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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 M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

FE5AN018

FECFORM 3

1. NAME OFCOMMITTEE (in full)

ADDRESS (number and street)

Check if differentthan previouslyreported. (ACC)

FEC FORM 3(Revised 02/2003)

OfceUseOnly

NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 2 U.S.C. 437g.

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

4. TYPE OF REPORT (Choose One)

(a) Quarterly Reports:12-Day PRE -Election Report for the:

Primary (12P) General (12G) Runoff (12R)

Convention (12C) Special (12S)

30-Day POST -Election Report for the:

General (30G) Runoff (30R) Special (30S)

CITY STATE ZIP CODE2. FEC IDENTIFICATION NUMBER

3. IS THIS NEW AMENDEDREPORT (N) OR (A)

in theElection on State of

TYPE OR PRINT

REPORT OF RECEIPTS AND DISBURSEMENTS

For An Authorized Committee

5. Covering Period through

in the

Election on State of

STATE DISTRICT

Ofce Use Only

April 15 Quarterly Report (Q1)

July 15 Quarterly Report (Q2)

October 15 Quarterly Report (Q3)

January 31 Year-End Report (YE)

Termination Report (TER)

(b)

Example: If typing, typeover the lines.

(c)

12FE4M5

14

12866-0234

20

04

Elizabeth Fitzpatrick

Elizabeth Fitzpatrick

11

11

2012

[Electronically Filed]

06

06

C00477984

PAGE 1 / 86

201201

NY

NY

Saratoga Springs NY

Chris Gibson for Congress

PO Box 234

04/14/2012 10 : 11Image# 12951416673

2012

01 3103

2012

2012

NY

8/2/2019 Gibson Q1 2012

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, , .

M M / D D / Y Y Y Y M M / D D / Y Y Y Y

FE5AN018

COLUMN BElection Cycle-to-Date

COLUMN AThis Period

6. Net Contributions (other than loans)

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

(b) Total Contribution Refunds(from Line 20(d)) ..................................

(c) Net Contributions (other than loans)

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

7. Net Operating Expenditures

(a) Total Operating Expenditures(from Line 17) ......................................

(b) Total Offsets to OperatingExpenditures (from Line 14) ............. ...

(c) Net Operating Expenditures(subtract Line 7(b) from Line 7(a)) ......

8. Cash on Hand at Close ofReporting Period (from Line 27) .............. ...

9. Debts and Obligations Owed TO the Committee (Itemize all onSchedule C and/or Schedule D) ............... .

10. Debts and Obligations Owed BY the Committee (Itemize all onSchedule 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 3 (Revised 02/2003) Page 2SUMMARY PAGE

of Receipts and Disbursements

Report Covering the Period: From: To:

Write or Type Committee Name

207486.15

11106.25

901694.27

1024264.81

PAGE 2 / 86

2012

1022164.81

201201

309199.89

0

1000 2100

0

208486.15

Chris Gibson for Congress

1592.4

Image# 12951416674

0

310792.29

01 3103

11106.25

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M M / D D / Y Y Y Y M M / D D / Y Y Y Y

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FE5AN018

COLUMN BElection Cycle-to-Date

COLUMN ATotal This Period

11. CONTRIBUTIONS (other than loans) FROM:

(a) Individuals/Persons Other ThanPolitical Committees(i) Itemized (use Schedule A) ...........

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

from individuals .......................

(b) Political Party Committees ............. ....(c) Other Political Committees

(such as PACs) ...................................

(d) The Candidate ............. .............. .........(e) TOTAL CONTRIBUTIONS

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

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

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

Candidate ............................................

(b) All Other Loans .............. ............... ......(c) TOTAL LOANS

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

14. OFFSETS TO OPERATINGEXPENDITURES(Refunds, Rebates, etc.) ............................

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

16. TOTAL RECEIPTS (add Lines11(e), 12, 13(c), 14, and 15)(Carry Total to Line 24, page 4) ............

DETAILED SUMMARY PAGEof Receipts

I. RECEIPTS

FEC Form 3 (Revised 12/2003) Page 3

Report Covering the Period: From: To:

Write or Type Committee Name

0

531132.56

0

0

3000

1166883.31

91136.15

1592.4

426596.1

3292.16

0

PAGE 3 / 86

2012

8341.15

208486.15

2012

90256.7

50000

01

0

10000

211778.31

100

0

0

Chris Gibson for Congress

480132.25

50000

769.4

Image# 12951416675

1024264.81

01

117250

3103

82795

53536.15

8/2/2019 Gibson Q1 2012

4/86

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FE5AN018

COLUMN BElection Cycle-to-Date

COLUMN ATotal This Period

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

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

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

by the Candidate .............. .............. .....

(b) Of All Other Loans ............. ............... ..(c) TOTAL LOAN REPAYMENTS

(add Lines 19(a) and (b)) .............. .......

20. REFUNDS OF CONTRIBUTIONS TO:

(a) Individuals/Persons OtherThan Political Committees ..................

(b) Political Party Committees ............. .....(c) Other Political Committees

(such as PACs) ....................................

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

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

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

II. DISBURSEMENTS

DETAILED SUMMARY PAGEof DisbursementsFEC Form 3 (Revised 02/2003) Page 4

III. CASH SUMMARY

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

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

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

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

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

, , ., , .

901694.27

12106.25

0

1000

12106.25

2000

0

2100

50000

50000

0

PAGE 4 / 86

310792.29

100

702022.21

0

0

0

0

913800.52

0

0

211778.31

0

0

Image# 12951416676

11106.25

1000

362892.29

8/2/2019 Gibson Q1 2012

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SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for 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 (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

for each category of theDetailed Summary Page

11a 11b 11c 11d

12 13b13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

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

400

500

5000

500

50

NY

NY

PO Box 15094

2005 Honest Brook Road

270

16 Chestnut Hill Road N

Chris Gibson for Congress

12211-1665Transaction ID : A-C7786

12212-5094

NYDelhi

Loudonville

Albany

retired

Self

Transaction ID : A-C799613753-1475

Transaction ID : A-C7919

Capital Bauer Insurance

15

27

16

950.00

2012

5

2012

2012

Image# 12951416677

03

03

03

86

David R Bauer

2012

2012

Christine Benson

2012

L. Karen Barkman

retired

Insurance Broker

House Wife

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SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for 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 (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

for each category of theDetailed Summary Page

11a 11b 11c 11d

12 13b13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

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

1000

1000

3750

500

100

NY

NY

6 Vista Lane

16 Chestnut Hill Road N

5000

401 W HILL RD

Chris Gibson for Congress

12017Transaction ID : A-C8090

11545-3139

NYLoudonville

Austerlitz

Glen Head

Self

self

Transaction ID : A-C778712211-1665

Transaction ID : A-C7723

goldman sachs

16

02

27

1600.00

2012

6

2012

2012

Image# 12951416678

03

03

03

86

Andrew Berman

2012

2012

Serge A. Bervy Jr.

2012

Christine Benson

House Wife

equity trader

self

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SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for 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 (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

for each category of theDetailed Summary Page

11a 11b 11c 11d

12 13b13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

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

500

450

500

250

1000

NY

NY

34714 State Highway 10

22 Century Hill Drive

1000

45 Indian Ladder Drive

Chris Gibson for Congress

12009-4921Transaction ID : A-C7818

13782-1104

NYLatham

Altamont

Hamden

Bette & Cring

Carver Sand & Gravel

Transaction ID : A-C780312110-2137

Transaction ID : A-C7953

Larsen Farm

19

30

19

1750.00

2012

7

2012

2012

Image# 12951416679

03

03

03

86

Suite 200

Robert Bishop

2012

2012

Ciaran Brennan

2012

Matthew J Bette

Contractor

Farmer

Construction

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SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for 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 (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

for each category of theDetailed Summary Page

11a 11b 11c 11d

12 13b13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

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

250

500

250

500

1000

NY

NY

28C Orient Avenue

136 Katikell Road

1000

21 N 7th Street

Chris Gibson for Congress

12534-2537Transaction ID : A-C7964

12018-9568

NYCentral Bridge

Hudson

Averill Park

Delaware Engineering

Self

Transaction ID : A-C805512035-2510

Transaction ID : A-C7791

Contractor Equipment

29

16

24

1750.00

2012

8

2012

2012

Image# 12951416680

03

03

03

86

Gerard Calamari

2012

2012

James A Carlucci

2012

John K Brust

Civil Engineer

Equipment Sales

Attorney

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SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for 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 (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

for each category of theDetailed Summary Page

11a 11b 11c 11d

12 13b13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

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

500

1200

1500

1000

1000

NY

VA

8 Vatrano Lane

78 Court Street

4250

10700 Paynes Church Drive

Chris Gibson for Congress

22032-2915Transaction ID : A-C8035

12211-2051

NYSaratoga Springs

Fairfax

Loudonville

Northeast Government Consult

Chwat & Co, Inc

Transaction ID : A-C780812866-3324

Transaction ID : A-C7802

Teal Becker & Chiaramote

19

19

20

2500.00

2012

9

2012

2012

Image# 12951416681

03

03

03

86

John Chiaramonte

2012

2012

John Chwat

2012

David S Carroll

Managing Director

CPA

Government Relations

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SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for 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 (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

for each category of theDetailed Summary Page

11a 11b 11c 11d

12 13b13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

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

500

1000

750

1000

500

NY

OH

168 Jefferson Heights

122 Smith Road

500

9273 Lerwick Drive

Chris Gibson for Congress

43017-9492Transaction ID : A-C7779

12414-1215

NYKinderhook

Dublin

Catskill

American Bio Medica

Clark Lytle Geduldig

Transaction ID : A-C787212106-2819

Transaction ID : A-C8066

Clark Respiratory

26

26

14

2000.00

2012

10

2012

2012

Image# 12951416682

03

03

03

86

James L. Clark

2012

2012

Stephen B Clark

2012

Stanley Cipkowski

CEO

Medical Services

Partner

8/2/2019 Gibson Q1 2012

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SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for 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 (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

for each category of theDetailed Summary Page

11a 11b 11c 11d

12 13b13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

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

2500

5000

5000

1500

1500

NY

NY

775 Park Avenue

27 Central Avenue

1500

775 Park Avenue

Chris Gibson for Congress

10021-4269Transaction ID : A-C8080

10021-4269

NYCortland

New York

New York

Wendcentral Corp.

Pouschine Cook Capital Manag

Transaction ID : A-C808313045-2611

Transaction ID : A-C8065

Pouschine Cook Capital Manag

30

28

28

5500.00

2012

11

2012

2012

Image# 12951416683

03

03

03

86

Floor 5D

Floor 5D

Everett R Cook

2012

2012

Everett R Cook

2012

Jeffrey Coghlan

Accountant

Investment Mgr

Investment Mgr

8/2/2019 Gibson Q1 2012

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SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for 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 (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

for each category of theDetailed Summary Page

11a 11b 11c 11d

12 13b13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

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

500

220

500

200

250

NY

NY

794 Eichybush Road

16 Cedar Street

250

PO Box 217

Chris Gibson for Congress

12132-0217Transaction ID : A-C7817

12106-2604

NYCatskill

North Chatham

Kinderhook

Greene County

Columbia County NY

Transaction ID : A-C803812414-1105

Transaction ID : A-C7958

Columbia County

20

30

20

950.00

2012

12

2012

2012

Image# 12951416684

03

03

03

86

David M Costanzo

2012

2012

Paul Czajka

2012

Dominic J Cornelius III

Public Defender

Assistant DA

District Attorney

8/2/2019 Gibson Q1 2012

13/86

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for 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 (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

for each category of theDetailed Summary Page

11a 11b 11c 11d

12 13b13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

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

250

5000

250

2500

1000

NY

NY

13 Ashley Place

516 Locust Grove Road

3500

6 Bradford Drive

Chris Gibson for Congress

12866-8577Transaction ID : A-C7924

12804-2503

NYGreenfield Center

Saratoga Springs

Queensbury

Stewarts Shops

Dente Engineering

Transaction ID : A-C779612833-1701

Transaction ID : A-C7800

D.A. Collins

19

19

27

3750.00

2012

13

2012

2012

Image# 12951416685

03

03

03

86

John Davidson

2012

2012

Frederick A Dente

2012

Gary C Dake

President

Executive

Engineer

8/2/2019 Gibson Q1 2012

14/86

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for 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 (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

for each category of theDetailed Summary Page

11a 11b 11c 11d

12 13b13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

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

500

500

500

500

250

NY

NY

758 W End Road

65 Rose Terrace

1400

166 Van Rensselaer Boulevard

Chris Gibson for Congress

12204-1709Transaction ID : A-C7789

13365-6816

NYSchenectady

Menands

Little Falls

Self / Northwestern Mutual

Ketco, Inc

Transaction ID : A-C791812309-3145

Transaction ID : A-C7822

Tioga Construction

27

20

16

1250.00

2012

14

2012

2012

Image# 12951416686

03

03

03

86

Timothy Dillon

2012

2012

Bruce W DiStefano

2012

Patrick A DiCerbo

Insurance Sales

Contractor

Contractor

8/2/2019 Gibson Q1 2012

15/86

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for 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 (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

for each category of theDetailed Summary Page

11a 11b 11c 11d

12 13b13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

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

2500

500

2500

500

500

NY

NY

11 Saratoga Circle

7 Nottingham Way

500

26 Wing Road

Chris Gibson for Congress

12545-5017Transaction ID : A-C7992

12866-1029

NYCohoes

Millbrook

Saratoga Springs

Ind. Power Producers

Millbrook Vinyards

Transaction ID : A-C780412047-4971

Transaction ID : A-C7955

Self

19

30

29

3500.00

2012

15

2012

2012

Image# 12951416687

03

03

03

86

Robert F Doran

2012

2012

John S Dyson

2012

Gavin J Donohue

President

Lawyer

Owner

8/2/2019 Gibson Q1 2012

16/86

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for 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 (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

for each category of theDetailed Summary Page

11a 11b 11c 11d

12 13b13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

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

500

1000

1000

500

250

VA

VA

116 Queen Street

3211 Old Dominion Bouevard

250

116 Queen Street

Chris Gibson for Congress

22314-2611Transaction ID : A-C7968

22314-2611

VAAlexandria

Alexandria

Alexandria

Ellis & Company, L.L.C.

ETA

Transaction ID : A-C793022305

Transaction ID : A-C7708

ETA

28

24

27

1250.00

2012

16

2012

2012

Image# 12951416688

03

02

03

86

James Ervin

2012

2012

James Ervin

2012

Peggy Ellis

Strategist

President

President

8/2/2019 Gibson Q1 2012

17/86

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for 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 (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

for each category of theDetailed Summary Page

11a 11b 11c 11d

12 13b13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

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

250

1000

650

1000

1000

NY

NY

223 Chestnut Ridge Road

30 Commerce Park Drive

1000

38 Masters Cmn S

Chris Gibson for Congress

12804-9764Transaction ID : A-C7840

12804-7321

NYNiskayuna

Queensbury

Queensbury

Self

Gastroenterology Associates

Transaction ID : A-C782012309

Transaction ID : A-C7788

Self

19

16

24

2250.00

2012

17

2012

2012

Image# 12951416689

03

03

03

86

Gloria G. Ford

2012

2012

Howard P Fritz M.D.

2012

Lawrence A Farrelly

Manufacturer

Real Estate Broker

Physician

8/2/2019 Gibson Q1 2012

18/86

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for 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 (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

for each category of theDetailed Summary Page

11a 11b 11c 11d

12 13b13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

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

1500

650

3500

250

100

NY

NY

29 Harrington Dr

29 Harrington Dr

650

145 Podpadic Road

Chris Gibson for Congress

12149-2205Transaction ID : A-C7794

12017

NYAusterlitz

Richmondville

Austerlitz

retired

Lancaster Development Inc.

Transaction ID : A-C770012017

Transaction ID : A-C7749

retired

06

06

16

1850.00

2012

18

2012

2012

Image# 12951416690

03

03

01

86

Cono Fusco

2012

2012

Mark A Galasso

2012

Cono Fusco

retired

retired

President

8/2/2019 Gibson Q1 2012

19/86

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for 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 (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

for each category of theDetailed Summary Page

11a 11b 11c 11d

12 13b13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

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

500

1500

500

1000

1000

NY

NY

101 Davies Lane

145 Podpadic Road

3500

158 Deepkill Road

Chris Gibson for Congress

12182-4007Transaction ID : A-C7806

12043-5075

NYRichmondville

Troy

Cobleskill

Lancaster Development Inc.

Gallivan Companies LLC

Transaction ID : A-C779512149-2205

Transaction ID : A-C7809

Lancaster Development Inc.

16

19

19

2500.00

2012

19

2012

2012

Image# 12951416691

03

03

03

86

Martin A Galasso Jr.

2012

2012

Sean M Gallivan

2012

Mark A Galasso

President

Construction

Owner

8/2/2019 Gibson Q1 2012

20/86

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for 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 (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

for each category of theDetailed Summary Page

11a 11b 11c 11d

12 13b13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

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

300

450

325

250

250

NY

NY

37 Williams Street

1519 Pathfinder Lane

500

10 Country

Chris Gibson for Congress

12203Transaction ID : A-C7785

12106-2016

VAMclean

Albany

Kinderhook

Clark Lytle Geduldig

Self

Transaction ID : A-C796722101-3509

Transaction ID : A-C7965

N/a

26

24

16

800.00

2012

20

2012

2012

Image# 12951416692

03

03

03

86

Barbara A Gibson

2012

2012

Robert Gibson

2012

Sam Geduldig

Partner

Homemaker

Attorney

8/2/2019 Gibson Q1 2012

21/86

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for 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 (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

for each category of theDetailed Summary Page

11a 11b 11c 11d

12 13b13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

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

250

225

700

25

500

NY

VA

2 Martin Court

6126 11th Road N

1000

6354 Alderman Drive

Chris Gibson for Congress

22315-3731Transaction ID : A-C7784

12106-1710

VAArlington

Alexandria

Kinderhook

Livingston Group

Self

Transaction ID : A-C796622205-1704

Transaction ID : A-C8021

IRS

24

15

14

775.00

2012

21

2012

2012

Image# 12951416693

03

03

03

86

Kimberly A Gray

2012

2012

Robert J Gray

2012

Geoffrey Gleason

Consultant

Agent

Consultant

8/2/2019 Gibson Q1 2012

22/86

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for 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 (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

for each category of theDetailed Summary Page

11a 11b 11c 11d

12 13b13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

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

250

250

1050

250

2500

NY

NY

95 Mansion Street

51 N Milton Road

5000

48 Wincrest Drive

Chris Gibson for Congress

12804-1345Transaction ID : A-C7855

12051-1223

NYSaratoga Springs

Queensbury

Coxsackie

Palette Stone

Self

Transaction ID : A-C779912866-6137

Transaction ID : A-C8050

DynaBil Ind.

19

29

24

3000.00

2012

22

2012

2012

Image# 12951416694

03

03

03

86

Michael D Grosso Jr.

2012

2012

John l. Haanen

2012

Stephen C. Griffen

VP Operations

CEO

Engineer

8/2/2019 Gibson Q1 2012

23/86

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for 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 (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

for each category of theDetailed Summary Page

11a 11b 11c 11d

12 13b13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

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

1000

1000

1000

1000

1000

NY

NY

24 CR 412

118 Lawson Lake Road

1200

95 Stippa Road

Chris Gibson for Congress

12051-1818Transaction ID : A-C8056

12193

NYFeura Bush

Coxsackie

Westerlo

Hannay Reels

PSH Medical

Transaction ID : A-C781012067-2703

Transaction ID : A-C7762

Hannay Reels

19

12

29

3000.00

2012

23

2012

2012

Image# 12951416695

03

03

03

86

Roger A Hannay

2012

2012

Pamela T Hassett

2012

Eric A Hannay

Manufacturing

Manufacturing

Principal

8/2/2019 Gibson Q1 2012

24/86

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for 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 (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

for each category of theDetailed Summary Page

11a 11b 11c 11d

12 13b13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

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

500

700

500

250

100

NY

NY

104 Westside Drive

6 Steamboat Landing

300

107 Old Niskayuna Road

Chris Gibson for Congress

12211-1321Transaction ID : A-C7816

12019-2028

NYWaterford

Loudonville

Ballston Lake

Maximum Security Products Corp.

Couch-White

Transaction ID : A-C782812188-4011

Transaction ID : A-C7746

N/a

20

06

20

850.00

2012

24

2012

2012

Image# 12951416696

03

03

03

86

Peter G Herman

2012

2012

Joel M Howard III

2012

Harold M Hatfield

owner

Retired

Attorney

8/2/2019 Gibson Q1 2012

25/86

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for 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 (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

for each category of theDetailed Summary Page

11a 11b 11c 11d

12 13b13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

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

500

500

500

500

500

NY

DC

20 Birch Hill Road

125 Mannis Road

1200

2260 48th Street NW

Chris Gibson for Congress

20007Transaction ID : A-C7920

12019-1577

NYQueensbury

Washington

Ballston Lake

self

Hurt, Norton & Associates, Inc.

Transaction ID : A-C793812804-1365

Transaction ID : A-C7825

Apple

28

20

27

1500.00

2012

25

2012

2012

Image# 12951416697

03

03

03

86

Scott W Hughes

2012

2012

Robert H Hurt

2012

Robert J Hughes

Physician

Technology Executive

Principal

8/2/2019 Gibson Q1 2012

26/86

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for 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 (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

for each category of theDetailed Summary Page

11a 11b 11c 11d

12 13b13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

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

250

2750

2750

250

250

NY

NY

23 Windsor Court

74 Sandhill Road

550

23 Windsor Court

Chris Gibson for Congress

12054-4303Transaction ID : A-C7776

12054-4303

NYGreenfield Center

Delmar

Delmar

Bramley Financial Group

GT

Transaction ID : A-C784312833-1206

Transaction ID : A-C7775

GT

24

14

14

750.00

2012

26

2012

2012

Image# 12951416698

03

03

03

86

Harold N. Iselin

2012

2012

Harold N. Iselin

2012

Sherry K Imbarrato

Financial Advisor

attorney

attorney

8/2/2019 Gibson Q1 2012

27/86

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for 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 (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

for each category of theDetailed Summary Page

11a 11b 11c 11d

12 13b13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

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

250

500

250

500

100

NY

NY

9 Newport Drive

533 Old Post Road

400

1470 Lucas Avenue Extension

Chris Gibson for Congress

12419-5107Transaction ID : A-C7675

12065-1843

NYGhent

Cottekill

Clifton Park

N/a

Chazen Companies

Transaction ID : A-C774012075-3608

Transaction ID : A-C7815

Campello Heating & Plumbing

06

20

05

850.00

2012

27

2012

2012

Image# 12951416699

01

03

03

86

Roger H Jones

2012

2012

Mark Kastner

2012

Erika M Johnson

Retired

Fiscal Officer

Engineer

8/2/2019 Gibson Q1 2012

28/86

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for 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 (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

for each category of theDetailed Summary Page

11a 11b 11c 11d

12 13b13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

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

250

300

250

100

250

NY

MD

29 Front Street

1094 Bold Forbes Court

300

6405 Tree Top Circle

Chris Gibson for Congress

21045-2895Transaction ID : A-C8094

12845-5800

KYUnion

Columbia

Lake George

n/a

Clark & Weinstock

Transaction ID : A-C792841091-7929

Transaction ID : A-C7754

N/A

28

06

31

600.00

2012

28

2012

2012

Image# 12951416700

03

03

03

86

John H Kearney

2012

2012

Edward S Kutler

2012

Stephen E Kaufmann

retired

Retired

Senior Partner

8/2/2019 Gibson Q1 2012

29/86

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for 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 (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

for each category of theDetailed Summary Page

11a 11b 11c 11d

12 13b13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

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

500

250

500

250

1000

NY

NY

196 Auney Way

1116 Sapphire Drive

1000

494 Western Turnpike

Chris Gibson for Congress

12009-2007Transaction ID : A-C7805

12832-4727

NYEndwell

Altamont

Granville

Corning

Carver Sand and Gravel

Transaction ID : A-C805113760-7020

Transaction ID : A-C7870

The Pines

29

25

19

1750.00

2012

29

2012

2012

Image# 12951416701

03

03

03

86

David A Lamando

2012

2012

Carver Laraway

2012

Amar Lal

senior analyst

Nursing Home Administrator

Principal

8/2/2019 Gibson Q1 2012

30/86

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for 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 (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

for each category of theDetailed Summary Page

11a 11b 11c 11d

12 13b13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

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

100

5000

350

2500

250

NY

NY

PO Box 191

3601 Connecticut Avenue NW

250

207 Glen Burnie Road

Chris Gibson for Congress

13753-2243Transaction ID : A-C7860

12118-0191

DCWashington

Delhi

Mechanicville

Clark & Weinstock

n/a

Transaction ID : A-C773120008-2466

Transaction ID : A-C7801

DA Collins

26

19

24

2850.00

2012

30

2012

2012

Image# 12951416702

03

03

02

86

Apt. 605

Thomas F. Longe

2012

2012

Nancy Z Mable

2012

Paul Lobo

Lobbyist

Owner

Retired

8/2/2019 Gibson Q1 2012

31/86

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for 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 (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

for each category of theDetailed Summary Page

11a 11b 11c 11d

12 13b13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

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

500

500

500

500

500

NY

NY

7 Wildwood Drive

16 Fairhill Road

700

339 Loudon Road

Chris Gibson for Congress

12211-1701Transaction ID : A-C7792

12211-1431

NYClifton Park

Loudonville

Loudonville

GTM Payroll Services, Inc.

j h maloy inc

Transaction ID : A-C774512065-8730

Transaction ID : A-C7896

The Malicki Group LLC

06

06

16

1500.00

2012

31

2012

2012

Image# 12951416703

03

03

03

86

John Malicki

2012

2012

Peter J Maloy

2012

Guy T Maddalone

Accountant/CEO

Financial Planner

engineer

8/2/2019 Gibson Q1 2012

32/86

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for 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 (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

for each category of theDetailed Summary Page

11a 11b 11c 11d

12 13b13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

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

200

250

650

250

1500

NY

NY

2 Loudon Heights N

7 Rolling Brook Drive

2000

3 Starting Gate Court

Chris Gibson for Congress

12866-7340Transaction ID : A-C7851

12211-2012

NYSaratoga Springs

Saratoga Springs

Loudonville

Fort Miller

Capital Living & Rehab Ctr

Transaction ID : A-C794712866-6439

Transaction ID : A-C7793

Frederick Marra DMD

30

16

24

1950.00

2012

32

2012

2012

Image# 12951416704

03

03

03

86

Frederick J Marra

2012

2012

Patrick R Martone

2012

Henry J Marcelle

Executive

Dentist

CEO

8/2/2019 Gibson Q1 2012

33/86

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributionsor for 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 (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:Primary GeneralOther (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

PAGE OFFOR LINE NUMBER:(check only one)Use separate schedule(s)

for each category of theDetailed Summary Page

11a 11b 11c 11d

12 13b13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Re