1309
FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 52 U.S.C. § 30109. 4. TYPE OF REPORT (Choose One) (a) Quarterly Reports: 12-Day Primary (12P) General (12G) Runoff (12R) PRE-Election Report for the: Convention (12C) Special (12S) 30-Day POST-Election General (30G) Runoff (30R) Special (30S) Report for the: (b) Monthly Report Due On: Feb 20 (M2) May 20 (M5) Aug 20 (M8) Mar 20 (M3) Jun 20 (M6) Sep 20 (M9) Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT OF RECEIPTS AND DISBURSEMENTS For Other Than An Authorized Committee 1. NAME OF COMMITTEE (in full) ADDRESS (number and street) Check if different than previously reported. (ACC) TYPE OR PRINT CITY STATE ZIP CODE 2. FEC IDENTIFICATION NUMBER 5. Covering Period through I certify that I have examined this Report and to the best of my knowledge and belief it is true, correct and complete. Type or Print Name of Treasurer Signature of Treasurer Date April 15 Quarterly Report (Q1) July 15 Quarterly Report (Q2) October 15 Quarterly Report (Q3) January 31 Year-End Report (YE) July 31 Mid-Year Report (Non-election Year Only) (MY) Termination Report (TER) in the Election on State of in the Election on State of Office Use Only C 3. IS THIS NEW AMENDED REPORT (N) OR (A) (c) Nov 20 (M11) (Non-Election Year Only) Dec 20 (M12) (Non-Election Year Only) Example: If typing, type over the lines. (d) M M / D D / Y Y Y Y M M / D D / Y Y Y Y M M / D D / Y Y Y Y M M / D D / Y Y Y Y M M / D D / Y Y Y Y 12FE4M5 10/27/2016 23 : 29 Image# 201610279036989178 PAGE 1 / 1309 GREAT AMERICA PAC 107 S West St Suite 555 Alexandria VA 22314 C00608489 11 08 2016 10 01 2016 10 19 2016 Backer, Dan, , , Backer, Dan, , , [Electronically Filed] 10 27 2016

REPORT OF RECEIPTS FEC AND DISBURSEMENTS …docquery.fec.gov/pdf/178/201610279036989178/... · 6. (a) Cash on Hand 2016January 1, (b) ... Transfers from Non-Federal and Levin Funds

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  • FEC FORM 3XRev. 05/2016

    Office Use Only

    NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 52 U.S.C. 30109.

    4. TYPE OF REPORT (Choose One)

    (a) Quarterly Reports:

    12-Day Primary (12P) General (12G) Runoff (12R) PRE-Election Report for the: Convention (12C) Special (12S)

    30-Day POST-Election General (30G) Runoff (30R) Special (30S) Report for the:

    (b) Monthly Report Due On:

    Feb 20 (M2) May 20 (M5) Aug 20 (M8)

    Mar 20 (M3) Jun 20 (M6) Sep 20 (M9)

    Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE)

    FEC FORM 3X

    REPORT OF RECEIPTS AND DISBURSEMENTSFor Other Than An Authorized Committee

    1. NAME OF COMMITTEE (in full)

    ADDRESS (number and street)

    Check if different than previously reported. (ACC)

    TYPE OR PRINT

    CITY STATE ZIP CODE2. FEC IDENTIFICATION NUMBER

    5. Covering Period through

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

    Type or Print Name of Treasurer

    Signature of Treasurer Date

    April 15 Quarterly Report (Q1)

    July 15 Quarterly Report (Q2)

    October 15 Quarterly Report (Q3)

    January 31 Year-End Report (YE)

    July 31 Mid-Year Report (Non-election Year Only) (MY)

    Termination Report (TER) in the

    Election on State of

    in the Election on State of

    Office Use Only

    C

    3. IS THIS NEW AMENDED REPORT (N) OR (A)

    (c)

    Nov 20 (M11)(Non-Election Year Only)

    Dec 20 (M12)(Non-Election Year Only)

    Example: If typing, type over the lines.

    (d)

    M M / D D / Y Y Y Y

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

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    12FE4M5

    10/27/2016 23 : 29

    Image# 201610279036989178 PAGE 1 / 1309

    GREAT AMERICA PAC

    107 S West St

    Suite 555

    Alexandria VA 22314

    C00608489

    11 08 2016

    10 01 2016 10 19 2016

    Backer, Dan, , ,

    Backer, Dan, , ,[Electronically Filed] 10 27 2016

  • , , . , , .

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    , , .

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    , , .

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

    Y Y Y Y

    COLUMN BCalendar Year-to-Date

    COLUMN AThis Period

    6. (a) Cash on Hand January 1,

    (b) Cash on Hand at Beginning of Reporting Period ............

    (c) Total Receipts (from Line 19) .............

    (d) Subtotal (add Lines 6(b) and 6(c) for Column A and Lines 6(a) and 6(c) for Column B) ...............

    7. Total Disbursements (from Line 31) ...........

    8. Cash on Hand at Close of Reporting Period (subtract Line 7 from Line 6(d)) .................

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

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

    For further information contact:

    Federal Election Commission999 E Street, NW

    Washington, DC 20463

    Toll Free 800-424-9530Local 202-694-1100

    FEC Form 3X (Rev. 05/2016 ) Page 2

    SUMMARY PAGEOF RECEIPTS AND DISBURSEMENTS

    This committee has qualified as a multicandidate committee. (see FEC FORM 1M)

    Report Covering the Period: From: To:

    Write or Type Committee Name

    GREAT AMERICA PAC

    10 01 2016 10 19 2016

    Image# 201610279036989179

    2016 0.00

    2263719.29

    1985368.21 16295787.70

    4249087.50 16295787.70

    2160038.29 14206738.49

    2089049.21 2089049.21

    0.00

    250000.00

  • , , . , , .

    , , . , , . , , . , , . , , . , , .

    , , . , , . , , . , , . , , . , , .

    , , . , , .

    , , . , , .

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

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    , , . , , .

    Report Covering the Period: From: To:

    COLUMN BCalendar Year-to-Date

    COLUMN ATotal This Period

    11. Contributions (other than loans) From: (a) Individuals/Persons Other Than Political Committees (i) Itemized (use Schedule A) ............ (ii) Unitemized ..................................... (iii) TOTAL (add Lines 11(a)(i) and (ii) .................

    (b) Political Party Committees .................. (c) Other Political Committees (such as PACs) .................................... (d) Total Contributions (add Lines 11(a)(iii), (b), and (c)) (Carry Totals to Line 33, page 5) ..............12. Transfers From Affiliated/Other Party Committees ........................................

    13. All Loans Received .....................................

    14. Loan Repayments Received .......................15. Offsets To Operating Expenditures (Refunds, Rebates, etc.) (Carry Totals to Line 37, page 5) ...............16. Refunds of Contributions Made to Federal Candidates and Other Political Committees ....................................17. Other Federal Receipts (Dividends, Interest, etc.) ............................18. Transfers from Non-Federal and Levin Funds (a) Non-Federal Account (from Schedule H3) .............................

    (b) Levin Funds (from Schedule H5) .........

    (c) Total Transfers (add 18(a) and 18(b)) ..

    19. Total Receipts (add Lines 11(d), 12, 13, 14, 15, 16, 17, and 18(c)) .........

    20. Total Federal Receipts (subtract Line 18(c) from Line 19) .........

    DETAILED SUMMARY PAGEof Receipts

    Write or Type Committee Name

    I. Receipts

    FEC Form 3X (Rev. 05/2016 ) Page 3

    GREAT AMERICA PAC

    10 01 2016 10 19 2016

    Image# 201610279036989180

    481860.96 3318652.93

    1020152.25 7888963.29

    1502013.21 11207616.22

    0.00 0.00

    0.00 0.00

    1502013.21 11207616.22

    0.00 0.00

    0.00 300000.00

    0.00 0.00

    90000.00 1067266.43

    0.00 0.00

    393355.00 3720905.05

    0.00 0.00

    0.00 0.00

    0.00 0.00

    1985368.21 16295787.70

    1985368.21 16295787.70

  • , , . , , . , , . , , . , , . , , . , , . , , . , , . , , . , , . , , . , , . , , . , , . , , . , , . , , . , , . , , .

    , , . , , .

    , , . , , . , , . , , . , , . , , . , , . , , .

    , , . , , .

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    21. Operating Expenditures: (a) Allocated Federal/Non-Federal Activity (from Schedule H4) (i) Federal Share .............................

    (ii) Non-Federal Share ...................... (b) Other Federal Operating Expenditures ....................................... (c) Total Operating Expenditures (add 21(a)(i), (a)(ii), and (b)) .............22. Transfers to Affiliated/Other Party Committees .................................................23. Contributions to Federal Candidates/Committees and Other Political Committees .................24. Independent Expenditures (use Schedule E) .......................................25. Coordinated Party Expenditures (52 U.S.C. 30116(d)) (use Schedule F)........................................

    26. Loan Repayments Made ............................

    27. Loans Made ................................................28. Refunds of Contributions To: (a) Individuals/Persons Other Than Political Committees .................

    (b) Political Party Committees ................. (c) Other Political Committees (such as PACs) ................................... (d) Total Contribution Refunds (add Lines 28(a), (b), and (c)) ...........

    29. Other Disbursements (Including Non-Federal Donations) ...................................

    30. Federal Election Activity (52 U.S.C. 30101(20)) (a) Allocated Federal Election Activity (from Schedule H6) (i) Federal Share ................................

    (ii) "Levin" Share................................. (b) Federal Election Activity Paid Entirely With Federal Funds .............. (c) Total Federal Election Activity (add Lines 30(a)(i), 30(a)(ii) and 30(b)) .....

    31. Total Disbursements (add Lines 21(c), 22, 23, 24, 25, 26, 27, 28(d), 29 and 30(c)) ..

    32. Total Federal Disbursements (subtract Line 21(a)(ii) and Line 30(a)(ii) from Line 31) ..............................................

    COLUMN BCalendar Year-to-Date

    COLUMN ATotal This Period

    II. Disbursements

    DETAILED SUMMARY PAGEof Disbursements

    FEC Form 3X (Rev. 05/2016 ) Page 4

    Image# 201610279036989181

    0.00 0.00

    0.00 0.00

    66274.97 584609.52

    66274.97 584609.52

    0.00 0.00

    300.00 44594.00

    1876607.09 12753249.07

    0.00 0.00

    0.00 50000.00

    0.00 0.00

    1335.00 37518.52

    120.00 120.00

    0.00 50.00

    1455.00 37688.52

    215401.23 736597.38

    0.00 0.00

    0.00 0.00

    0.00 0.00

    0.00 0.00

    2160038.29 14206738.49

    2160038.29 14206738.49

  • , , . , , . , , . , , . , , . , , . , , . , , . , , . , , . , , . , , .

    COLUMN BCalendar Year-to-Date

    COLUMN ATotal This Period

    DETAILED SUMMARY PAGEof Disbursements

    FEC Form 3X (Rev. 05/2016 ) Page 5III. Net Contributions/

    Operating Expenditures

    33. Total Contributions (other than loans) (from Line 11(d), page 3) ..........................34. Total Contribution Refunds (from Line 28(d)) ........................................35. Net Contributions (other than loans) (subtract Line 34 from Line 33) ................36. Total Federal Operating Expenditures (add Line 21(a)(i) and Line 21(b)) .........37. Offsets to Operating Expenditures (from Line 15, page 3)...............................38. Net Operating Expenditures (subtract Line 37 from Line 36) ................

    Image# 201610279036989182

    1502013.21 11207616.22

    1455.00 37688.52

    1500558.21 11169927.70

    66274.97 584609.52

    90000.00 1067266.43

    -23725.03 -482656.91

  • , , . , , .

    , , .

    Aggregate Year-to-Date

    , , .

    C

    , , .C

    , , .

    C

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

    , , .

    SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 06/2016

    Date of Receipt

    Name of Employer (for Individual) Occupation (for Individual)

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

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

    for each category of the Detailed Summary Page 11a 11b 11c 12

    13 15 14 16 17

    Memo Item

    Memo Item

    Memo Item

    Name of Employer (for Individual) Occupation (for Individual)

    Name of Employer (for Individual) Occupation (for Individual)

    Image# 201610279036989183

    6 1309

    GREAT AMERICA PAC

    AALBERS, GLEN, , ,

    5540 W 5TH ST SPC 13410 05 2016

    OXNARD CA 93035-4812Transaction ID : SA11A.597837

    AALBERS & ASSOCIATES LAND SURVEYOR CONTRIBUTION

    300.00

    100.00

    ABE, SUSAN, , ,2075 STATE HIGHWAY 65

    10 17 2016

    WHEATLAND CA 95692Transaction ID : SA11A.623319

    INFORMATION REQUESTED PER BEST EFFORTS INFORMATION REQUESTED PER BEST EFFORTS

    1000.00

    CONTRIBUTION

    1000.00

    ACAMPORA, ROSEMARY J, , ,21650 MALIBU AVENUE

    10 05 2016

    PRIOR LAKE MN 55372-8757Transaction ID : SA11A.606239

    RETIRED RETIRED CONTRIBUTION

    400.00

    100.00

    1200.00

  • , , . , , .

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    Aggregate Year-to-Date

    , , .

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    , , .C

    , , .

    C

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

    , , .

    SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 06/2016

    Date of Receipt

    Name of Employer (for Individual) Occupation (for Individual)

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

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

    for each category of the Detailed Summary Page 11a 11b 11c 12

    13 15 14 16 17

    Memo Item

    Memo Item

    Memo Item

    Name of Employer (for Individual) Occupation (for Individual)

    Name of Employer (for Individual) Occupation (for Individual)

    Image# 201610279036989184

    7 1309

    GREAT AMERICA PAC

    ADAM, NICK, , ,

    1157 HIGHWAY 3410 17 2016

    BATAVIA IA 52533-7652Transaction ID : SA11A.622629

    RETIRED RETIRED CONTRIBUTION

    400.00

    100.00

    ADAMS, CAROLYN, , ,

    1465 ARENA CIR. 10 19 2016

    BULLHEAD CITY AZ 86442Transaction ID : SA11A.614045

    INFORMATION REQUESTED PER BEST EFFORTS INFORMATION REQUESTED PER BEST EFFORTS

    350.00

    CONTRIBUTION

    350.00

    ADAMS, JOHN, , ,1616 S. PENINSULA DR.

    10 10 2016

    DAYTONA BEACH FL 32118-4948Transaction ID : SA11A.602123

    RETIRED RETIRED CONTRIBUTION

    725.00

    25.00

    475.00

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    Aggregate Year-to-Date

    , , .

    C

    , , .C

    , , .

    C

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

    , , .

    SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 06/2016

    Date of Receipt

    Name of Employer (for Individual) Occupation (for Individual)

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

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

    for each category of the Detailed Summary Page 11a 11b 11c 12

    13 15 14 16 17

    Memo Item

    Memo Item

    Memo Item

    Name of Employer (for Individual) Occupation (for Individual)

    Name of Employer (for Individual) Occupation (for Individual)

    Image# 201610279036989185

    8 1309

    GREAT AMERICA PAC

    ADAMS, ROBIN, , ,

    2447 HERONWOOD10 18 2016

    BLOOMFIELD HILLS MI 48302Transaction ID : SA11A.606929

    RETIRED RETIRED CONTRIBUTION

    250.00

    250.00

    AFOLABI, ADEMOLA, , ,1341 EAST 94TH ST

    10 05 2016

    BROOKLYN NY 11236-4803Transaction ID : SA11A.599828

    RETIRED RETIRED

    370.00

    CONTRIBUTION

    10.00

    AFOLABI, ADEMOLA, , ,1341 EAST 94TH ST

    10 09 2016

    BROOKLYN NY 11236-4803Transaction ID : SA11A.599829

    RETIRED RETIRED CONTRIBUTION

    370.00

    10.00

    270.00

  • , , . , , .

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    Aggregate Year-to-Date

    , , .

    C

    , , .C

    , , .

    C

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

    , , .

    SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 06/2016

    Date of Receipt

    Name of Employer (for Individual) Occupation (for Individual)

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

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

    for each category of the Detailed Summary Page 11a 11b 11c 12

    13 15 14 16 17

    Memo Item

    Memo Item

    Memo Item

    Name of Employer (for Individual) Occupation (for Individual)

    Name of Employer (for Individual) Occupation (for Individual)

    Image# 201610279036989186

    9 1309

    GREAT AMERICA PAC

    AGUR, PETER, , MR.,

    30 W LAMBERT LANE UNIT 21710 11 2016

    ORO VALLEY AZ 85737Transaction ID : SA11A.602133

    RETIRED RETIRED CONTRIBUTION

    465.00

    25.00

    AGUR, PETER, , MR.,30 W LAMBERT LANE UNIT 217

    10 13 2016

    ORO VALLEY AZ 85737Transaction ID : SA11A.602134

    RETIRED RETIRED

    465.00

    CONTRIBUTION

    25.00

    AHLBUM, JON, , ,660 NW 49TH AVE

    10 04 2016

    COCONUT CREEK FL 33063-4629Transaction ID : SA11A.597753

    SELF INSURANCE SALES CONTRIBUTION

    600.00

    100.00

    150.00

  • , , . , , .

    , , .

    Aggregate Year-to-Date

    , , .

    C

    , , .C

    , , .

    C

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

    , , .

    SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 06/2016

    Date of Receipt

    Name of Employer (for Individual) Occupation (for Individual)

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

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

    for each category of the Detailed Summary Page 11a 11b 11c 12

    13 15 14 16 17

    Memo Item

    Memo Item

    Memo Item

    Name of Employer (for Individual) Occupation (for Individual)

    Name of Employer (for Individual) Occupation (for Individual)

    Image# 201610279036989187

    10 1309

    GREAT AMERICA PAC

    AIKEN, ROBERT, , ,

    13232 W MICHELTORENA DR10 11 2016

    SUN CITY WEST AZ 85375Transaction ID : SA11A.606930

    RETIRED RETIRED CONTRIBUTION

    350.00

    250.00

    AILEY, MIQUELYN, , ,9891 E 400

    10 19 2016

    STRANG OK 74367-4415Transaction ID : SA11A.624018

    INFORMATION REQUESTED PER BEST EFFORTS INFORMATION REQUESTED PER BEST EFFORTS

    450.00

    CONTRIBUTION

    100.00

    AIVAZIAN, MARY, , ,12635 E. FORT LOWELL

    10 14 2016

    TUCSON AZ 85749-9614Transaction ID : SA11A.602136

    RETIRED RETIRED CONTRIBUTION

    250.00

    25.00

    375.00

  • , , . , , .

    , , .

    Aggregate Year-to-Date

    , , .

    C

    , , .C

    , , .

    C

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

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    SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 06/2016

    Date of Receipt

    Name of Employer (for Individual) Occupation (for Individual)

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

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

    for each category of the Detailed Summary Page 11a 11b 11c 12

    13 15 14 16 17

    Memo Item

    Memo Item

    Memo Item

    Name of Employer (for Individual) Occupation (for Individual)

    Name of Employer (for Individual) Occupation (for Individual)

    Image# 201610279036989188

    11 1309

    GREAT AMERICA PAC

    ALDERFER, BARBARA, , ,

    99 TAIFER AVENUE10 18 2016

    DOYLESTOWN PA 18901Transaction ID : SA11A.602143

    RETIRED RETIRED CONTRIBUTION

    575.00

    25.00

    ALDERFER, BARBARA, , ,99 TAIFER AVENUE

    10 08 2016

    DOYLESTOWN PA 18901Transaction ID : SA11A.602144

    RETIRED RETIRED

    575.00

    CONTRIBUTION

    25.00

    ALEGADO, ISABEL, , ,218 HUNTERS RIDGE ROAD

    10 09 2016

    LUTHERVILLE TIMONI MD 21093-4018Transaction ID : SA11A.602145

    RETIRED RETIRED CONTRIBUTION

    375.00

    25.00

    75.00

  • , , . , , .

    , , .

    Aggregate Year-to-Date

    , , .

    C

    , , .C

    , , .

    C

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

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    SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 06/2016

    Date of Receipt

    Name of Employer (for Individual) Occupation (for Individual)

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

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

    for each category of the Detailed Summary Page 11a 11b 11c 12

    13 15 14 16 17

    Memo Item

    Memo Item

    Memo Item

    Name of Employer (for Individual) Occupation (for Individual)

    Name of Employer (for Individual) Occupation (for Individual)

    Image# 201610279036989189

    12 1309

    GREAT AMERICA PAC

    ALEGADO, ISABEL, , ,

    218 HUNTERS RIDGE ROAD10 11 2016

    LUTHERVILLE TIMONI MD 21093-4018Transaction ID : SA11A.602146

    RETIRED RETIRED CONTRIBUTION

    375.00

    25.00

    ALEGADO, ISABEL, , ,218 HUNTERS RIDGE ROAD

    10 13 2016

    LUTHERVILLE TIMONI MD 21093-4018Transaction ID : SA11A.602147

    RETIRED RETIRED

    375.00

    CONTRIBUTION

    25.00

    ALEJANDRO, RUFINO, , ,3629 PONDEROSA STREET

    10 05 2016

    EL MONTE CA 91732-4315Transaction ID : SA11A.597803

    SELF IT CONSULTANT CONTRIBUTION

    250.00

    25.00

    75.00

  • , , . , , .

    , , .

    Aggregate Year-to-Date

    , , .

    C

    , , .C

    , , .

    C

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

    , , .

    SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 06/2016

    Date of Receipt

    Name of Employer (for Individual) Occupation (for Individual)

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

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

    for each category of the Detailed Summary Page 11a 11b 11c 12

    13 15 14 16 17

    Memo Item

    Memo Item

    Memo Item

    Name of Employer (for Individual) Occupation (for Individual)

    Name of Employer (for Individual) Occupation (for Individual)

    Image# 201610279036989190

    13 1309

    GREAT AMERICA PAC

    ALEJANDRO, RUFINO, , ,

    3629 PONDEROSA STREET10 06 2016

    EL MONTE CA 91732-4315Transaction ID : SA11A.597805

    SELF IT CONSULTANT CONTRIBUTION

    250.00

    100.00

    ALESSANDRO, LOIS, , ,16401 SAN PABLO AVESPC 322 10 12 2016

    SAN PABLO CA 94806-1324Transaction ID : SA11A.619305

    RETIRED RETIRED

    300.00

    CONTRIBUTION

    100.00

    ALEXANDER, LEIGH, , ,53506 862 ROAD

    10 12 2016

    PLAINVIEW NE 68769-2118Transaction ID : SA11A.597487

    SELF/CDS INSPECTIONS & BEYOND, INC. HOME INSPECTOR CONTRIBUTION

    315.00

    25.00

    225.00

  • , , . , , .

    , , .

    Aggregate Year-to-Date

    , , .

    C

    , , .C

    , , .

    C

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

    , , .

    SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 06/2016

    Date of Receipt

    Name of Employer (for Individual) Occupation (for Individual)

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

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

    for each category of the Detailed Summary Page 11a 11b 11c 12

    13 15 14 16 17

    Memo Item

    Memo Item

    Memo Item

    Name of Employer (for Individual) Occupation (for Individual)

    Name of Employer (for Individual) Occupation (for Individual)

    Image# 201610279036989191

    14 1309

    GREAT AMERICA PAC

    ALEXANDER, LEIGH, , ,

    53506 862 ROAD10 09 2016

    PLAINVIEW NE 68769-2118Transaction ID : SA11A.597491

    SELF/CDS INSPECTIONS & BEYOND, INC. HOME INSPECTOR CONTRIBUTION

    315.00

    10.00

    ALEXANDER, LEIGH, , ,53506 862 ROAD

    10 10 2016

    PLAINVIEW NE 68769-2118Transaction ID : SA11A.597492

    SELF/CDS INSPECTIONS & BEYOND, INC. HOME INSPECTOR

    315.00

    CONTRIBUTION

    10.00

    ALEXANDER, LEIGH, , ,53506 862 ROAD

    10 14 2016

    PLAINVIEW NE 68769-2118Transaction ID : SA11A.597493

    SELF/CDS INSPECTIONS & BEYOND, INC. HOME INSPECTOR CONTRIBUTION

    315.00

    10.00

    30.00

  • , , . , , .

    , , .

    Aggregate Year-to-Date

    , , .

    C

    , , .C

    , , .

    C

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

    , , .

    SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 06/2016

    Date of Receipt

    Name of Employer (for Individual) Occupation (for Individual)

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

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

    for each category of the Detailed Summary Page 11a 11b 11c 12

    13 15 14 16 17

    Memo Item

    Memo Item

    Memo Item

    Name of Employer (for Individual) Occupation (for Individual)

    Name of Employer (for Individual) Occupation (for Individual)

    Image# 201610279036989192

    15 1309

    GREAT AMERICA PAC

    ALEXANDER, LEIGH, , ,

    53506 862 ROAD10 14 2016

    PLAINVIEW NE 68769-2118Transaction ID : SA11A.597494

    SELF/CDS INSPECTIONS & BEYOND, INC. HOME INSPECTOR CONTRIBUTION

    315.00

    25.00

    ALFONSO, ANTHONY, , ,7216 WESTMINISTER DR.

    10 19 2016

    NEW ORLEANS LA 70123-4827Transaction ID : SA11A.614171

    INFORMATION REQUESTED PER BEST EFFORTS INFORMATION REQUESTED PER BEST EFFORTS

    240.00

    CONTRIBUTION

    40.00

    ALLAN, JAMES, , ,1693 MCDONALD RD

    10 16 2016

    ROCKWALL TX 75032-8672Transaction ID : SA11A.606244

    RETIRED RETIRED CONTRIBUTION

    675.00

    100.00

    165.00

  • , , . , , .

    , , .

    Aggregate Year-to-Date

    , , .

    C

    , , .C

    , , .

    C

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

    , , .

    SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 06/2016

    Date of Receipt

    Name of Employer (for Individual) Occupation (for Individual)

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

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

    for each category of the Detailed Summary Page 11a 11b 11c 12

    13 15 14 16 17

    Memo Item

    Memo Item

    Memo Item

    Name of Employer (for Individual) Occupation (for Individual)

    Name of Employer (for Individual) Occupation (for Individual)

    Image# 201610279036989193

    16 1309

    GREAT AMERICA PAC

    ALLEN, AUGUSTUS, , ,

    10137 STONE ARCH DR10 17 2016

    GRASS VALLEY CA 95949-9259Transaction ID : SA11A.622769

    INFORMATION REQUESTED PER BEST EFFORTS INFORMATION REQUESTED PER BEST EFFORTSCONTRIBUTION

    300.00

    100.00

    ALLEN, CHRIS, , ,4006 N LAMAR BLVD

    10 13 2016

    AUSTIN TX 78756-3714Transaction ID : SA11A.618121

    INFORMATION REQUESTED PER BEST EFFORTS INFORMATION REQUESTED PER BEST EFFORTS

    470.00

    CONTRIBUTION

    370.00

    ALLEN, EUGENE, , ,10494 BONWELL LOOP

    10 19 2016

    KOUNTZE TX 77625-6033Transaction ID : SA11A.621059

    INFORMATION REQUESTED PER BEST EFFORTS INFORMATION REQUESTED PER BEST EFFORTSCONTRIBUTION

    300.00

    100.00

    570.00

  • , , . , , .

    , , .

    Aggregate Year-to-Date

    , , .

    C

    , , .C

    , , .

    C

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

    , , .

    SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 06/2016

    Date of Receipt

    Name of Employer (for Individual) Occupation (for Individual)

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

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

    for each category of the Detailed Summary Page 11a 11b 11c 12

    13 15 14 16 17

    Memo Item

    Memo Item

    Memo Item

    Name of Employer (for Individual) Occupation (for Individual)

    Name of Employer (for Individual) Occupation (for Individual)

    Image# 201610279036989194

    17 1309

    GREAT AMERICA PAC

    ALLEN, HAROLD, , ,

    1093 A1A BEACH BLVD10 13 2016

    SAINT AUGUSTINE FL 32080-6733Transaction ID : SA11A.598456

    SELF ORTHOPEDIC SURGEON CONTRIBUTION

    1375.00

    100.00

    ALLEN, ROBERT JERRY, , ,2934 E BONANZA RD.

    10 03 2016

    GILBERT AZ 85297-7606Transaction ID : SA11A.610821

    DISART FAMILY MEDICINE DOCTOR

    400.00

    CONTRIBUTION

    300.00

    ALLEN, VANN, , ,15667 COUNTY ROAD 424

    10 18 2016

    SHERWOOD OH 43556-9762Transaction ID : SA11A.622126

    RETIRED RETIRED CONTRIBUTION

    210.00

    100.00

    500.00

  • , , . , , .

    , , .

    Aggregate Year-to-Date

    , , .

    C

    , , .C

    , , .

    C

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

    , , .

    SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 06/2016

    Date of Receipt

    Name of Employer (for Individual) Occupation (for Individual)

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

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

    for each category of the Detailed Summary Page 11a 11b 11c 12

    13 15 14 16 17

    Memo Item

    Memo Item

    Memo Item

    Name of Employer (for Individual) Occupation (for Individual)

    Name of Employer (for Individual) Occupation (for Individual)

    Image# 201610279036989195

    18 1309

    GREAT AMERICA PAC

    ALLEN, YVONNE, , ,

    856 BRIDGE CREST DR10 17 2016

    ADA MI 49301-7827Transaction ID : SA11A.599833

    RETIRED RETIRED CONTRIBUTION

    535.00

    10.00

    ALLEN, YVONNE, , ,856 BRIDGE CREST DR

    10 19 2016

    ADA MI 49301-7827Transaction ID : SA11A.599834

    RETIRED RETIRED

    535.00

    CONTRIBUTION

    10.00

    ALLEN, YVONNE, , ,856 BRIDGE CREST DR

    10 05 2016

    ADA MI 49301-7827Transaction ID : SA11A.602154

    RETIRED RETIRED CONTRIBUTION

    535.00

    25.00

    45.00

  • , , . , , .

    , , .

    Aggregate Year-to-Date

    , , .

    C

    , , .C

    , , .

    C

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

    , , .

    SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 06/2016

    Date of Receipt

    Name of Employer (for Individual) Occupation (for Individual)

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

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

    for each category of the Detailed Summary Page 11a 11b 11c 12

    13 15 14 16 17

    Memo Item

    Memo Item

    Memo Item

    Name of Employer (for Individual) Occupation (for Individual)

    Name of Employer (for Individual) Occupation (for Individual)

    Image# 201610279036989196

    19 1309

    GREAT AMERICA PAC

    ALLEN, YVONNE, , ,

    856 BRIDGE CREST DR10 11 2016

    ADA MI 49301-7827Transaction ID : SA11A.602156

    RETIRED RETIRED CONTRIBUTION

    535.00

    25.00

    ALLEN, YVONNE, , ,856 BRIDGE CREST DR

    10 14 2016

    ADA MI 49301-7827Transaction ID : SA11A.602157

    RETIRED RETIRED

    535.00

    CONTRIBUTION

    25.00

    ALLEN, YVONNE, , ,856 BRIDGE CREST DR

    10 03 2016

    ADA MI 49301-7827Transaction ID : SA11A.605016

    RETIRED RETIRED CONTRIBUTION

    535.00

    35.00

    85.00

  • , , . , , .

    , , .

    Aggregate Year-to-Date

    , , .

    C

    , , .C

    , , .

    C

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

    , , .

    SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 06/2016

    Date of Receipt

    Name of Employer (for Individual) Occupation (for Individual)

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

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

    for each category of the Detailed Summary Page 11a 11b 11c 12

    13 15 14 16 17

    Memo Item

    Memo Item

    Memo Item

    Name of Employer (for Individual) Occupation (for Individual)

    Name of Employer (for Individual) Occupation (for Individual)

    Image# 201610279036989197

    20 1309

    GREAT AMERICA PAC

    ALLEN, YVONNE, , ,

    856 BRIDGE CREST DR10 07 2016

    ADA MI 49301-7827Transaction ID : SA11A.605126

    RETIRED RETIRED CONTRIBUTION

    535.00

    50.00

    ALLOCCA, FRANK, , ,520 OLD CHESTER ROAD

    10 13 2016

    CHESTER NJ 07930Transaction ID : SA11A.607001

    RETIRED RETIRED

    500.00

    CONTRIBUTION

    500.00

    ALSUP, DOROTHY, , ,6602 HIGHWAY 39

    10 19 2016

    SOMERSET KY 42503-5005Transaction ID : SA11A.621212

    INFORMATION REQUESTED PER BEST EFFORTS INFORMATION REQUESTED PER BEST EFFORTSCONTRIBUTION

    1000.00

    500.00

    1050.00

  • , , . , , .

    , , .

    Aggregate Year-to-Date

    , , .

    C

    , , .C

    , , .

    C

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

    , , .

    SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 06/2016

    Date of Receipt

    Name of Employer (for Individual) Occupation (for Individual)

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

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

    for each category of the Detailed Summary Page 11a 11b 11c 12

    13 15 14 16 17

    Memo Item

    Memo Item

    Memo Item

    Name of Employer (for Individual) Occupation (for Individual)

    Name of Employer (for Individual) Occupation (for Individual)

    Image# 201610279036989198

    21 1309

    GREAT AMERICA PAC

    ALTER, LORRANE, , ,

    10560 WILSHIRE BLVD10 11 2016

    LOS ANGELES CA 90024Transaction ID : SA11A.619683

    INFORMATION REQUESTED PER BEST EFFORTS INFORMATION REQUESTED PER BEST EFFORTSCONTRIBUTION

    1000.00

    1000.00

    ALUKONIS, LEO, , ,PO BOX 54

    10 04 2016

    AMISSVILLE VA 20106Transaction ID : SA11A.624598

    INFORMATION REQUESTED PER BEST EFFORTS INFORMATION REQUESTED PER BEST EFFORTS

    300.00

    CONTRIBUTION

    250.00

    AMBURDEY, AL, , ,410 N 1150 E

    10 07 2016

    LAGRANGE IN 46761-9176Transaction ID : SA11A.614715

    INFORMATION REQUESTED PER BEST EFFORTS INFORMATION REQUESTED PER BEST EFFORTSCONTRIBUTION

    400.00

    100.00

    1350.00

  • , , . , , .

    , , .

    Aggregate Year-to-Date

    , , .

    C

    , , .C

    , , .

    C

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

    , , .

    SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 06/2016

    Date of Receipt

    Name of Employer (for Individual) Occupation (for Individual)

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

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

    for each category of the Detailed Summary Page 11a 11b 11c 12

    13 15 14 16 17

    Memo Item

    Memo Item

    Memo Item

    Name of Employer (for Individual) Occupation (for Individual)

    Name of Employer (for Individual) Occupation (for Individual)

    Image# 201610279036989199

    22 1309

    GREAT AMERICA PAC

    ANDERSEN, ANDRADA, , ,

    336 S OCCIDENTAL BLVD

    APT 501 10 11 2016

    LOS ANGELES CA 90057-1546Transaction ID : SA11A.619592

    INFORMATION REQUESTED PER BEST EFFORTS INFORMATION REQUESTED PER BEST EFFORTSCONTRIBUTION

    375.00

    150.00

    ANDERSON, GAIL, , ,416 UNION AVE

    10 04 2016

    SARATOGA SPRINGS NY 12866Transaction ID : SA11A.616315

    RETIRED RETIRED

    2250.00

    CONTRIBUTION

    100.00

    ANDERSON, GARY, , ,3218 SMITHS RETREAT

    10 07 2016

    CHESAPEAKE BEACH MD 20732-4551Transaction ID : SA11A.614973

    GARY ANDERSON MACHANIC BUSINESS SELF EMPLOYED CONTRIBUTION

    400.00

    200.00

    450.00

  • , , . , , .

    , , .

    Aggregate Year-to-Date

    , , .

    C

    , , .C

    , , .

    C

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

    , , .

    SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 06/2016

    Date of Receipt

    Name of Employer (for Individual) Occupation (for Individual)

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

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

    for each category of the Detailed Summary Page 11a 11b 11c 12

    13 15 14 16 17

    Memo Item

    Memo Item

    Memo Item

    Name of Employer (for Individual) Occupation (for Individual)

    Name of Employer (for Individual) Occupation (for Individual)

    Image# 201610279036989200

    23 1309

    GREAT AMERICA PAC

    ANDERSON, HARRY, , ,

    2002 MANATEE AVE WEST10 17 2016

    BRADENTON FL 34205-5856Transaction ID : SA11A.596750

    SELF CPA, REALTOR, EXLEO CONTRIBUTION

    300.00

    100.00

    ANDERSON, JUDI, , ,27 ADAM WAY

    10 05 2016

    ATHERTON CA 94027-3901Transaction ID : SA11A.606247

    RETIRED RETIRED

    1125.00

    CONTRIBUTION

    100.00

    ANDERSON, RONALD, , ,P O BOX 1444

    10 05 2016

    COEBURN VA 24230Transaction ID : SA11A.598583

    LONE PINE EXTERMINATING CO., INC. PEST CONTROL OPERATOR CONTRIBUTION

    250.00

    250.00

    450.00

  • , , . , , .

    , , .

    Aggregate Year-to-Date

    , , .

    C

    , , .C

    , , .

    C

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

    , , .

    SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 06/2016

    Date of Receipt

    Name of Employer (for Individual) Occupation (for Individual)

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

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

    for each category of the Detailed Summary Page 11a 11b 11c 12

    13 15 14 16 17

    Memo Item

    Memo Item

    Memo Item

    Name of Employer (for Individual) Occupation (for Individual)

    Name of Employer (for Individual) Occupation (for Individual)

    Image# 201610279036989201

    24 1309

    GREAT AMERICA PAC

    ANDES, JERRY, , ,

    1243 MIRAMAR DR10 09 2016

    FULLERTON CA 92831-2038Transaction ID : SA11A.606931

    RETIRED RETIRED CONTRIBUTION

    250.00

    250.00

    ANDREADIS, NICOLAS, , ,700 NORTH DRIVE

    10 07 2016

    MATTITUCK NY 11952Transaction ID : SA11A.596538

    TRITON CONSTRUCTION CONSTRUCTION MANAGER

    250.00

    CONTRIBUTION

    250.00

    ANDREWS, WILLIAM, , ,1409 MORAN RD

    10 08 2016

    FRANKLIN TN 37069-6301Transaction ID : SA11A.606252

    RETIRED RETIRED CONTRIBUTION

    500.00

    100.00

    600.00

  • , , . , , .

    , , .

    Aggregate Year-to-Date

    , , .

    C

    , , .C

    , , .

    C

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

    , , .

    SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 06/2016

    Date of Receipt

    Name of Employer (for Individual) Occupation (for Individual)

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

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

    for each category of the Detailed Summary Page 11a 11b 11c 12

    13 15 14 16 17

    Memo Item

    Memo Item

    Memo Item

    Name of Employer (for Individual) Occupation (for Individual)

    Name of Employer (for Individual) Occupation (for Individual)

    Image# 201610279036989202

    25 1309

    GREAT AMERICA PAC

    ANDREWS, WILLIAM, , ,

    1409 MORAN RD10 10 2016

    FRANKLIN TN 37069-6301Transaction ID : SA11A.606254

    RETIRED RETIRED CONTRIBUTION

    500.00

    100.00

    ANDREWS, WILLIAM, , ,1409 MORAN RD

    10 11 2016

    FRANKLIN TN 37069-6301Transaction ID : SA11A.606255

    RETIRED RETIRED

    500.00

    CONTRIBUTION

    100.00

    ANDRE, ZITA, , ,PO BOX 187

    10 14 2016

    SILVER SPRINGS FL 34489Transaction ID : SA11A.606932

    RETIRED RETIRED CONTRIBUTION

    250.00

    250.00

    450.00

  • , , . , , .

    , , .

    Aggregate Year-to-Date

    , , .

    C

    , , .C

    , , .

    C

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

    , , .

    SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 06/2016

    Date of Receipt

    Name of Employer (for Individual) Occupation (for Individual)

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

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

    for each category of the Detailed Summary Page 11a 11b 11c 12

    13 15 14 16 17

    Memo Item

    Memo Item

    Memo Item

    Name of Employer (for Individual) Occupation (for Individual)

    Name of Employer (for Individual) Occupation (for Individual)

    Image# 201610279036989203

    26 1309

    GREAT AMERICA PAC

    ANGELO, RICHARD, , ,

    11774 MONTE LEON WAY10 07 2016

    NORTHRIDGE CA 91326-1514Transaction ID : SA11A.597843

    STAY GREEN INC LANDSCAPE CONTRACTOR CONTRIBUTION

    800.00

    250.00

    ANGLE, KAREN, , ,183 COUNTY ROAD 138

    10 18 2016

    OKOLONA MS 38860Transaction ID : SA11A.622089

    INFORMATION REQUESTED PER BEST EFFORTS INFORMATION REQUESTED PER BEST EFFORTS

    425.00

    CONTRIBUTION

    100.00

    ANGLIN, WALTER, , ,270 PRIVATE ROAD 7131

    10 05 2016

    QUITMAN TX 75783-7426Transaction ID : SA11A.615813

    RETIRED RETIRED CONTRIBUTION

    210.00

    75.00

    425.00

  • , , . , , .

    , , .

    Aggregate Year-to-Date

    , , .

    C

    , , .C

    , , .

    C

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

    , , .

    SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 06/2016

    Date of Receipt

    Name of Employer (for Individual) Occupation (for Individual)

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

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

    for each category of the Detailed Summary Page 11a 11b 11c 12

    13 15 14 16 17

    Memo Item

    Memo Item

    Memo Item

    Name of Employer (for Individual) Occupation (for Individual)

    Name of Employer (for Individual) Occupation (for Individual)

    Image# 201610279036989204

    27 1309

    GREAT AMERICA PAC

    ANNESE, MARK, , ,

    3425 COASTAL OAK DRIVE10 15 2016

    SIMI VALLEY CA 93065-7240Transaction ID : SA11A.597800

    NCR IT CONTRIBUTION

    350.00

    50.00

    ANTHONY, GERGELY, , ,PO BOX 590

    10 19 2016

    SEGUIN TX 78156Transaction ID : SA11A.607773

    SURE-LIFE LAB SELF EMPLOYED

    500.00

    CONTRIBUTION

    500.00

    APOSTOLOU, JAMES, , ,5783 E BARREL HORSE DR

    10 14 2016

    KUNA ID 83634-5025Transaction ID : SA11A.616793

    T COR LLC BUSINESS OWNER CONTRIBUTION

    225.00

    75.00

    625.00

  • , , . , , .

    , , .

    Aggregate Year-to-Date

    , , .

    C

    , , .C

    , , .

    C

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    M M / D D / Y Y Y Y

    , , .

    , , .

    SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 06/2016

    Date of Receipt

    Name of Employer (for Individual) Occupation (for Individual)

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

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

    for each category of the Detailed Summary Page 11a 11b 11c 12

    13 15 14 16 17

    Memo Item

    Memo Item

    Memo Item

    Name of Employer (for Individual) Occupation (for Individual)

    Name of Employer (for Individual) Occupation (for Individual)

    Image# 201610279036989205

    28 1309

    GREAT AMERICA PAC

    APPLEBAUM, JEROME M., , ,

    5302 SUMMERTIME LANE10 14 2016

    CULVER CITY CA 90230-4508Transaction ID : SA11A.596040

    SELF-EMPLOYED & PARTIALLY RETIRED. ATTORNEY/MEDIATOR/ARBITRATOR/LITIGATORCONTRIBUTION

    300.00

    100.00

    APPLEBAUM, JEROME M., , ,5302 SUMMERTIME LANE

    10 19 2016

    CULVER CITY CA 90230-4508Transaction ID : SA11A.596041

    SELF-EMPLOYED & PARTIALLY RETIRED. ATTORNEY/MEDIATOR/ARBITRATOR/LITIGATOR

    300.00

    CONTRIBUTION

    100.00

    APPLEBAUM, JEROME M., , ,5302 SUMMERTIME LANE

    10 11 2016

    CULVER CITY CA 90230-4508Transaction ID : SA11A.596042

    SELF-EMPLOYED & PARTIALLY RETIRED. ATTORNEY/MEDIATOR/ARBITRATOR/LITIGATORCONTRIBUTION

    300.00

    100.00

    300.00

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    SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 06/2016

    Date of Receipt

    Name of Employer (for Individual) Occupation (for Individual)

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

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

    for each category of the Detailed Summary Page 11a 11b 11c 12

    13 15 14 16 17

    Memo Item

    Memo Item

    Memo Item

    Name of Employer (for Individual) Occupation (for Individual)

    Name of Employer (for Individual) Occupation (for Individual)

    Image# 201610279036989206

    29 1309

    GREAT AMERICA PAC

    APPLETON, NORMAN, , ,

    207 E 4TH ST10 14 2016

    SANBORN IA 51248-7753Transaction ID : SA11A.606257

    RETIRED RETIRED CONTRIBUTION

    250.00

    100.00

    ARCHIBALD, THOMAS, , ,2505 SIERRA VISTA RD

    10 11 2016

    ARTESIA NM 88210Transaction ID : SA11A.606258

    RETIRED RETIRED

    550.00

    CONTRIBUTION

    100.00

    ARCHULETA, DIANNA, , ,P. O. BOX 196

    10 09 2016

    LA BARGE WY 83123-0196Transaction ID : SA11A.606259

    RETIRED RETIRED CONTRIBUTION

    500.00

    100.00

    300.00

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    SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 06/2016

    Date of Receipt

    Name of Employer (for Individual) Occupation (for Individual)

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

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

    for each category of the Detailed Summary Page 11a 11b 11c 12

    13 15 14 16 17

    Memo Item

    Memo Item

    Memo Item

    Name of Employer (for Individual) Occupation (for Individual)

    Name of Employer (for Individual) Occupation (for Individual)

    Image# 201610279036989207

    30 1309

    GREAT AMERICA PAC

    ARCHULETA, DIANNA, , ,

    P. O. BOX 19610 11 2016

    LA BARGE WY 83123-0196Transaction ID : SA11A.606260

    RETIRED RETIRED CONTRIBUTION

    500.00

    100.00

    ARJIL, ANTHONY, , ,880 CUMORAH COURT

    10 05 2016

    PLACERVILLE CA 95667-9641Transaction ID : SA11A.605136

    RETIRED RETIRED

    250.00

    CONTRIBUTION

    50.00

    ARMITAGE, ALBERT, , ,485 NEEDLE BLVD

    10 11 2016

    MERRITT ISLAND FL 32953-6109Transaction ID : SA11A.602185

    RETIRED RETIRED CONTRIBUTION

    250.00

    25.00

    175.00

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    SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

    Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

    NAME OF COMMITTEE (In Full)

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

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

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    A.

    FEC Schedule A (Form 3X) Rev. 06/2016

    Date of Receipt

    Name of Employer (for Individual) Occupation (for Individual)

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    B.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

    Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

    Mailing Address

    City State Zip Code

    Receipt For: Primary General Other (specify)

    Amount of Each Receipt this Period

    C.

    Aggregate Year-to-Date

    Date of Receipt

    FEC ID number of contributingfederal political committee.

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

    for each category of the Detailed Summary Page 11a 11b 11c 12

    13 15 14 16 17

    Memo Item

    Memo Item

    Memo Item

    Name of Employer (for Individual) Occupation (for Individual)

    Name of Employer (for Individual) Occupation (for Individual)

    Image# 201610279036989208

    31 1309

    GREAT AMERICA PAC

    ARMSTRONG, ROBERTA, , ,

    2276 MILL ROAD10 04 2016

    BINGHAMTON NY 13903-6144Transaction ID : SA11A.608110

    ARMSTRONG TELECOM TELECOM CONTRIBUTION

    1065.00

    10.00

    ARMSTRONG, ROBERTA, , ,2276 MILL ROAD

    10 06 2016

    BINGHAMTON NY 13903-6144Transaction ID : SA11A.608111

    ARMSTRONG TELECOM TELECOM

    1065.00

    CONTRIBUTION

    10.00

    ARMSTRONG, ROBERTA, , ,2276 MILL ROAD

    10 10 2016

    BINGHAMTON NY 13903-6144Transaction ID : SA1