC ID number of contributing


federal political committee.
Name of Employer
CIL
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

30

Transaction ID : 11ai-000118621

01843

Amount of Each Receipt this Period

Occupation
Scientist

5.00

Election Cycle-to-Date
General

237.00

Earmarked through ActBlue Conduit Committee 05-032015 $5,675.69-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Steven Torkelson

Date of Receipt

Mailing Address 66A Bailey St

04

City
Lawrence

State
MA

FEC ID number of contributing


federal political committee.

Occupation

CIL

Scientist

2015

Transaction ID : 11ai-000118652

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
01843

30

Amount of Each Receipt this Period

5.00

Election Cycle-to-Date
General

242.00

Earmarked through ActBlue Conduit Committee 05-032015 $5,675.69-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Guadalupe Lopez

Date of Receipt

Mailing Address 9103 Bluegrass Dr

04

City
Austin

State
TX

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000118708

78759

Amount of Each Receipt this Period

Occupation
Financial Analyst

IBM

Receipt For: 2016


Primary

Zip Code

30

100.00

Election Cycle-to-Date
General

350.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-032015 $5,675.69-See memo on Sch A for line 11c

,
,

,
,

110.00

.
.

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

Image# 201507159000193773

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

40 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Anne Stephansky

Date of Receipt

Mailing Address 3517 Bancroft Pl

05

City

State
DC

Washington

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

01

Transaction ID : 11ai-000118760

20008

Amount of Each Receipt this Period

Occupation
Not Employed

50.00

Election Cycle-to-Date
General

300.00

Earmarked through ActBlue Conduit Committee 05-032015 $5,675.69-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Melody Elliott

Date of Receipt

Mailing Address 90 Codman Rd

05

City
Lincoln

State
MA

FEC ID number of contributing


federal political committee.

Occupation

N/A

Retired

2015

Transaction ID : 11ai-000118833

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
01773

03

Amount of Each Receipt this Period

20.00

Election Cycle-to-Date
General

210.00

Earmarked through ActBlue Conduit Committee 05-032015 $5,675.69-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Mary Royer

Date of Receipt

Mailing Address 733 S Ridge

05

City
Cedar Citu

State
UT

FEC ID number of contributing


federal political committee.
Name of Employer
Iron County School District

Receipt For: 2016


Primary
Other (specify)

Zip Code

03

2015

Transaction ID : 11ai-000118835

84720

Amount of Each Receipt this Period

Occupation
School Counselor

50.00

Election Cycle-to-Date
General

350.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-032015 $5,675.69-See memo on Sch A for line 11c

,
,

,
,

120.00

.
.

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

Image# 201507159000193774

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

41 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Barbara Curry-Kaufman

Date of Receipt

Mailing Address 124 Casitas Ave

05

City

State
CA

San Francisco

FEC ID number of contributing


federal political committee.

Zip Code

2015

03

Transaction ID : 11ai-000118837

94127

Amount of Each Receipt this Period

Name of Employer
The Permanente Medical Group

Occupation
Physician

Receipt For: 2016


Primary
Other (specify)

Election Cycle-to-Date
General

300.00

50.00

Earmarked through ActBlue Conduit Committee 05-032015 $5,675.69-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Elinor L. Hallowell

Date of Receipt

Mailing Address 115 E Calle Resplendor

05

City
Tucson

State
AZ

FEC ID number of contributing


federal political committee.

Occupation

N/A

Retired

2015

Transaction ID : 11ai-000118885

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
85716-4939

04

Amount of Each Receipt this Period

250.00

Election Cycle-to-Date
General

1070.00

Earmarked through ActBlue Conduit Committee 05-102015 $2,190.55-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Margaret A. Staton

Date of Receipt

Mailing Address 1639 Fernald Point Ln

05

City
Santa Barbara

State
CA

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000118875

93108

Amount of Each Receipt this Period

Occupation
Not Employed

N/A

Receipt For: 2016


Primary

Zip Code

04

40.00

Election Cycle-to-Date
General

669.75

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-102015 $2,190.55-See memo on Sch A for line 11c

,
,

,
,

340.00

.
.

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

Image# 201507159000193775

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

42 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Marian Weaver

Date of Receipt

Mailing Address 16 Manzanita St

05

City

State
AZ

Bisbee

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

04

Transaction ID : 11ai-000118884

85603

Amount of Each Receipt this Period

Occupation
Not Employed

50.00

Election Cycle-to-Date
General

201.14

Earmarked through ActBlue Conduit Committee 05-102015 $2,190.55-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Margaret Mary Ann Pope

Date of Receipt

Mailing Address 2820 E 4th Street

05

City
Tucson

State
AZ

FEC ID number of contributing


federal political committee.

Occupation

Self

Artist

2015

Transaction ID : 11ai-000118898

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
85716

05

Amount of Each Receipt this Period

25.00

Election Cycle-to-Date
General

300.00

Earmarked through ActBlue Conduit Committee 05-102015 $2,190.55-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Ruth Glotzer

Date of Receipt

Mailing Address 70 Greylock Rd

05

City
West Newton

State
MA

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000118911

02465

Amount of Each Receipt this Period

Occupation
Not Employed

N/A

Receipt For: 2016


Primary

Zip Code

05

15.00

Election Cycle-to-Date
General

747.86

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-102015 $2,190.55-See memo on Sch A for line 11c

,
,

,
,

90.00

.
.

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

Image# 201507159000193776

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

43 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Richard F. Flood

Date of Receipt

Mailing Address 1670 W Campbell Ave

05

City

State
AZ

Phoenix

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

05

Transaction ID : 11ai-000117441

85015

Amount of Each Receipt this Period

Occupation
Not Employed

500.00

Election Cycle-to-Date
General

700.00

Full Name (Last, First, Middle Initial)

B.

Margaret A. Staton

Date of Receipt

Mailing Address 1639 Fernald Point Ln

05

City
Santa Barbara

State
CA

FEC ID number of contributing


federal political committee.

Zip Code
93108

2015

Transaction ID : 11ai-000118970

Amount of Each Receipt this Period

Name of Employer

Occupation

N/A

Not Employed

Receipt For: 2016


Primary
Other (specify)

07

15.00

Election Cycle-to-Date
General

684.75

Earmarked through ActBlue Conduit Committee 05-102015 $2,190.55-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Sally L. Carlson

Date of Receipt

Mailing Address 70 S 300 East

05

City
Kanab

State
UT

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000118998

84741

Amount of Each Receipt this Period

Occupation
Not Employed

N/A

Receipt For: 2016


Primary

Zip Code

08

50.00

Election Cycle-to-Date
General

600.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-102015 $2,190.55-See memo on Sch A for line 11c

,
,

,
,

565.00

.
.

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

Image# 201507159000193777

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

44 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Sally L. Carlson

Date of Receipt

Mailing Address 70 S 300 East

05

City

State
UT

Kanab

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

10

Transaction ID : 11ai-000119077

84741

Amount of Each Receipt this Period

Occupation
Not Employed

50.00

Election Cycle-to-Date
General

650.00

Earmarked through ActBlue Conduit Committee 05-102015 $2,190.55-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Barbara Duehn

Date of Receipt

Mailing Address 2200 Wilson Dr

05

City
Arlington

State
TX

FEC ID number of contributing


federal political committee.

Occupation

N/A

None

2015

Transaction ID : 11ai-000119088

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
76011-3226

10

Amount of Each Receipt this Period

15.00

Election Cycle-to-Date
General

285.00

Earmarked through ActBlue Conduit Committee 05-102015 $2,190.55-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Sally L. Carlson

Date of Receipt

Mailing Address 70 S 300 East

05

City
Kanab

State
UT

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119139

84741

Amount of Each Receipt this Period

Occupation
Not Employed

N/A

Receipt For: 2016


Primary

Zip Code

11

50.00

Election Cycle-to-Date
General

700.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-172015 $4,018.75-See memo on Sch A for line 11c

,
,

,
,

115.00

.
.

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

Image# 201507159000193778

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

45 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Edwin Brown

Date of Receipt

Mailing Address 25 Bearden Ave

05

City

State
NC

Asheville

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

11

Transaction ID : 11ai-000119165

28801

Amount of Each Receipt this Period

Occupation
Retired

1.00

Election Cycle-to-Date
General

537.25

Earmarked through ActBlue Conduit Committee 05-172015 $4,018.75-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Ruth Glotzer

Date of Receipt

Mailing Address 70 Greylock Rd

05

City
West Newton

State
MA

FEC ID number of contributing


federal political committee.

Zip Code
02465

2015

Transaction ID : 11ai-000119173

Amount of Each Receipt this Period

Name of Employer

Occupation

N/A

Not Employed

Receipt For: 2016


Primary
Other (specify)

11

10.00

Election Cycle-to-Date
General

757.86

Earmarked through ActBlue Conduit Committee 05-172015 $4,018.75-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Bobette Gorden

Date of Receipt

Mailing Address 2248 S Forest Ave

05

City
Tempe

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119172

85282-2145

Amount of Each Receipt this Period

Occupation
Influence At Work

Marketing

Receipt For: 2016


Primary

Zip Code

11

1000.00

Election Cycle-to-Date
General

1000.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-172015 $4,018.75-See memo on Sch A for line 11c

,
,

,
,

1011.00

.
.

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

Image# 201507159000193779

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

46 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Margaret A. Staton

Date of Receipt

Mailing Address 1639 Fernald Point Ln

05

City

State
CA

Santa Barbara

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

11

Transaction ID : 11ai-000119141

93108

Amount of Each Receipt this Period

Occupation
Not Employed

6.00

Election Cycle-to-Date
General

690.75

Earmarked through ActBlue Conduit Committee 05-172015 $4,018.75-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Barbara Duehn

Date of Receipt

Mailing Address 2200 Wilson Dr

05

City
Arlington

State
TX

FEC ID number of contributing


federal political committee.

Occupation

N/A

None

2015

Transaction ID : 11ai-000119203

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
76011-3226

12

Amount of Each Receipt this Period

15.00

Election Cycle-to-Date
General

300.00

Earmarked through ActBlue Conduit Committee 05-172015 $4,018.75-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Ruth Glotzer

Date of Receipt

Mailing Address 70 Greylock Rd

05

City
West Newton

State
MA

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119185

02465

Amount of Each Receipt this Period

Occupation
Not Employed

N/A

Receipt For: 2016


Primary

Zip Code

12

25.00

Election Cycle-to-Date
General

782.86

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-172015 $4,018.75-See memo on Sch A for line 11c

,
,

,
,

46.00

.
.

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

Image# 201507159000193780

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

47 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

D. Jesse Smith

Date of Receipt

Mailing Address 100 N Stone Avenue, Suite 801

05

City

State
AZ

Tucson

FEC ID number of contributing


federal political committee.
Name of Employer
Self
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

13

Transaction ID : 11ai-000118864

85701

Amount of Each Receipt this Period

Occupation
Attorney

250.00

Election Cycle-to-Date
General

250.00

Full Name (Last, First, Middle Initial)

B.

David J. Bolger

Date of Receipt

Mailing Address 6506 E Mountain View Road

05

City
Scottsdale

State
AZ

FEC ID number of contributing


federal political committee.

Occupation

Self

Consultant

2015

Transaction ID : 11ai-000118865

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
85253

13

Amount of Each Receipt this Period

250.00

Election Cycle-to-Date
General

350.00

Full Name (Last, First, Middle Initial)

C.

Elinor L. Hallowell

Date of Receipt

Mailing Address 115 E Calle Resplendor

05

City
Tucson

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119235

85716-4939

Amount of Each Receipt this Period

Occupation
Retired

N/A

Receipt For: 2016


Primary

Zip Code

13

15.00

Election Cycle-to-Date
General

1085.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-172015 $4,018.75-See memo on Sch A for line 11c

,
,

,
,

515.00

.
.

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

Image# 201507159000193781

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

48 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Dianne Blanding

Date of Receipt

Mailing Address 1865 E Canyon St

05

City

State
AZ

Apache Junction

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

13

Transaction ID : 11ai-000119228

85119

Amount of Each Receipt this Period

Occupation
Not Employed

25.00

Election Cycle-to-Date
General

211.12

Earmarked through ActBlue Conduit Committee 05-172015 $4,018.75-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Evan Hazard

Date of Receipt

Mailing Address 3119 Apple Tree Ct NW

05

City
Bemidji

State
MN

FEC ID number of contributing


federal political committee.

Occupation

N/A

Retired

2015

Transaction ID : 11ai-000119234

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
56601-2107

13

Amount of Each Receipt this Period

100.00

Election Cycle-to-Date
General

422.23

Earmarked through ActBlue Conduit Committee 05-172015 $4,018.75-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Erik Olson

Date of Receipt

Mailing Address 6424 33rd St NW

05

City
Washington

State
DC

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119242

20015

Amount of Each Receipt this Period

Occupation
Principal

Venn Strategies

Receipt For: 2016


Primary

Zip Code

13

500.00

Election Cycle-to-Date
General

500.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-172015 $4,018.75-See memo on Sch A for line 11c

,
,

,
,

625.00

.
.

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

Image# 201507159000193782

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

49 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Steven Torkelson

Date of Receipt

Mailing Address 66A Bailey St

05

City

State
MA

Lawrence

FEC ID number of contributing


federal political committee.
Name of Employer
CIL
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

14

Transaction ID : 11ai-000119247

01843

Amount of Each Receipt this Period

Occupation
Scientist

10.00

Election Cycle-to-Date
General

252.00

Earmarked through ActBlue Conduit Committee 05-172015 $4,018.75-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Barbara Duehn

Date of Receipt

Mailing Address 2200 Wilson Dr

05

City
Arlington

State
TX

FEC ID number of contributing


federal political committee.

Occupation

N/A

None

2015

Transaction ID : 11ai-000119275

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
76011-3226

15

Amount of Each Receipt this Period

15.00

Election Cycle-to-Date
General

315.00

Earmarked through ActBlue Conduit Committee 05-172015 $4,018.75-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Edwin Brown

Date of Receipt

Mailing Address 25 Bearden Ave

05

City
Asheville

State
NC

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119266

28801

Amount of Each Receipt this Period

Occupation
Retired

N/A

Receipt For: 2016


Primary

Zip Code

15

10.00

Election Cycle-to-Date
General

547.25

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-172015 $4,018.75-See memo on Sch A for line 11c

,
,

,
,

35.00

.
.

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

Image# 201507159000193783

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

50 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Margaret A. Staton

Date of Receipt

Mailing Address 1639 Fernald Point Ln

05

City

State
CA

Santa Barbara

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

15

Transaction ID : 11ai-000119263

93108

Amount of Each Receipt this Period

Occupation
Not Employed

25.00

Election Cycle-to-Date
General

715.75

Earmarked through ActBlue Conduit Committee 05-172015 $4,018.75-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Bernard Spector

Date of Receipt

Mailing Address 6927 Haycock Rd

05

City
Falls Church

State
VA

FEC ID number of contributing


federal political committee.

Zip Code
22043-2304

2015

Transaction ID : 11ai-000119262

Amount of Each Receipt this Period

Name of Employer

Occupation

N/A

Not Employed

Receipt For: 2016


Primary
Other (specify)

15

35.00

Election Cycle-to-Date
General

396.14

Earmarked through ActBlue Conduit Committee 05-172015 $4,018.75-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Lawrence Wiedemann

Date of Receipt

Mailing Address 3923 Audubon Trace

05

City
New Orleans

State
LA

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119264

70121-1570

Amount of Each Receipt this Period

Occupation
Attorney

Wiedemann Law Firm

Receipt For: 2016


Primary

Zip Code

15

35.00

Election Cycle-to-Date
General

515.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-172015 $4,018.75-See memo on Sch A for line 11c

,
,

,
,

95.00

.
.

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

Image# 201507159000193784

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

51 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Margaret Mary Ann Pope

Date of Receipt

Mailing Address 2820 E 4th Street

05

City

State
AZ

Tucson

FEC ID number of contributing


federal political committee.
Name of Employer
Self
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

16

Transaction ID : 11ai-000119304

85716

Amount of Each Receipt this Period

Occupation
Artist

100.00

Election Cycle-to-Date
General

400.00

Earmarked through ActBlue Conduit Committee 05-172015 $4,018.75-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

William Pederson Sr.

Date of Receipt

Mailing Address 39825 S Winding Trl

05

City
Tucson

State
AZ

FEC ID number of contributing


federal political committee.

Zip Code
85739

2015

Transaction ID : 11ai-000119308

Amount of Each Receipt this Period

Name of Employer

Occupation

N/A

Not Employed

Receipt For: 2016


Primary
Other (specify)

16

15.00

Election Cycle-to-Date
General

295.00

Earmarked through ActBlue Conduit Committee 05-172015 $4,018.75-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

William Freije

Date of Receipt

Mailing Address 31220 Beach View Est Dr

05

City
Malibu

State
CA

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119302

90265

Amount of Each Receipt this Period

Occupation
Not Employed

N/A

Receipt For: 2016


Primary

Zip Code

16

35.00

Election Cycle-to-Date
General

245.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-172015 $4,018.75-See memo on Sch A for line 11c

,
,

,
,

150.00

.
.

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

Image# 201507159000193785

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

52 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Lawrence Wiedemann

Date of Receipt

Mailing Address 3923 Audubon Trace

05

City

State
LA

New Orleans

FEC ID number of contributing


federal political committee.
Name of Employer
Wiedemann Law Firm
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

16

Transaction ID : 11ai-000119296

70121-1570

Amount of Each Receipt this Period

Occupation
Attorney

35.00

Election Cycle-to-Date
General

550.00

Earmarked through ActBlue Conduit Committee 05-172015 $4,018.75-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Marty L. Eckrem

Date of Receipt

Mailing Address 2909 N Steves Blvd

05

City
Flagstaff

State
AZ

FEC ID number of contributing


federal political committee.

Zip Code
86004

2015

Transaction ID : 11ai-000119330

Amount of Each Receipt this Period

Name of Employer

Occupation

Coconino County

Health Educator

Receipt For: 2016


Primary
Other (specify)

17

15.00

Election Cycle-to-Date
General

215.00

Earmarked through ActBlue Conduit Committee 05-172015 $4,018.75-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Margaret A. Staton

Date of Receipt

Mailing Address 1639 Fernald Point Ln

05

City
Santa Barbara

State
CA

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119326

93108

Amount of Each Receipt this Period

Occupation
Not Employed

N/A

Receipt For: 2016


Primary

Zip Code

17

25.00

Election Cycle-to-Date
General

740.75

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-172015 $4,018.75-See memo on Sch A for line 11c

,
,

,
,

75.00

.
.

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

Image# 201507159000193786

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

53 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Tamas Tamas

Date of Receipt

Mailing Address 165 Walnut Ave

05

City

State
NJ

Somerset

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

17

Transaction ID : 11ai-000119349

08873

Amount of Each Receipt this Period

Occupation
Retired

25.00

Election Cycle-to-Date
General

260.00

Earmarked through ActBlue Conduit Committee 05-172015 $4,018.75-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

James Taylor

Date of Receipt

Mailing Address 1200 S Catalina Ave

05

City
Redondo Beach

State
CA

FEC ID number of contributing


federal political committee.

Occupation

N/A

Retired

2015

Transaction ID : 11ai-000119340

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
90277

17

Amount of Each Receipt this Period

100.00

Election Cycle-to-Date
General

400.00

Earmarked through ActBlue Conduit Committee 05-172015 $4,018.75-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Ruth Glotzer

Date of Receipt

Mailing Address 70 Greylock Rd

05

City
West Newton

State
MA

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119396

02465

Amount of Each Receipt this Period

Occupation
Not Employed

N/A

Receipt For: 2016


Primary

Zip Code

18

15.00

Election Cycle-to-Date
General

797.86

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

,
,

,
,

140.00

.
.

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

Image# 201507159000193787

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

54 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Ruth Glotzer

Date of Receipt

Mailing Address 70 Greylock Rd

05

City

State
MA

West Newton

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

18

Transaction ID : 11ai-000119386

02465

Amount of Each Receipt this Period

Occupation
Not Employed

25.00

Election Cycle-to-Date
General

822.86

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Patricia Downey

Date of Receipt

Mailing Address 4825 E 12 St

05

City
Tucson

State
AZ

FEC ID number of contributing


federal political committee.

Zip Code
85711

2015

Transaction ID : 11ai-000119382

Amount of Each Receipt this Period

Name of Employer

Occupation

N/A

Not Employed

Receipt For: 2016


Primary
Other (specify)

18

25.00

Election Cycle-to-Date
General

265.00

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Teresa Montanelli

Date of Receipt

Mailing Address 11 Castlebar Pl

05

City
Alameda

State
CA

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119384

94502

Amount of Each Receipt this Period

Occupation
Owner Self Storage Businesses

Self

Receipt For: 2016


Primary

Zip Code

18

35.00

Election Cycle-to-Date
General

325.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

,
,

,
,

85.00

.
.

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

Image# 201507159000193788

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

55 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Dianne Blanding

Date of Receipt

Mailing Address 1865 E Canyon St

05

City

State
AZ

Apache Junction

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

18

Transaction ID : 11ai-000119387

85119

Amount of Each Receipt this Period

Occupation
Not Employed

25.00

Election Cycle-to-Date
General

236.12

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Whitney Cunningham

Date of Receipt

Mailing Address PO Box 280

05

City
Flagstaff

State
AZ

FEC ID number of contributing


federal political committee.

Zip Code
86002-0280

19

2015

Transaction ID : 11ai-000119731

Amount of Each Receipt this Period

Name of Employer

Occupation

Aspey, Watkins & Diesel, PLLC

Attorney

Receipt For: 2016


Primary
Other (specify)

Election Cycle-to-Date

100.00

General

300.00

Full Name (Last, First, Middle Initial)

C.

Jeffrey W. Winkler

Date of Receipt

Mailing Address 4615 E Palomino Road

05

City
Phoenix

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer
AZ Senate Democratic Caucus

Receipt For: 2016


Primary
Other (specify)

Zip Code

19

2015

Transaction ID : 11ai-000119735

85018

Amount of Each Receipt this Period

Occupation
Policy Advisor

100.00

,
,

,
,

225.00

Election Cycle-to-Date
General

650.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

.
.

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

Image# 201507159000193789

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

56 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Betsy Bolding

Date of Receipt

Mailing Address 2965 E Lee Street

05

City

State
AZ

Tucson

FEC ID number of contributing


federal political committee.

Zip Code

2015

19

Transaction ID : 11ai-000119734

85718

Amount of Each Receipt this Period

Name of Employer
Tucson Electric Power/UniSource Energy

Occupation
Consumer Affairs

Receipt For: 2016


Primary
Other (specify)

Election Cycle-to-Date

25.00

General

225.00

Full Name (Last, First, Middle Initial)

B.

Jerrold L. Cohen

Date of Receipt

Mailing Address 6164 N Via Del Pinchon

05

City
Tucson

State
AZ

FEC ID number of contributing


federal political committee.

Occupation

Canyon Ranch

Executive

2015

Transaction ID : 11ai-000118872

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
85718

19

Amount of Each Receipt this Period

2700.00

Election Cycle-to-Date
General

2700.00

Full Name (Last, First, Middle Initial)

C.

Anton Tyler

Date of Receipt

Mailing Address 2951 Siena Heights Drive, 423

05

City
Henderson

State
NV

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119424

89052-3874

Amount of Each Receipt this Period

Occupation
Not Employed

N/A

Receipt For: 2016


Primary

Zip Code

19

10.00

Election Cycle-to-Date
General

370.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

,
,

,
,

2735.00

.
.

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

Image# 201507159000193790

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

57 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Lawrence D. Hirsch

Date of Receipt

Mailing Address 9329 N 58 St

05

City

State
AZ

Phoenix

FEC ID number of contributing


federal political committee.

Zip Code

2015

19

Transaction ID : 11ai-000119732

85253-1766

Amount of Each Receipt this Period

Name of Employer
Deconcini Mcdonald Yetwin & Lacy

Occupation
Attorney

Receipt For: 2016


Primary
Other (specify)

Election Cycle-to-Date

100.00

General

500.00

Full Name (Last, First, Middle Initial)

B.

Bernard Spector

Date of Receipt

Mailing Address 6927 Haycock Rd

05

City
Falls Church

State
VA

FEC ID number of contributing


federal political committee.

Zip Code
22043-2304

2015

Transaction ID : 11ai-000119422

Amount of Each Receipt this Period

Name of Employer

Occupation

N/A

Not Employed

Receipt For: 2016


Primary
Other (specify)

19

25.00

Election Cycle-to-Date
General

421.14

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Steven Torkelson

Date of Receipt

Mailing Address 66A Bailey St

05

City
Lawrence

State
MA

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119438

01843

Amount of Each Receipt this Period

Occupation
Scientist

CIL

Receipt For: 2016


Primary

Zip Code

19

.5.00

Election Cycle-to-Date
General

257.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

,
,

,
,

130.00

.
.

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

Image# 201507159000193791

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

58 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Steven Torkelson

Date of Receipt

Mailing Address 66A Bailey St

05

City

State
MA

Lawrence

FEC ID number of contributing


federal political committee.
Name of Employer
CIL
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

19

Transaction ID : 11ai-000119427

01843

Amount of Each Receipt this Period

Occupation
Scientist

10.00

Election Cycle-to-Date
General

267.00

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Frederick M. Aspey

Date of Receipt

Mailing Address 5150 N Bandtail Ridge

05

City
Flagstaff

State
AZ

FEC ID number of contributing


federal political committee.

Zip Code
86001

20

2015

Transaction ID : 11ai-000119545

Amount of Each Receipt this Period

Name of Employer

Occupation

Aspey, Watkins & Diesel, PLLC

Attorney

Receipt For: 2016


Primary
Other (specify)

Election Cycle-to-Date
General

250.00

250.00

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Peter Chesson

Date of Receipt

Mailing Address 3811 N Camino De Oeste

05

City
Tucson

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119490

85745-9062

Amount of Each Receipt this Period

Occupation
Professor

University of Arizona

Receipt For: 2016


Primary

Zip Code

20

25.00

Election Cycle-to-Date
General

325.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

,
,

,
,

285.00

.
.

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

Image# 201507159000193792

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

59 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Stanley T. Sutphin

Date of Receipt

Mailing Address 7550 N 16 St 5212

05

City

State
AZ

Phoenix

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

20

Transaction ID : 11ai-000119539

85020

Amount of Each Receipt this Period

Occupation
Retired

50.00

Election Cycle-to-Date
General

216.14

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

William Pederson Sr.

Date of Receipt

Mailing Address 39825 S Winding Trl

05

City
Tucson

State
AZ

FEC ID number of contributing


federal political committee.

Zip Code
85739

2015

Transaction ID : 11ai-000119487

Amount of Each Receipt this Period

Name of Employer

Occupation

N/A

Not Employed

Receipt For: 2016


Primary
Other (specify)

20

25.00

Election Cycle-to-Date
General

320.00

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Patricia Brown

Date of Receipt

Mailing Address 1175 Brushup Ln

05

City
Union

State
KY

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119496

41091

Amount of Each Receipt this Period

Occupation
Retired

N/A

Receipt For: 2016


Primary

Zip Code

20

25.00

Election Cycle-to-Date
General

325.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

,
,

,
,

100.00

.
.

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

Image# 201507159000193793

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

60 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Teresa Montanelli

Date of Receipt

Mailing Address 11 Castlebar Pl

05

City

State
CA

Alameda

FEC ID number of contributing


federal political committee.
Name of Employer
Self
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

20

Transaction ID : 11ai-000119488

94502

Amount of Each Receipt this Period

Occupation
Owner Self Storage Businesses

25.00

Election Cycle-to-Date
General

350.00

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Richard Kurz Mallery

Date of Receipt

Mailing Address 7502 N Las Brisas Ln

05

City
Paradise Valley

State
AZ

FEC ID number of contributing


federal political committee.

Occupation

Snell & Wilmer

Attorney

2015

Transaction ID : 11ai-000119594

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
85253-3304

21

Amount of Each Receipt this Period

1000.00

Election Cycle-to-Date
General

2000.00

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Michael M. Racy

Date of Receipt

Mailing Address 535 W Burton Drive

05

City
Tucson

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119590

85704

Amount of Each Receipt this Period

Occupation
Government Relations

Racy Associates, Inc.

Receipt For: 2016


Primary

Zip Code

21

500.00

Election Cycle-to-Date
General

1000.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

,
,

,
,

1525.00

.
.

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

Image# 201507159000193794

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

61 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Judith L. Hardes

Date of Receipt

Mailing Address 1536 W Glenn Drive

05

City

State
AZ

Phoenix

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

21

Transaction ID : 11ai-000119098

85021-8545

Amount of Each Receipt this Period

Occupation
Retired

1000.00

Election Cycle-to-Date
General

1000.00

Full Name (Last, First, Middle Initial)

B.

Michael Zervas

Date of Receipt

Mailing Address 222 E Flat Rock Ridge

05

City
Flagstaff

State
AZ

FEC ID number of contributing


federal political committee.

Occupation

Inuit Consulting, LLC

Owner

2015

Transaction ID : 11ai-000119871

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
86001

21

Amount of Each Receipt this Period

Election Cycle-to-Date
General

500.00

500.00

[MEMO ITEM]
Partner Share - Inuit Consulting LLC

Full Name (Last, First, Middle Initial)

C.

Mary Dundas

Date of Receipt

Mailing Address 2406 E Hermosa Dr

05

City
Tempe

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119575

85282

Amount of Each Receipt this Period

Occupation
Not Employed

N/A

Receipt For: 2016


Primary

Zip Code

21

50.00

Election Cycle-to-Date
General

350.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

,
,

,
,

1050.00

.
.

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

Image# 201507159000193795

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

62 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Ann D. Nelson

Date of Receipt

Mailing Address 330 E Cairo Dr

05

City

State
AZ

Tempe

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

21

Transaction ID : 11ai-000119099

85282-3761

Amount of Each Receipt this Period

Occupation
Retired

500.00

Election Cycle-to-Date
General

500.00

Full Name (Last, First, Middle Initial)

B.

Inuit Consulting LLC

Date of Receipt

Mailing Address 222 E Flat Rock Rdg

05

City
Flagstaff

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
86001

21

2015

Transaction ID : 11ai-000119105

Amount of Each Receipt this Period

Occupation

500.00

Election Cycle-to-Date
General

500.00

See Memo Items

Full Name (Last, First, Middle Initial)

C.

Bryan S. Howard

Date of Receipt

Mailing Address 3147 E Rose Ln

05

City
Phoenix

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119620

85016

Amount of Each Receipt this Period

Occupation
Executive

Planned Parenthood

Receipt For: 2016


Primary

Zip Code

22

100.00

Election Cycle-to-Date
General

350.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

,
,

,
,

1100.00

.
.

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

Image# 201507159000193796

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

63 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Steven Barclay

Date of Receipt

Mailing Address 40 N Central Ave Ste 1400

05

City

State
AZ

Phoenix

FEC ID number of contributing


federal political committee.
Name of Employer
Barclay Legal, PLC
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

22

Transaction ID : 11ai-000119618

85004

Amount of Each Receipt this Period

Occupation
Attorney

1000.00

Election Cycle-to-Date
General

1000.00

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Anton Tyler

Date of Receipt

Mailing Address 2951 Siena Heights Drive, 423

05

City
Henderson

State
NV

FEC ID number of contributing


federal political committee.

Zip Code
89052-3874

2015

Transaction ID : 11ai-000119601

Amount of Each Receipt this Period

Name of Employer

Occupation

N/A

Not Employed

Receipt For: 2016


Primary
Other (specify)

22

20.00

Election Cycle-to-Date
General

390.00

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Wayne N. Howard Esq

Date of Receipt

Mailing Address 11811 N Tatum Blvd, Suite 1051

05

City
Phoenix

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119621

85028

Amount of Each Receipt this Period

Occupation
Attorney

Self

Receipt For: 2016


Primary

Zip Code

22

1000.00

Election Cycle-to-Date
General

1000.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

,
,

,
,

2020.00

.
.

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

Image# 201507159000193797

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

64 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Edwin Brown

Date of Receipt

Mailing Address 25 Bearden Ave

05

City

State
NC

Asheville

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

22

Transaction ID : 11ai-000119598

28801

Amount of Each Receipt this Period

Occupation
Retired

38.00

Election Cycle-to-Date
General

585.25

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Patricia Downey

Date of Receipt

Mailing Address 4825 E 12 St

05

City
Tucson

State
AZ

FEC ID number of contributing


federal political committee.

Zip Code
85711

2015

Transaction ID : 11ai-000119605

Amount of Each Receipt this Period

Name of Employer

Occupation

N/A

Not Employed

Receipt For: 2016


Primary
Other (specify)

22

15.00

Election Cycle-to-Date
General

280.00

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Ian Simmons

Date of Receipt

Mailing Address 104 Mt Auburn St

05

City
Cambridge

State
MA

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119616

02138

Amount of Each Receipt this Period

Occupation
Investor

Self

Receipt For: 2016


Primary

Zip Code

22

2700.00

Election Cycle-to-Date
General

2700.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

,
,

,
,

2753.00

.
.

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

Image# 201507159000193798

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

65 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Anton Tyler

Date of Receipt

Mailing Address 2951 Siena Heights Drive, 423

05

City

State
NV

Henderson

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

23

Transaction ID : 11ai-000119626

89052-3874

Amount of Each Receipt this Period

Occupation
Not Employed

10.00

Election Cycle-to-Date
General

400.00

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Edwin Brown

Date of Receipt

Mailing Address 25 Bearden Ave

05

City
Asheville

State
NC

FEC ID number of contributing


federal political committee.

Occupation

N/A

Retired

2015

Transaction ID : 11ai-000119628

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
28801

23

Amount of Each Receipt this Period

5.00

Election Cycle-to-Date
General

590.25

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Patricia Brown

Date of Receipt

Mailing Address 1175 Brushup Ln

05

City
Union

State
KY

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119635

41091

Amount of Each Receipt this Period

Occupation
Retired

N/A

Receipt For: 2016


Primary

Zip Code

23

50.00

Election Cycle-to-Date
General

375.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

,
,

,
,

65.00

.
.

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

Image# 201507159000193799

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

66 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Ann Miller

Date of Receipt

Mailing Address 21771 Co Rd W

05

City

State
CO

Lewis

FEC ID number of contributing


federal political committee.
Name of Employer
Unlimited Learning, Inc.
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

23

Transaction ID : 11ai-000119631

81327

Amount of Each Receipt this Period

Occupation
Director

15.00

Election Cycle-to-Date
General

397.00

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Lanny Morrison

Date of Receipt

Mailing Address 8783 E Neptune Drive

05

City
Flagstaff

State
AZ

FEC ID number of contributing


federal political committee.

Zip Code
86004

24

2015

Transaction ID : 11ai-000119720

Amount of Each Receipt this Period

Name of Employer

Occupation

Nemeth Morrison Corporation

Health Policy Analyst

Receipt For: 2016


Primary
Other (specify)

Election Cycle-to-Date
General

250.00

250.00

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Betsy Bolding

Date of Receipt

Mailing Address 2965 E Lee Street

05

City
Tucson

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer
Tucson Electric Power/UniSource Energy

Receipt For: 2016


Primary
Other (specify)

Zip Code

24

2015

Transaction ID : 11ai-000119696

85718

Amount of Each Receipt this Period

Occupation
Consumer Affairs

25.00

Election Cycle-to-Date
General

250.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

,
,

,
,

290.00

.
.

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

Image# 201507159000193800

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

67 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Christy L. Corbin

Date of Receipt

Mailing Address 2990 Pacific Palm Way

05

City

State
CA

San Diego

FEC ID number of contributing


federal political committee.
Name of Employer
DPR
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

24

Transaction ID : 11ai-000119709

92117

Amount of Each Receipt this Period

Occupation
Estimator

250.00

Election Cycle-to-Date
General

500.00

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Nestor Guzman

Date of Receipt

Mailing Address 7521 E Beryl Ave

05

City
Scottsdale

State
AZ

FEC ID number of contributing


federal political committee.

Zip Code
85258

2015

Transaction ID : 11ai-000119692

Amount of Each Receipt this Period

Name of Employer

Occupation

N/A

Not Employed

Receipt For: 2016


Primary
Other (specify)

24

25.00

Election Cycle-to-Date
General

1100.00

Earmarked through ActBlue Conduit Committee 05-242015 $10,027.99-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Jean M. White

Date of Receipt

Mailing Address 1120 N. Rockridge Rd

05

City
Flagstaff

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119122

86001

Amount of Each Receipt this Period

Occupation
Retired

N/A

Receipt For: 2016


Primary

Zip Code

25

100.00

,
,

,
,

375.00

Election Cycle-to-Date
General

250.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

.
.

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

Image# 201507159000193801

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

68 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Marty L. Eckrem

Date of Receipt

Mailing Address 2909 N Steves Blvd

05

City

State
AZ

Flagstaff

FEC ID number of contributing


federal political committee.
Name of Employer
Coconino County
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

25

Transaction ID : 11ai-000119759

86004

Amount of Each Receipt this Period

Occupation
Health Educator

5.00

Election Cycle-to-Date
General

220.00

Earmarked through ActBlue Conduit Committee 05-312015 $1,948.20-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Donald V. Budinger
Mailing Address c/o The Rodel Foundation
6720 N Scottsdale, Suite 355
City
Scottsdale
FEC ID number of contributing
federal political committee.

Date of Receipt
M

State
AZ

Zip Code
85253

Occupation

The Rodel Foundation

CEO

25

2015

Transaction ID : 11ai-000119378

Name of Employer
Receipt For: 2016
Primary
Other (specify)

05

Amount of Each Receipt this Period

1000.00

Election Cycle-to-Date
General

1000.00

Full Name (Last, First, Middle Initial)

C.

Reginald M. Ballantyne III

Date of Receipt

Mailing Address 3266 E Valley Vista Lane

05

City
Paradise Valley

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119377

85253

Amount of Each Receipt this Period

Occupation
Senior Strategic Advisor

Tenet Healthcare

Receipt For: 2016


Primary

Zip Code

25

500.00

,
,

,
,

1505.00

Election Cycle-to-Date
General

500.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

.
.

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

Image# 201507159000193802

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

69 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Eric E. Tober

Date of Receipt

Mailing Address 5 Rosecrest Avenue

05

City

State
VA

Alexandria

FEC ID number of contributing


federal political committee.

Zip Code

2015

25

Transaction ID : 11ai-000119132

22301

Amount of Each Receipt this Period

Name of Employer
Cornerstone Government Affairs

Occupation
Vice President, Government Affairs

Receipt For: 2016


Primary
Other (specify)

Election Cycle-to-Date

General

500.00

500.00

Earmarked through New Democrat Coallition PAC 0525-2015 $1,500.00-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Robert S. Braudy

Date of Receipt

Mailing Address 5980 E Jeremy Ln

05

City
Flagstaff

State
AZ

FEC ID number of contributing


federal political committee.

Occupation

N/A

Retired

2015

Transaction ID : 11ai-000119116

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
86004

25

Amount of Each Receipt this Period

500.00

Election Cycle-to-Date
General

500.00

Full Name (Last, First, Middle Initial)

C.

Barbara Duehn

Date of Receipt

Mailing Address 2200 Wilson Dr

05

City
Arlington

State
TX

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119766

76011-3226

Amount of Each Receipt this Period

Occupation
None

N/A

Receipt For: 2016


Primary

Zip Code

25

15.00

Election Cycle-to-Date
General

330.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-312015 $1,948.20-See memo on Sch A for line 11c

,
,

,
,

1015.00

.
.

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

Image# 201507159000193803

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

70 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Catherine N. Dunlap

Date of Receipt

Mailing Address 220 W Calle Montana Jack

05

City

State
AZ

Green Valley

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

25

Transaction ID : 11ai-000119376

85614-3733

Amount of Each Receipt this Period

Occupation
Not Employed

300.00

Election Cycle-to-Date
General

550.00

Full Name (Last, First, Middle Initial)

B.

Robert Holmes

Date of Receipt

Mailing Address 2893 Kelly Sq

05

City
Vienna

State
VA

FEC ID number of contributing


federal political committee.

Occupation

Nexxus Consulting, LLC

Consultant

2015

Transaction ID : 11ai-000119769

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
22181-6156

25

Amount of Each Receipt this Period

1000.00

Election Cycle-to-Date
General

1500.00

Earmarked through ActBlue Conduit Committee 05-312015 $1,948.20-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Albert Rossignol

Date of Receipt

Mailing Address 212 15th St

05

City
Seal Beach

State
CA

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119756

90740

Amount of Each Receipt this Period

Occupation
Retired

N/A

Receipt For: 2016


Primary

Zip Code

25

25.00

Election Cycle-to-Date
General

431.44

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-312015 $1,948.20-See memo on Sch A for line 11c

,
,

,
,

1325.00

.
.

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

Image# 201507159000193804

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

71 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Allen Reich PhD

Date of Receipt

Mailing Address 2904 N Boldt

05

City

State
AZ

Flagstaff

FEC ID number of contributing


federal political committee.
Name of Employer
NAU
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

25

Transaction ID : 11ai-000119120

86001

Amount of Each Receipt this Period

Occupation
Professor

100.00

Election Cycle-to-Date
General

225.00

Full Name (Last, First, Middle Initial)

B.

J. Nicole Bivens-Collinson

Date of Receipt

Mailing Address 229 N Galveston St

05

City
Arlington

State
VA

FEC ID number of contributing


federal political committee.

Zip Code
22203-1313

25

2015

Transaction ID : 11ai-000119131

Amount of Each Receipt this Period

Name of Employer

Occupation

Sandler, Travis & Rosenberg, PA

President, Trade and Legislative Affai

Receipt For: 2016


Primary
Other (specify)

Election Cycle-to-Date
General

500.00

500.00

Earmarked through New Democrat Coallition PAC 0525-2015 $1,500.00-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Peter Leon

Date of Receipt

Mailing Address 2006 Columbia Rd NW #7

05

City
Washington

State
DC

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119133

20009

Amount of Each Receipt this Period

Occupation
Vice Prsident, Government Relations

Levick

Receipt For: 2016


Primary

Zip Code

25

500.00

Election Cycle-to-Date
General

500.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through New Democrat Coallition PAC 0525-2015 $1,500.00-See memo on Sch A for line 11c

,
,

,
,

1100.00

.
.

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

Image# 201507159000193805

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

72 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Peter Chesson

Date of Receipt

Mailing Address 3811 N Camino De Oeste

05

City

State
AZ

Tucson

FEC ID number of contributing


federal political committee.
Name of Employer
University of Arizona
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

26

Transaction ID : 11ai-000119773

85745-9062

Amount of Each Receipt this Period

Occupation
Professor

25.00

Election Cycle-to-Date
General

350.00

Earmarked through ActBlue Conduit Committee 05-312015 $1,948.20-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Anton Tyler

Date of Receipt

Mailing Address 2951 Siena Heights Drive, 423

05

City
Henderson

State
NV

FEC ID number of contributing


federal political committee.

Zip Code
89052-3874

2015

Transaction ID : 11ai-000119770

Amount of Each Receipt this Period

Name of Employer

Occupation

N/A

Not Employed

Receipt For: 2016


Primary
Other (specify)

26

20.00

Election Cycle-to-Date
General

420.00

Earmarked through ActBlue Conduit Committee 05-312015 $1,948.20-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Lawrence Wiedemann

Date of Receipt

Mailing Address 3923 Audubon Trace

05

City
New Orleans

State
LA

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119775

70121-1570

Amount of Each Receipt this Period

Occupation
Attorney

Wiedemann Law Firm

Receipt For: 2016


Primary

Zip Code

26

35.00

Election Cycle-to-Date
General

585.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-312015 $1,948.20-See memo on Sch A for line 11c

,
,

,
,

80.00

.
.

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

Image# 201507159000193806

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

73 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Susan Shaw

Date of Receipt

Mailing Address 12453 W Paseo del Sol

03

City

State
AZ

Casa Grande

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

10

Transaction ID : 11ai-000119857

85194

Amount of Each Receipt this Period

Occupation
Retired
Election Cycle-to-Date

5.00

[MEMO ITEM]
Copper State Majority Joint Fundraiser

General

45.00

Full Name (Last, First, Middle Initial)

B.

Susan Shaw

Date of Receipt

Mailing Address 12453 W Paseo del Sol

03

City
Casa Grande

State
AZ

FEC ID number of contributing


federal political committee.

Occupation

N/A

Retired

2015

Transaction ID : 11ai-000119856

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
85194

10

Amount of Each Receipt this Period

Election Cycle-to-Date
General

57.50

12.50

[MEMO ITEM]
Copper State Majority Joint Fundraiser

Full Name (Last, First, Middle Initial)

C.

Arthur J. Piccinati

Date of Receipt

Mailing Address 6816 N Joshua Tree Ln

03

City
Scottsdale

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119851

85253-3258

Amount of Each Receipt this Period

Occupation
Retired

N/A

Receipt For: 2016


Primary

Zip Code

10

Election Cycle-to-Date
General

75.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

25.00

[MEMO ITEM]
Copper State Majority Joint Fundraiser

,
,

,
,

0.00

.
.

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

Image# 201507159000193807

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

74 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Layne Longfellow

Date of Receipt

Mailing Address 1134 W Haining

03

City

State
AZ

Prescott

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

10

Transaction ID : 11ai-000119843

86305

Amount of Each Receipt this Period

Occupation
Retired
Election Cycle-to-Date

10.00

[MEMO ITEM]
Copper State Majority Joint Fundraiser

General

10.00

Full Name (Last, First, Middle Initial)

B.

Kathleen Pettycrew

Date of Receipt

Mailing Address 4149 E Burgess Ln

03

City
Phoenix

State
AZ

FEC ID number of contributing


federal political committee.

Zip Code
85042

2015

Transaction ID : 11ai-000119850

Amount of Each Receipt this Period

Name of Employer

Occupation

N/A

Not Employed

Receipt For: 2016


Primary
Other (specify)

15

Election Cycle-to-Date
General

12.50

12.50

[MEMO ITEM]
Copper State Majority Joint Fundraiser

Full Name (Last, First, Middle Initial)

C.

Peg Yorkin

Date of Receipt

Mailing Address 21348 Pacific Coast Hwy

03

City
Malibu

State
CA

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119864

90265

Amount of Each Receipt this Period

Occupation
Retired

N/A

Receipt For: 2016


Primary

Zip Code

10

Election Cycle-to-Date
General

710.02

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

125.00

[MEMO ITEM]
Copper State Majority Joint Fundraiser

,
,

,
,

0.00

.
.

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

Image# 201507159000193808

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

75 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

George W. Spencer

Date of Receipt

Mailing Address 1835 Park Ave

03

City

State
IL

Sycamore

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

10

Transaction ID : 11ai-000119858

60178

Amount of Each Receipt this Period

Occupation
Retired
Election Cycle-to-Date

25.00

[MEMO ITEM]
Copper State Majority Joint Fundraiser

General

25.00

Full Name (Last, First, Middle Initial)

B.

Bruce Cohen

Date of Receipt

Mailing Address 7 Ware St

03

City
Worcester

State
MA

FEC ID number of contributing


federal political committee.

Occupation

Worcester State College

Professor

2015

Transaction ID : 11ai-000119831

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
01602

10

Amount of Each Receipt this Period

Election Cycle-to-Date
General

13.39

5.00

[MEMO ITEM]
Copper State Majority Joint Fundraiser

Full Name (Last, First, Middle Initial)

C.

Michael Henderson

Date of Receipt

Mailing Address 3026 Riverview Rd

03

City
Lawrence

State
KS

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119837

66049

Amount of Each Receipt this Period

Occupation
Retired

N/A

Receipt For: 2016


Primary

Zip Code

10

Election Cycle-to-Date
General

26.14

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

25.00

[MEMO ITEM]
Copper State Majority Joint Fundraiser

,
,

,
,

0.00

.
.

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

Image# 201507159000193809

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

76 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Ann Tobin

Date of Receipt

Mailing Address PO Box 667017

03

City

State
FL

Pompano Beach

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

10

Transaction ID : 11ai-000119862

33066

Amount of Each Receipt this Period

Occupation
Not Employed
Election Cycle-to-Date

12.50

[MEMO ITEM]
Copper State Majority Joint Fundraiser

General

12.50

Full Name (Last, First, Middle Initial)

B.

George Franks

Date of Receipt

Mailing Address 9336 N Camino Del Plata

03

City
Tucson

State
AZ

FEC ID number of contributing


federal political committee.

Zip Code
85742

2015

Transaction ID : 11ai-000119834

Amount of Each Receipt this Period

Name of Employer

Occupation

N/A

Not Employed

Receipt For: 2016


Primary
Other (specify)

28

Election Cycle-to-Date
General

25.00

25.00

[MEMO ITEM]
Copper State Majority Joint Fundraiser

Full Name (Last, First, Middle Initial)

C.

John MacNeil

Date of Receipt

Mailing Address 1308 Osprey Nest Ln

03

City
Port Orange

State
FL

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119844

32128

Amount of Each Receipt this Period

Occupation
Retired

N/A

Receipt For: 2016


Primary

Zip Code

10

Election Cycle-to-Date
General

12.50

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

12.50

[MEMO ITEM]
Copper State Majority Joint Fundraiser

,
,

,
,

0.00

.
.

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

Image# 201507159000193810

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

77 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Phillip Letson

Date of Receipt

Mailing Address 721 E Montebello Ave 112

03

City

State
AZ

Phoenix

FEC ID number of contributing


federal political committee.
Name of Employer
City Of Phoenix
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

13

Transaction ID : 11ai-000119841

85014

Amount of Each Receipt this Period

Occupation
Waste Water Plant O & M Tech
Election Cycle-to-Date

12.50

[MEMO ITEM]
Copper State Majority Joint Fundraiser

General

35.50

Full Name (Last, First, Middle Initial)

B.

Joyce M. Thibodeaux

Date of Receipt

Mailing Address 113 Oakdale Loop

03

City
Houma

State
LA

FEC ID number of contributing


federal political committee.

Zip Code
70360-5932

2015

Transaction ID : 11ai-000119861

Amount of Each Receipt this Period

Name of Employer

Occupation

N/A

Not Employed

Receipt For: 2016


Primary
Other (specify)

10

Election Cycle-to-Date
General

188.09

25.00

[MEMO ITEM]
Copper State Majority Joint Fundraiser

Full Name (Last, First, Middle Initial)

C.

James J. Burke

Date of Receipt

Mailing Address 111 E San Miguel Ave

03

City
Phoenix

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119829

85012

Amount of Each Receipt this Period

Occupation
Not Employed

N/A

Receipt For: 2016


Primary

Zip Code

10

Election Cycle-to-Date
General

102.50

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

12.50

[MEMO ITEM]
Copper State Majority Joint Fundraiser

,
,

,
,

0.00

.
.

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

Image# 201507159000193811

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

78 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

George Orr

Date of Receipt

Mailing Address 980 County Rd W

05

City

State
NE

Fremont

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

27

Transaction ID : 11ai-000119807

68025-7147

Amount of Each Receipt this Period

Occupation
Not Employed

100.00

Election Cycle-to-Date
General

650.00

Earmarked through ActBlue Conduit Committee 05-312015 $1,948.20-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

B.

Margy Garland

Date of Receipt

Mailing Address 10367 E Wood Dr

03

City
Scottsdale

State
AZ

FEC ID number of contributing


federal political committee.

Zip Code
85260-7277

2015

Transaction ID : 11ai-000119836

Amount of Each Receipt this Period

Name of Employer

Occupation

N/A

Not Employed

Receipt For: 2016


Primary
Other (specify)

10

Election Cycle-to-Date
General

12.50

12.50

[MEMO ITEM]
Copper State Majority Joint Fundraiser

Full Name (Last, First, Middle Initial)

C.

Q. Gerald Roseberry

Date of Receipt

Mailing Address 1650 W Glendale Ave #3281

05

City
Phoenix

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119798

85021

Amount of Each Receipt this Period

Occupation
Not Employed

N/A

Receipt For: 2016


Primary

Zip Code

27

25.00

Election Cycle-to-Date
General

215.61

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-312015 $1,948.20-See memo on Sch A for line 11c

,
,

,
,

125.00

.
.

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

Image# 201507159000193812

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

79 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Cheri Stephenson

Date of Receipt

Mailing Address 7539 S Hudson Ave

03

City

State
OK

Tulsa

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

10

Transaction ID : 11ai-000119859

74136

Amount of Each Receipt this Period

Occupation
Retired
Election Cycle-to-Date

12.50

[MEMO ITEM]
Copper State Majority Joint Fundraiser

General

22.50

Full Name (Last, First, Middle Initial)

B.

James Taylor

Date of Receipt

Mailing Address 1200 S Catalina Ave

03

City
Redondo Beach

State
CA

FEC ID number of contributing


federal political committee.

Occupation

N/A

Retired

2015

Transaction ID : 11ai-000119860

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
90277

10

Amount of Each Receipt this Period

Election Cycle-to-Date
General

450.00

50.00

[MEMO ITEM]
Copper State Majority Joint Fundraiser

Full Name (Last, First, Middle Initial)

C.

James Jackson

Date of Receipt

Mailing Address 8320 E Marrow Rd

03

City
Prescott Valley

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119838

86315

Amount of Each Receipt this Period

Occupation
Not Employed

N/A

Receipt For: 2016


Primary

Zip Code

11

Election Cycle-to-Date
General

200.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

125.00

[MEMO ITEM]
Copper State Majority Joint Fundraiser

,
,

,
,

0.00

.
.

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

Image# 201507159000193813

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

80 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

James A. McGrath

Date of Receipt

Mailing Address 319 W Virginia Ave

03

City

State
AZ

Phoenix

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

10

Transaction ID : 11ai-000119846

85003-1020

Amount of Each Receipt this Period

Occupation
Retired
Election Cycle-to-Date

12.50

[MEMO ITEM]
Copper State Majority Joint Fundraiser

General

27.50

Full Name (Last, First, Middle Initial)

B.

Cordell Lee

Date of Receipt

Mailing Address 17249 N 7 St #1070

03

City
Phoenix

State
AZ

FEC ID number of contributing


federal political committee.

Zip Code
85022

2015

Transaction ID : 11ai-000119840

Amount of Each Receipt this Period

Name of Employer

Occupation

N/A

Not Employed

Receipt For: 2016


Primary
Other (specify)

10

Election Cycle-to-Date
General

1.50

1.50

[MEMO ITEM]
Copper State Majority Joint Fundraiser

Full Name (Last, First, Middle Initial)

C.

Robert Wyndelts

Date of Receipt

Mailing Address 7161 E Rancho Vista Dr Unit 7003

03

City
Scottsdale

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119863

85251

Amount of Each Receipt this Period

Occupation
Accountant

Wyndelts & Co., Plc

Receipt For: 2016


Primary

Zip Code

10

Election Cycle-to-Date
General

50.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

50.00

[MEMO ITEM]
Copper State Majority Joint Fundraiser

,
,

,
,

0.00

.
.

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

Image# 201507159000193814

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

81 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Diane Reynolds

Date of Receipt

Mailing Address 14238 N 46 Dr

03

City

State
AZ

Glendale

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

12

Transaction ID : 11ai-000119853

85306

Amount of Each Receipt this Period

Occupation
Not Employed
Election Cycle-to-Date

25.00

[MEMO ITEM]
Copper State Majority Joint Fundraiser

General

50.00

Full Name (Last, First, Middle Initial)

B.

Kimberly McKeever

Date of Receipt

Mailing Address 7782 Reagan Rd

03

City
Riverside

State
CA

FEC ID number of contributing


federal political committee.

Zip Code
92509

2015

Transaction ID : 11ai-000119847

Amount of Each Receipt this Period

Name of Employer

Occupation

N/A

Not Employed

Receipt For: 2016


Primary
Other (specify)

10

Election Cycle-to-Date
General

2.50

2.50

[MEMO ITEM]
Copper State Majority Joint Fundraiser

Full Name (Last, First, Middle Initial)

C.

Steven Torkelson

Date of Receipt

Mailing Address 66A Bailey St

05

City
Lawrence

State
MA

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119808

01843

Amount of Each Receipt this Period

Occupation
Scientist

CIL

Receipt For: 2016


Primary

Zip Code

27

.5.00

Election Cycle-to-Date
General

272.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

Earmarked through ActBlue Conduit Committee 05-312015 $1,948.20-See memo on Sch A for line 11c

,
,

,
,

5.00

.
.

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

Image# 201507159000193815

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

82 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Amos Olagunju

Date of Receipt

Mailing Address 1056 E 81st

03

City

State
NY

Brooklyn

FEC ID number of contributing


federal political committee.

Zip Code

2015

11

Transaction ID : 11ai-000119848

11236

Amount of Each Receipt this Period

Name of Employer
Elite Educational Service

Occupation
Teaching

Receipt For: 2016


Primary
Other (specify)

Election Cycle-to-Date

50.00

[MEMO ITEM]
Copper State Majority Joint Fundraiser

General

50.00

Full Name (Last, First, Middle Initial)

B.

Lawrence Wiedemann

Date of Receipt

Mailing Address 3923 Audubon Trace

05

City
New Orleans

State
LA

FEC ID number of contributing


federal political committee.

Occupation

Wiedemann Law Firm

Attorney

2015

Transaction ID : 11ai-000119802

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
70121-1570

27

Amount of Each Receipt this Period

35.00

Election Cycle-to-Date
General

620.00

Earmarked through ActBlue Conduit Committee 05-312015 $1,948.20-See memo on Sch A for line 11c

Full Name (Last, First, Middle Initial)

C.

Susan Risinger

Date of Receipt

Mailing Address 95 D Crystal Park Rd

03

City
Manitou Springs

State
CO

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119854

80829

Amount of Each Receipt this Period

Occupation
Not Employed

N/A

Receipt For: 2016


Primary

Zip Code

10

Election Cycle-to-Date
General

123.50

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

.2.50

[MEMO ITEM]
Copper State Majority Joint Fundraiser

,
,

,
,

35.00

.
.

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

Image# 201507159000193816

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

83 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Richard Belgrad

Date of Receipt

Mailing Address 9200 Trooper Trl

03

City

State
MT

Bozeman

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

10

Transaction ID : 11ai-000119827

59715

Amount of Each Receipt this Period

Occupation
Not Employed
Election Cycle-to-Date

25.00

[MEMO ITEM]
Copper State Majority Joint Fundraiser

General

31.00

Full Name (Last, First, Middle Initial)

B.

Donald Cooper

Date of Receipt

Mailing Address 3033 Middleton Way Ct

03

City
Hendersonville

State
NC

FEC ID number of contributing


federal political committee.

Zip Code
28791-1844

2015

Transaction ID : 11ai-000119832

Amount of Each Receipt this Period

Name of Employer

Occupation

N/A

Not Employed

Receipt For: 2016


Primary
Other (specify)

10

Election Cycle-to-Date
General

13.50

12.50

[MEMO ITEM]
Copper State Majority Joint Fundraiser

Full Name (Last, First, Middle Initial)

C.

Lynn Arnold

Date of Receipt

Mailing Address 175 E Nawakwa Rd Unit 106

03

City
Rochester Hills

State
MI

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119826

48307

Amount of Each Receipt this Period

Occupation
Not Employed

N/A

Receipt For: 2016


Primary

Zip Code

10

Election Cycle-to-Date
General

110.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

12.50

[MEMO ITEM]
Copper State Majority Joint Fundraiser

,
,

,
,

0.00

.
.

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

Image# 201507159000193817

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

84 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Joanne Reid

Date of Receipt

Mailing Address 4354 Terrace View Ln

03

City

State
IL

Rockford

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

10

Transaction ID : 11ai-000119852

61114

Amount of Each Receipt this Period

Occupation
Retired
Election Cycle-to-Date

10.00

[MEMO ITEM]
Copper State Majority Joint Fundraiser

General

11.00

Full Name (Last, First, Middle Initial)

B.

Rose-Marie Braun

Date of Receipt

Mailing Address 54 Bayberry Rd

03

City
Glastonbury

State
CT

FEC ID number of contributing


federal political committee.

Zip Code
06033

2015

Transaction ID : 11ai-000119828

Amount of Each Receipt this Period

Name of Employer

Occupation

N/A

Not Employed

Receipt For: 2016


Primary
Other (specify)

10

Election Cycle-to-Date
General

2.50

2.50

[MEMO ITEM]
Copper State Majority Joint Fundraiser

Full Name (Last, First, Middle Initial)

C.

Vicki Catlett-Newby

Date of Receipt

Mailing Address 2137 E Marco Polo Rd

03

City
Phoenix

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119830

85024

Amount of Each Receipt this Period

Occupation
Not Employed

N/A

Receipt For: 2016


Primary

Zip Code

10

Election Cycle-to-Date
General

25.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

25.00

[MEMO ITEM]
Copper State Majority Joint Fundraiser

,
,

,
,

0.00

.
.

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

Image# 201507159000193818

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

85 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Scott Davis

Date of Receipt

Mailing Address 108 N Greenfield Rd

03

City

State
AZ

Mesa

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

10

Transaction ID : 11ai-000119833

85205

Amount of Each Receipt this Period

Occupation
Not Employed
Election Cycle-to-Date

2.50

[MEMO ITEM]
Copper State Majority Joint Fundraiser

General

2.50

Full Name (Last, First, Middle Initial)

B.

Friedman Friedman

Date of Receipt

Mailing Address 7039 N 40 St

03

City
Paradise Valley

State
AZ

FEC ID number of contributing


federal political committee.

Zip Code
85253

2015

Transaction ID : 11ai-000119835

Amount of Each Receipt this Period

Name of Employer

Occupation

N/A

Not Employed

Receipt For: 2016


Primary
Other (specify)

10

Election Cycle-to-Date
General

25.00

25.00

[MEMO ITEM]
Copper State Majority Joint Fundraiser

Full Name (Last, First, Middle Initial)

C.

Maura King

Date of Receipt

Mailing Address 14818 Caliente Dr

03

City
Fountain Hills

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119839

85268

Amount of Each Receipt this Period

Occupation
None

N/A

Receipt For: 2016


Primary

Zip Code

10

Election Cycle-to-Date
General

5.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

.5.00

[MEMO ITEM]
Copper State Majority Joint Fundraiser

,
,

,
,

0.00

.
.

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

Image# 201507159000193819

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

86 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Susan Lonchar

Date of Receipt

Mailing Address 2324 W Sinto Ave

03

City

State
WA

Spokane

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

10

Transaction ID : 11ai-000119842

99201

Amount of Each Receipt this Period

Occupation
Not Employed
Election Cycle-to-Date

12.50

[MEMO ITEM]
Copper State Majority Joint Fundraiser

General

12.50

Full Name (Last, First, Middle Initial)

B.

Lisa Malachowsky

Date of Receipt

Mailing Address 3721 E Kachina Dr

03

City
Phoenix

State
AZ

FEC ID number of contributing


federal political committee.

Occupation

Self

Retail

2015

Transaction ID : 11ai-000119845

Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
85044

10

Amount of Each Receipt this Period

Election Cycle-to-Date
General

25.00

25.00

[MEMO ITEM]
Copper State Majority Joint Fundraiser

Full Name (Last, First, Middle Initial)

C.

Clifford Peterson

Date of Receipt

Mailing Address 7650 S McClintock Dr #103-345

03

City
Tempe

State
AZ

FEC ID number of contributing


federal political committee.
Name of Employer

Other (specify)

2015

Transaction ID : 11ai-000119849

85284

Amount of Each Receipt this Period

Occupation
Not Employed

N/A

Receipt For: 2016


Primary

Zip Code

10

Election Cycle-to-Date
General

25.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

25.00

[MEMO ITEM]
Copper State Majority Joint Fundraiser

,
,

,
,

0.00

.
.

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

Image# 201507159000193820

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

87 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

John Rist

Date of Receipt

Mailing Address 1316 W Wind River Cir

03

City

State
AL

Huntsville

FEC ID number of contributing


federal political committee.
Name of Employer
N/A
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

10

Transaction ID : 11ai-000119855

35802

Amount of Each Receipt this Period

Occupation
Not Employed
Election Cycle-to-Date

25.00

[MEMO ITEM]
Copper State Majority Joint Fundraiser

General

25.00

Full Name (Last, First, Middle Initial)

B.

Date of Receipt
Mailing Address

City

State

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For:
Primary
Other (specify)

Zip Code

Amount of Each Receipt this Period

Occupation

Election Cycle-to-Date
General

Full Name (Last, First, Middle Initial)

C.

Date of Receipt
Mailing Address

City

State

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For:
Primary
Other (specify)

Zip Code

Amount of Each Receipt this Period

Occupation

,
,

,
,

0.00

Election Cycle-to-Date
General

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

.
31350.80
.

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

Image# 201507159000193821

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

88 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Democratic Congressional Campaign Committee

Date of Receipt

Mailing Address 430 S Capitol St SE

City

State
DC

Washington

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

05

FL 2

Zip Code

2015

13

Transaction ID : 11b-000119739

20003-4024

Amount of Each Receipt this Period

C00000935

Occupation

40.00

Election Cycle-to-Date
General

In-Kind Catering/Facility

523.21

Full Name (Last, First, Middle Initial)

B.

Democratic Congressional Campaign Committee


Mailing Address 430 S Capitol St SE
FL 2
City
Washington
FEC ID number of contributing
federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Date of Receipt
M

05

State
DC

Zip Code
20003-4024

15

2015

Transaction ID : 11b-000119738

Amount of Each Receipt this Period

C00000935

Occupation

18.56

Election Cycle-to-Date
General

541.77

In-Kind Catering

Full Name (Last, First, Middle Initial)

C.

Democratic Congressional Campaign Committee


Mailing Address 430 S Capitol St SE
FL 2
City
Washington
FEC ID number of contributing
federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Date of Receipt
M

06

State
DC

Zip Code

30

2015

Transaction ID : 11b-000119868

20003-4024

Amount of Each Receipt this Period

C00000935

Occupation

58.56

,
,

117.12

Election Cycle-to-Date
General

600.33

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

In-Kind Events

,
,

.
117.12
.

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

Image# 201507159000193822

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

89 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

ACT Blue Federal Conduit Committee

Date of Receipt

Mailing Address PO Box 382110

04

City

State
MA

Cambridge

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

Transaction ID : 11c-000116300

02238

Amount of Each Receipt this Period

C00401224

Occupation
Election Cycle-to-Date

2549.39

[MEMO ITEM]
Conduit contribution PAC Limit not effected.

General

05

125520.97

Full Name (Last, First, Middle Initial)

B.

DTE Energy Company PAC Federal

Date of Receipt

Mailing Address One Energy Plaza Rm 1583 WCB

04

City
Detroit

State
MI

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
48226

07

2015

Transaction ID : 11c-000116178

Amount of Each Receipt this Period

C00081547

Occupation

2500.00

Election Cycle-to-Date
General

2500.00

Full Name (Last, First, Middle Initial)

C.

ACT Blue Federal Conduit Committee

Date of Receipt

Mailing Address PO Box 382110

04

City
Cambridge

State
MA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

Transaction ID : 11c-000116628

02238

Amount of Each Receipt this Period

C00401224

Occupation
Election Cycle-to-Date
General

12

128983.65

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

3462.68

[MEMO ITEM]
Conduit contribution PAC Limit not effected.

,
,

,
,

2500.00

.
.

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

Image# 201507159000193823

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

90 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Arizona Dairymen Political Action Committee

Date of Receipt

Mailing Address 2008 S Hardy Drive

04

City

State
AZ

Tempe

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

15

Transaction ID : 11c-000116324

85282

Amount of Each Receipt this Period

C00085019

Occupation

1000.00

Election Cycle-to-Date
General

1000.00

Full Name (Last, First, Middle Initial)

B.

ACT Blue Federal Conduit Committee

Date of Receipt

Mailing Address PO Box 382110

04

City
Cambridge

State
MA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
02238

2015

Transaction ID : 11c-000117427

Amount of Each Receipt this Period

C00401224

Occupation
Election Cycle-to-Date
General

19

132849.72

3866.07

[MEMO ITEM]
Conduit contribution PAC Limit not effected.

Full Name (Last, First, Middle Initial)

C.

ACT Blue Federal Conduit Committee

Date of Receipt

Mailing Address PO Box 382110

04

City
Cambridge

State
MA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

Transaction ID : 11c-000118317

02238

Amount of Each Receipt this Period

C00401224

Occupation
Election Cycle-to-Date
General

26

136037.65

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

3187.93

[MEMO ITEM]
Conduit contribution PAC Limit not effected.

,
,

,
,

1000.00

.
.

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

Image# 201507159000193824

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

91 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Nextera Energy, Inc.

Date of Receipt

Mailing Address 700 Universe Blvd

04

City

State
FL

Juno Beach

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

29

Transaction ID : 11c-000117433

33408

Amount of Each Receipt this Period

C00064774

Occupation

1000.00

Election Cycle-to-Date
General

1000.00

Full Name (Last, First, Middle Initial)

B.

ACT Blue Federal Conduit Committee

Date of Receipt

Mailing Address PO Box 382110

05

City
Cambridge

State
MA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
02238

2015

Transaction ID : 11c-000118852

Amount of Each Receipt this Period

C00401224

Occupation
Election Cycle-to-Date
General

03

141713.34

5675.69

[MEMO ITEM]
Conduit contribution PAC Limit not effected.

Full Name (Last, First, Middle Initial)

C.

NFDA PAC National Funeral Directors Assoc.

Date of Receipt

Mailing Address 13625 Bishops Drive

05

City
Brookfield

State
WI

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code

05

2015

Transaction ID : 11c-000117453

53005

Amount of Each Receipt this Period

C00204008

Occupation

500.00

,
,

,
,

1500.00

Election Cycle-to-Date
General

500.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

.
.

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

Image# 201507159000193825

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

92 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

ACT Blue Federal Conduit Committee

Date of Receipt

Mailing Address PO Box 382110

05

City

State
MA

Cambridge

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

Transaction ID : 11c-000119095

02238

Amount of Each Receipt this Period

C00401224

Occupation
Election Cycle-to-Date

2190.55

[MEMO ITEM]
Conduit contribution PAC Limit not effected.

General

10

143903.89

Full Name (Last, First, Middle Initial)

B.

Pinnacle West PAC

Date of Receipt

Mailing Address 801 Pennsylvania Avenue, NW, Suite

05

City
Washington

State
DC

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
20004

13

2015

Transaction ID : 11c-000118867

Amount of Each Receipt this Period

C00015933

Occupation

2500.00

Election Cycle-to-Date
General

5000.00

Full Name (Last, First, Middle Initial)

C.

Carpenters' Legislative Improvement Committee

Date of Receipt

Mailing Address 101, Constitution, Avenue, NW, 10t

05

City
Washington

State
DC

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code

13

2015

Transaction ID : 11c-000118866

20001

Amount of Each Receipt this Period

C00001016

Occupation

2500.00

,
,

,
,

5000.00

Election Cycle-to-Date
General

2500.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

.
.

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

Image# 201507159000193826

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

93 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Southwest Airlines Co. Freedom Fund

Date of Receipt

Mailing Address PO Box 36611 HDQ 4GA

05

City

State
TX

Dallas

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

13

Transaction ID : 11c-000118868

75235

Amount of Each Receipt this Period

C00341602

Occupation

1000.00

Election Cycle-to-Date
General

1000.00

Full Name (Last, First, Middle Initial)

B.

ACT Blue Federal Conduit Committee

Date of Receipt

Mailing Address PO Box 382110

05

City
Cambridge

State
MA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
02238

2015

Transaction ID : 11c-000119359

Amount of Each Receipt this Period

C00401224

Occupation
Election Cycle-to-Date
General

17

147922.54

4018.65

[MEMO ITEM]
Conduit contribution PAC Limit not effected.

Full Name (Last, First, Middle Initial)

C.

PowerPAC of the Edison Electric Institute

Date of Receipt

Mailing Address 701 Pennsylvania Ave NW

05

City
Washington

State
DC

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code

21

2015

Transaction ID : 11c-000119103

20004

Amount of Each Receipt this Period

C00095869

Occupation

2500.00

,
,

,
,

3500.00

Election Cycle-to-Date
General

2500.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

.
.

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

Image# 201507159000193827

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

94 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

XCEL Energy Employee PAC (XPAC)

Date of Receipt

Mailing Address 1800 Larimer St Ste 1600

05

City

State
CO

Denver

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

21

Transaction ID : 11c-000119104

80202

Amount of Each Receipt this Period

C00107771

Occupation

1000.00

Election Cycle-to-Date
General

1000.00

Full Name (Last, First, Middle Initial)

B.

ACT Blue Federal Conduit Committee

Date of Receipt

Mailing Address PO Box 382110

05

City
Cambridge

State
MA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
02238

2015

Transaction ID : 11c-000119721

Amount of Each Receipt this Period

C00401224

Occupation
Election Cycle-to-Date
General

24

157950.53

10027.99

[MEMO ITEM]
Conduit contribution PAC Limit not effected.

Full Name (Last, First, Middle Initial)

C.

United Transportation Union PAC

Date of Receipt

Mailing Address 24950 Country Club Blvd Ste 340

05

City
North Olmsted

State
OH

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code

25

2015

Transaction ID : 11c-000119129

44070

Amount of Each Receipt this Period

C00001636

Occupation

2500.00

,
,

,
,

3500.00

Election Cycle-to-Date
General

2500.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

.
.

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

Image# 201507159000193828

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

95 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

AAJ - American Association for Justice (AAJ)

Date of Receipt

Mailing Address 777 6th St NW Ste 200

05

City

State
DC

Washington

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

25

Transaction ID : 11c-000119370

20001

Amount of Each Receipt this Period

C00024521

Occupation

1500.00

Election Cycle-to-Date
General

5000.00

Full Name (Last, First, Middle Initial)

B.

Air Line Pilots Association Int'l PAC

Date of Receipt

Mailing Address 1625 Massachusetts Avenue, NW, 8th

05

City
Washington

State
DC

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
20036

25

2015

Transaction ID : 11c-000119741

Amount of Each Receipt this Period

C00035451

Occupation

2500.00

Election Cycle-to-Date
General

5000.00

Full Name (Last, First, Middle Initial)

C.

Air Line Pilots Association Int'l PAC

Date of Receipt

Mailing Address 1625 Massachusetts Avenue, NW, 8th

05

City
Washington

State
DC

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code

25

2015

Transaction ID : 11c-000119742

20036

Amount of Each Receipt this Period

C00035451

Occupation

5000.00

,
,

,
,

9000.00

Election Cycle-to-Date
General

10000.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

.
.

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

Image# 201507159000193829

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

96 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

National Committee To Preserve Social Security and Medicare

Date of Receipt

Mailing Address 10 G Street Ne, Suite 600

05

City

State
DC

Washington

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

25

Transaction ID : 11c-000119369

20002

Amount of Each Receipt this Period

C00172296

Occupation

1000.00

Election Cycle-to-Date
General

1000.00

Full Name (Last, First, Middle Initial)

B.

American Optometric Association PAC

Date of Receipt

Mailing Address 1505 Prince Street, Suite 300

05

City
Alexandria

State
VA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
22314

25

2015

Transaction ID : 11c-000119373

Amount of Each Receipt this Period

C00024968

Occupation

5000.00

Election Cycle-to-Date
General

10000.00

Full Name (Last, First, Middle Initial)

C.

Aircraft Owners and Pilots Association (AOPA PAC)

Date of Receipt

Mailing Address 421 Aviation Way

05

City
Frederick

State
MD

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code

25

2015

Transaction ID : 11c-000119740

21701

Amount of Each Receipt this Period

C00131185

Occupation

1000.00

,
,

,
,

7000.00

Election Cycle-to-Date
General

2000.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

.
.

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

Image# 201507159000193830

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

97 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Freeport-McMoRan Copper & Gold , Inc. Citizenship Committee

Date of Receipt

Mailing Address 333 N Central Ave

05

City

State
AZ

Phoenix

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

25

Transaction ID : 11c-000119371

85004

Amount of Each Receipt this Period

C00320101

Occupation

5000.00

Election Cycle-to-Date
General

5000.00

Full Name (Last, First, Middle Initial)

B.

Land O'Lakes, Inc PAC

Date of Receipt

Mailing Address PO Box 64101

05

City
Saint Paul

State
MN

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
55164

25

2015

Transaction ID : 11c-000119368

Amount of Each Receipt this Period

C00009423

Occupation

1000.00

Election Cycle-to-Date
General

1000.00

Full Name (Last, First, Middle Initial)

C.

New Democrat Coalition PAC - Earmarks

Date of Receipt

Mailing Address 700 13th Street NW Suite 600

05

City
Washington

State
DC

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

Transaction ID : 11c-000119134

20005

Amount of Each Receipt this Period

C00409730

Occupation
Election Cycle-to-Date
General

25

1500.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

1500.00

[MEMO ITEM]
Total earmarked through conduit; PAC limit not effected.

,
,

,
,

6000.00

.
.

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

Image# 201507159000193831

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

98 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

United Technologies Corp. PAC (UTC Employee PAC)

Date of Receipt

Mailing Address 1101 Pennsylvania Ave 10 Floor

05

City

State
DC

Washington

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

25

Transaction ID : 11c-000119366

20004

Amount of Each Receipt this Period

C00035683

Occupation

1000.00

Election Cycle-to-Date
General

1000.00

Full Name (Last, First, Middle Initial)

B.

Anthem PAC

Date of Receipt

Mailing Address 120 Monument Cir

05

City
Indianapolis

State
IN

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code
46204

25

2015

Transaction ID : 11c-000119367

Amount of Each Receipt this Period

C00197228

Occupation

1000.00

Election Cycle-to-Date
General

1000.00

Full Name (Last, First, Middle Initial)

C.

Monsanto Citizenship Fund

Date of Receipt

Mailing Address 800 N Lindbergh Blvd

05

City
Saint Louis

State
MO

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code

25

2015

Transaction ID : 11c-000119372

63167

Amount of Each Receipt this Period

C00042069

Occupation

1000.00

,
,

,
,

3000.00

Election Cycle-to-Date
General

1000.00

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

.
.

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

Image# 201507159000193832

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

99 OF

PAGE

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

ACT Blue Federal Conduit Committee

Date of Receipt

Mailing Address PO Box 382110

05

City

State
MA

Cambridge

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For: 2016
Primary
Other (specify)

Zip Code

2015

Transaction ID : 11c-000119819

02238

Amount of Each Receipt this Period

C00401224

Occupation
Election Cycle-to-Date

1948.20

[MEMO ITEM]
Conduit contribution PAC Limit not effected.

General

31

159898.73

Full Name (Last, First, Middle Initial)

B.

Date of Receipt
Mailing Address

City

State

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For:
Primary
Other (specify)

Zip Code

Amount of Each Receipt this Period

Occupation

Election Cycle-to-Date
General

Full Name (Last, First, Middle Initial)

C.

Date of Receipt
Mailing Address

City

State

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For:
Primary
Other (specify)

Zip Code

Amount of Each Receipt this Period

Occupation

,
,

,
,

0.00

Election Cycle-to-Date
General

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

.
42000.00
.

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

Image# 201507159000193833

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 100 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Copper State Majority Fund

Date of Receipt

Mailing Address 2910 E Gary Way

05

City

State
AZ

Phoenix

FEC ID number of contributing


federal political committee.
Name of Employer

Zip Code

2015

27

Transaction ID : 12-05-05320-11913

85042

Amount of Each Receipt this Period

C00542449

Occupation

588.16

Joint Fundraising Proceeds

Receipt For: 2016


Primary
Other (specify)

Election Cycle-to-Date
General

588.16

Full Name (Last, First, Middle Initial)

B.

Date of Receipt
Mailing Address

City

State

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For:
Primary
Other (specify)

Zip Code

Amount of Each Receipt this Period

Occupation

Election Cycle-to-Date
General

Full Name (Last, First, Middle Initial)

C.

Date of Receipt
Mailing Address

City

State

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For:
Primary
Other (specify)

Zip Code

Amount of Each Receipt this Period

Occupation

,
,

,
,

588.16

Election Cycle-to-Date
General

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

.
588.16
.

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

Image# 201507159000193834

SCHEDULE A (FEC Form 3)


ITEMIZED RECEIPTS

Use separate schedule(s)


for each category of the
Detailed Summary Page

PAGE 101 OF

FOR LINE NUMBER:


(check only one)
11a

11b

11c

11d

12

13a

13b

14

180

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A.

Healthnet

Date of Receipt

Mailing Address PO Box 70061

05

City

State
CA

Los Angles

FEC ID number of contributing


federal political committee.
Name of Employer

Zip Code

2015

19

Transaction ID : 14-05-05299-11871

90074-0061

Amount of Each Receipt this Period

Occupation

263.69

Refund of Premium

Receipt For:
Primary
Other (specify)

Election Cycle-to-Date
General

263.69

Full Name (Last, First, Middle Initial)

B.

Screen Strategies Media

Date of Receipt

Mailing Address 11150 Fairfax Blvd STE 505

05

City
San Francisco

State
CA

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For:
Primary
Other (specify)

Zip Code
22030

26

2015

Transaction ID : 14-05-05318-11911

Amount of Each Receipt this Period

Occupation

8650.99

Refund of Overpayment for 2014 Advertising TV


Placements

Election Cycle-to-Date
General

8650.99

Full Name (Last, First, Middle Initial)

C.

Date of Receipt
Mailing Address

City

State

FEC ID number of contributing


federal political committee.
Name of Employer
Receipt For:
Primary
Other (specify)

Zip Code

Amount of Each Receipt this Period

Occupation

,
,

,
,

Election Cycle-to-Date
General

SUBTOTAL of Receipts This Page (optional) ............................................................................


TOTAL This Period (last page this line number only) ...............................................................

8914.68

.
8914.68
.

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

Image# 201507159000193835

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)

PAGE 102 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. ADP Inc

Date of Disbursement
M

City
Clinton
Purpose of Disbursement
Payroll - See Memo's

04

Mailing Address 504 Clinton Center Dr Ste 4400


State
MS

Zip Code
39056

2015

01

Amount of Each Disbursement this Period

5595.32

Transaction ID : 17-05-05195-0000

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. Daniel B. Mitchell

Date of Disbursement
M

Mailing Address 1125 N 78th Street


City

State
AZ

Scottsdale
Purpose of Disbursement
Payroll

Zip Code

State:

01

2015

Amount of Each Disbursement this Period

85257

1214.84

Transaction ID : 17-05-05195-11659

Candidate Name
Office Sought:

04

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

Full Name (Last, First, Middle Initial)

C. Kevin Kirchmeier

Date of Disbursement
M

Mailing Address 800 W University Ave Apt 304


City
Flagstaff
Purpose of Disbursement
Payroll

State
AZ

Zip Code
86002

State:

01

2015

1389.46

Transaction ID : 17-05-05195-11660

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

,
,

,
,

5595.32

.
.

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

Image# 201507159000193836

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)

PAGE 103 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Jennette Silleck Haines

Date of Disbursement
M

04

Mailing Address 6426 E Parkview Dr


City
Scottsdale
Purpose of Disbursement
Payroll

State
AZ

Zip Code
85257

2015

01

Amount of Each Disbursement this Period

2991.02

Transaction ID : 17-05-05195-11658

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

B. ADP Inc

Date of Disbursement
M

Mailing Address 504 Clinton Center Dr Ste 4400


City
Clinton
Purpose of Disbursement
Payroll - See Memo's

State
MS

Zip Code

State:

01

2015

Amount of Each Disbursement this Period

39056

2343.87

Transaction ID : 17-05-05196-0000

Candidate Name
Office Sought:

04

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. Internal Revenue Service

Date of Disbursement
M

Mailing Address Tax Return Division


City
Ogden
Purpose of Disbursement
Payroll Taxes

State
UT

Zip Code
84201-0039

State:

01

2015

Amount of Each Disbursement this Period

2155.74

Transaction ID : 17-05-05196-11661

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Candidate Name
Office Sought:

04

,
,

,
,

2343.87

.
.

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

Image# 201507159000193837

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)

PAGE 104 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Arizona Dept. of Revenue

Date of Disbursement
M

04

Mailing Address Tax Services


1600 W Monroe
City
Phoenix
Purpose of Disbursement
Payroll Taxes

State
AZ

Zip Code
85007

2015

01

Amount of Each Disbursement this Period

188.13

Transaction ID : 17-05-05196-11662

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

B. ADP Inc

Date of Disbursement
M

Mailing Address 504 Clinton Center Dr Ste 4400


City
Clinton
Purpose of Disbursement
Workers' Comp Insurance

State
MS

Zip Code

State:

01

2015

Amount of Each Disbursement this Period

39056

37.74

Transaction ID : 17-05-05197-11663

Candidate Name
Office Sought:

04

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. Arizona Democratic Party

Date of Disbursement
M

Mailing Address 2910 N. Central Avenue


City
Phoenix
Purpose of Disbursement
Voter File Access

State
AZ

Zip Code
85012

State:

01

2015

750.00

Transaction ID : 17-05-05205-11679

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

,
,

,
,

787.74

.
.

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

Image# 201507159000193838

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)

PAGE 105 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Blue State Digital

Date of Disbursement
M

City
Washington
Purpose of Disbursement
Technology Licensing Fees

04

Mailing Address 406 7th Street NW


State
DC

Zip Code
20004

2015

01

Amount of Each Disbursement this Period

325.00

Transaction ID : 17-05-05207-11681

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. Blue State Digital

Date of Disbursement
M

Mailing Address 406 7th Street NW


City
Washington
Purpose of Disbursement
Technology Licensing Fees

State
DC

Zip Code

State:

01

2015

Amount of Each Disbursement this Period

20004

325.00

Transaction ID : 17-05-05207-11682

Candidate Name
Office Sought:

04

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. Blue State Digital

Date of Disbursement
M

Mailing Address 406 7th Street NW


City
Washington
Purpose of Disbursement
Technology Licensing Fees

State
DC

Zip Code
20004

State:

01

2015

550.00

Transaction ID : 17-05-05208-11683

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

,
,

,
,

1200.00

.
.

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

Image# 201507159000193839

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)

PAGE 106 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Cheryl Cage

Date of Disbursement
M

City
Tucson
Purpose of Disbursement
Reimbursed Expenses-See Memos

04

Mailing Address 2901 E 2nd St


State
AZ

Zip Code
85716

2015

01

Amount of Each Disbursement this Period

185.53

Transaction ID : 17-05-05209-0000

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. Whole Foods

Date of Disbursement
M

Mailing Address 550 Bowie St


City
Austin
Purpose of Disbursement
Event Refreshments

State
TX

Zip Code

State:

01

2015

Amount of Each Disbursement this Period

78703

185.53

Transaction ID : 17-05-05209-11684

Candidate Name
Office Sought:

04

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

Full Name (Last, First, Middle Initial)

C. Chase Card Services

Date of Disbursement
M

Mailing Address PO Box 9001950


City
Louisville
Purpose of Disbursement
Credit Card Payment - See Memo's

State
KY

Zip Code
40250-1950

State:

01

2015

Amount of Each Disbursement this Period

2175.00

Transaction ID : 17-05-05210-0000

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Candidate Name
Office Sought:

04

,
,

,
,

2360.53

.
.

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

Image# 201507159000193840

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)

PAGE 107 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Airbnb HQ

Date of Disbursement
M

04

Mailing Address 888 Brannan St


City
San Francisco
Purpose of Disbursement
Lodging

State
CA

Zip Code
94103

2015

01

Amount of Each Disbursement this Period

2175.00

Transaction ID : 17-05-05210-11685

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

B. CommonCentsConsulting, LLC

Date of Disbursement
M

Mailing Address 2910 E. Gary Way


City

State
AZ

Phoenix
Purpose of Disbursement
Compliance Consulting

Zip Code

State:

01

2015

Amount of Each Disbursement this Period

85042

2000.00

Transaction ID : 17-05-05211-11686

Candidate Name
Office Sought:

04

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. CommonCentsConsulting, LLC

Date of Disbursement
M

Mailing Address 2910 E. Gary Way


City
Phoenix
Purpose of Disbursement
Compliance Consulting

State
AZ

Zip Code
85042

State:

01

2015

2000.00

Transaction ID : 17-05-05211-11687

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

,
,

,
,

4000.00

.
.

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

Image# 201507159000193841

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)

PAGE 108 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. CommonCentsConsulting, LLC

Date of Disbursement
M

City
Phoenix
Purpose of Disbursement
Compliance Consulting

04

Mailing Address 2910 E. Gary Way


State
AZ

Zip Code
85042

2015

01

Amount of Each Disbursement this Period

2000.00

Transaction ID : 17-05-05211-11688

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. Jennette Silleck Haines

Date of Disbursement
M

Mailing Address 6426 E Parkview Dr


City
Scottsdale
Purpose of Disbursement
Reimbursed Expenses-See Memos

State
AZ

Zip Code

State:

01

2015

Amount of Each Disbursement this Period

85257

222.61

Transaction ID : 17-05-05212-0000

Candidate Name
Office Sought:

04

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. Circle K

Date of Disbursement
M

Mailing Address PO Box 52085


City
Phoenix
Purpose of Disbursement
Auto Fuel

State
AZ

Zip Code
85072

State:

01

2015

17.54

Transaction ID : 17-05-05212-11691

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

,
,

,
,

2222.61

.
.

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

Image# 201507159000193842

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)

PAGE 109 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. NGP VAN, Inc.

Date of Disbursement
M

04

Mailing Address 1105 15th St NW, Suite 500


City
Washington
Purpose of Disbursement
Database Subscription

State
DC

Zip Code
20005

2015

01

Amount of Each Disbursement this Period

3600.00

Transaction ID : 17-05-05213-11692

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. First Data Merchant Services

Date of Disbursement
M

Mailing Address 5565 Glenridge Connector NE, Suite


City

State
GA

Atlanta
Purpose of Disbursement
Merchant Fee

Zip Code

State:

02

2015

Amount of Each Disbursement this Period

30342

10.00

Transaction ID : 17-05-05321-11914

Candidate Name
Office Sought:

04

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. ADP Inc

Date of Disbursement
M

Mailing Address 504 Clinton Center Dr Ste 4400


City
Clinton
Purpose of Disbursement
Payroll Fee

State
MS

Zip Code
39056

State:

03

2015

61.20

Transaction ID : 17-05-05225-11718

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

,
,

,
,

3671.20

.
.

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

Image# 201507159000193843

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)

PAGE 110 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Jasmine Zamani

Date of Disbursement
M

04

Mailing Address 7240 Evans Mill Rd


City
McLean
Purpose of Disbursement
Fundraising Consultant Fee & Expenses

State
VA

Zip Code
22101

2015

03

Amount of Each Disbursement this Period

18546.19

Transaction ID : 17-05-05227-11721

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. First Data Merchant Services

Date of Disbursement
M

Mailing Address 5565 Glenridge Connector NE, Suite


City
Atlanta
Purpose of Disbursement
Merchant Fee

State
GA

Zip Code

State:

03

2015

Amount of Each Disbursement this Period

30342

344.16

Transaction ID : 17-05-05297-11869

Candidate Name
Office Sought:

04

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. ActBlue Technical Services

Date of Disbursement
M

Mailing Address 366 Summer Street


City
State
Zip Code
MA
02144
Somerville
Purpose of Disbursement
Merchant Fees/Refunds - See Memos on Schedule B for Lines 17 and 20a

State:

05

2015

Amount of Each Disbursement this Period

97.92

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Transaction ID : 17-05-05246-0000

Candidate Name
Office Sought:

04

,
,

,
,

18988.27

.
.

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

Image# 201507159000193844

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)

PAGE 111 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. ActBlue Technical Services

Date of Disbursement
M

04

Mailing Address 366 Summer Street


City
Somerville
Purpose of Disbursement
Merchant Fee

State
MA

Zip Code
02144

2015

05

Amount of Each Disbursement this Period

97.92

Transaction ID : 17-05-05246-11754

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

B. US Airways

Date of Disbursement
M

Mailing Address 4000 E. Sky Harbor Blvd


City
Phoenix
Purpose of Disbursement
Airfare

State
AZ

Zip Code

State:

06

2015

Amount of Each Disbursement this Period

85034

566.20

Transaction ID : 17-08-01244-01247

Candidate Name
Office Sought:

04

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. Southwest Airlines

Date of Disbursement
M

Mailing Address PO Box 36611 MD5


City
Dallas
Purpose of Disbursement
Airfare

State
TX

Zip Code
75235

State:

06

2015

440.00

Transaction ID : 17-08-01245-01248

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

,
,

,
,

1006.20

.
.

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

Image# 201507159000193845

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)

PAGE 112 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. US Airways

Date of Disbursement
M

City
Phoenix
Purpose of Disbursement
Airfare

04

Mailing Address 4000 E. Sky Harbor Blvd


State
AZ

Zip Code
85034

2015

06

Amount of Each Disbursement this Period

78.00

Transaction ID : 17-08-01246-01249

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. Shell Oil Co.

Date of Disbursement
M

Mailing Address PO Box 2463


City

State
TX

Houston
Purpose of Disbursement
Auto Fuel

Zip Code

State:

08

2015

Amount of Each Disbursement this Period

77252

21.44

Transaction ID : 17-08-01247-01250

Candidate Name
Office Sought:

04

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. US Airways

Date of Disbursement
M

Mailing Address 4000 E. Sky Harbor Blvd


City
Phoenix
Purpose of Disbursement
Airfare

State
AZ

Zip Code
85034

State:

08

2015

589.20

Transaction ID : 17-08-01248-01251

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

,
,

,
,

688.64

.
.

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

Image# 201507159000193846

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)

PAGE 113 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Amazon.com

Date of Disbursement
M

04

Mailing Address 1516 2nd Ave


City
Seattle
Purpose of Disbursement
Office Supplies

State
WA

Zip Code
98101

2015

08

Amount of Each Disbursement this Period

154.63

Transaction ID : 17-08-01250-01253

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. Fry's Food Stores

Date of Disbursement
M

Mailing Address 500 S 99th Ave


City

State
AZ

Tolleson
Purpose of Disbursement
Auto Fuel

Zip Code

State:

08

2015

Amount of Each Disbursement this Period

85353

48.97

Transaction ID : 17-08-01251-01254

Candidate Name
Office Sought:

04

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. The Inn at 410 Bed & Breakfast

Date of Disbursement
M

Mailing Address 410 N Leroux St.


City
Flagstaff
Purpose of Disbursement
Lodging

State
AZ

Zip Code
86001

State:

08

2015

277.38

Transaction ID : 17-08-01256-01259

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

,
,

,
,

480.98

.
.

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

Image# 201507159000193847

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)

PAGE 114 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Amazon.com

Date of Disbursement
M

City
Seattle
Purpose of Disbursement
Office Supplies

04

Mailing Address 1516 2nd Ave


State
WA

Zip Code
98101

2015

08

Amount of Each Disbursement this Period

332.22

Transaction ID : 17-08-01301-01304

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. US Postmaster

Date of Disbursement
M

Mailing Address 475 L'Enfant Plaza SW


City
Washington
Purpose of Disbursement
Stamps

State
DC

Zip Code

09

2015

Amount of Each Disbursement this Period

20260

196.00

Transaction ID : 17-08-01260-01263

Candidate Name

Category/
Type

Office Sought:

State:

04

House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. Shell Oil Co.

Date of Disbursement
M

Mailing Address PO Box 2463


City
Houston
Purpose of Disbursement
Auto Fuel

State
TX

Zip Code
77252

State:

10

2015

.9.76

Transaction ID : 17-08-01258-01261

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

,
,

,
,

537.98

.
.

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

Image# 201507159000193848

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)

PAGE 115 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. ActBlue Technical Services

Date of Disbursement
M

04

Mailing Address 366 Summer Street


City
State
Zip Code
MA
Somerville
02144
Purpose of Disbursement
Merchant Fees/Refunds - See Memos on Schedule B for Lines 17 and 20a

2015

12

Amount of Each Disbursement this Period

131.06

Transaction ID : 17-05-05256-0000

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. ActBlue Technical Services

Date of Disbursement
M

Mailing Address 366 Summer Street


City
Somerville
Purpose of Disbursement
Merchant Fee

State
MA

Zip Code

State:

12

2015

Amount of Each Disbursement this Period

02144

131.06

Transaction ID : 17-05-05256-11781

Candidate Name
Office Sought:

04

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

Full Name (Last, First, Middle Initial)

C. Wells Fargo Bank

Date of Disbursement
M

Mailing Address 100 W. Washington St.


City
Phoenix
Purpose of Disbursement
Bank Fee

State
AZ

Zip Code
85003

State:

13

2015

321.72

Transaction ID : 17-05-05298-11870

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

,
,

,
,

452.78

.
.

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

Image# 201507159000193849

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)

PAGE 116 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Charlie Clark's Steak House

Date of Disbursement
M

04

Mailing Address 1701 E White Mountain Blvd


City
Pinetop
Purpose of Disbursement
Meeting Meal Expenses

State
AZ

Zip Code
85935

2015

13

Amount of Each Disbursement this Period

505.83

Transaction ID : 17-08-01269-01272

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. ADP Inc

Date of Disbursement
M

Mailing Address 504 Clinton Center Dr Ste 4400


City

State
MS

Clinton
Purpose of Disbursement
Payroll - See Memo's

Zip Code

State:

15

2015

Amount of Each Disbursement this Period

39056

5595.34

Transaction ID : 17-05-05248-0000

Candidate Name
Office Sought:

04

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. Kevin Kirchmeier

Date of Disbursement
M

Mailing Address 800 W University Ave Apt 304


City
Flagstaff
Purpose of Disbursement
Payroll

State
AZ

Zip Code
86002

State:

15

2015

1389.47

Transaction ID : 17-05-05248-11762

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

,
,

,
,

6101.17

.
.

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

Image# 201507159000193850

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)

PAGE 117 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Jennette Silleck Haines

Date of Disbursement
M

04

Mailing Address 6426 E Parkview Dr


City
Scottsdale
Purpose of Disbursement
Payroll

State
AZ

Zip Code
85257

2015

15

Amount of Each Disbursement this Period

2991.03

Transaction ID : 17-05-05248-11760

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

B. Daniel B. Mitchell

Date of Disbursement
M

Mailing Address 1125 N 78th Street


City

State
AZ

Scottsdale
Purpose of Disbursement
Payroll

Zip Code

State:

15

2015

Amount of Each Disbursement this Period

85257

1214.84

Transaction ID : 17-05-05248-11761

Candidate Name
Office Sought:

04

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

Full Name (Last, First, Middle Initial)

C. ADP Inc

Date of Disbursement
M

Mailing Address 504 Clinton Center Dr Ste 4400


City
Clinton
Purpose of Disbursement
Payroll - See Memo's

State
MS

Zip Code
39056

State:

15

2015

2343.85

Transaction ID : 17-05-05249-0000

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

,
,

,
,

2343.85

.
.

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

Image# 201507159000193851

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)

PAGE 118 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Arizona Dept. of Revenue

Date of Disbursement
M

04

Mailing Address Tax Services


1600 W Monroe
City
Phoenix
Purpose of Disbursement
Payroll Taxes

State
AZ

Zip Code
85007

2015

15

Amount of Each Disbursement this Period

188.13

Transaction ID : 17-05-05249-11764

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

B. Internal Revenue Service

Date of Disbursement
M

Mailing Address Tax Return Division


City

State
UT

Ogden
Purpose of Disbursement
Payroll Taxes

Zip Code

State:

15

2015

Amount of Each Disbursement this Period

84201-0039

2155.72

Transaction ID : 17-05-05249-11763

Candidate Name
Office Sought:

04

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

Full Name (Last, First, Middle Initial)

C. ADP Inc

Date of Disbursement
M

Mailing Address 504 Clinton Center Dr Ste 4400


City
Clinton
Purpose of Disbursement
Workers' Comp Insurance

State
MS

Zip Code
39056

State:

15

2015

37.74

Transaction ID : 17-05-05250-11765

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

,
,

,
,

37.74

.
.

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

Image# 201507159000193852

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)

PAGE 119 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Blue State Digital

Date of Disbursement
M

City
Washington
Purpose of Disbursement
Technology Licensing Fees

04

Mailing Address 406 7th Street NW


State
DC

Zip Code
20004

2015

15

Amount of Each Disbursement this Period

550.00

Transaction ID : 17-05-05251-11766

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. Jennette Silleck Haines

Date of Disbursement
M

Mailing Address 6426 E Parkview Dr


City
Scottsdale
Purpose of Disbursement
Reimbursed Expenses-See Memos

State
AZ

Zip Code

State:

15

2015

Amount of Each Disbursement this Period

85257

427.07

Transaction ID : 17-05-05252-0000

Candidate Name
Office Sought:

04

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. Verizon Wireless

Date of Disbursement
M

Mailing Address PO Box 9622


City
Mission Hills
Purpose of Disbursement
Telephone

State
CA

Zip Code
91346-9622

State:

15

2015

Amount of Each Disbursement this Period

225.00

Transaction ID : 17-05-05252-11767

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Candidate Name
Office Sought:

04

,
,

,
,

977.07

.
.

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

Image# 201507159000193853

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)

PAGE 120 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Shell Oil Co.

Date of Disbursement
M

City
Houston
Purpose of Disbursement
Auto Fuel

04

Mailing Address PO Box 2463


State
TX

Zip Code
77252

2015

16

Amount of Each Disbursement this Period

25.89

Transaction ID : 17-08-01275-01278

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. ActBlue Technical Services

Date of Disbursement
M

Mailing Address 366 Summer Street


City

State

Zip Code

19

2015

145.98

Transaction ID : 17-05-05273-0000

Candidate Name

State:

Amount of Each Disbursement this Period

MA
02144
Somerville
Purpose of Disbursement
Merchant Fees/Refunds - See Memos on Schedule B for Lines 17 and 20a

Office Sought:

04

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. ActBlue Technical Services

Date of Disbursement
M

Mailing Address 366 Summer Street


City
Somerville
Purpose of Disbursement
Merchant Fee

State
MA

Zip Code
02144

State:

19

2015

145.98

Transaction ID : 17-05-05273-11820

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

,
,

,
,

171.87

.
.

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

Image# 201507159000193854

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)

PAGE 121 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Looks Good Printing and Sign Services

Date of Disbursement
M

City
Phoenix
Purpose of Disbursement
Direct Mail Printing

04

Mailing Address 338 E Tuckey Lane


State
AZ

Zip Code
85012

2015

20

Amount of Each Disbursement this Period

5367.67

Transaction ID : 17-05-05260-11790

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. Looks Good Printing and Sign Services

Date of Disbursement
M

Mailing Address 338 E Tuckey Lane


City
Phoenix
Purpose of Disbursement
Postage

State
AZ

Zip Code

State:

20

2015

Amount of Each Disbursement this Period

85012

2072.95

Transaction ID : 17-05-05260-11791

Candidate Name
Office Sought:

04

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. Looks Good Printing and Sign Services

Date of Disbursement
M

Mailing Address 338 E Tuckey Lane


City
Phoenix
Purpose of Disbursement
Stickers, T Shirts, Business Cards

State
AZ

Zip Code
85012

State:

20

2015

1680.82

Transaction ID : 17-05-05260-11792

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

,
,

,
,

9121.44

.
.

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

Image# 201507159000193855

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)

PAGE 122 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Looks Good Printing and Sign Services

Date of Disbursement
M

City
Phoenix
Purpose of Disbursement
Bumper Stickers

04

Mailing Address 338 E Tuckey Lane


State
AZ

Zip Code
85012

2015

20

Amount of Each Disbursement this Period

1039.68

Transaction ID : 17-05-05260-11793

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. AT&T

Date of Disbursement
M

Mailing Address PO Box 105068


City
Atlanta
Purpose of Disbursement
Telephone

State
GA

Zip Code

State:

21

2015

Amount of Each Disbursement this Period

30348

149.98

Transaction ID : 17-08-01278-01281

Candidate Name
Office Sought:

04

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. AT&T

Date of Disbursement
M

Mailing Address PO Box 105068


City
Atlanta
Purpose of Disbursement
Telephone

State
GA

Zip Code
30348

State:

21

2015

429.00

Transaction ID : 17-08-01279-01282

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

,
,

,
,

1618.66

.
.

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

Image# 201507159000193856

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)

PAGE 123 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Congressional Black Caucus Institute

Date of Disbursement
M

04

Mailing Address 413 New Jersey Ave


City
Washington
Purpose of Disbursement
Event Venue Lease

State
DC

Zip Code
20003

2015

23

Amount of Each Disbursement this Period

550.00

Transaction ID : 17-05-05264-11799

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. Verizon Wireless

Date of Disbursement
M

Mailing Address PO Box 9622


City

State
CA

Mission Hills
Purpose of Disbursement
Telephone

Zip Code

State:

23

2015

Amount of Each Disbursement this Period

91346-9622

422.06

Transaction ID : 17-08-01280-01283

Candidate Name
Office Sought:

04

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. Amtrak

Date of Disbursement
M

Mailing Address 60 Massachusetts Avenue, NE


City
Washington
Purpose of Disbursement
Train

State
DC

Zip Code
20002

State:

23

2015

333.00

Transaction ID : 17-08-01281-01284

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

,
,

,
,

1305.06

.
.

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

Image# 201507159000193857

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)

PAGE 124 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Holiday Inn

Date of Disbursement
M

04

Mailing Address PO Box 30321


City
Salt Lake City
Purpose of Disbursement
Lodging

State
UT

Zip Code
84130

2015

23

Amount of Each Disbursement this Period

131.36

Transaction ID : 17-08-01282-01285

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. ADP Inc

Date of Disbursement
M

Mailing Address 504 Clinton Center Dr Ste 4400


City
Clinton
Purpose of Disbursement
Payroll Fee

State
MS

Zip Code

State:

24

2015

Amount of Each Disbursement this Period

39056

63.37

Transaction ID : 17-05-05270-11812

Candidate Name
Office Sought:

04

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. National Democratic Club

Date of Disbursement
M

Mailing Address 30 Ivy Street, SE


City
Washington
Purpose of Disbursement
Meeting Meal Expenses

State
DC

Zip Code
20003

State:

24

2015

32.50

Transaction ID : 17-08-01285-01288

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

,
,

,
,

227.23

.
.

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

Image# 201507159000193858

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)

PAGE 125 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. ActBlue Technical Services

Date of Disbursement
M

04

Mailing Address 366 Summer Street


City
State
Zip Code
MA
Somerville
02144
Purpose of Disbursement
Merchant Fees/Refunds - See Memos on Schedule B for Lines 17 and 20a

2015

26

Amount of Each Disbursement this Period

126.44

Transaction ID : 17-05-05282-0000

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. ActBlue Technical Services

Date of Disbursement
M

Mailing Address 366 Summer Street


City
Somerville
Purpose of Disbursement
Merchant Fee

State
MA

Zip Code

State:

26

2015

Amount of Each Disbursement this Period

02144

126.44

Transaction ID : 17-05-05282-11839

Candidate Name
Office Sought:

04

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

Full Name (Last, First, Middle Initial)

C. Holiday Inn

Date of Disbursement
M

Mailing Address PO Box 30321


City
Salt Lake City
Purpose of Disbursement
Lodging

State
UT

Zip Code
84130

State:

27

2015

121.25

Transaction ID : 17-08-01287-01290

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

,
,

,
,

247.69

.
.

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

Image# 201507159000193859

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)

PAGE 126 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Hank's Oyster Bar

Date of Disbursement
M

04

Mailing Address 1624 Q St NW


City
Washington
Purpose of Disbursement
Fundraising Meals

State
DC

Zip Code
20009

2015

28

Amount of Each Disbursement this Period

353.70

Transaction ID : 17-08-01290-01293

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. Belga Cafe

Date of Disbursement
M

Mailing Address 514 8th St SE


City

State
DC

Washington
Purpose of Disbursement
Meeting Meal Expenses

Zip Code

State:

28

2015

Amount of Each Disbursement this Period

20003

252.10

Transaction ID : 17-08-01291-01294

Candidate Name
Office Sought:

04

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. Bearnaise

Date of Disbursement
M

Mailing Address 315 Pennsylvania Ave SE


City
Washington
Purpose of Disbursement
Meeting Meal Expenses

State
DC

Zip Code
20003

State:

28

2015

117.99

Transaction ID : 17-08-01292-01295

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

,
,

,
,

723.79

.
.

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

Image# 201507159000193860

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)

PAGE 127 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. DBGB Kitchen & Bar

Date of Disbursement
M

04

Mailing Address 931 H St NW


City
Washington
Purpose of Disbursement
Event Catering

State
DC

Zip Code
20001

2015

30

Amount of Each Disbursement this Period

247.35

Transaction ID : 17-08-01298-01301

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. ADP Inc

Date of Disbursement
M

Mailing Address 504 Clinton Center Dr Ste 4400


City
Clinton
Purpose of Disbursement
Payroll - See Memo's

State
MS

Zip Code

State:

01

2015

Amount of Each Disbursement this Period

39056

5595.33

Transaction ID : 17-05-05267-0000

Candidate Name
Office Sought:

05

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. Jennette Silleck Haines

Date of Disbursement
M

Mailing Address 6426 E Parkview Dr


City
Scottsdale
Purpose of Disbursement
Payroll

State
AZ

Zip Code
85257

State:

01

2015

2991.03

Transaction ID : 17-05-05267-11806

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

05

,
,

,
,

5842.68

.
.

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

Image# 201507159000193861

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)

PAGE 128 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Daniel B. Mitchell

Date of Disbursement
M

05

Mailing Address 1125 N 78th Street


City
Scottsdale
Purpose of Disbursement
Payroll

State
AZ

Zip Code
85257

2015

01

Amount of Each Disbursement this Period

1214.84

Transaction ID : 17-05-05267-11807

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

B. Kevin Kirchmeier

Date of Disbursement
M

Mailing Address 800 W University Ave Apt 304


City

State
AZ

Flagstaff
Purpose of Disbursement
Payroll

Zip Code

State:

01

2015

Amount of Each Disbursement this Period

86002

1389.46

Transaction ID : 17-05-05267-11808

Candidate Name
Office Sought:

05

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

Full Name (Last, First, Middle Initial)

C. ADP Inc

Date of Disbursement
M

Mailing Address 504 Clinton Center Dr Ste 4400


City
Clinton
Purpose of Disbursement
Payroll - See Memo's

State
MS

Zip Code
39056

State:

01

2015

2343.86

Transaction ID : 17-05-05268-0000

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

05

,
,

,
,

2343.86

.
.

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

Image# 201507159000193862

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)

PAGE 129 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Internal Revenue Service

Date of Disbursement
M

05

Mailing Address Tax Return Division


City
Ogden
Purpose of Disbursement
Payroll Taxes

State
UT

Zip Code
84201-0039

2015

01

Amount of Each Disbursement this Period

2155.73

Transaction ID : 17-05-05268-11809

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

B. Arizona Dept. of Revenue

Date of Disbursement
M

Mailing Address Tax Services


1600 W Monroe
City

State
AZ

Phoenix
Purpose of Disbursement
Payroll Taxes

Zip Code

State:

01

2015

Amount of Each Disbursement this Period

85007

188.13

Transaction ID : 17-05-05268-11810

Candidate Name
Office Sought:

05

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

Full Name (Last, First, Middle Initial)

C. ADP Inc

Date of Disbursement
M

Mailing Address 504 Clinton Center Dr Ste 4400


City
Clinton
Purpose of Disbursement
Workers' Comp Insurance

State
MS

Zip Code
39056

State:

01

2015

37.74

Transaction ID : 17-05-05269-11811

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

05

,
,

,
,

37.74

.
.

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

Image# 201507159000193863

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)

PAGE 130 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Christopher Brill

Date of Disbursement
M

City
Phoenix
Purpose of Disbursement
Reimbursed Travel Expenses - See Memo's

05

Mailing Address 136258 S 48th Street Apt 1068


State
AZ

Zip Code
85044

2015

01

Amount of Each Disbursement this Period

656.91

Transaction ID : 17-05-05275-0000

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. US Airways

Date of Disbursement
M

Mailing Address 4000 E. Sky Harbor Blvd


City
Phoenix
Purpose of Disbursement
Airfare

State
AZ

Zip Code

State:

01

2015

Amount of Each Disbursement this Period

85034

623.91

Transaction ID : 17-05-05275-11825

Candidate Name
Office Sought:

05

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

Full Name (Last, First, Middle Initial)

C. Jennette Silleck Haines

Date of Disbursement
M

Mailing Address 6426 E Parkview Dr


City
State
AZ
Scottsdale
Purpose of Disbursement
Reimbursed Travel Expenses - See Memo's

Zip Code
85257

State:

01

2015

11.82

Transaction ID : 17-05-05276-0000

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

05

,
,

,
,

668.73

.
.

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

Image# 201507159000193864

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)

PAGE 131 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. ActBlue Technical Services

Date of Disbursement
M

05

Mailing Address 366 Summer Street


City
State
Zip Code
MA
Somerville
02144
Purpose of Disbursement
Merchant Fees/Refunds - See Memos on Schedule B for Lines 17 and 20a

2015

03

Amount of Each Disbursement this Period

185.14

Transaction ID : 17-05-05286-0000

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. ActBlue Technical Services

Date of Disbursement
M

Mailing Address 366 Summer Street


City

State
MA

Somerville
Purpose of Disbursement
Merchant Fee

Zip Code

State:

03

2015

Amount of Each Disbursement this Period

02144

185.14

Transaction ID : 17-05-05286-11849

Candidate Name
Office Sought:

05

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

Full Name (Last, First, Middle Initial)

C. First Data Merchant Services

Date of Disbursement
M

Mailing Address 5565 Glenridge Connector NE, Suite


City
Atlanta
Purpose of Disbursement
Merchant Fee

State
GA

Zip Code
30342

State:

04

2015

268.51

Transaction ID : 17-05-05337-11938

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

05

,
,

,
,

453.65

.
.

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

Image# 201507159000193865

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)

PAGE 132 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Lowell Observatory

Date of Disbursement
M

City
Flagstaff
Purpose of Disbursement
Event Expense

05

Mailing Address 1400 W Mars Hill Rd


State
AZ

Zip Code
86001

2015

04

Amount of Each Disbursement this Period

625.00

Transaction ID : 17-08-01311-01314

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. Ticoz

Date of Disbursement
M

Mailing Address 5114 N 7th St.


City
Phoenix
Purpose of Disbursement
Event Catering

State
AZ

Zip Code

State:

05

2015

Amount of Each Disbursement this Period

85014

403.66

Transaction ID : 17-08-01302-01305

Candidate Name
Office Sought:

05

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. Cibo

Date of Disbursement
M

Mailing Address 603 N 5th Ave


City
Phoenix
Purpose of Disbursement
Meeting Meal Expenses

State
AZ

Zip Code
85003

State:

05

2015

566.37

Transaction ID : 17-08-01303-01306

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

05

,
,

,
,

1595.03

.
.

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

Image# 201507159000193866

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)

PAGE 133 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Shell Oil Co.

Date of Disbursement
M

City
Houston
Purpose of Disbursement
Auto Fuel

05

Mailing Address PO Box 2463


State
TX

Zip Code
77252

2015

05

Amount of Each Disbursement this Period

25.02

Transaction ID : 17-08-01304-01307

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. Shell Oil Co.

Date of Disbursement
M

Mailing Address PO Box 2463


City
Houston
Purpose of Disbursement
Auto Fuel

State
TX

Zip Code

05

2015

Amount of Each Disbursement this Period

77252

28.98

Transaction ID : 17-08-01314-01317

Candidate Name

Category/
Type

Office Sought:

State:

05

House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. US Postmaster

Date of Disbursement
M

Mailing Address 475 L'Enfant Plaza SW


City
Washington
Purpose of Disbursement
Stamps

State
DC

Zip Code
20260

State:

06

2015

122.50

Transaction ID : 17-08-01316-01319

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

05

,
,

,
,

176.50

.
.

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

Image# 201507159000193867

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)

PAGE 134 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. ADP Inc

Date of Disbursement
M

City
Clinton
Purpose of Disbursement
Payroll Fee

05

Mailing Address 504 Clinton Center Dr Ste 4400


State
MS

Zip Code
39056

2015

08

Amount of Each Disbursement this Period

63.37

Transaction ID : 17-05-05290-11855

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. AT&T

Date of Disbursement
M

Mailing Address PO Box 105068


City
Atlanta
Purpose of Disbursement
Telephone

State
GA

Zip Code

State:

08

2015

Amount of Each Disbursement this Period

30348

143.02

Transaction ID : 17-08-01323-01326

Candidate Name
Office Sought:

05

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. ActBlue Technical Services

Date of Disbursement
M

Mailing Address 366 Summer Street


City
State
Zip Code
MA
02144
Somerville
Purpose of Disbursement
Merchant Fees/Refunds - See Memos on Schedule B for Lines 17 and 20a

State:

10

2015

Amount of Each Disbursement this Period

81.20

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Transaction ID : 17-05-05302-0000

Candidate Name
Office Sought:

05

,
,

,
,

287.59

.
.

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

Image# 201507159000193868

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)

PAGE 135 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. ActBlue Technical Services

Date of Disbursement
M

City
Somerville
Purpose of Disbursement
Merchant Fee

05

Mailing Address 366 Summer Street


State
MA

Zip Code
02144

2015

10

Amount of Each Disbursement this Period

81.20

Transaction ID : 17-05-05302-11877

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

B. Wells Fargo Bank

Date of Disbursement
M

Mailing Address 100 W. Washington St.


City
Phoenix
Purpose of Disbursement
Bank Fee

State
AZ

Zip Code

State:

11

2015

Amount of Each Disbursement this Period

85003

301.55

Transaction ID : 17-05-05338-11939

Candidate Name
Office Sought:

05

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. Circle K

Date of Disbursement
M

Mailing Address PO Box 52085


City
Phoenix
Purpose of Disbursement
Auto Fuel

State
AZ

Zip Code
85072

State:

11

2015

15.24

Transaction ID : 17-08-01325-01328

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

05

,
,

,
,

316.79

.
.

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

Image# 201507159000193869

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)

PAGE 136 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Pacifico Cantina

Date of Disbursement
M

City
Washington
Purpose of Disbursement
Event Catering

05

Mailing Address 514 8th St SE


State
DC

Zip Code
20003

2015

11

Amount of Each Disbursement this Period

247.03

Transaction ID : 17-08-01326-01329

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. National Democratic Club

Date of Disbursement
M

Mailing Address 30 Ivy Street, SE


City
Washington
Purpose of Disbursement
Meeting Meal Expenses

State
DC

Zip Code

11

2015

Amount of Each Disbursement this Period

20003

37.25

Transaction ID : 17-08-01327-01330

Candidate Name

Category/
Type

Office Sought:

State:

05

House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. Shell Oil Co.

Date of Disbursement
M

Mailing Address PO Box 2463


City
Houston
Purpose of Disbursement
Auto Fuel

State
TX

Zip Code
77252

State:

11

2015

26.04

Transaction ID : 17-08-01328-01331

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

05

,
,

,
,

310.32

.
.

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

Image# 201507159000193870

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)

PAGE 137 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Shell Oil Co.

Date of Disbursement
M

05

Mailing Address PO Box 2463


City
Houston
Purpose of Disbursement
Auto Fuel

State
TX

Zip Code
77252

2015

11

Amount of Each Disbursement this Period

25.57

Transaction ID : 17-08-01329-01332

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. Molly Allen Associates LLC

Date of Disbursement
M

Mailing Address 10402 Parkwood Dr


City

State
MD

Kensington
Purpose of Disbursement
Fundraising Consulting & Expenses

Zip Code

12

2015

Amount of Each Disbursement this Period

20895

8023.05

Transaction ID : 17-05-05288-11853

Candidate Name

Category/
Type

Office Sought:

State:

05

House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. NGP VAN, Inc.

Date of Disbursement
M

Mailing Address 1105 15th St NW, Suite 500


City
Washington
Purpose of Disbursement
Database Subscription

State
DC

Zip Code
20005

State:

12

2015

4250.00

Transaction ID : 17-05-05289-11854

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

05

,
,

,
,

12298.62

.
.

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

Image# 201507159000193871

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)

PAGE 138 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. The Herb Box

Date of Disbursement
M

City
Scottsdale
Purpose of Disbursement
Meeting Meal Expenses

05

Mailing Address 20707 N Pima Rd #140


State
AZ

Zip Code
85255

2015

13

Amount of Each Disbursement this Period

38.39

Transaction ID : 17-08-01332-01335

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. Democratic Congressional Campaign Committee

Date of Disbursement
M

Mailing Address Attn: Accounts Payable


430 S. Capitol St., SE 2nd Floor
City
State
DC
Washington

Zip Code

2015

Amount of Each Disbursement this Period

20003

40.00

Transaction ID : 17-00-00282-00282

Candidate Name

State:

13

Purpose of Disbursement
Catering/Facility

Office Sought:

05

Category/
Type
House
Senate
President
District:

Disbursement For: 2016


Primary
General
Other (specify)

Full Name (Last, First, Middle Initial)

C. Staples

Date of Disbursement
M

Mailing Address 500 Staples Dr


City
Framingham
Purpose of Disbursement
Office Supplies

State
MA

Zip Code
01702

State:

14

2015

138.69

Transaction ID : 17-08-01333-01336

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

05

,
,

,
,

217.08

.
.

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

Image# 201507159000193872

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)

PAGE 139 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Shell Oil Co.

Date of Disbursement
M

05

Mailing Address PO Box 2463


City
Houston
Purpose of Disbursement
Auto Fuel

State
TX

Zip Code
77252

2015

14

Amount of Each Disbursement this Period

27.55

Transaction ID : 17-08-01334-01337

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. Circle K

Date of Disbursement
M

Mailing Address PO Box 52085


City

State
AZ

Phoenix
Purpose of Disbursement
Auto Fuel

Zip Code

State:

14

2015

Amount of Each Disbursement this Period

85072

22.40

Transaction ID : 17-08-01335-01338

Candidate Name
Office Sought:

05

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. ADP Inc

Date of Disbursement
M

Mailing Address 504 Clinton Center Dr Ste 4400


City
Clinton
Purpose of Disbursement
Payroll - See Memo's

State
MS

Zip Code
39056

State:

15

2015

5226.59

Transaction ID : 17-05-05291-0000

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

05

,
,

,
,

5276.54

.
.

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

Image# 201507159000193873

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)

PAGE 140 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Daniel B. Mitchell

Date of Disbursement
M

05

Mailing Address 1125 N 78th Street


City
Scottsdale
Purpose of Disbursement
Payroll

State
AZ

Zip Code
85257

2015

15

Amount of Each Disbursement this Period

846.09

Transaction ID : 17-05-05291-11857

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

B. Kevin Kirchmeier

Date of Disbursement
M

Mailing Address 800 W University Ave Apt 304


City
Flagstaff
Purpose of Disbursement
Payroll

State
AZ

Zip Code

State:

15

2015

Amount of Each Disbursement this Period

86002

1389.47

Transaction ID : 17-05-05291-11858

Candidate Name
Office Sought:

05

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

Full Name (Last, First, Middle Initial)

C. Jennette Silleck Haines

Date of Disbursement
M

Mailing Address 6426 E Parkview Dr


City
Scottsdale
Purpose of Disbursement
Payroll

State
AZ

Zip Code
85257

State:

15

2015

2991.03

Transaction ID : 17-05-05291-11856

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

05

,
,

,
,

.0.00
.

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

Image# 201507159000193874

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)

PAGE 141 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. ADP Inc

Date of Disbursement
M

City
Clinton
Purpose of Disbursement
Payroll - See Memo's

05

Mailing Address 504 Clinton Center Dr Ste 4400


State
MS

Zip Code
39056

2015

15

Amount of Each Disbursement this Period

2174.35

Transaction ID : 17-05-05292-0000

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. Internal Revenue Service

Date of Disbursement
M

Mailing Address Tax Return Division


City
Ogden
Purpose of Disbursement
Payroll Taxes

State
UT

Zip Code

State:

15

2015

Amount of Each Disbursement this Period

84201-0039

2004.22

Transaction ID : 17-05-05292-11859

Candidate Name
Office Sought:

05

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

Full Name (Last, First, Middle Initial)

C. Arizona Dept. of Revenue

Date of Disbursement
M

Mailing Address Tax Services


1600 W Monroe
City
Phoenix
Purpose of Disbursement
Payroll Taxes

State
AZ

Zip Code
85007

State:

15

2015

170.13

Transaction ID : 17-05-05292-11860

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

05

,
,

,
,

2174.35

.
.

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

Image# 201507159000193875

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)

PAGE 142 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. ADP Inc

Date of Disbursement
M

City
Clinton
Purpose of Disbursement
Workers' Comp Insurance

05

Mailing Address 504 Clinton Center Dr Ste 4400


State
MS

Zip Code
39056

2015

15

Amount of Each Disbursement this Period

35.69

Transaction ID : 17-05-05293-11861

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. Democratic Congressional Campaign Committee

Date of Disbursement
M

Mailing Address Attn: Accounts Payable


430 S. Capitol St., SE 2nd Floor
City
State
DC
Washington

Zip Code

2015

Amount of Each Disbursement this Period

20003

18.56

Transaction ID : 17-00-00284-00284

Candidate Name

State:

15

Purpose of Disbursement
In-Kind Catering

Office Sought:

05

Category/
Type
House
Senate
President
District:

Disbursement For: 2016


Primary
General
Other (specify)

Full Name (Last, First, Middle Initial)

C. ActBlue Technical Services

Date of Disbursement
M

Mailing Address 366 Summer Street


City
State
Zip Code
MA
02144
Somerville
Purpose of Disbursement
Merchant Fees/Refunds - See Memos on Schedule B for Lines 17 and 20a

State:

17

2015

Amount of Each Disbursement this Period

151.52

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Transaction ID : 17-05-05312-0000

Candidate Name
Office Sought:

05

,
,

,
,

205.77

.
.

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

Image# 201507159000193876

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)

PAGE 143 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. ActBlue Technical Services

Date of Disbursement
M

City
Somerville
Purpose of Disbursement
Merchant Fee

05

Mailing Address 366 Summer Street


State
MA

Zip Code
02144

2015

17

Amount of Each Disbursement this Period

151.52

Transaction ID : 17-05-05312-11898

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

B. National Democratic Club

Date of Disbursement
M

Mailing Address 30 Ivy Street, SE


City
Washington
Purpose of Disbursement
Meeting Meal Expenses

State
DC

Zip Code

State:

18

2015

Amount of Each Disbursement this Period

20003

105.00

Transaction ID : 17-08-01342-01345

Candidate Name
Office Sought:

05

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. National Democratic Club

Date of Disbursement
M

Mailing Address 30 Ivy Street, SE


City
Washington
Purpose of Disbursement
Meeting Meal Expenses

State
DC

Zip Code
20003

State:

18

2015

73.50

Transaction ID : 17-08-01343-01346

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

05

,
,

,
,

178.50

.
.

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

Image# 201507159000193877

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)

PAGE 144 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. National Democratic Club

Date of Disbursement
M

05

Mailing Address 30 Ivy Street, SE


City
Washington
Purpose of Disbursement
Meeting Meal Expenses

State
DC

Zip Code
20003

2015

18

Amount of Each Disbursement this Period

44.00

Transaction ID : 17-08-01344-01347

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. Go Daddy

Date of Disbursement
M

Mailing Address 14455 N Hayden Rd Ste 219


City

State
AZ

Scottsdale
Purpose of Disbursement
Website

Zip Code

State:

19

2015

Amount of Each Disbursement this Period

85260

15.17

Transaction ID : 17-08-01346-01349

Candidate Name
Office Sought:

05

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. Chevron Corporation

Date of Disbursement
M

Mailing Address 6001 Bollinger Canyon Rd


City
San Ramos
Purpose of Disbursement
Auto Fuel

State
CA

Zip Code
94583

State:

20

2015

28.04

Transaction ID : 17-08-01347-01350

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

05

,
,

,
,

87.21

.
.

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

Image# 201507159000193878

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)

PAGE 145 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. US Postmaster

Date of Disbursement
M

05

Mailing Address 475 L'Enfant Plaza SW


City
Washington
Purpose of Disbursement
Stamps

State
DC

Zip Code
20260

2015

21

Amount of Each Disbursement this Period

49.00

Transaction ID : 17-08-01348-01351

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. AT&T

Date of Disbursement
M

Mailing Address PO Box 105068


City

State
GA

Atlanta
Purpose of Disbursement
Telephone

Zip Code

State:

21

2015

Amount of Each Disbursement this Period

30348

114.30

Transaction ID : 17-08-01351-01354

Candidate Name
Office Sought:

05

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. ADP Inc

Date of Disbursement
M

Mailing Address 504 Clinton Center Dr Ste 4400


City
Clinton
Purpose of Disbursement
Payroll Fee

State
MS

Zip Code
39056

State:

22

2015

63.37

Transaction ID : 17-05-05339-11940

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

05

,
,

,
,

226.67

.
.

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

Image# 201507159000193879

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)

PAGE 146 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. ActBlue Technical Services

Date of Disbursement
M

05

Mailing Address 366 Summer Street


City
State
Zip Code
MA
Somerville
02144
Purpose of Disbursement
Merchant Fees/Refunds - See Memos on Schedule B for Lines 17 and 20a

2015

24

Amount of Each Disbursement this Period

394.25

Transaction ID : 17-05-05335-0000

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. ActBlue Technical Services

Date of Disbursement
M

Mailing Address 366 Summer Street


City
Somerville
Purpose of Disbursement
Merchant Fee

State
MA

Zip Code

State:

24

2015

Amount of Each Disbursement this Period

02144

394.25

Transaction ID : 17-05-05335-11935

Candidate Name
Office Sought:

05

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

Full Name (Last, First, Middle Initial)

C. Jasmine Zamani

Date of Disbursement
M

Mailing Address 7240 Evans Mill Rd


City
McLean
Purpose of Disbursement
Fundraising Consultant Fee & Expenses

State
VA

Zip Code
22101

State:

26

2015

7926.32

Transaction ID : 17-05-05307-11887

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

05

,
,

,
,

8320.57

.
.

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

Image# 201507159000193880

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)

PAGE 147 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Shell Oil Co.

Date of Disbursement
M

City
Houston
Purpose of Disbursement
Auto Fuel

05

Mailing Address PO Box 2463


State
TX

Zip Code
77252

2015

26

Amount of Each Disbursement this Period

33.72

Transaction ID : 17-08-01352-01355

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. Circle K

Date of Disbursement
M

Mailing Address PO Box 52085


City
Phoenix
Purpose of Disbursement
Auto Fuel

State
AZ

Zip Code

State:

26

2015

Amount of Each Disbursement this Period

85072

27.04

Transaction ID : 17-08-01353-01356

Candidate Name
Office Sought:

05

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. Blue State Digital

Date of Disbursement
M

Mailing Address 406 7th Street NW


City
Washington
Purpose of Disbursement
Technology Licensing Fees

State
DC

Zip Code
20004

State:

31

2015

550.00

Transaction ID : 17-05-05326-11923

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

05

,
,

,
,

610.76

.
.

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

Image# 201507159000193881

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)

PAGE 148 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. CommonCentsConsulting, LLC

Date of Disbursement
M

05

Mailing Address 2910 E. Gary Way


City
Phoenix
Purpose of Disbursement
Compliance Consulting

State
AZ

Zip Code
85042

2015

31

Amount of Each Disbursement this Period

2000.00

Transaction ID : 17-05-05327-11924

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. CommonCentsConsulting, LLC

Date of Disbursement
M

Mailing Address 2910 E. Gary Way


City
Phoenix
Purpose of Disbursement
Compliance Consulting

State
AZ

Zip Code

State:

31

2015

Amount of Each Disbursement this Period

85042

1000.00

Transaction ID : 17-05-05327-11925

Candidate Name
Office Sought:

05

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. Jennette Silleck Haines

Date of Disbursement
M

Mailing Address 6426 E Parkview Dr


City
Scottsdale
Purpose of Disbursement
Reimbursed Expenses-See Memos

State
AZ

Zip Code
85257

State:

31

2015

76.00

Transaction ID : 17-05-05328-0000

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

05

,
,

,
,

3076.00

.
.

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

Image# 201507159000193882

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)

PAGE 149 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Hireawiz

Date of Disbursement
M

City
Glendale
Purpose of Disbursement
Email Hosting

05

Mailing Address 18729 N 77th Ave


State
AZ

Zip Code
85308

2015

31

Amount of Each Disbursement this Period

443.40

Transaction ID : 17-05-05329-11927

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. HM&CO

Date of Disbursement
M

Mailing Address 233 Pennsylvania Avenue, SE 2nd F


City
Washington
Purpose of Disbursement
Event Venue & Catering

State
DC

Zip Code

State:

31

2015

Amount of Each Disbursement this Period

20003

371.96

Transaction ID : 17-05-05330-11928

Candidate Name
Office Sought:

05

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. Well & Lighthouse

Date of Disbursement
M

Mailing Address 1244 19th St NW


City
Washington
Purpose of Disbursement
Web Production

State
DC

Zip Code
20036

State:

31

2015

2500.00

Transaction ID : 17-05-05331-11929

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

05

,
,

,
,

3315.36

.
.

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

Image# 201507159000193883

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)

PAGE 150 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. ActBlue Technical Services

Date of Disbursement
M

05

Mailing Address 366 Summer Street


City
State
Zip Code
MA
Somerville
02144
Purpose of Disbursement
Merchant Fees/Refunds - See Memos on Schedule B for Lines 17 and 20a

2015

31

Amount of Each Disbursement this Period

74.55

Transaction ID : 17-05-05350-0000

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. ActBlue Technical Services

Date of Disbursement
M

Mailing Address 366 Summer Street


City

State
MA

Somerville
Purpose of Disbursement
Merchant Fee

Zip Code

State:

31

2015

Amount of Each Disbursement this Period

02144

74.55

Transaction ID : 17-05-05350-11954

Candidate Name
Office Sought:

05

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

Full Name (Last, First, Middle Initial)

C. ADP Inc

Date of Disbursement
M

Mailing Address 504 Clinton Center Dr Ste 4400


City
Clinton
Purpose of Disbursement
Payroll - See Memo's

State
MS

Zip Code
39056

State:

01

2015

5226.57

Transaction ID : 17-05-05315-0000

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

06

,
,

,
,

5301.12

.
.

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

Image# 201507159000193884

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)

PAGE 151 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Jennette Silleck Haines

Date of Disbursement
M

06

Mailing Address 6426 E Parkview Dr


City
Scottsdale
Purpose of Disbursement
Payroll

State
AZ

Zip Code
85257

2015

01

Amount of Each Disbursement this Period

2991.02

Transaction ID : 17-05-05315-11905

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

B. Kevin Kirchmeier

Date of Disbursement
M

Mailing Address 800 W University Ave Apt 304


City
Flagstaff
Purpose of Disbursement
Payroll

State
AZ

Zip Code

State:

01

2015

Amount of Each Disbursement this Period

86002

1389.46

Transaction ID : 17-05-05315-11907

Candidate Name
Office Sought:

06

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

Full Name (Last, First, Middle Initial)

C. Daniel B. Mitchell

Date of Disbursement
M

Mailing Address 1125 N 78th Street


City
Scottsdale
Purpose of Disbursement
Payroll

State
AZ

Zip Code
85257

State:

01

2015

846.09

Transaction ID : 17-05-05315-11906

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

06

,
,

,
,

.0.00
.

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

Image# 201507159000193885

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)

PAGE 152 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. ADP Inc

Date of Disbursement
M

City
Clinton
Purpose of Disbursement
Payroll - See Memo's

06

Mailing Address 504 Clinton Center Dr Ste 4400


State
MS

Zip Code
39056

2015

01

Amount of Each Disbursement this Period

2174.37

Transaction ID : 17-05-05316-0000

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. Arizona Dept. of Revenue

Date of Disbursement
M

Mailing Address Tax Services


1600 W Monroe
City
Phoenix
Purpose of Disbursement
Payroll Taxes

State
AZ

Zip Code

State:

01

2015

Amount of Each Disbursement this Period

85007

170.13

Transaction ID : 17-05-05316-11909

Candidate Name
Office Sought:

06

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

Full Name (Last, First, Middle Initial)

C. Internal Revenue Service

Date of Disbursement
M

Mailing Address Tax Return Division


City
Ogden
Purpose of Disbursement
Payroll Taxes

State
UT

Zip Code
84201-0039

State:

01

2015

Amount of Each Disbursement this Period

2004.24

Transaction ID : 17-05-05316-11908

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Candidate Name
Office Sought:

06

,
,

,
,

2174.37

.
.

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

Image# 201507159000193886

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)

PAGE 153 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. ADP Inc

Date of Disbursement
M

City
Clinton
Purpose of Disbursement
Workers' Comp Insurance

06

Mailing Address 504 Clinton Center Dr Ste 4400


State
MS

Zip Code
39056

2015

01

Amount of Each Disbursement this Period

35.69

Transaction ID : 17-05-05317-11910

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. Isabel Vazquez

Date of Disbursement
M

Mailing Address 3615 Grafton Ave


City

State
TX

Dallas
Purpose of Disbursement
Intern Stipend

Zip Code

State:

02

2015

Amount of Each Disbursement this Period

75211

2000.00

Transaction ID : 17-05-05343-11944

Candidate Name
Office Sought:

06

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. First Data Merchant Services

Date of Disbursement
M

Mailing Address 5565 Glenridge Connector NE, Suite


City
Atlanta
Purpose of Disbursement
Merchant Fee

State
GA

Zip Code
30342

State:

03

2015

124.32

Transaction ID : 17-05-05346-11947

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

06

,
,

,
,

2160.01

.
.

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

Image# 201507159000193887

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)

PAGE 154 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Bergmann Zwerdling Direct

Date of Disbursement
M

06

Mailing Address 1015 18th St NW Suite 500


City
Washington
Purpose of Disbursement
Postcard Production

State
DC

Zip Code
20036

2015

04

Amount of Each Disbursement this Period

1100.00

Transaction ID : 17-05-05345-11946

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. ADP Inc

Date of Disbursement
M

Mailing Address 504 Clinton Center Dr Ste 4400


City

State
MS

Clinton
Purpose of Disbursement
Payroll Fee

Zip Code

05

2015

Amount of Each Disbursement this Period

39056

63.37

Transaction ID : 17-05-05332-11930

Candidate Name

Category/
Type

Office Sought:

State:

06

House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. NGP VAN, Inc.

Date of Disbursement
M

Mailing Address 1105 15th St NW, Suite 500


City
Washington
Purpose of Disbursement
Database Subscription

State
DC

Zip Code
20005

State:

08

2015

200.00

Transaction ID : 17-05-05351-11958

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

06

,
,

,
,

1363.37

.
.

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

Image# 201507159000193888

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)

PAGE 155 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Well & Lighthouse

Date of Disbursement
M

City
Washington
Purpose of Disbursement
Web Production

06

Mailing Address 1244 19th St NW


State
DC

Zip Code
20036

2015

08

Amount of Each Disbursement this Period

4421.88

Transaction ID : 17-05-05352-11959

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. Act Blue

Date of Disbursement
M

Mailing Address Attn: Chaya


366 Summer Street
City

State
MA
Somerville
Purpose of Disbursement
Refunds - See Memos on Schedule B for Line 20a

Zip Code

State:

08

2015

Amount of Each Disbursement this Period

02144

-0.52

Transaction ID : 17-05-05353-0000

Candidate Name
Office Sought:

06

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. ActBlue Technical Services

Date of Disbursement
M

Mailing Address 366 Summer Street


City
Somerville
Purpose of Disbursement
Merchant Fee Credit

State
MA

Zip Code
02144

State:

08

2015

-0.52

Transaction ID : 17-05-05353-11978

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

06

,
,

,
,

4421.36

.
.

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

Image# 201507159000193889

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)

PAGE 156 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Wells Fargo Bank

Date of Disbursement
M

06

Mailing Address 100 W. Washington St.


City
Phoenix
Purpose of Disbursement
Bank Fee

State
AZ

Zip Code
85003

2015

12

Amount of Each Disbursement this Period

272.24

Transaction ID : 17-05-05356-11972

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. Chase Card Services

Date of Disbursement
M

Mailing Address PO Box 9001950


City

State
KY

Louisville
Purpose of Disbursement
Credit Card Payment - See Memo's

Zip Code

12

2015

Amount of Each Disbursement this Period

40250-1950

5450.00

Transaction ID : 17-05-05357-0000

Candidate Name

Category/
Type

Office Sought:

State:

06

House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. NGP VAN, Inc.

Date of Disbursement
M

Mailing Address 1105 15th St NW, Suite 500


City
Washington
Purpose of Disbursement
Website Design & Development

State
DC

Zip Code
20005

State:

12

2015

5450.00

Transaction ID : 17-05-05357-11973

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

06

,
,

,
,

5722.24

.
.

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

Image# 201507159000193890

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)

PAGE 157 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. ADP Inc

Date of Disbursement
M

City
Clinton
Purpose of Disbursement
Payroll Fee

06

Mailing Address 504 Clinton Center Dr Ste 4400


State
MS

Zip Code
39056

2015

19

Amount of Each Disbursement this Period

72.30

Transaction ID : 17-05-05358-11974

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. Act Blue

Date of Disbursement
M

Mailing Address Attn: Chaya


366 Summer Street
City

State
MA
Somerville
Purpose of Disbursement
Refunds - See Memos on Schedule B for Line 20a

Zip Code

State:

25

2015

Amount of Each Disbursement this Period

02144

-9.15

Transaction ID : 17-05-05360-0000

Candidate Name
Office Sought:

06

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. ActBlue Technical Services

Date of Disbursement
M

Mailing Address 366 Summer Street


City
Somerville
Purpose of Disbursement
Merchant Fee Credit

State
MA

Zip Code
02144

State:

25

2015

-9.15

Transaction ID : 17-05-05360-11980

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

06

,
,

,
,

63.15

.
.

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

Image# 201507159000193891

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)

PAGE 158 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Democratic Congressional Campaign Committee

Date of Disbursement
M

Mailing Address Attn: Accounts Payable


430 S. Capitol St., SE 2nd Floor
City
State
DC
Washington
Purpose of Disbursement
In-Kind Events

06

Zip Code
20003

2015

30

Amount of Each Disbursement this Period

58.56

Transaction ID : 17-00-00286-00286

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For: 2016


Primary
Other (specify)

General

Date of Disbursement

B.

Mailing Address
City

State

Zip Code

Amount of Each Disbursement this Period

Purpose of Disbursement
Candidate Name
Office Sought:

State:

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)


Date of Disbursement

C.

Mailing Address
City

State

Zip Code

Amount of Each Disbursement this Period

Purpose of Disbursement
Candidate Name
Office Sought:

State:

,
,

,
,

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

58.56

.
136496.19
.

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

Image# 201507159000193892

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)

PAGE 159 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Arizona Democratic Party

Date of Disbursement
M

City
Phoenix
Purpose of Disbursement
Offset for Printing

04

Mailing Address 2910 N. Central Avenue


State
AZ

Zip Code
85012

2015

06

Amount of Each Disbursement this Period

16.25

Transaction ID : 18-05-05234-11736

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. Arizona Democratic Party

Date of Disbursement
M

Mailing Address 2910 N. Central Avenue


City
Phoenix
Purpose of Disbursement
Offset for Payroll and Benefits

State
AZ

Zip Code

State:

06

2015

Amount of Each Disbursement this Period

85012

1137.00

Transaction ID : 18-05-05234-11737

Candidate Name
Office Sought:

04

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. Arizona Democratic Party

Date of Disbursement
M

Mailing Address 2910 N. Central Avenue


City
Phoenix
Purpose of Disbursement
Offset for Payroll and Benefits

State
AZ

Zip Code
85012

State:

20

2015

1137.00

Transaction ID : 18-05-05259-11789

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

,
,

,
,

2290.25

.
.

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

Image# 201507159000193893

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)

PAGE 160 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Arizona Democratic Party

Date of Disbursement
M

City
Phoenix
Purpose of Disbursement
Offset for Payroll and Benefits

05

Mailing Address 2910 N. Central Avenue


State
AZ

Zip Code
85012

2015

13

Amount of Each Disbursement this Period

1079.30

Transaction ID : 18-05-05305-11885

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. Arizona Democratic Party

Date of Disbursement
M

Mailing Address 2910 N. Central Avenue


City
Phoenix
Purpose of Disbursement
Offset for Payroll and Benefits

State
AZ

Zip Code

26

2015

Amount of Each Disbursement this Period

1079.30

Transaction ID : 18-05-05306-11886

Category/
Type
House
Senate
President
District:

State:

85012

Candidate Name
Office Sought:

05

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. Kirkpatrick for Senate

Date of Disbursement
M

Mailing Address PO Box 34421


City
Phoenix
Purpose of Disbursement
Transfer

State
AZ

Zip Code
85067

AZ

02

2015

225000.00

Transaction ID : 18-05-05341-11942

Category/
Type

House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Kirkpatrick for Senate

State:

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

06

,
,

,
,

227158.60

.
.

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

Image# 201507159000193894

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)

PAGE 161 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Kirkpatrick for Senate

Date of Disbursement
M

City
Phoenix
Purpose of Disbursement
Transfer

06

Mailing Address PO Box 34421


State
AZ

Zip Code
85067

2015

17

Amount of Each Disbursement this Period

32569.06

Transaction ID : 18-05-05359-11975

Candidate Name

Category/
Type

Kirkpatrick for Senate


Office Sought:

House
Senate
President
AZ
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. Kirkpatrick for Senate

Date of Disbursement
M

Mailing Address PO Box 34421


City
Phoenix
Purpose of Disbursement
Transfer

State
AZ

Zip Code

AZ

30

2015

Amount of Each Disbursement this Period

1500.00

Transaction ID : 18-05-05361-11981

Category/
Type

Kirkpatrick for Senate

State:

85067

Candidate Name
Office Sought:

06

House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)


Date of Disbursement

C.

Mailing Address
City

State

Zip Code

Amount of Each Disbursement this Period

Purpose of Disbursement
Candidate Name
Office Sought:

State:

,
,

,
,

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

34069.06

.
263517.91
.

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

Image# 201507159000193895

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)

PAGE 162 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. ActBlue Technical Services

Date of Disbursement
M

04

Mailing Address 366 Summer Street


City
State
Zip Code
MA
Somerville
02144
Purpose of Disbursement
Merchant Fees/Refunds - See Memos on Schedule B for Lines 17 and 20a

2015

05

Amount of Each Disbursement this Period

78.40

Transaction ID : 20a-05-05246-0000

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. Sharen Bolton

Date of Disbursement
M

Mailing Address 2813 Lexington Ave SW


City
Decatur
Purpose of Disbursement
Donor Requested Refund

State
AL

Zip Code

05

2015

Amount of Each Disbursement this Period

35602

12.00

Transaction ID : 20a-05-05246-11757

Candidate Name

Category/
Type

Office Sought:

State:

04

House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

Full Name (Last, First, Middle Initial)

C. Robert Cook

Date of Disbursement
M

Mailing Address 5537 Etzler Rd


City
Frederick
Purpose of Disbursement
Donor Requested Refund

State
MD

Zip Code
21702

State:

05

2015

46.40

Transaction ID : 20a-05-05246-11758

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

,
,

,
,

78.40

.
.

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

Image# 201507159000193896

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)

PAGE 163 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Eda Valero-Figueira

Date of Disbursement
M

04

Mailing Address 5700 Collins Ave Apt 3N


City
Miami Beach
Purpose of Disbursement
Donor Requested Refund

State
FL

Zip Code
33140

2015

05

Amount of Each Disbursement this Period

20.00

Transaction ID : 20a-05-05246-11759

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

B. Peg Yorkin

Date of Disbursement
M

Mailing Address 21348 Pacific Coast Highway


City

State

Zip Code

06

2015

-504.35

Transaction ID : 20a-05-05238-11743

Candidate Name

State:

Amount of Each Disbursement this Period

CA
90265
Malibu
Purpose of Disbursement
Void - Lost Check Excessive Contribution Refund - See Reissue Same Day

Office Sought:

04

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. Peg Yorkin

Date of Disbursement
M

Mailing Address 21348 Pacific Coast Highway


City
Malibu
Purpose of Disbursement
Reissue of Excessive Contribution Refund

State
CA

Zip Code
90265

State:

06

2015

504.35

Transaction ID : 20a-05-05239-11744

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

,
,

,
,

.0.00
.

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

Image# 201507159000193897

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)

PAGE 164 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. ActBlue Technical Services

Date of Disbursement
M

04

Mailing Address 366 Summer Street


City
State
Zip Code
MA
Somerville
02144
Purpose of Disbursement
Merchant Fees/Refunds - See Memos on Schedule B for Lines 17 and 20a

2015

12

Amount of Each Disbursement this Period

167.14

Transaction ID : 20a-05-05256-0000

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. William Larsen

Date of Disbursement
M

Mailing Address 21 Brittany Cir


City
Rochester
Purpose of Disbursement
Donor Requested Refund

State
NY

Zip Code

12

2015

Amount of Each Disbursement this Period

14618

35.00

Transaction ID : 20a-05-05256-11779

Candidate Name

Category/
Type

Office Sought:

State:

04

House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

Full Name (Last, First, Middle Initial)

C. David Erickson

Date of Disbursement
M

Mailing Address PO Box 15824


City
Washington
Purpose of Disbursement
Donor Requested Refund

State
DC

Zip Code
20003

State:

12

2015

30.00

Transaction ID : 20a-05-05256-11778

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

,
,

,
,

167.14

.
.

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

Image# 201507159000193898

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)

PAGE 165 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Margaret P. Hogan

Date of Disbursement
M

City
Scottsdale
Purpose of Disbursement
Donor Requested Refund

04

Mailing Address 9434 N 125 Pl


State
AZ

Zip Code
85259

2015

12

Amount of Each Disbursement this Period

25.00

Transaction ID : 20a-05-05256-11777

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

B. Jean Warren

Date of Disbursement
M

Mailing Address 3421 31st Ave W


City
Seattle
Purpose of Disbursement
Donor Requested Refund

State
WA

Zip Code

12

2015

Amount of Each Disbursement this Period

98199

.1.14

Transaction ID : 20a-05-05256-11786

Candidate Name

Category/
Type

Office Sought:

State:

04

House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

Full Name (Last, First, Middle Initial)

C. John E. Sulak

Date of Disbursement
M

Mailing Address 2181 Ambleside Dr


City
Cleveland
Purpose of Disbursement
Donor Requested Refund

State
OH

Zip Code
44106

State:

12

2015

50.00

Transaction ID : 20a-05-05256-11782

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

,
,

,
,

.0.00
.

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

Image# 201507159000193899

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)

PAGE 166 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Kathleen Rivard

Date of Disbursement
M

City
Nashua
Purpose of Disbursement
Donor Requested Refund

04

Mailing Address 26 Briarcliff Dr


State
NH

Zip Code
03062

2015

12

Amount of Each Disbursement this Period

25.00

Transaction ID : 20a-05-05256-11780

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

B. Lois Weiss

Date of Disbursement
M

Mailing Address 4547 Kraft Ave


City
North Hollywood
Purpose of Disbursement
Donor Requested Refund

State
CA

Zip Code

State:

12

2015

Amount of Each Disbursement this Period

91602

.1.00

Transaction ID : 20a-05-05256-11787

Candidate Name
Office Sought:

04

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

Full Name (Last, First, Middle Initial)

C. ActBlue Technical Services

Date of Disbursement
M

Mailing Address 366 Summer Street


City
State
Zip Code
MA
02144
Somerville
Purpose of Disbursement
Merchant Fees/Refunds - See Memos on Schedule B for Lines 17 and 20a

State:

19

2015

Amount of Each Disbursement this Period

200.00

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Transaction ID : 20a-05-05273-0000

Candidate Name
Office Sought:

04

,
,

,
,

200.00

.
.

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

Image# 201507159000193900

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)

PAGE 167 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Charlottr Flynn

Date of Disbursement
M

04

Mailing Address 7710 W Rim Dr


City
Austin
Purpose of Disbursement
Donor Requested Refund

State
TX

Zip Code
78731

2015

19

Amount of Each Disbursement this Period

.5.00

Transaction ID : 20a-05-05273-11821

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

B. Sheldon Goldberg

Date of Disbursement
M

Mailing Address 270 Littleton Rd 148


City

State
MA

Chelmsford
Purpose of Disbursement
Donor Requested Refund

Zip Code

State:

19

2015

Amount of Each Disbursement this Period

01824

25.00

Transaction ID : 20a-05-05273-11817

Candidate Name
Office Sought:

04

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

Full Name (Last, First, Middle Initial)

C. Katharine B. Morgan

Date of Disbursement
M

Mailing Address 4200 Massachusetts Ave NW


City
Washington
Purpose of Disbursement
Donor Requested Refund

State
DC

Zip Code
20016

State:

19

2015

50.00

Transaction ID : 20a-05-05273-11818

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

04

,
,

,
,

.0.00
.

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

Image# 201507159000193901

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)

PAGE 168 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Patricia Kurauski

Date of Disbursement
M

City
Chicago
Purpose of Disbursement
Donor Requested Refund

04

Mailing Address 4229 N Keystone Ave


State
IL

Zip Code
60641-2305

2015

19

Amount of Each Disbursement this Period

60.00

Transaction ID : 20a-05-05273-11819

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

B. Helmut Diefenthal

Date of Disbursement
M

Mailing Address 4817 Folwell Dr


City
Minneapolis
Purpose of Disbursement
Donor Requested Refund

State
MN

Zip Code

State:

19

2015

Amount of Each Disbursement this Period

55406

60.00

Transaction ID : 20a-05-05273-11816

Candidate Name
Office Sought:

04

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

Full Name (Last, First, Middle Initial)

C. ActBlue Technical Services

Date of Disbursement
M

Mailing Address 366 Summer Street


City
State
Zip Code
MA
02144
Somerville
Purpose of Disbursement
Merchant Fees/Refunds - See Memos on Schedule B for Lines 17 and 20a

State:

26

2015

Amount of Each Disbursement this Period

10.00

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Transaction ID : 20a-05-05282-0000

Candidate Name
Office Sought:

04

,
,

,
,

10.00

.
.

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

Image# 201507159000193902

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)

PAGE 169 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Joan Bresko

Date of Disbursement
M

City
Fernandina Beach
Purpose of Disbursement
Donor Requested Refund

04

Mailing Address 96281 Marsh Hen Rd


State
FL

Zip Code
32034

2015

26

Amount of Each Disbursement this Period

10.00

Transaction ID : 20a-05-05282-11837

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

B. ActBlue Technical Services

Date of Disbursement
M

Mailing Address 366 Summer Street


City

State

Zip Code

03

2015

1020.57

Transaction ID : 20a-05-05286-0000

Candidate Name

State:

Amount of Each Disbursement this Period

MA
02144
Somerville
Purpose of Disbursement
Merchant Fees/Refunds - See Memos on Schedule B for Lines 17 and 20a

Office Sought:

05

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. Gerard Vaughan

Date of Disbursement
M

Mailing Address 223 C Hikion


City
Veliko
Purpose of Disbursement
Donor Requested Refund

State
TN

Zip Code
50680

State:

03

2015

.1.12

Transaction ID : 20a-05-05286-11850

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

05

,
,

,
,

1020.57

.
.

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

Image# 201507159000193903

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)

PAGE 170 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Myrna Konajeski

Date of Disbursement
M

City
Baltimore
Purpose of Disbursement
Donor Requested Refund

05

Mailing Address 508 Cathedral St


State
MD

Zip Code
21201

2015

03

Amount of Each Disbursement this Period

.1.25

Transaction ID : 20a-05-05286-11845

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

B. Karen Lawrence

Date of Disbursement
M

Mailing Address 8612 Tebbs Ln


City
McLean
Purpose of Disbursement
Donor Requested Refund

State
VA

Zip Code

State:

03

2015

Amount of Each Disbursement this Period

22102

1018.20

Transaction ID : 20a-05-05286-11847

Candidate Name
Office Sought:

05

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

Full Name (Last, First, Middle Initial)

C. ActBlue Technical Services

Date of Disbursement
M

Mailing Address 366 Summer Street


City
State
Zip Code
MA
02144
Somerville
Purpose of Disbursement
Merchant Fees/Refunds - See Memos on Schedule B for Lines 17 and 20a

State:

10

2015

Amount of Each Disbursement this Period

150.00

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Transaction ID : 20a-05-05302-0000

Candidate Name
Office Sought:

05

,
,

,
,

150.00

.
.

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

Image# 201507159000193904

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)

PAGE 171 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Sarah Edmonds

Date of Disbursement
M

City
Prescott
Purpose of Disbursement
Donor Requested Refund

05

Mailing Address 110 S Rocky Dells Dr


State
AZ

Zip Code
86303

2015

10

Amount of Each Disbursement this Period

150.00

Transaction ID : 20a-05-05302-11875

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

B. ActBlue Technical Services

Date of Disbursement
M

Mailing Address 366 Summer Street


City

State

Zip Code

17

2015

199.00

Transaction ID : 20a-05-05312-0000

Candidate Name

State:

Amount of Each Disbursement this Period

MA
02144
Somerville
Purpose of Disbursement
Merchant Fees/Refunds - See Memos on Schedule B for Lines 17 and 20a

Office Sought:

05

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. Dwight Hawkins

Date of Disbursement
M

Mailing Address PO Box 14912


City
Tucson
Purpose of Disbursement
Donor Requested Refund

State
AZ

Zip Code
85732

State:

17

2015

15.00

Transaction ID : 20a-05-05312-11897

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

05

,
,

,
,

199.00

.
.

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

Image# 201507159000193905

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)

PAGE 172 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Dale Domzalski

Date of Disbursement
M

City
Mesa
Purpose of Disbursement
Donor Requested Refund

05

Mailing Address 1557 W Javelina Ave


State
AZ

Zip Code
85202

2015

17

Amount of Each Disbursement this Period

25.00

Transaction ID : 20a-05-05312-11894

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

B. Al Aguianga

Date of Disbursement
M

Mailing Address 1432 E Hubbell St


City
Phoenix
Purpose of Disbursement
Donor Requested Refund

State
AZ

Zip Code

17

2015

Amount of Each Disbursement this Period

85006

.2.00

Transaction ID : 20a-05-05312-11895

Candidate Name

Category/
Type

Office Sought:

State:

05

House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

Full Name (Last, First, Middle Initial)

C. Jennifer Asher

Date of Disbursement
M

Mailing Address 1633 W Michigan Ave


City
Phoenix
Purpose of Disbursement
Donor Requested Refund

State
AZ

Zip Code
85023

State:

17

2015

.5.00

Transaction ID : 20a-05-05312-11896

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

05

,
,

,
,

.0.00
.

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

Image# 201507159000193906

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)

PAGE 173 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Rosanne Heym

Date of Disbursement
M

City
Chico
Purpose of Disbursement
Donor Requested Refund

05

Mailing Address 3036 Top Hand Ct


State
CA

Zip Code
95973

2015

17

Amount of Each Disbursement this Period

150.00

Transaction ID : 20a-05-05312-11899

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

B. Patricia Rudy

Date of Disbursement
M

Mailing Address 62 Noll Dr


City
Mill Hall
Purpose of Disbursement
Donor Requested Refund

State
PA

Zip Code

State:

17

2015

Amount of Each Disbursement this Period

17751

.2.00

Transaction ID : 20a-05-05312-11900

Candidate Name
Office Sought:

05

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

Full Name (Last, First, Middle Initial)

C. ActBlue Technical Services

Date of Disbursement
M

Mailing Address 366 Summer Street


City
State
Zip Code
MA
02144
Somerville
Purpose of Disbursement
Merchant Fees/Refunds - See Memos on Schedule B for Lines 17 and 20a

State:

24

2015

Amount of Each Disbursement this Period

71.25

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Transaction ID : 20a-05-05335-0000

Candidate Name
Office Sought:

05

,
,

,
,

71.25

.
.

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

Image# 201507159000193907

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)

PAGE 174 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Stanley T. Sutphin

Date of Disbursement
M

City
Phoenix
Purpose of Disbursement
Donor Requested Refund

05

Mailing Address 7550 N 16 St 5212


State
AZ

Zip Code
85020

2015

24

Amount of Each Disbursement this Period

70.00

Transaction ID : 20a-05-05335-11936

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

B. Richard Stough

Date of Disbursement
M

Mailing Address 126 N 37 St


City
Allentown
Purpose of Disbursement
Donor Requested Refund

State
PA

Zip Code

State:

24

2015

Amount of Each Disbursement this Period

18104

.1.25

Transaction ID : 20a-05-05335-11934

Candidate Name
Office Sought:

05

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

Full Name (Last, First, Middle Initial)

C. ActBlue Technical Services

Date of Disbursement
M

Mailing Address 366 Summer Street


City
State
Zip Code
MA
02144
Somerville
Purpose of Disbursement
Merchant Fees/Refunds - See Memos on Schedule B for Lines 17 and 20a

State:

31

2015

Amount of Each Disbursement this Period

66.83

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Transaction ID : 20a-05-05350-0000

Candidate Name
Office Sought:

05

,
,

,
,

66.83

.
.

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

Image# 201507159000193908

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)

PAGE 175 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Linda Jenkins

Date of Disbursement
M

City
Bremerton
Purpose of Disbursement
Donor Requested Refund

05

Mailing Address 4605 Marine View Dr


State
WA

Zip Code
98312

2015

31

Amount of Each Disbursement this Period

15.00

Transaction ID : 20a-05-05350-11953

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

B. Dennis Buettner

Date of Disbursement
M

Mailing Address 711 W Acacia Rd


City
Glendale
Purpose of Disbursement
Donor Requested Refund

State
WI

Zip Code

31

2015

Amount of Each Disbursement this Period

53217

.1.33

Transaction ID : 20a-05-05350-11955

Candidate Name

Category/
Type

Office Sought:

State:

05

House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

Full Name (Last, First, Middle Initial)

C. Jane K. Phillips

Date of Disbursement
M

Mailing Address 1700 E Hollow Oak Rd


City
Stigler
Purpose of Disbursement
Donor Requested Refund

State
OK

Zip Code
74462-2574

State:

31

2015

Amount of Each Disbursement this Period

49.50

Transaction ID : 20a-05-05350-11956

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Candidate Name
Office Sought:

05

,
,

,
,

.0.00
.

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

Image# 201507159000193909

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)

PAGE 176 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Van King

Date of Disbursement
M

City
Woodland
Purpose of Disbursement
Donor Requested Refund

05

Mailing Address 1306 Leo Way


State
CA

Zip Code
95776

2015

31

Amount of Each Disbursement this Period

.1.00

Transaction ID : 20a-05-05350-11957

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

B. Act Blue

Date of Disbursement
M

Mailing Address Attn: Chaya


366 Summer Street
City

State
MA
Somerville
Purpose of Disbursement
Refunds - See Memos on Schedule B for Line 20a

Zip Code

08

2015

Amount of Each Disbursement this Period

02144

13.00

Transaction ID : 20a-05-05353-0000

Candidate Name

Category/
Type

Office Sought:

State:

06

House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. Margaret Clark

Date of Disbursement
M

Mailing Address 18 Grant Hill Rd


City
Bloomfield
Purpose of Disbursement
Donor Requested Refund

State
CT

Zip Code
06002

State:

08

2015

10.00

Transaction ID : 20a-05-05353-11960

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

06

,
,

,
,

13.00

.
.

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

Image# 201507159000193910

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)

PAGE 177 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Ann Shoben

Date of Disbursement
M

City
Tucson
Purpose of Disbursement
Donor Requested Refund

06

Mailing Address 3261 N Bouchard Pl


State
AZ

Zip Code
85749

2015

08

Amount of Each Disbursement this Period

.3.00

Transaction ID : 20a-05-05353-11962

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

B. Act Blue

Date of Disbursement
M

Mailing Address Attn: Chaya


366 Summer Street
City

State
MA
Somerville
Purpose of Disbursement
Refunds - See Memos on Schedule B for Line 20a

Zip Code

State:

25

2015

Amount of Each Disbursement this Period

02144

231.00

Transaction ID : 20a-05-05360-0000

Candidate Name
Office Sought:

06

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)

C. Dianne Blanding

Date of Disbursement
M

Mailing Address 1865 E Canyon St


City
Apache Junction
Purpose of Disbursement
Donor Requested Refund

State
AZ

Zip Code
85119

State:

25

2015

225.00

Transaction ID : 20a-05-05360-11979

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

Amount of Each Disbursement this Period

Candidate Name
Office Sought:

06

,
,

,
,

231.00

.
.

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

Image# 201507159000193911

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)

PAGE 178 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Philip Goodman

Date of Disbursement
M

06

Mailing Address 411 W End Ave


City
New York
Purpose of Disbursement
Donor Requested Refund

State
NY

Zip Code
10024

2015

25

Amount of Each Disbursement this Period

.5.00

Transaction ID : 20a-05-05360-11977

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

B. Deanna Levitt

Date of Disbursement
M

Mailing Address 16750 Parthenia St Apt 147


City
Northridge
Purpose of Disbursement
Donor Requested Refund

State
CA

Zip Code

State:

25

2015

Amount of Each Disbursement this Period

91343

.1.00

Transaction ID : 20a-05-05360-11976

Candidate Name
Office Sought:

06

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

[MEMO ITEM]

General

Full Name (Last, First, Middle Initial)


Date of Disbursement

C.

Mailing Address
City

State

Zip Code

Amount of Each Disbursement this Period

Purpose of Disbursement
Candidate Name
Office Sought:

State:

,
,

,
,

.0.00
2207.19
.

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

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

Image# 201507159000193912

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)

PAGE 179 OF

180

17

18

19a

19b

20a

20b

20c

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)

Kirkpatrick for Arizona


Full Name (Last, First, Middle Initial)

A. Coconino County Democratic Party

Date of Disbursement
M

City
Flagstaff
Purpose of Disbursement
Contribution

04

Mailing Address PO Box 701


State
AZ

Zip Code
86001

2015

08

Amount of Each Disbursement this Period

425.00

Transaction ID : 21-08-01249-01252

Candidate Name

Category/
Type

Office Sought:

House
Senate
President
State:
District:
Full Name (Last, First, Middle Initial)

Disbursement For:
Primary
Other (specify)

General

B. Arizona List

Date of Disbursement
M

Mailing Address PO Box 42294


City
Tucson
Purpose of Disbursement
Event Registration Fee

State
AZ

Zip Code

06

2015

Amount of Each Disbursement this Period

485.00

Transaction ID : 21-05-05283-11841

Category/
Type

Arizona List

State:

85733

Candidate Name
Office Sought:

05

House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

Full Name (Last, First, Middle Initial)


Date of Disbursement

C.

Mailing Address
City

State

Zip Code

Amount of Each Disbursement this Period

Purpose of Disbursement
Candidate Name
Office Sought:

State:

,
,

,
,

910.00

Category/
Type
House
Senate
President
District:

Disbursement For:
Primary
Other (specify)

General

SUBTOTAL of Disbursements This Page (optional) ..................................................................


TOTAL This Period (last page this line number only) ...............................................................

FE5AN018

.
910.00
.

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

Image# 201507159000193913

SCHEDULE D (FEC Form 3)


DEBTS AND OBLIGATIONS

PAGE

(Use separate
schedule(s)
for each
numbered line)

Excluding Loans

180 OF

180

FOR LINE NUMBER:


(check only one)

9
10

NAME OF COMMITTEE (In Full)

Kirkpatrick for Arizona


Nature of Debt (Purpose):
Technology Licensing Fees

A. Full Name (Last, First, Middle Initial) of Debtor or Creditor

Blue State Digital


Mailing Address
City

406 7th Street NW

State

Zip Code

Washington

DC

20004
Transaction ID : 10-000099

Outstanding Balance Beginning This Period

650.00

Amount Incurred This Period

.0.00

Outstanding Balance at Close of This Period

Payment This Period

650.00

B. Full Name (Last, First, Middle Initial) of Debtor or Creditor

City
Phoenix

Zip Code
AZ

Transaction ID : 10-000097

4000.00

Amount Incurred This Period

0.00

85042

Outstanding Balance Beginning This Period

2910 E. Gary Way

State

Nature of Debt (Purpose):


Compliance Consulting

CommonCentsConsulting, LLC
Mailing Address

.0.00

Outstanding Balance at Close of This Period

Payment This Period

4000.00

C. Full Name (Last, First, Middle Initial) of Debtor or Creditor

0.00

Nature of Debt (Purpose):

Mailing Address
City

State

Zip Code

Outstanding Balance Beginning This Period

Amount Incurred This Period

Outstanding Balance at Close of This Period

Payment This Period

1) SUBTOTALS This Period This Page (optional) ...................................................................

2) TOTALS This Period (last page this line number only) ......................................................

,
,

,
,

.0.00
.0.00

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)

,
,

,
,

.
.

FEC Schedule D (Form 3) (Revised 02/2003)

FE5AN018

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