Image# 11931791875

07/11/2011 17 : 32

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

REPORT OF RECEIPTS AND DISBURSEMENTS

For An Authorized Committee
USE FEC MAILING LABEL OR TYPE OR PRINT

Office Use Only

Example:If typing, type over the lines

DR DAN 4 CONGRESS 2012

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

PO BOX 39

MURPHY

FEC IDENTIFICATION NUMBER

CITY

.
X NEW (N)

NC

STATE

.
AMENDED (A)

28906

ZIP CODE STATE

..

DISTRICT

C00470179

3. IS THIS REPORT

OR

NC

11

4. TYPE OF REPORT
(a) Quarterly Reports:

(Choose One) (b) 12-Day PRE-Election Report for the: Primary (12P) General (12G) Special (12S) in the State of Runoff (12R)

April 15 Quarterly Report (Q1) Convention (12C) X July 15 Quarterly Report (Q2) October 15 Quarterly Report (Q3) January 31 Year-End Report (YE) (c) Election on 30-Day POST-Election Report for the: General (30G) Runoff (30R) Special (30S) in the State of

Termination Report (TER)

Election on

5.

Covering Period

04

01

2011

through

06

30

2011

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

Barton M. Barton

Signature of Treasurer

Electronically Filed by

Barton M. Barton

Date

06

30

2011

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# 11931791876 FEC Form 3 (Revised 02/2003) Write or Type Committee Name DR DAN 4 CONGRESS 2012

SUMMARY PAGE
of Receipts and Disbursements

2/9

Report Covering the Period:

From:

04

01

2011

To:

06

30

2011

COLUMN A This Period 6. Net Contributions (other than loans) (a) Total Contributions (other than loans) (from Line 11(e))...... (b) Total Contribution Refunds (from Line 20(d)).................................. (c) Net Contributions (other than loans) (subtract Line 6(b) from Line 6(a))......... 7. Net Operating Expenditures (a) Total Operating Expenditures (from Line 17).................................... (b) Total Offsets to Operating Expenditures (from Line 14)................ (c) Net Operating Expenditures (subtract Line 7(b) from Line 7(a))........ 8. Cash on Hand at Close of Reporting Period (from Line 27)................. Debts and Obligations Owed TO the Committee (Itemize all on Schedule C and/or Schedule D)................

COLUMN B Election Cycle-to-Date

0.00

37002.33

0.00 0.00

0.00 37002.33

0.00 0.00 0.00

134966.32

463.75 134502.57

89.74

9.

0.00

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

100000.00 For further information contact: Federal Election Commission 999 E Street, NW Washington, DC 20463 Toll Free 800-424-9530 Local 202-694-1100

FE5AN018

Image# 11931791877 FEC Form 3 (Revised 12/2003) Write or Type Committee Name

DETAILED SUMMARY PAGE

of Receipts

3/9

DR DAN 4 CONGRESS 2012

Report Covering the Period:

From:

04

01

2011

To:

06

30

2011

I. RECEIPTS
11. CONTRIBUTIONS (other than loans) FROM: (a) Individuals/Persons Other Than Political Committees (i) Itemized (use Schedule A).............. (ii) Unitemized..................................... (iii) TOTAL of contributions from individuals......................

COLUMN A Total This Period

COLUMN B Election Cycle-to-Date

0.00 0.00 0.00 0.00 0.00 0.00

21885.00 6540.28 28425.28 0.00 1000.00 7577.05

(b) Political Party Committees................... (c) Other Political Committees (such as PACS)................................. (d) The Candidate.................................... (e) TOTAL CONTRIBUTIONS (other than loans) (add Lines 11(a)(iii), (b), (c), and (d)) 12. TRANSFERS FROM OTHER AUTHORIZED COMMITTEES..................... 13. LOANS (a) Made or Guaranteed by the Candidate........................................... (b) All Other Loans.................................... (c) TOTAL LOANS (add Lines 13(a) and (b))..................... 14. OFFSETS TO OPERATING EXPENDITURES (Refunds, Rebates, etc.)............................ 15. OTHER RECEIPTS (Dividends, Interest, etc.)............................ 16. TOTAL RECEIPTS (add Lines 11(e), 12, 13(c), 14, and 15) (Carry Total to Line 24, page 4)............

0.00 0.00

37002.33 0.00

0.00 0.00 0.00

100000.00 0.00 100000.00

0.00

463.75

0.00 0.00

0.74 137466.82

FE5AN018

Image# 11931791878 FEC Form 3 (Revised 02/2003)

DETAILED SUMMARY PAGE

of Disbursements COLUMN A Total This Period

4/9
COLUMN B Election Cycle-to-Date

II. DISBURSEMENTS

17. OPERATING EXPENDITURES.................. 18. TRANSFERS TO OTHER AUTHORIZED COMMITTEES................... 19. LOAN REPAYMENTS: (a) Of Loans Made or Guaranteed by the Candidate................................. (b) Of all Other Loans............................... (c) TOTAL LOAN REPAYMENTS (add Lines 19(a) and (b))..................... 20. REFUNDS OF CONTRIBUTIONS TO: (a) Individuals/Persons Other Than Political Committees.................. (b) Political Party Committees.................. (c) Other Political Committees (such as PACs).................................. (d) TOTAL CONTRIBUTION REFUNDS (add Lines 20(a), (b), and (c))............

0.00 0.00

134966.32 0.00

0.00 0.00 0.00

0.00 0.00 0.00

0.00 0.00 0.00 0.00 2052.76

0.00 0.00 0.00 0.00 0.00

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

2052.76

134966.32

III. CASH SUMMARY

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

2142.50

24. TOTAL RECEIPTS THIS PERIOD (from Line 16, page3).......................................................

0.00 2142.50

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

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

2052.76 89.74

FE5AN018

Image# 11931791879

SCHEDULE B (FEC Form 3) ITEMIZED DISBURSEMENTS

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

FOR LINE NUMBER: (check only one) 17 20a 18 20b

PAGE 5 / 9 19a 20c 19b

X 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)

DR DAN 4 CONGRESS 2012

Full Name (Last, First, Middle Initial)

A.

One-Time Cash Discr. One-Time Cash Discrepancy

Mailing Address City

Transaction ID: SB21.4758 Date of Disbursement

Post Office Box 75

State Zip Code

06

30

2011

Amount of Each Disbursement this Period

Murphy
Purpose of Disbursement Discrepancy in report and bank for previous year Candidate Name Office Sought: House Senate President

NC

28906 1992.76
Category/ Type

Disbursement For: 2012 X Primary General Other (specify)

State:

District:

SUBTOTAL of Disbursements This Page (optional) ......................................................... TOTAL This Period (last page this line number only) .......................................................
FE5AN018

1992.76 1992.76
FEC Schedule B ( Form 3 ) (Revised 02/2009)

A. Form/Schedule : SB21 Transaction ID : SB21.4758

Brian Umbarger has been the treasurer up to this point. He was not very accurate in keeping up with all the bank fees and transaction fees associated with google. This discrepancy has occurred over a period of over 18 months. This will bring the balance up to date and we will strive to see that it stays in balance. Thank you for your consideration in this matter.

Image# 11931791881

SCHEDULE C (FEC Form 3)

LOANS
NAME OF COMMITTEE (In Full) Use separate schedule(s) for each category of the Detailed Summary Page

PAGE 7 / 9 FOR LINE NUMBER: (check only one) X 13a 13b

DR DAN 4 CONGRESS 2012

LOAN SOURCE Full Name (Last, First, Middle Initial) Transaction ID: SC/10.4295 Election: X Primary General Other (specify)

DAN EICHENBAUM
Mailing Address City MURPHY Original Amount of Loan 10000.00 TERMS Date Incurred
M M D D Y Y Y Y

PO BOX 39 State NC ZIP Code 28906

Cumulative Payment To Date 0.00

Balance Outstanding at Close of This Period 10000.00

Date Due 12-31-10

Interest Rate 0.0000 % (apr)

Secured: Yes X No

01

12

2010

List All Endorsers or Guarantors (if any) to Loan Source Full Name (Last, First, Middle Initial) Mailing Address

Name of Employer Occupation Amount Guaranteed Outstanding: Name of Employer Occupation Amount Guaranteed Outstanding: Name of Employer Occupation Amount Guaranteed Outstanding: Name of Employer Occupation Amount Guaranteed Outstanding:

City

State

ZIP Code

Full Name (Last, First, Middle Initial) Mailing Address

City

State

ZIP Code

Full Name (Last, First, Middle Initial) Mailing Address

City

State

ZIP Code

Full Name (Last, First, Middle Initial) Mailing Address

City

State

ZIP Code

SUBTOTALS This Period This Page (optional) ........................................................ TOTALS This Period (last page in this line only) ......................................................

. .
FEC Schedule C ( Form 3

10000.00

Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary. FE5AN018 ) (Revised 02/2003)

Image# 11931791882

SCHEDULE C (FEC Form 3)

LOANS
NAME OF COMMITTEE (In Full) Use separate schedule(s) for each category of the Detailed Summary Page

PAGE 8 / 9 FOR LINE NUMBER: (check only one) X 13a 13b

DR DAN 4 CONGRESS 2012

LOAN SOURCE Full Name (Last, First, Middle Initial) Transaction ID: SC/10.4296 Election: X Primary General Other (specify)

DAN EICHENBAUM
Mailing Address City MURPHY Original Amount of Loan 20000.00 TERMS Date Incurred
M M D D Y Y Y Y

PO BOX 39 State NC ZIP Code 28906

Cumulative Payment To Date 0.00

Balance Outstanding at Close of This Period 20000.00

Date Due 12-31-10

Interest Rate 0.0000 % (apr)

Secured: Yes X No

03

01

2010

List All Endorsers or Guarantors (if any) to Loan Source Full Name (Last, First, Middle Initial) Mailing Address

Name of Employer Occupation Amount Guaranteed Outstanding: Name of Employer Occupation Amount Guaranteed Outstanding: Name of Employer Occupation Amount Guaranteed Outstanding: Name of Employer Occupation Amount Guaranteed Outstanding:

City

State

ZIP Code

Full Name (Last, First, Middle Initial) Mailing Address

City

State

ZIP Code

Full Name (Last, First, Middle Initial) Mailing Address

City

State

ZIP Code

Full Name (Last, First, Middle Initial) Mailing Address

City

State

ZIP Code

SUBTOTALS This Period This Page (optional) ........................................................ TOTALS This Period (last page in this line only) ......................................................

. .
FEC Schedule C ( Form 3

20000.00

Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary. FE5AN018 ) (Revised 02/2003)

Image# 11931791883

SCHEDULE C (FEC Form 3)

LOANS
NAME OF COMMITTEE (In Full) Use separate schedule(s) for each category of the Detailed Summary Page

PAGE 9 / 9 FOR LINE NUMBER: (check only one) X 13a 13b

DR DAN 4 CONGRESS 2012

LOAN SOURCE Full Name (Last, First, Middle Initial) Transaction ID: SC/10.4298 Election: X Primary General Other (specify)

DAN EICHENBAUM - [PERSONAL FUNDS]

Mailing Address City MURPHY Original Amount of Loan 70000.00 TERMS Date Incurred
M M D D Y Y Y Y

PO BOX 39 State NC ZIP Code 28906

Cumulative Payment To Date 0.00

Balance Outstanding at Close of This Period 70000.00

Date Due 12-31-2010

Interest Rate 0.0000 % (apr)

Secured: Yes X No

03

31

2010

List All Endorsers or Guarantors (if any) to Loan Source Full Name (Last, First, Middle Initial) Mailing Address

Name of Employer Occupation Amount Guaranteed Outstanding: Name of Employer Occupation Amount Guaranteed Outstanding: Name of Employer Occupation Amount Guaranteed Outstanding: Name of Employer Occupation Amount Guaranteed Outstanding:

City

State

ZIP Code

Full Name (Last, First, Middle Initial) Mailing Address

City

State

ZIP Code

Full Name (Last, First, Middle Initial) Mailing Address

City

State

ZIP Code

Full Name (Last, First, Middle Initial) Mailing Address

City

State

ZIP Code

SUBTOTALS This Period This Page (optional) ........................................................ TOTALS This Period (last page in this line only) ......................................................

. .

70000.00 100000.00

Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary. FE5AN018 FEC Schedule C ( Form 3 ) (Revised 02/2003)