REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... ·...
Transcript of REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... ·...
FEC FORM 3XRev. 05/2016
Office Use Only
NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 52 U.S.C. § 30109.
4. TYPE OF REPORT (Choose One)
(a) Quarterly Reports:
12-Day Primary (12P) General (12G) Runoff (12R) PRE-Election Report for the: Convention (12C) Special (12S)
30-Day POST-Election General (30G) Runoff (30R) Special (30S) Report for the:
(b) Monthly Report Due On:
Feb 20 (M2) May 20 (M5) Aug 20 (M8)
Mar 20 (M3) Jun 20 (M6) Sep 20 (M9)
Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE)
FEC FORM 3X
REPORT OF RECEIPTS AND DISBURSEMENTSFor Other Than An Authorized Committee
1. NAME OF COMMITTEE (in full)
ADDRESS (number and street)
Check if different than previously reported. (ACC)
TYPE OR PRINT
CITY STATE ZIP CODE2. FEC IDENTIFICATION NUMBER ▼
▼ ▼ ▼
5. Covering Period through
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
Signature of Treasurer Date
April 15 Quarterly Report (Q1)
July 15 Quarterly Report (Q2)
October 15 Quarterly Report (Q3)
January 31 Year-End Report (YE)
July 31 Mid-Year Report (Non-election Year Only) (MY)
Termination Report (TER) in the
Election on State of
in the Election on State of
Office Use Only
C
▼
3. IS THIS NEW AMENDED REPORT (N) OR (A)
(c)
▼
Nov 20 (M11)(Non-Election Year Only)
Dec 20 (M12)(Non-Election Year Only)
Example: If typing, type over the lines.
(d)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
12FE4M5
01/31/2018 22 : 27
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CLUB FOR CONSERVATIVES
435 MERCHANT WALK SQUARE
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SUITE300 #516
CHARLOTTESVILLE VA 22902
C00658302
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01 01 2017 12 31 2017
Pendley, Nathanael, , ,
Pendley, Nathanael, , ,[Electronically Filed] 01 31 2018
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Y Y Y Y
COLUMN BCalendar Year-to-Date
COLUMN AThis Period
6. (a) Cash on Hand January 1,
(b) Cash on Hand at Beginning of Reporting Period ............
(c) Total Receipts (from Line 19) .............
(d) Subtotal (add Lines 6(b) and 6(c) for Column A and Lines 6(a) and 6(c) for Column B) ...............
7. Total Disbursements (from Line 31) ...........
8. Cash on Hand at Close of Reporting Period (subtract Line 7 from Line 6(d)) .................
9. Debts and Obligations Owed TO the Committee (Itemize all on Schedule C and/or Schedule D) ................
10. Debts and Obligations Owed BY the Committee (Itemize all on Schedule C and/or Schedule D) ................
For further information contact:
Federal Election Commission999 E Street, NW
Washington, DC 20463
Toll Free 800-424-9530Local 202-694-1100
FEC Form 3X (Rev. 05/2016 ) Page 2
SUMMARY PAGEOF RECEIPTS AND DISBURSEMENTS
This committee has qualified as a multicandidate committee. (see FEC FORM 1M)
Report Covering the Period: From: To:
Write or Type Committee Name
CLUB FOR CONSERVATIVES
01 01 2017 12 31 2017
Image# 201801319091310000
2017 0.00
0.00
161768.59 161768.59
161768.59 161768.59
72795.81 72795.81
88972.78 88972.78
0.00
13000.00
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Report Covering the Period: From: To:
COLUMN BCalendar Year-to-Date
COLUMN ATotal This Period
11. Contributions (other than loans) From: (a) Individuals/Persons Other Than Political Committees (i) Itemized (use Schedule A) ............ (ii) Unitemized ..................................... (iii) TOTAL (add Lines 11(a)(i) and (ii) .................
(b) Political Party Committees .................. (c) Other Political Committees (such as PACs) .................................... (d) Total Contributions (add Lines 11(a)(iii), (b), and (c)) (Carry Totals to Line 33, page 5) ..............12. Transfers From Affiliated/Other Party Committees ........................................
13. All Loans Received .....................................
14. Loan Repayments Received .......................15. Offsets To Operating Expenditures (Refunds, Rebates, etc.) (Carry Totals to Line 37, page 5) ...............16. Refunds of Contributions Made to Federal Candidates and Other Political Committees ....................................17. Other Federal Receipts (Dividends, Interest, etc.) ............................18. Transfers from Non-Federal and Levin Funds (a) Non-Federal Account (from Schedule H3) .............................
(b) Levin Funds (from Schedule H5) .........
(c) Total Transfers (add 18(a) and 18(b)) ..
19. Total Receipts (add Lines 11(d), 12, 13, 14, 15, 16, 17, and 18(c)) .........
20. Total Federal Receipts (subtract Line 18(c) from Line 19) .........
DETAILED SUMMARY PAGEof Receipts
Write or Type Committee Name
I. Receipts
FEC Form 3X (Rev. 05/2016 ) Page 3
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CLUB FOR CONSERVATIVES
01 01 2017 12 31 2017
Image# 201801319091310001
35380.00 35380.00
126388.59 126388.59
161768.59 161768.59
0.00 0.00
0.00 0.00
161768.59 161768.59
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
161768.59 161768.59
161768.59 161768.59
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21. Operating Expenditures: (a) Allocated Federal/Non-Federal Activity (from Schedule H4) (i) Federal Share .............................
(ii) Non-Federal Share ...................... (b) Other Federal Operating Expenditures ....................................... (c) Total Operating Expenditures (add 21(a)(i), (a)(ii), and (b)) .............22. Transfers to Affiliated/Other Party Committees .................................................23. Contributions to Federal Candidates/Committees and Other Political Committees .................24. Independent Expenditures (use Schedule E) .......................................25. Coordinated Party Expenditures (52 U.S.C. § 30116(d)) (use Schedule F)........................................
26. Loan Repayments Made ............................
27. Loans Made ................................................28. 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 28(a), (b), and (c)) ...........
29. Other Disbursements (Including Non-Federal Donations) ...................................
30. Federal Election Activity (52 U.S.C. § 30101(20)) (a) Allocated Federal Election Activity (from Schedule H6) (i) Federal Share ................................
(ii) "Levin" Share................................. (b) Federal Election Activity Paid Entirely With Federal Funds .............. (c) Total Federal Election Activity (add Lines 30(a)(i), 30(a)(ii) and 30(b)) .....
31. Total Disbursements (add Lines 21(c), 22, 23, 24, 25, 26, 27, 28(d), 29 and 30(c)) ..
32. Total Federal Disbursements (subtract Line 21(a)(ii) and Line 30(a)(ii) from Line 31) ..............................................
COLUMN BCalendar Year-to-Date
COLUMN ATotal This Period
II. Disbursements
DETAILED SUMMARY PAGEof Disbursements
FEC Form 3X (Rev. 05/2016 ) Page 4
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Image# 201801319091310002
0.00 0.00
0.00 0.00
18595.81 18595.81
18595.81 18595.81
0.00 0.00
16200.00 16200.00
38000.00 38000.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
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72795.81 72795.81
72795.81 72795.81
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COLUMN BCalendar Year-to-Date
COLUMN ATotal This Period
DETAILED SUMMARY PAGEof Disbursements
FEC Form 3X (Rev. 05/2016 ) Page 5III. Net Contributions/
Operating Expenditures
33. Total Contributions (other than loans) (from Line 11(d), page 3) ..........................34. Total Contribution Refunds (from Line 28(d)) ........................................35. Net Contributions (other than loans) (subtract Line 34 from Line 33) ................36. Total Federal Operating Expenditures (add Line 21(a)(i) and Line 21(b)) .........37. Offsets to Operating Expenditures (from Line 15, page 3)...............................38. Net Operating Expenditures (subtract Line 37 from Line 36) ................
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Image# 201801319091310003
161768.59 161768.59
0.00 0.00
161768.59 161768.59
18595.81 18595.81
0.00 0.00
18595.81 18595.81
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Aggregate Year-to-Date ▼
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SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201801319091310004
6 43
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CLUB FOR CONSERVATIVES
Auray, Robert, , ,
10040 E Happy Valley Rd12 07 2017
SCOTTSDALE AZ 85255Transaction ID : SA11AI.5173
retired
250.00
250.00
Bahler, Walter, , ,5927 S Creekside Ct
12 09 2017
REMINGTON IN 47977Transaction ID : SA11AI.4792
250.00
100.00
Beck, Gordon, , ,14506 N FAIRVIEW DR
11 20 2017
MEAD WA 99021Transaction ID : SA11AI.7318
Farmer
250.00
250.00
600.00
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M M / D D / Y Y Y Y
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SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201801319091310005
7 43
✘
CLUB FOR CONSERVATIVES
bell, bruce, , ,
26112 fawnwood11 13 2017
BONITA SPRINGS FL 34134Transaction ID : SA11AI.10696
Retired
500.00
500.00
Boenker, Al, , ,6030 Lake Worth Blvd
11 21 2017
FORT WORTH TX 76135Transaction ID : SA11AI.7185
Al Boenker Insurance Insurance
250.00
250.00
BONANNO, CHARLES, , ,10016 PINES BLVD
11 27 2017
HOLLYWOOD FL 33024Transaction ID : SA11AI.6377
Retired
1000.00
1000.00
1750.00
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M M / D D / Y Y Y Y
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SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201801319091310006
8 43
✘
CLUB FOR CONSERVATIVES
Borgmeyer, Roger, , ,
1200 N. Park Avenue11 14 2017
California MO 65018-1641Transaction ID : SA11AI.9966
Veterinarian
500.00
500.00
Bosma, Gerrit, , ,22 Rotterdam Crt
11 26 2017
VISALIA CA 93277Transaction ID : SA11AI.6533
Retired Dairyman
250.00
250.00
Brockett, William, , ,1215 James Madison Hwy
11 29 2017
HAYMARKET VA 20169Transaction ID : SA11AI.6006
Virginia Beef Corporation
350.00
250.00
1000.00
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M M / D D / Y Y Y Y
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SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201801319091310007
9 43
✘
CLUB FOR CONSERVATIVES
Budig, Michael, , ,
5304 e silver spurs lane11 20 2017
SPOKANE WA 99217Transaction ID : SA11AI.7288
Arborists of Washington
250.00
250.00
Burrows, Cary, , ,9008 Alden Nash Ave SE
11 25 2017
ALTO MI 49302Transaction ID : SA11AI.6707
Self Lon Haul Trucking
500.00
500.00
Byrd, Jerr, , ,2110 T Street SE
11 16 2017
WASHINGTON DC 20020Transaction ID : SA11AI.9150
Retired
500.00
500.00
1250.00
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C
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
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SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201801319091310008
10 43
✘
CLUB FOR CONSERVATIVES
Cannon, Joe, , ,
P. O. Box 6181412 07 2017
SAN ANGELO TX 76906Transaction ID : SA11AI.5184
Dodge Jones Foundation
250.00
250.00
Carlson, Chris, , ,45 Harrison Avenue
11 14 2017
LYNBROOK NY 11563Transaction ID : SA11AI.10232
Rightway AC
250.00
250.00
Cathcart, Clifton, , ,4003 South Chestnut St.
11 24 2017
LUFKIN TX 75901Transaction ID : SA11AI.6728
Physician
500.00
500.00
1000.00
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M M / D D / Y Y Y Y
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, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201801319091310009
11 43
✘
CLUB FOR CONSERVATIVES
Chenevert, Keith, , ,
165 River Birch Ln11 17 2017
OAKDALE LA 71463Transaction ID : SA11AI.8496
Retired
250.00
250.00
Chenevert, Keith, , ,165 River Birch Ln
12 07 2017
OAKDALE LA 71463Transaction ID : SA11AI.5203
Retired
350.00
100.00
Choi, Ruby, , ,P.O. Box 4877
12 09 2017
Foster City CA 94404Transaction ID : SA11AI.4880
Property Manager
525.00
500.00
850.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201801319091310010
12 43
✘
CLUB FOR CONSERVATIVES
Clemmons, Charles, , ,
4601 Hamblen Ct.11 17 2017
SEABROOK TX 77586Transaction ID : SA11AI.8379
Retired
500.00
500.00
Cobb, Donna, , ,810 W Round Grove Rd
11 17 2017
LEWISVILLE TX 75067Transaction ID : SA11AI.8501
Declined
250.00
250.00
Cobb, Donna, , ,810 W Round Grove Rd
12 07 2017
LEWISVILLE TX 75067Transaction ID : SA11AI.5205
Declined
750.00
500.00
1250.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201801319091310011
13 43
✘
CLUB FOR CONSERVATIVES
Collins, Robert, , ,
21500 Lassen St11 19 2017
CHATSWORTH CA 91311Transaction ID : SA11AI.7907
Retired
250.00
250.00
Collins, Robert, , ,21500 Lassen St
12 09 2017
CHATSWORTH CA 91311Transaction ID : SA11AI.4654
Retired
300.00
50.00
Conrad, Ted, , ,507Perrin dr
11 13 2017
SPARTANBURG SC 29307Transaction ID : SA11AI.10667
Conrad & Associates Attorney & CPA
250.00
250.00
550.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201801319091310012
14 43
✘
CLUB FOR CONSERVATIVES
Corelli, Phillip, , ,
5006 80th Avenue Ct. E11 28 2017
Fife WA 98424Transaction ID : SA11AI.6183
250.00
50.00
Crouch, Roddie, , ,2145 river falls dr
11 13 2017
ROSWELL GA 30076Transaction ID : SA11AI.10596
Retired
250.00
250.00
Curran, William, , ,401 Temple St
11 14 2017
NEW HAVEN CT 06511Transaction ID : SA11AI.10009
Halsey Associates
500.00
500.00
800.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201801319091310013
15 43
✘
CLUB FOR CONSERVATIVES
Demetriades, Penny, , ,
P.O. Box 179011 16 2017
HENDERSON NC 27536Transaction ID : SA11AI.8841
ETC of Henderson, Inc.
1000.00
1000.00
Dendorfer, Eric, , ,1944 S Routt Ct
11 13 2017
DENVER CO 80227Transaction ID : SA11AI.10488
Retired
2500.00
2500.00
downey, james, , ,26000 newbridge drive
11 28 2017
LOS ALTOS CA 94022Transaction ID : SA11AI.6157
Altos Sonoma Corp
500.00
500.00
4000.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201801319091310014
16 43
✘
CLUB FOR CONSERVATIVES
Edling, Jack, , ,
338 West Caroline St11 13 2017
FENTON MI 48430Transaction ID : SA11AI.10456
Retired
500.00
500.00
Ervin, Dan, , ,617 Rosewood Drive
12 07 2017
FLORENCE SC 29501Transaction ID : SA11AI.5152
Physician
500.00
500.00
Filip, Daniela, , ,34690 Sawtooth Ct
11 18 2017
MURRIETA CA 92563Transaction ID : SA11AI.8000
Retired
250.00
250.00
1250.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201801319091310015
17 43
✘
CLUB FOR CONSERVATIVES
Ford, Carl, , ,
P.O. Box11 18 2017
LAUREL MS 39441Transaction ID : SA11AI.8224
Attorney
500.00
500.00
Frechtling, Andrew, , ,1141 Greathouse Rd
11 22 2017
Waxahachie TX 75167Transaction ID : SA11AI.6960
Southwest Airlines
250.00
250.00
Ganske, John, , ,5206 waterbury rd
11 18 2017
DES MOINES IA 50312Transaction ID : SA11AI.8110
Physician
1000.00
1000.00
1750.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201801319091310016
18 43
✘
CLUB FOR CONSERVATIVES
George, Gary, , ,
6309 E Lake Anne Drive11 20 2017
RALEIGH NC 27612Transaction ID : SA11AI.7413
Retired
500.00
500.00
Gibson, jon, , ,2976 Alhambra Dr. Suite 500
11 17 2017
Cameron Park CA 95682Transaction ID : SA11AI.8500
Gibson Real Estate
500.00
500.00
Gray, Gretchen S, , ,515 Fairway Dr.
11 21 2017
BROKEN ARROW OK 74011Transaction ID : SA11AI.7244
Retired
250.00
250.00
1250.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201801319091310017
19 43
✘
CLUB FOR CONSERVATIVES
Gunn, David, , ,
1834 Gunn Rd11 14 2017
SPRINGFIELD TN 37172Transaction ID : SA11AI.9638
Self Farmer
250.00
250.00
Hawkins, Kevin, , ,9524 East Silent Hills Place
12 01 2017
LONE TREE CO 80124Transaction ID : SA11AI.5837
IMA
250.00
250.00
Haythe, Thomas, , ,11 Lamboll Street
12 09 2017
CHARLESTON SC 29401Transaction ID : SA11AI.4704
Business Lawyer
250.00
250.00
750.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201801319091310018
20 43
✘
CLUB FOR CONSERVATIVES
Hedrick, Dale, , ,
2200 Centrepark West Dr11 19 2017
WEST PALM BEACH FL 33409Transaction ID : SA11AI.7738
Hedrick Bros. Construction
250.00
250.00
Henderson, Larry, , ,1933 south Pinnebog Road
12 09 2017
BAD AXE MI 48413Transaction ID : SA11AI.4604
300.00
100.00
Herring, Laurs, , ,232 N Kingshighway #1702
11 18 2017
SAINT LOUIS MO 63108Transaction ID : SA11AI.8154
Retired
250.00
250.00
600.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201801319091310019
21 43
✘
CLUB FOR CONSERVATIVES
Holloway, Randall, , ,
2416 N Atlantic Blvd11 27 2017
FORT LAUDERDALE FL 33305Transaction ID : SA11AI.6438
Retired
1000.00
1000.00
Holmes, Lee, , ,P.O. Box AR
11 21 2017
Hagatna GU 96932Transaction ID : SA11AI.7003
Southern Media
500.00
500.00
Holmes, Lee, , ,P.O. Box AR
11 30 2017
Hagatna GU 96932Transaction ID : SA11AI.5938
Southern Media
1000.00
500.00
2000.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201801319091310020
22 43
✘
CLUB FOR CONSERVATIVES
Holmes, Lee, , ,
P.O. Box AR12 05 2017
Hagatna GU 96932Transaction ID : SA11AI.5396
Southern Media
1250.00
250.00
Hoots, Marti, , ,Box 36
12 05 2017
DEETH NV 89823Transaction ID : SA11AI.5419
250.00
100.00
hornstein, steven, , ,36 westwood lane
12 09 2017
WOODBURY NY 11797Transaction ID : SA11AI.4628
Global Credit Advisors
1000.00
1000.00
1350.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201801319091310021
23 43
✘
CLUB FOR CONSERVATIVES
Hughes, Talbert, , ,
7224 Panorama Drive12 09 2017
Rockville MD 20855-1939Transaction ID : SA11AI.4434
Property Management
205.00
205.00
Johnson, Malcolm, , ,405 Caddie Dr
11 13 2017
DEBARY FL 32713Transaction ID : SA11AI.10781
Malcom Johnson & Company P.A.
250.00
250.00
jolliff, richard, , ,3527 kailua lane
11 17 2017
CHICO CA 95928Transaction ID : SA11AI.8550
250.00
100.00
555.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201801319091310022
24 43
✘
CLUB FOR CONSERVATIVES
Jones, Kathryn, , ,
12534 Hazelwood Lane11 28 2017
HOUSTON TX 77077Transaction ID : SA11AI.6221
225.00
25.00
Keefe, Robert, , ,1301 Sarasota Center Bivd
11 23 2017
SARASOTA FL 34240Transaction ID : SA11AI.6817
250.00
250.00
Keefe, Robert, , ,1301 Sarasota Center Bivd
12 12 2017
SARASOTA FL 34240Transaction ID : SA11AI.4193
300.00
50.00
325.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201801319091310023
25 43
✘
CLUB FOR CONSERVATIVES
Keinath, Warren c., , ,
24 Ravens pointe dr.12 06 2017
LAKE SAINT LOUIS MO 63367Transaction ID : SA11AI.5278
Retired
250.00
250.00
Latham, Larry, , ,1720 N Dowell Rd
11 21 2017
AMARILLO TX 79124Transaction ID : SA11AI.7124
Self Investments
250.00
250.00
Lee, Eleanor, , ,1930 W. River Bend Ct.
12 10 2017
MEQUON WI 53092Transaction ID : SA11AI.4323
300.00
200.00
700.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201801319091310024
26 43
✘
CLUB FOR CONSERVATIVES
Lim, Herbert, , ,
208 Upland Ct.11 20 2017
REDWOOD CITY CA 94062Transaction ID : SA11AI.7469
Retired
500.00
500.00
Lundquist, David R, , ,41-980 Kakaina Street
11 19 2017
Waimanalo HI 86795Transaction ID : SA11AI.7952
self
500.00
500.00
m, C, , ,595 Inlet Dr
11 23 2017
MARCO ISLAND FL 34145Transaction ID : SA11AI.6805
Retired
250.00
250.00
1250.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201801319091310025
27 43
✘
CLUB FOR CONSERVATIVES
McCormac, Phil, , ,
1701 E Meadowbrook Ave Apt 13111 14 2017
PHOENIX AZ 85016Transaction ID : SA11AI.9696
Retired
250.00
250.00
MCMURRAY, DAVID, , ,P.O. Box 5694
11 27 2017
BEND OR 97708Transaction ID : SA11AI.6401
McMurray & Son Contractor
500.00
500.00
Merriman, Stephen, , ,1811 Rhode Island Ave N
11 19 2017
Golden Valley MN 55427Transaction ID : SA11AI.7861
etired/Energy
500.00
500.00
1250.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201801319091310026
28 43
✘
CLUB FOR CONSERVATIVES
Montgomery, John, , ,
PO Box 2015312 04 2017
WICKENBURG AZ 85358Transaction ID : SA11AI.5635
Retired
250.00
250.00
Morgan, Carolyn, , ,5013 Cascade Dr
12 10 2017
CORPUS CHRISTI TX 78413Transaction ID : SA11AI.4388
250.00
100.00
music, james, , ,511 sw 11th avenue
12 06 2017
OKEECHOBEE FL 34974Transaction ID : SA11AI.5246
Retired Building Contractor
250.00
250.00
600.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201801319091310027
29 43
✘
CLUB FOR CONSERVATIVES
OConnor, Richard, , ,
8051 Crestwood Cove11 16 2017
BILOXI MS 39532Transaction ID : SA11AI.8919
Self Independent Consulting
250.00
250.00
Padgett, Ken, , ,15 Locust Avenue
11 18 2017
FT MITCHELL KY 41017Transaction ID : SA11AI.8255
Reitred
250.00
250.00
Padgett, Patrick, , ,38 Stone Creek Park
11 22 2017
OWENSBORO KY 42303Transaction ID : SA11AI.6882
Owensboro Health Medical Group
250.00
250.00
750.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201801319091310028
30 43
✘
CLUB FOR CONSERVATIVES
Paris, Janet Lupy, , ,
12240 Spring Place Lane12 09 2017
ALPHARETTA GA 30004Transaction ID : SA11AI.4624
Retired
500.00
500.00
Phillips, Tim, , ,438 Valley View Drive
11 16 2017
WINTER GARDEN FL 34787Transaction ID : SA11AI.8897
Certi-Fine Fruit Co.
500.00
500.00
Plant, Charles, , ,3615 Rainbow Lane
11 17 2017
COLORADO SPRINGS CO 80908Transaction ID : SA11AI.8345
Electrical Engineer
250.00
250.00
1250.00
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Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
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C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
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SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201801319091310029
31 43
✘
CLUB FOR CONSERVATIVES
Posma, Bonne, , ,
12946 Kedleston Circle11 13 2017
FORT MYERS FL 33912Transaction ID : SA11AI.10444
Saminco, Inc.
500.00
500.00
Prylinski, Cindy, , ,5610 Tarelton Dr. S.E.
11 26 2017
HUNTSVILLE AL 35802Transaction ID : SA11AI.6543
Declined
250.00
250.00
Reedal, Richard, , ,85221 Ridgetop Dr
11 22 2017
EUGENE OR 97405Transaction ID : SA11AI.6898
Pharmacist
250.00
250.00
1000.00
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Aggregate Year-to-Date ▼
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C
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C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201801319091310030
32 43
✘
CLUB FOR CONSERVATIVES
Reynolds, David, , ,
5305 Fulton Industrial Blvd SW11 20 2017
ATLANTA GA 30336Transaction ID : SA11AI.7605
Reynolds Direct
250.00
250.00
Roberts, Gary, , ,6206 Appian Way
12 09 2017
RIVERSIDE CA 92506Transaction ID : SA11AI.4822
250.00
50.00
Schaffnit, Bobbie, , ,P. O. Box 1385
12 06 2017
ROCKINGHAM NC 28380Transaction ID : SA11AI.5236
225.00
100.00
400.00
▲ ▲ ▲ , , . , , .
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Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201801319091310031
33 43
✘
CLUB FOR CONSERVATIVES
Schell, Frank, , ,
545 bennett st12 05 2017
LUZERNE PA 18709Transaction ID : SA11AI.5489
300.00
100.00
Selich, Judith, , ,P.O. BOX 358
12 01 2017
SOUTH BEACH OR 97366Transaction ID : SA11AI.5881
Retired
1000.00
1000.00
Smith, Terry, , ,800 Kiowa Dr. E
11 18 2017
GAINESVILLE TX 76240Transaction ID : SA11AI.8212
American Airlines
250.00
250.00
1350.00
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Aggregate Year-to-Date ▼
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C
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C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201801319091310032
34 43
✘
CLUB FOR CONSERVATIVES
smith, william, , ,
906 snowberry ln11 25 2017
SANIBEL FL 33957Transaction ID : SA11AI.6722
205.00
200.00
Sorenson, Joseph, , ,6440 S Wasatch Blvd. suite 105
11 21 2017
SALT LAKE CITY UT 84121Transaction ID : SA11AI.7049
Self Manager
500.00
500.00
TANNER, JOHN, , ,327 BROWN DRIVE
11 13 2017
CLERMONT GA 30527-1756Transaction ID : SA11AI.10871
Retired
250.00
250.00
950.00
▲ ▲ ▲ , , . , , .
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Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201801319091310033
35 43
✘
CLUB FOR CONSERVATIVES
Thompson, Colleen, , ,
482 Wicks St11 16 2017
Grayslake IL 60030-2757Transaction ID : SA11AI.8732
Brighthope
500.00
500.00
Vacek, Mark, , ,12886 Aries Loop
11 28 2017
WILLIS TX 77318Transaction ID : SA11AI.6217
YMT Ltd. Accountant
250.00
250.00
van Amerongen, Lewis, , ,509 Madison Ave Fl23
11 28 2017
NEW YORK NY 10022Transaction ID : SA11AI.6179
Self Investor
250.00
250.00
1000.00
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Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
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▲ ▲ ▲
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201801319091310034
36 43
✘
CLUB FOR CONSERVATIVES
Vargas, Joseph, , ,
2950 Van Horn Rd11 13 2017
FAIRBANKS AK 99709Transaction ID : SA11AI.10598
Denali Fenceworks, LLC.
250.00
250.00
Westley, Charles Ross, , ,12976 West 78 Circle
11 26 2017
ARVADA CO 80005Transaction ID : SA11AI.6672
Retired
250.00
250.00
Wiggins, Matt, , ,P.O. Box 139
12 09 2017
KEMAH TX 77565Transaction ID : SA11AI.4716
self
1000.00
1000.00
1500.00
▲ ▲ ▲ , , . , , .
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Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201801319091310035
37 43
✘
CLUB FOR CONSERVATIVES
Yakovakis, Matthew, , ,
39 Juniper Dr.11 18 2017
Amherst NH 03031Transaction ID : SA11AI.8120
Retired Home Furnishings
500.00
500.00
500.00
35380.00
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
▲ ▲ ▲ , , .
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21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201801319091310036
38 43
✘
CLUB FOR CONSERVATIVES
Anedot Inc
P.O. Box 84314 12 31 2017
Baton Rouge LA 70884
Credit Card Processing FeesTransaction ID : SB21B.4124
7497.54
Apple Technology Company
1 Infinite Loop 12 26 2017
Cupertino CA 95014
Purchase of video editing and communications equipmentTransaction ID : SB21B.4115
6843.55
Best Buy Co. Inc
7601 Penn Ave S 12 30 2017
Richfield MN 55423
Office EquipmentTransaction ID : SB21B.4122
2593.97
16935.06
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
▲ ▲ ▲ , , .
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▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201801319091310037
39 43
✘
CLUB FOR CONSERVATIVES
Habitat for Humanity of Forsyth County
608 Colesium Dr. 12 18 2017
Winston-Salem NC 27106
Purchase of Used Office FurnitureTransaction ID : SB21B.4109
297.03
Old Clemmons School Properties
3540 Clemmons Rd 12 13 2017
#111
Clemmons NC 27012
Monthly Budget Office RentalTransaction ID : SB21B.4107
1075.00
1372.03
18307.09
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201801319091310038
40 43
✘
CLUB FOR CONSERVATIVES
CHIP ROY FOR CONGRESS
6705 W. HWY 290 12 29 2017
SUITE 50295
AUSTIN TX 78735
C00662767
Transaction ID : SB23.4142
ROY, CHIP, , ,2700.00
✘ 2018
✘
TX 21
CITIZENS FOR JOSH MANDEL INC
9856 ARCHER LANE 12 29 2017
DUBLIN OH 43017
C00494930
Transaction ID : SB23.4157
MANDEL, JOSH, , ,
✘
2018 2700.00
✘
OH 00
LOU BARLETTA FOR SENATE
P.O. BOX 128 12 29 2017
HAZLETON PA 18201
C00445122
Transaction ID : SB23.4134
BARLETTA, LOU, , ,
✘
2700.002018
✘
PA 00
8100.00
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201801319091310039
41 43
✘
CLUB FOR CONSERVATIVES
MARSHA FOR SENATE
4916 THOROUGHBRED LN 12 29 2017
BRENTWOOD TN 37027
C00376939
Transaction ID : SB23.4175
BLACKBURN, MARSHA MRS, , ,2700.00
✘
2018
✘
TN 00
RICK FOR CONGRESS
404 BOSTON HOLLOW RD 12 31 2017
ELIZABETH PA 15037
C00658708
Transaction ID : SB23.4146
SACCONE, RICK, , ,✘ 2018 2700.00
✘
Special-GeneralPA 18
TREY GOWDY FOR CONGRESS
PO BOX 3324 12 29 2017
SPARTANBURG SC 29304
C00462523
Transaction ID : SB23.4153
GOWDY, TREY, , ,✘
2700.002018
✘
SC 04
8100.00
16200.00
SCHEDULE D (FEC Form 3X)DEBTS AND OBLIGATIONSExcluding Loans
(Use separateschedule(s)
for each numbered line)
NAME OF COMMITTEE (In Full)
▲ ▲ ▲ , , . ▲ ▲ ▲ , , .
1) SUBTOTALS This Period This Page (optional) ...................................................................
2) TOTALS This Period (last page this line number only) ......................................................
3) TOTAL OUTSTANDING LOANS from Schedule C (last page only) .................................
4) ADD 2) and 3) and carry forward to appropriate line of Summary Page (last page only) ▼▼
A. Full Name (Last, First, Middle Initial) of Debtor or Creditor
Mailing Address
City State Zip Code
Payment This Period
▲ ▲ ▲ , , .
FEC Schedule D (Form 3X) Rev. 05/2016
Outstanding Balance at Close of This Period
▲ ▲ ▲ , , .
▲ ▲ ▲ , , . ▲ ▲ ▲ , , .
▼▼
Outstanding Balance Beginning This Period
▲ ▲ ▲ , , .Amount Incurred This Period
▲ ▲ ▲ , , .
Nature of Debt (Purpose):
B. Full Name (Last, First, Middle Initial) of Debtor or Creditor
Mailing Address
City State Zip Code
Payment This Period
▲ ▲ ▲ , , .Outstanding Balance at Close of This Period
▲ ▲ ▲ , , .
Outstanding Balance Beginning This Period
▲ ▲ ▲ , , .Amount Incurred This Period
▲ ▲ ▲ , , .
Nature of Debt (Purpose):
C. Full Name (Last, First, Middle Initial) of Debtor or Creditor
Mailing Address
City State Zip Code
Payment This Period
▲ ▲ ▲ , , .Outstanding Balance at Close of This Period
▲ ▲ ▲ , , .
Outstanding Balance Beginning This Period
▲ ▲ ▲ , , .Amount Incurred This Period
▲ ▲ ▲ , , .
Nature of Debt (Purpose):
PAGE OF
FOR LINE NUMBER: (check only one) 9
10
Image# 201801319091310040
42 43
✘
CLUB FOR CONSERVATIVES
Breitbart News Network LLC
Ste. 401149 South Barrington Ave
Los Angeles CA 90049
Digital Advertising
0.00
Transaction ID : SD10.4167
13000.00 0.00 13000.00
13000.00
13000.00
0.00
13000.00
Date of Public Distribution/Dissemination
Amount
Date of Disbursement or Obligation
Date of Public Distribution/Dissemination
Amount
Date of Disbursement or Obligation
Memo Item
Memo Item
FEC Schedule E (Form 3X) Rev. 05/2016
Calendar Year-To-Date Per Election for Office Sought
Calendar Year-To-Date Per Election for Office Sought
NAME OF COMMITTEE (In Full)
SCHEDULE E (FEC Form 3X)ITEMIZED INDEPENDENT EXPENDITURES
FOR LINE 24 OF FORM 3X PAGE OF
CFEC IDENTIFICATION NUMBER ▼
▲ ▲ ▲
▲ ▲ ▲
, , .
, , .
Full Name of Payee
Mailing Address
City State Zip Code
Purpose of Expenditure
Name of Federal Candidate:
Full Name of Payee
Mailing Address
City State Zip Code
Purpose of Expenditure
Name of Federal Candidate:
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Disbursement For: Primary General
Other (specify)
Disbursement For: Primary General
Other (specify)
Category/Type
Category/Type
Office Sought: House District:
President Senate State:
Office Sought: House District:
President Senate State:
▼
Check if 24-hour report 48-hour report New report Amends report filed on M M / D D / Y Y Y Y
Support
Oppose
Support
Oppose
(a) SUBTOTAL of Itemized Independent Expenditures ..............................................................
(b) SUBTOTAL of Unitemized Independent Expenditures ..........................................................
(c) TOTAL Independent Expenditures ........................................................................................
▼
▼▼
▼
Under penalty of perjury I certify that the independent expenditures reported herein were not made in cooperation, consultation, or concert with, or at the request or suggestion of, any candidate or authorized committee or agent of either, or (if the reporting entity is not a political party committee) any political party committee or its agent.
DateSignature
M M / D D / Y Y Y Y
Image# 201801319091310041
43
CLUB FOR CONSERVATIVESC00658302
Breitbart News Network LLC12 10
149 South Barrington Ave
Ste. 401
Los Angeles CA 90049
13000.00
Transaction ID : SE.4164
Digital Advertising 004 12 07
MOORE, ROY JUDGE, , ,
✘
✘
38000.00 2018 Special-General
Paramount Communication Inc
Leesburg VA 20176
Digital Advertising
12
#114
11
525 K East Market St.
004
✘
Transaction ID : SE.4160
25000.00
12 07
MOORE, ROY JUDGE, , ,
✘
✘
25000.00 2018✘ Special-General
Pendley, Nathanael, , , [Electronically Filed] 01 31
43
2017
2017
AL
2017
2017
AL
38000.00
38000.00
2018