8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

1/140

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

FEC

FORM 3

1. NAME OFCOMMITTEE (in full)

ADDRESS (number and street)

Check if differentthan previouslyreported. (ACC)

FEC FORM 3(Revised 02/2003)

Office

Use

Only

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 AMENDED

REPORT (N) OR (A)

in the

Election on State of

TYPE OR PRINT

REPORT OF RECEIPTS

AND DISBURSEMENTSFor An Authorized Committee

5. Covering Period through

in the

Election on State of

STATE DISTRICT

Office 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, type

over the lines.

(c)

12FE4M5

16

13201

24

01

Herbert C Millane

Herbert C Millane

2013

[Electronically Filed]

C00417550

PAGE 1 / 140

201310

Syracuse NY

Friends of Dan Maffei

PO Box 230

01/16/2014 14 : 19

Image# 14960021816

2014

01 3112

NY

8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

2/140

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , .

, , .

, , .

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

FE5AN018

COLUMN B

Election Cycle-to-Date

COLUMN A

This Period

6. Net Contributions (other than loans)

(a) Total Contributions

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

(b) Total Contribution Refunds

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

(c) Net Contributions (other than loans)

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

7. Net Operating Expenditures

(a) Total Operating Expenditures

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

(b) Total Offsets to Operating

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

(c) Net Operating Expenditures

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

8. Cash on Hand at Close of

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

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 Commission

999 E Street, NW

Washington, DC 20463

Toll Free 800-424-9530

Local 202-694-1100

FEC Form 3 (Revised 02/2003) Page 2

SUMMARY PAGEof Receipts and Disbursements

Report Covering the Period: From: To:

Write or Type Committee Name

213129.29

51516.81

903194.02

1139891.97

PAGE 2 / 140

2013

1139391.97

201310

311985.63

46094.22

0.00 500.00

4548.25

213129.29

Friends of Dan Maffei

47331.53

Image# 14960021817

0.00

359317.16

01 3112

5422.59

8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

3/140

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , .

, , .

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

, , .

, , .

FE5AN018

COLUMN B

Election Cycle-to-Date

COLUMN A

Total This Period

11. CONTRIBUTIONS (other than loans) FROM:

(a) Individuals/Persons Other Than

Political Committees

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

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

(iii) TOTAL of contributions

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

(b) Political Party Committees ............. ....

(c) Other Political Committees

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

(d) The Candidate ............. .............. .........

(e) TOTAL CONTRIBUTIONS

(other than loans)

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

12. TRANSFERS FROM OTHER

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

13. LOANS:

(a) Made or Guaranteed by the

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

(b) All Other Loans .............. ............... ......

(c) TOTAL LOANS

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

14. OFFSETS TO OPERATING

EXPENDITURES

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

15. OTHER RECEIPTS

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

16. TOTAL RECEIPTS (add 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

0.00

632700.00

0.00

0.00

677.20

1187223.50

96956.70

47331.53

468819.81

0.00

46094.22

PAGE 3 / 140

2013

10692.70

213129.29

2013

0.00

0.00

10

0.00

0.00

259223.51

172.59

0.00

0.00

Friends of Dan Maffei

506514.77

0.00

0.00

Image# 14960021818

1139891.97

01

116000.00

3112

86264.00

37694.96

8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

4/140

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , .

, , .

, , .

, , .

, , .

FE5AN018

COLUMN B

Election Cycle-to-Date

COLUMN A

Total 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)..............................................................................................

, , ., , .

903194.02

53556.81

0.00

0.00

53556.81

0.00

0.00

500.00

0.00

0.00

0.00

PAGE 4 / 140

359317.16

500.00

697527.32

0.00

11739.00

0.00

0.00

956750.83

0.00

0.00

259223.51

2040.00

0.00

Image# 14960021819

51516.81

0.00

371556.16

8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

5/140

Form/Schedule:

Transaction ID :

Form/Schedule:

Transaction ID:

Cash on hand includes $24K in 2010 recount funds.

Image# 14960021820 PAGE 5 / 140

F3N

8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

6/140

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 contributions

or for 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 contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page11a 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

1000.00

3600.00

1000.00

1000.00

500.00

NY

DC

617 Scoville Ave

4824 Earlston Dr

1000.00

634 A St NE

Friends of Dan Maffei

20002-6030Transaction ID : C5269655

13203-1130

MDBethesda

Washington

Syracuse

Ryan, MacKinnon, Vasapoli and Berzok,

Self-employed

Transaction ID : C526305620816-1771

Transaction ID : C5296515

Bousquet Holstein

09

30

10

2500.00

2014

6

2014

2014

Image# 14960021821

12

12

12

140

Laurence Gere Bousquet Esq.

2013

2013

Marshall A Brachman

2013

Matthew Lawrence Berzok

Attorney

Attorney

Government Affairs

8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

7/140

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 contributions

or for 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 contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page11a 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

500.00

1250.00

500.00

500.00

500.00

DC

NY

3001 34th St NW

91 Columbia Heights

1500.00

4856 Pembridge Circle

Friends of Dan Maffei

13215Transaction ID : C5269708

20008-3402

NYBrooklyn

Syracuse

Washington

Sullivan & Cromwell LLP

Haylor Freyer and Coon

Transaction ID : C507863511201-1603

Transaction ID : C5109276

Ogilvy Public Relations Worldwide

17

19

22

1500.00

2014

7

2014

2014

Image# 14960021822

11

11

10

140

Stanton B Bullock

2013

2013

William G. Butler

2013

Robert E. Buckholz Jr.

lawyer

Public Relations

?Director of Commercial Lines Operatio

8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

8/140

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 contributions

or for 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 contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page11a 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

250.00

600.00

250.00

100.00

250.00

NY

NY

507 Plum St.

14 Thorton Spring Ln

250.00

16 Lyndon Rd.

Friends of Dan Maffei

13066Transaction ID : C5097805

13204

MDLothian

Fayetteville

Syracuse

Manatt

Retired

Transaction ID : C526965720711

Transaction ID : C5097786

Pinnacle Investments

10

21

21

600.00

2014

8

2014

2014

Image# 14960021823

10

10

12

140

Suite 120

Robert F. Cuculich MBA

2013

2013

Murray Daitchman

2013

Dennis Cardoza

Director Federal Government Affairs

Securities Broker

Retired

8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

9/140

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 contributions

or for 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 contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page11a 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

1000.00

2000.00

1000.00

1000.00

2600.00

NY

NY

247-259 W. Fayette St.

46 Bretton Rd

5200.00

64 Lincklaen Street

Friends of Dan Maffei

13035Transaction ID : C5269712

13202

NYScarsdale

Cazenovia

Syracuse

Credit Renaissance Ptn, LLC

Bond, Schoeneck & King, PLLC

Transaction ID : C528782910583

Transaction ID : C5287789

Self

31

31

22

4600.00

2014

9

2014

2014

Image# 14960021824

11

12

12

140

Mary L. Fangio

2013

2013

Jonathan B Fellows

2013

Steven G Edersheim

Fund Manager

Attorney

Attorney

8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

10/140

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 contributions

or for 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 contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page11a 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

500.00

2600.00

500.00

2600.00

1000.00

NY

NY

138 W Hill Ter

64 Lincklaen St.

2000.00

4655 Ring Necked Path

Friends of Dan Maffei

13104-9606Transaction ID : C5097820

14870-1002

NYCazenovia

Manlius

Painted Post

State University of New York

NEEDS, Inc.

Transaction ID : C526971113035-1031

Transaction ID : C5097781

Corning Inc.

22

04

21

4100.00

2014

10

2014

2014

Image# 14960021825

10

11

11

140

James Flaws

2013

2013

Andrew Steven Fox

2013

Maureen O'Neill Fellows

Administration

CFO

President/CEO

8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

11/140

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 contributions

or for 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 contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page11a 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

250.00

1425.00

250.00

1000.00

200.00

NY

NY

6055 Robinson Rd.

159 Edgehill Rd

450.00

107 Bristol Road

Friends of Dan Maffei

13066Transaction ID : C5269713

14551

NYSyracuse

Fayetteville

Sodus

N/A

Syracuse Securities, Inc

Transaction ID : C509781613224-1611

Transaction ID : C5297401

self

21

31

22

1450.00

2014

11

2014

2014

Image# 14960021826

11

12

10

140

Nancy G Ghertner

2013

2013

James Giannuzzi

2013

Joyce Garber

Retired

film maker

Loan Officer

8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

12/140

8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

13/140

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 contributions

or for 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 contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page11a 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

500.00

250.00

1000.00

250.00

500.00

NY

MD

7791 Ravenswood Lane

800 Connecticut Ave. NW

500.00

12030 Chase Crossing Cir #304

Friends of Dan Maffei

20852Transaction ID : C5269660

13104

DCWashington

Rockville

Mnalius

The Coca-Cola Co.

Manatt, Phelps, & Phillips, LLP

Transaction ID : C526309020006

Transaction ID : C5288285

Upstate

04

31

10

1250.00

2014

13

2014

2014

Image# 14960021828

12

12

12

140

Suite 711

Cynthia Heap

2013

2013

Sharvin Hodjati

2013

Ryan Guthrie

Director of Gov't Relations

Respiratory

Senior Government Affairs Advisor

8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

14/140

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 contributions

or for 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 contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page11a 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

750.00

2600.00

750.00

2600.00

250.00

DC

NY

1300 Connecticut Ave NW

7806 Clearwater Cir

250.00

860 5th Ave

Friends of Dan Maffei

10065-5856Transaction ID : C5078629

20036-1703

NYManlius

New York

Washington

Self

Retired

Transaction ID : C509779813104-9326

Transaction ID : C5078641

Ickes & Enright

21

17

18

3600.00

2014

14

2014

2014

Image# 14960021829

10

10

10

140

Apt 16C

Fl 6

Harold Ickes

2013

2013

Robert Katz

2013

David R. Hootnick

Orthopedic Surgeon

Consultant

Attorney

8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

15/140

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 contributions

or for 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 contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page11a 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

200.00

300.00

450.00

300.00

500.00

NY

NY

23 Woods End Rd.

7080 Whitney Farm Lane

500.00

104 Sheffield Ln

Friends of Dan Maffei

13066-2351Transaction ID : C5097792

13026-0104

NYJamesville

Fayetteville

Aurora

Bond, Schoeneck & King

Crouse Hospital

Transaction ID : C526971013078

Transaction ID : C5297803

Wells College

22

31

21

1000.00

2014

15

2014

2014

Image# 14960021830

10

12

11

140

Diane Koester

2013

2013

Paul Kronenberg

2013

Edwin J. Kelley Jr.

Attorney

Professor

CEO & Physician

8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

16/140

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 contributions

or for 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 contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page11a 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

500.00

1000.00

1000.00

1000.00

250.00

NY

NY

224 Harrison St

203 Summit Ave

250.00

8311 Dixon Rd

Friends of Dan Maffei

13316-3526Transaction ID : C5078623

13202-3067

NYSyracuse

Camden

Syracuse

Bond, Schoeneck & King, PLLC

The C&S Companies

Transaction ID : C526972413207-1340

Transaction ID : C5296510

Rivette & Rivette, P.C.

22

31

17

1750.00

2014

16

2014

2014

Image# 14960021831

10

12

11

140

Ste 306

Judith LaManna Esq.

2013

2013

Orrin B. MacMurray P.E.

2013

Robert A. Laberge

Attorney

Attorney

Chairman

8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

17/140

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 contributions

or for 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 contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page11a 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

500.00

500.00

500.00

500.00

100.00

MA

DC

12 Concord Ave

507 Plum St

350.00

1000 Connecticut Ave NW

Friends of Dan Maffei

20036Transaction ID : C5263102

02138

NYSyracuse

Washington

Cambridge

Pinnacle Capital Management

Empire Consulting Group

Transaction ID : C509784013204-5429

Transaction ID : C5287747

Amgen, Inc.

21

31

04

1100.00

2014

17

2014

2014

Image# 14960021832

12

12

10

140

9th Floor

Apt. 3

Stefan I McDonough

2013

2013

Mike McKay

2013

Joseph Masella

Executive

Biologist

Principle

8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

18/140

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 contributions

or for 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 contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page11a 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

600.00

3000.00

3000.00

400.00

600.00

NY

NY

1230 Park Ave

1230 Park Ave

3000.00

5 Quaker Hill Rd

Friends of Dan Maffei

13224-2011Transaction ID : C5296502

10128-1728

NYNew York

Syracuse

New York

Sullivan & Cromwell LLP

SUNY Upstate

Transaction ID : C529626010128-1728

Transaction ID : C5296261

Sullivan & Cromwell LLP

23

23

23

1600.00

2014

18

2014

2014

Image# 14960021833

12

12

12

140

Apt 11B

Apt 11B

Mark J Menting

2013

2013

David G. Murray

2013

Mark J Menting

Lawyer

Lawyer

Profesor

8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

19/140

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 contributions

or for 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 contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page11a 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

1000.00

450.00

2000.00

250.00

400.00

NY

NY

4483 Lincklaen Rd.

5 Quaker Hill Rd

3000.00

720 Maple Drive

Friends of Dan Maffei

13066Transaction ID : C5287710

13035

NYSyracuse

Fayetteville

Cazenovia

SUNY Upstate

Stones in Sterling

Transaction ID : C529650313224-2011

Transaction ID : C5269709

Bond Schoeneck & King PLLC

23

22

31

1650.00

2014

19

2014

2014

Image# 14960021834

12

11

12

140

Louis Orbach

2013

2013

Jenifer Paterson

2013

David G. Murray

Profesor

Attorney

Artist

8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

20/140

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 contributions

or for 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 contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page11a 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

500.00

500.00

1500.00

500.00

250.00

VA

NY

501 Slater's Lane # 7

251 Buckingham Ave.

250.00

135 Hudson St

Friends of Dan Maffei

14850-5760Transaction ID : C5090878

22314

NYSyracuse

Ithaca

Alexandria

Syracuse Univ.

Cornell University

Transaction ID : C526974713210

Transaction ID : C5269659

US Strategies Corp.

22

10

02

1250.00

2014

20

2014

2014

Image# 14960021835

11

12

11

140

Geoffrey G Peterson

2013

2013

Karl Pillemer

2013

Eric D. Persons

Assoc. VP Gov't & Comm. Relations

Vice President

Professor

8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

21/140

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 contributions

or for 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 contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page11a 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

200.00

850.00

450.00

250.00

100.00

NY

NY

7197 Highbridge Rd

5220 Longridge Rd

300.00

5153 E Lake Rd

Friends of Dan Maffei

13035-9364Transaction ID : C5097794

13066-9784

NYJamesville

Cazenovia

Fayetteville

Bond, Schoeneck & King

Museum of Science & Technology Foundat

Transaction ID : C526974613078-9732

Transaction ID : C5109226

TLC Dental

22

08

21

550.00

2014

21

2014

2014

Image# 14960021836

10

11

11

140

Marsha Kamp Rothenberg

2013

2013

Elaine Rubenstein

2013

Virginia C. Robbins

Attorney

self

Board Member

8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

22/140

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 contributions

or for 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 contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page11a 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

250.00

350.00

250.00

100.00

500.00

NY

NY

33 Lyndon Rd

6701 Wemberly Way

500.00

6222 Quintard Rd

Friends of Dan Maffei

13078-9725Transaction ID : C5109223

13066-1015

VAMcLean

Jamesville

Fayetteville

American Insurance Association

St. Joseph's Hospital

Transaction ID : C529316922101

Transaction ID : C5097834

Planned Parenthood

23

21

08

850.00

2014

22

2014

2014

Image# 14960021837

11

10

12

140

Robert S Sarason

2013

2013

Lowell A. Seifter Esq., CPA

2013

Thomas J. Santos

Vice President, Federal Affairs

Fundraiser

Attorney

8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

23/140

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 contributions

or for 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 contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page11a 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

* In-Kind: Event Food and Beverage

750.00

550.00

750.00

550.00

500.00

NY

NY

5193 Duane Drive

510 Bellvue Pl

500.00

555 E Genesee St

Friends of Dan Maffei

13202-2118Transaction ID : C5097793

13066

VAAlexandria

Syracuse

Fayetteville

Self

Devorsetz Stinziano Gilberti Heintz Sm

Transaction ID : C510229122314-1408

Transaction ID : C5081580

Scolaro, Shulman Law Firm

19

21

21

1800.00

2014

23

2014

2014

Image# 14960021838

10

10

11

140

Barry M Shulman

2013

2013

Lynn Smith

2013

Jonathan R Sheiner

Consultant

Attorney

Treasurer

8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

24/140

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 contributions

or for 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 contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page11a 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

200.00

2100.00

2100.00

200.00

200.00

VA

VA

1519 N Jefferson St

1519 N Jefferson St

2100.00

1519 N Jefferson St

Friends of Dan Maffei

22205-2839Transaction ID : C5273174

22205-2839

VAArlington

Arlington

Arlington

retired

retired

Transaction ID : C507693122205-2839

Transaction ID : C5102324

retired

19

19

19

600.00

2014

24

2014

2014

Image# 14960021839

12

11

10

140

Clint C. Stretch

2013

2013

Clint C. Stretch

2013

Clint C. Stretch

retired

retired

retired

8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

25/140

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 contributions

or for 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 contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page11a 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

2600.00

3000.00

5200.00

400.00

600.00

NY

NY

5214 Bonniebrae Ter

5214 Bonniebrae Ter

3000.00

16 W 77th St

Friends of Dan Maffei

10024-5126Transaction ID : C5109224

13066-9791

NYFayetteville

New York

Fayetteville

PCC

Ostriker von Simson, Inc.

Transaction ID : C529651213066-9791

Transaction ID : C5296513

PCC

30

30

04

3600.00

2014

25

2014

2014

Image# 14960021840

11

12

12

140

Philip Taurisano

2013

2013

Ernest von Simson

2013

Philip Taurisano

President

President

IT Research

8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

26/140

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 contributions

or for 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 contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page11a 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

100.00

500.00

1100.00

500.00

2600.00

NY

NY

3606 John Glenn Blvd

16 W 77th St

5200.00

100 E Washington St

Friends of Dan Maffei

13202-1612Transaction ID : C5097807

13209-1838

NYNew York

Syracuse

Syracuse

Ostriker von Simson, Inc.

Hancock & Estabrook, LLP

Transaction ID : C510922510024-5126

Transaction ID : C5097839

American Food & Vending Corp.

04

21

21

3200.00

2014

26

2014

2014

Image# 14960021841

10

10

11

140

Martin Wells

2013

2013

Warren D. Wolfson

2013

Ernest von Simson

IT Research

President

Attorney

8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

27/140

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 contributions

or for 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 contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page11a 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

Note: Above Contribution earmarked through thorganization.

* Earmarked Contribution: See Below

2600.00

5200.00

7700.00

2600.00

250.00

NY

DC

9 W 57th St

308 Chesterfield Pwy

250.00

430 S Capitol St SE

Friends of Dan Maffei

20003-4024Transaction ID : C5257142AB

10019-2701

MIEast Lansing

Washington

New York

C00000935

DYKEMA GOSSETT

Transaction ID : C526309248823

Transaction ID : C5257142A

Silver Lake Partners

04

13

20

2850.00

2014

27

2014

2014

Image# 14960021842

11

11

12

140

Fl 2

# 25

Glen Hutchins

2013

2013

Democratic Congressional Campaign Committee

2013

Stephen H Zimmerman

Attorney

Co-Founder and Co-Chief Executive

Conduit total listed in Agg. field

[MEMO ITEM]

8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

28/140

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 contributions

or for 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 contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page11a 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

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thorganization.

* Earmarked Contribution: See Below

1000.00

7700.00

1000.00

2600.00

2600.00

DC

NY

430 S Capitol St SE

9 W 57th St

5200.00

3205 East Lake Rd

Friends of Dan Maffei

13152Transaction ID : C5295984A

20003-4024

NYNew York

Skaneateles

Washington

C00000935

Silver Lake Partners

familycare medical

Transaction ID : C5257143A10019-2701

Transaction ID : C5257143AB

13

20

30

3600.00

2014

28

2014

2014

Image# 14960021843

12

11

11

140

# 25

Fl 2

Democratic Congressional Campaign Committee

2013

2013

William Allyn

2013

Glen Hutchins

Co-Founder and Co-Chief Executive

Conduit total listed in Agg. field

doctor

[MEMO ITEM]

8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

29/140

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 contributions

or for 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 contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page11a 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

Note: Above Contribution earmarked through thorganization.

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through th

organization.

500.00

500.00

40641.63

500.00

1000.00

DC

MA

3305 Macomb St. NW

PO Box 382110

40641.63

PO Box 382110

Friends of Dan Maffei

02238-2110Transaction ID : C5295979AB

20008

MACambridge

Cambridge

Washington

C00401224

C00401224

Transaction ID : C5295984AB02238-2110

Transaction ID : C5295979A

Google

31

30

31

500.00

2014

29

2014

2014

Image# 14960021844

12

12

12

140

Edward An

2013

2013

ACTBLUE

2013

ACTBLUE

Conduit total listed in Agg. field

Public Policy

Conduit total listed in Agg. field

[MEMO ITEM]

[MEMO ITEM]

8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

30/140

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 contributions

or for 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 contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page11a 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

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thorganization.

* Earmarked Contribution: See Below

299.00

40641.63

299.00

250.00

250.00

MA

NY

PO Box 382110

1401 H St NW

250.00

27 Beckett Way

Friends of Dan Maffei

14850Transaction ID : C5295982A

02238-2110

DCWashington

Ithaca

Cambridge

C00401224

Investment Company Institute

Cornell U

Transaction ID : C5295998A20005-2110

Transaction ID : C5295998AB

31

31

30

549.00

2014

30

2014

2014

Image# 14960021845

12

12

12

140

ACTBLUE

2013

2013

John Bishop

2013

Donald C Auerbach

Government Relations

Conduit total listed in Agg. field

Professor

[MEMO ITEM]

8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

31/140

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 contributions

or for 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 contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page11a 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

Note: Above Contribution earmarked through thorganization.

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through th

organization.

50.00

2150.00

40641.63

50.00

299.00

NY

MA

PO Box 847

PO Box 382110

40641.63

PO Box 382110

Friends of Dan Maffei

02238-2110Transaction ID : C5097862AB

13152-0847

MACambridge

Cambridge

Skaneateles

C00401224

C00401224

Transaction ID : C5295982AB02238-2110

Transaction ID : C5097862A

N/A

31

30

08

50.00

2014

31

2014

2014

Image# 14960021846

11

10

12

140

Carlile Bolton-Smith Jr.

2013

2013

ACTBLUE

2013

ACTBLUE

Conduit total listed in Agg. field

Retired

Conduit total listed in Agg. field

[MEMO ITEM]

[MEMO ITEM]

8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

32/140

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 contributions

or for 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 contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page11a 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

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thorganization.

* Earmarked Contribution: See Below

500.00

40641.63

1000.00

500.00

500.00

MA

NY

PO Box 382110

101 Constitution Ave, NW. Suite 8

500.00

21 Jay St

Friends of Dan Maffei

14456-3201Transaction ID : C5295978A

02238-2110

DCWashington

Geneva

Cambridge

C00401224

Yahoo

self

Transaction ID : C5296026A20001

Transaction ID : C5296026AB

31

31

30

1000.00

2014

32

2014

2014

Image# 14960021847

12

12

12

140

ACTBLUE

2013

2013

David Cameron

2013

April Boyd

Senior Director of Federal Government

Conduit total listed in Agg. field

Scientist

[MEMO ITEM]

8/13/2019 Rep. Dan Maffei: 2013 year-end campaign finance report

33/140

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 contributions

or for 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-