Shuler FEC Report April 01 to June 30, 2011

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  • 8/6/2019 Shuler FEC Report April 01 to June 30, 2011

    1/83

    07/15/2011 17 : 3

    REPORT OF RECEIPTSFEC

    AND DISBURSEMENTSFORM 3

    For An Authorized CommitteeOffice Use Only

    1. NAME OF USE FEC MAILING LABELCOMMITTEE (in full) OR TYPE OR PRINT. Example:If typing, typeover the lines

    ADDRESS (number and street).Check if differentthan previouslyreported. (ACC)

    2. FEC IDENTIFICATION NUMBER . . . .CITY STATE ZIP CODESTATE

    .NEW AMENDEDOR(N) (A)DISTRICT

    3. IS THISREPORT

    4. TYPE OF REPORT (Choose One)(b) 12-Day PRE-Election Report for the:

    (a) Quarterly Reports:

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

    April 15 Quarterly Report (Q1)

    Convention (12C) Special (12S)

    July 15 Quarterly Report (Q2)

    in theOctober 15 Quarterly Report (Q3) Election on State of

    January 31 Year-End Report (YE) (c) 30-Day POST-Election Report for the:

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

    in theTermination Report (TER) Election on State of

    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

    Electronically Filed bySignature of Treasurer Date

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

    FEC FORM 3OfficeUse (Revised 02/2003)Only

    FE5AN018

    Heath Shuler for Congress

    Image# 11931912506

    XC00413393

    PO Box 8446

    Asheville NC 28814

    NC 11

    X

    0 4 0 1 2 0 1 1 0 6 3 0 2 0 1 1

    Troy Burns

    Troy Burns 0 7 1 5 2 0 1 1

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    SUMMARY PAGEof Receipts and Disbursements

    Write or Type Committee Name

    FEC Form 3 (Revised 02/2003)

    M MM M D DD D Y Y Y YY Y Y Y M MM M D DD D Y Y Y YY Y Y Y

    Report Covering the Period: From: To:

    COLUMN A COLUMN BThis Period Election Cycle-to-Date

    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 Commission999 E Street, NW

    Washington, DC 20463

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

    FE5AN018

    0 4 0 1 2 0 1 1 0 6 3 0 2 0 1 1

    Image# 11931912507

    Heath Shuler for Congress

    2 / 83

    175505.00

    0.00

    175505.00

    73154.69

    0.00

    73154.69

    245338.84

    0.00

    0.00

    312530.00

    6900.00

    305630.00

    213535.55

    10395.62

    203139.93

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    DETAILED SUMMARY PAGEof Receipts

    FEC Form 3 (Revised 12/2003)

    Write or Type Committee Name

    M M D D Y Y Y Y M M D D Y Y Y Y

    Report Covering the Period: From: To:

    COLUMN A COLUMN BI. RECEIPTS

    Total This Period Election Cycle-to-Date

    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 Lines .11(e), 12, 13(c), 14, and 15)(Carry Total to Line 24, page 4)............FE5AN018

    0 4 0 1 2 0 1 1 0 6 3 0 2 0 1 1

    Heath Shuler for Congress

    Image# 11931912508

    3 / 83

    48050.00

    6455.00

    54505.00

    0.00

    121000.00

    0.00

    175505.00

    0.00

    0.00

    0.00

    0.00

    0.00

    0.00

    175505.00

    99800.00

    10730.00

    110530.00

    0.00

    202000.00

    0.00

    312530.00

    142.25

    0.00

    0.00

    0.00

    10395.62

    422.76

    323490.63

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    DETAILED SUMMARY PAGEof Disbursements

    FEC Form 3 (Revised 02/2003)

    COLUMN A COLUMN BII. DISBURSEMENTSTotal This Period Election Cycle-to-Date

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

    18. TRANSFERS TO OTHER

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

    19. LOAN REPAYMENTS:

    (a) Of Loans Made or Guaranteed

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

    (b) Of all Other Loans...............................

    (c) TOTAL LOAN REPAYMENTS

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

    20. REFUNDS OF CONTRIBUTIONS TO:

    (a) Individuals/Persons Other

    Than Political Committees..................

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

    (c) Other Political Committees

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

    (d) TOTAL CONTRIBUTION REFUNDS

    (add Lines 20(a), (b), and (c))............

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

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

    III. CASH SUMMARY

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

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

    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 f rom Line 25)..............................................................................................

    FE5AN018

    Image# 11931912509

    4 / 83

    73154.69

    0.00

    0.00

    0.00

    0.00

    0.00

    0.00

    0.00

    0.00

    1500.00

    74654.69

    144488.53

    175505.00

    319993.53

    74654.69

    245338.84

    213535.55

    0.00

    0.00

    0.00

    0.00

    2400.00

    0.00

    4500.00

    6900.00

    8420.00

    228855.55

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    SCHEDULE A (FEC )

    ITEMIZED RECEIPTS

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

    NAME OF COMMITTEE (In Full)

    FOR LINE NUMBER: PAGEUse separate schedule(s) (check only one)for each category of the

    Detailed Summary Page

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

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

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

    FECSchedule A ( )

    Heath Shuler for Congress

    5 / 83

    11a

    12

    11b

    13a

    11c

    13b

    11d

    14 15

    2250.00

    A.

    Form 3

    Form 3

    Image# 11931912510

    (Revised 02/2009

    X

    C6618381

    William B. Acree, Jr.

    P.O. Box 576

    Union City TN 38281

    X

    2012

    0 6 3 0 2 0 1 1

    250.00

    250.00

    State of TennesseeAttorney

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-DatePrimary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    B.

    C6618417

    Wayne Barker

    4326 Hubert Harris Road

    Union City TN 38261

    X2012

    0 6 3 0 2 0 1 1

    1000.00

    1000.00

    U.C. Anesthesia GroupInformation Requested

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    C.

    C6557231

    John B. Carringer

    52 Boulevard St

    Murphy NC 28906-3518

    X

    2012

    0 6 2 9 2 0 1 1

    1000.00

    1000.00

    Murphy Electric Power Boa-rd Manager

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    SCHEDULE A (FEC )

    ITEMIZED RECEIPTS

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

    NAME OF COMMITTEE (In Full)

    FOR LINE NUMBER: PAGEUse separate schedule(s) (check only one)for each category of the

    Detailed Summary Page

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

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

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

    FECSchedule A ( )

    Heath Shuler for Congress

    6 / 83

    11a

    12

    11b

    13a

    11c

    13b

    11d

    14 15

    750.00

    A.

    Form 3

    Form 3

    Image# 11931912511

    (Revised 02/2009

    X

    C6288337

    Dwight Carter

    4820 six forks rd

    Raleigh NC 27609

    X

    2012

    0 4 0 1 2 0 1 1

    250.00

    250.00

    Financial security assocOwner

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-DatePrimary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    B.

    C6618418

    Bob Cartwright

    1155 E. Highway 22

    Union City TN 38261

    X2012

    0 6 3 0 2 0 1 1

    250.00

    250.00

    Tri-State InternationalTrucks, Inc. Owner

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    C.

    C6618406

    Bernie Cheatham

    3293 Elbridge Obion Road

    Obion TN 38240

    X

    2012

    0 6 3 0 2 0 1 1

    250.00

    250.00

    Universal Contractors, LLC Contractor

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    SCHEDULE A (FEC )

    ITEMIZED RECEIPTS

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

    NAME OF COMMITTEE (In Full)

    FOR LINE NUMBER: PAGEUse separate schedule(s) (check only one)for each category of the

    Detailed Summary Page

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

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

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

    FECSchedule A ( )

    Heath Shuler for Congress

    7 / 83

    11a

    12

    11b

    13a

    11c

    13b

    11d

    14 15

    3750.00

    A.

    Form 3

    Form 3

    Image# 11931912512

    (Revised 02/2009

    X

    C6618390

    James Cheatham

    920 Hunter Lane

    Dyersburg TN 38024

    X

    2012

    0 6 3 0 2 0 1 1

    250.00

    250.00

    Universal Contractors, LL-C. Project Manager

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-DatePrimary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    B.

    C6557233

    Marquetta Clark

    52 Boulevard

    Murphy NC 28906

    X2012

    0 6 2 9 2 0 1 1

    1000.00

    1000.00

    Information RequestedInformation Requested

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    C.

    C6529776

    Aaron Dirk Cody

    Box 1117201 Old Sweetwater Rd

    Robbinsville NC 28771

    X

    2012

    0 6 1 5 2 0 1 1

    2500.00

    2500.00

    Herve Cody Contractor Project Manager

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    SCHEDULE A (FEC )

    ITEMIZED RECEIPTS

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

    NAME OF COMMITTEE (In Full)

    FOR LINE NUMBER: PAGEUse separate schedule(s) (check only one)for each category of the

    Detailed Summary Page

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

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

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

    FECSchedule A ( )

    Heath Shuler for Congress

    8 / 83

    11a

    12

    11b

    13a

    11c

    13b

    11d

    14 15

    3750.00

    A.

    Form 3

    Form 3

    Image# 11931912513

    (Revised 02/2009

    X

    C6559044

    Tony David Cody

    418 woodland hts

    Robbinsville NC 28771

    X

    2012

    0 6 3 0 2 0 1 1

    2500.00

    2500.00

    Herve CodyContruction

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-DatePrimary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    B.

    C6618391

    Steve Conley

    1220 Ethridge Lane

    Union City TN 38261

    X2012

    0 6 3 0 2 0 1 1

    250.00

    250.00

    Conley, Campbell, MossAttorney

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    C.

    C6618407

    Ronald T. Cooper

    1352 Haygood Road

    Martin TN 38237

    X

    2012

    0 6 3 0 2 0 1 1

    1000.00

    1000.00

    Southern Machinery Repair CEO

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    SCHEDULE A (FEC )

    ITEMIZED RECEIPTS

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

    NAME OF COMMITTEE (In Full)

    FOR LINE NUMBER: PAGEUse separate schedule(s) (check only one)for each category of the

    Detailed Summary Page

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

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

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

    FECSchedule A ( )

    Heath Shuler for Congress

    9 / 83

    11a

    12

    11b

    13a

    11c

    13b

    11d

    14 15

    750.00

    A.

    Form 3

    Form 3

    Image# 11931912514

    (Revised 02/2009

    X

    C6618387

    Jimmy Counce

    4002 Clifford Rives Road

    Union City TN 38261

    X

    2012

    0 6 3 0 2 0 1 1

    250.00

    250.00

    RetiredRetired

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-DatePrimary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    B.

    C6618393

    Al Creswell

    100 Grayson Circle

    Union City TN 38261

    X2012

    0 6 3 0 2 0 1 1

    250.00

    250.00

    Alexander, Thompson, Arno-ld CPA CPA

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    C.

    C6618396

    Phillip Creswell

    2103 Stonewall

    Union City TN 38261

    X

    2012

    0 6 3 0 2 0 1 1

    250.00

    250.00

    Alexander, Thompson, Arno-ld CPA CPA

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    SCHEDULE A (FEC )

    ITEMIZED RECEIPTS

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

    NAME OF COMMITTEE (In Full)

    FOR LINE NUMBER: PAGEUse separate schedule(s) (check only one)for each category of the

    Detailed Summary Page

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

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

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

    FECSchedule A ( )

    Heath Shuler for Congress

    11 / 83

    11a

    12

    11b

    13a

    11c

    13b

    11d

    14 15

    3000.00

    A.

    Form 3

    Form 3

    Image# 11931912516

    (Revised 02/2009

    X

    C6557211

    Ann Shope Edwards

    295 Center Drive

    Bryson City NC 28713

    X

    2012

    0 6 2 9 2 0 1 1

    1000.00

    1000.00

    RetiredRetired

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-DatePrimary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    B.

    C6560768

    Bill Forsyth

    PO Box 171

    Murphy NC 28906

    X2012

    0 6 3 0 2 0 1 1

    1000.00

    1000.00

    Cherokee County EconomicDevelopment C Executive Director

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    C.

    C6618419

    David L. Frankum

    5525 Stanley Chapel Road

    Union City TN 38261

    X

    2012

    0 6 3 0 2 0 1 1

    1000.00

    1000.00

    Glenn Dalton Barge President

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    SCHEDULE A (FEC )

    ITEMIZED RECEIPTS

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

    NAME OF COMMITTEE (In Full)

    FOR LINE NUMBER: PAGEUse separate schedule(s) (check only one)for each category of the

    Detailed Summary Page

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

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

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

    FECSchedule A ( )

    Heath Shuler for Congress

    12 / 83

    11a

    12

    11b

    13a

    11c

    13b

    11d

    14 15

    1000.00

    A.

    Form 3

    Form 3

    Image# 11931912517

    (Revised 02/2009

    X

    C6618399

    James Glasgow, Jr.

    1072 Wildwood Cv

    Union City TN 38261

    X

    2012

    0 6 3 0 2 0 1 1

    250.00

    250.00

    Elom, Glasgow & ChismAttorney

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-DatePrimary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    B.

    C6618384

    Adam Hill

    1617 Fatherland Street

    Nashville TN 37206

    X2012

    0 6 3 0 2 0 1 1

    250.00

    250.00

    Self EmployedAppraiser

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    C.

    C6557229

    David C. Hilton

    PO Box 136

    Murphy NC 28906-0136

    X

    2012

    0 6 2 9 2 0 1 1

    500.00

    750.00

    David Hilton Realty Broker/Owner

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    SCHEDULE A (FEC )

    ITEMIZED RECEIPTS

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

    NAME OF COMMITTEE (In Full)

    FOR LINE NUMBER: PAGEUse separate schedule(s) (check only one)for each category of the

    Detailed Summary Page

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

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

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

    FECSchedule A ( )

    Heath Shuler for Congress

    13 / 83

    11a

    12

    11b

    13a

    11c

    13b

    11d

    14 15

    1250.00

    A.

    Form 3

    Form 3

    Image# 11931912518

    (Revised 02/2009

    X

    C6557232

    William N. Hughes

    885 Valley River Ave

    Murphy NC 28906-2836

    X

    2012

    0 6 2 9 2 0 1 1

    500.00

    500.00

    City of MurphyMayor

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-DatePrimary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    B.

    C6557284

    Rafi Jafri

    25 Snyder Road

    Englewood Cliffs NJ 07632

    X2012

    0 6 2 9 2 0 1 1

    500.00

    600.00

    Jafri Strategies LLCPresident

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    C.

    C6618421

    Clint Joiner

    905 Exchange Street

    Union City TN 38261

    X

    2012

    0 6 3 0 2 0 1 1

    250.00

    250.00

    Jiffy Steamer COO

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    SCHEDULE A (FEC )

    ITEMIZED RECEIPTS

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

    NAME OF COMMITTEE (In Full)

    FOR LINE NUMBER: PAGEUse separate schedule(s) (check only one)for each category of the

    Detailed Summary Page

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

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

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

    FECSchedule A ( )

    Heath Shuler for Congress

    14 / 83

    11a

    12

    11b

    13a

    11c

    13b

    11d

    14 15

    3750.00

    A.

    Form 3

    Form 3

    Image# 11931912519

    (Revised 02/2009

    X

    C6554614

    Randy Jordan

    PO Box 1759

    Robbinsville NC 28771

    X

    2012

    0 6 2 5 2 0 1 1

    2500.00

    2500.00

    Phillips & Jordan, Inc.Executive

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-DatePrimary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    B.

    C6557230

    Larry W. Kernea

    27 Bayless St

    Murphy NC 28906-2969

    X2012

    0 6 2 9 2 0 1 1

    1000.00

    1000.00

    Murphy Electric Power Boa-rd Assistant Manager

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    C.

    C6618415

    Jason S. Kizer

    2217 Pleasant Valley Avenue

    Union City TN 38261

    X

    2012

    0 6 3 0 2 0 1 1

    250.00

    250.00

    Kizner Pharmacy Owner

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    SCHEDULE A (FEC )

    ITEMIZED RECEIPTS

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

    NAME OF COMMITTEE (In Full)

    FOR LINE NUMBER: PAGEUse separate schedule(s) (check only one)for each category of the

    Detailed Summary Page

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

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

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

    FECSchedule A ( )

    Heath Shuler for Congress

    15 / 83

    11a

    12

    11b

    13a

    11c

    13b

    11d

    14 15

    1750.00

    A.

    Form 3

    Form 3

    Image# 11931912520

    (Revised 02/2009

    X

    C6554618

    Brandon Keith Lovin

    PO Box 758

    Robbinsville NC 28771

    X

    2012

    0 6 2 5 2 0 1 1

    1000.00

    1000.00

    Lovin ContractingSelf Employed

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-DatePrimary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    B.

    C6618409

    Jerry McCullough

    1410 Nottingham

    Union City TN 38261

    X2012

    0 6 3 0 2 0 1 1

    250.00

    250.00

    Farm Credit ServicesFinancial Services Officer

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    C.

    C6618388

    Michael R. McWherter

    PO Box 1762

    Jackson TN 38302

    X

    2012

    0 6 3 0 2 0 1 1

    500.00

    500.00

    Central Distributors President & Owner

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    SCHEDULE A (FEC )

    ITEMIZED RECEIPTS

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

    NAME OF COMMITTEE (In Full)

    FOR LINE NUMBER: PAGEUse separate schedule(s) (check only one)for each category of the

    Detailed Summary Page

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

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

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

    FECSchedule A ( )

    Heath Shuler for Congress

    16 / 83

    11a

    12

    11b

    13a

    11c

    13b

    11d

    14 15

    6000.00

    A.

    Form 3

    Form 3

    Image# 11931912521

    (Revised 02/2009

    X

    C6557215

    Gordon S. Myers

    2140 Emmas Grove Road

    Fairview NC 28730

    X

    2012

    0 6 2 9 2 0 1 1

    2500.00

    2500.00

    retiredretired

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-DatePrimary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    B.

    C6557217

    Kaye Myers

    2140 Emmas Grove Road

    Fairview NC 28730

    X2012

    0 6 2 9 2 0 1 1

    2500.00

    2500.00

    Information RequestedInformation Requested

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    C.

    C6557220

    Martin L. Nesbitt

    29 N Market St

    Asheville NC 28801-2951

    X

    2012

    0 6 2 9 2 0 1 1

    1000.00

    1000.00

    NC General Assembly Legislator

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    SCHEDULE A (FEC )

    ITEMIZED RECEIPTS

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

    NAME OF COMMITTEE (In Full)

    FOR LINE NUMBER: PAGEUse separate schedule(s) (check only one)for each category of the

    Detailed Summary Page

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

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

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

    FECSchedule A ( )

    Heath Shuler for Congress

    17 / 83

    11a

    12

    11b

    13a

    11c

    13b

    11d

    14 15

    6000.00

    A.

    Form 3

    Form 3

    Image# 11931912522

    (Revised 02/2009

    X

    C6613951

    Eastern Band Of Cherokee Indians

    PO Box 455

    Cherokee NC 28719-0455

    X

    2012

    0 5 2 5 2 0 1 1

    2500.00

    5000.00

    NoneTribe

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-DatePrimary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    B.

    C6496984

    Eastern Band Of Cherokee Indians

    PO Box 455

    Cherokee NC 28719-0455

    X2012

    0 5 2 5 2 0 1 1

    2500.00

    5000.00

    NoneTribe

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    C.

    C6553830

    United Keetowah Band Of Cherokee Indians

    PO Box 746

    Tahlequah OK 74465-0746

    X

    2012

    0 6 2 4 2 0 1 1

    1000.00

    1000.00

    N/A Tribe

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    SCHEDULE A (FEC )

    ITEMIZED RECEIPTS

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

    NAME OF COMMITTEE (In Full)

    FOR LINE NUMBER: PAGEUse separate schedule(s) (check only one)for each category of the

    Detailed Summary Page

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

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

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

    FECSchedule A ( )

    Heath Shuler for Congress

    18 / 83

    11a

    12

    11b

    13a

    11c

    13b

    11d

    14 15

    800.00

    A.

    Form 3

    Form 3

    Image# 11931912523

    (Revised 02/2009

    X

    C6560838

    Robert J. Oremus

    965 Rogers StreetUnit 401

    Downers Grove IL 60515

    X

    2012

    0 6 3 0 2 0 1 1

    300.00

    300.00

    RetiredRetired

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-DatePrimary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    B.

    C6557243

    Iris M. Parker

    PO Box 1508

    Andrews NC 28901

    X2012

    0 6 2 9 2 0 1 1

    250.00

    450.00

    n/aretired

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    C.

    C6618413

    Sid Phelan

    P.O. Box 288

    Trenton TN 38382

    X

    2012

    0 6 3 0 2 0 1 1

    250.00

    250.00

    Farm Farm

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    SCHEDULE A (FEC )

    ITEMIZED RECEIPTS

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

    NAME OF COMMITTEE (In Full)

    FOR LINE NUMBER: PAGEUse separate schedule(s) (check only one)for each category of the

    Detailed Summary Page

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

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

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

    FECSchedule A ( )

    Heath Shuler for Congress

    19 / 83

    11a

    12

    11b

    13a

    11c

    13b

    11d

    14 15

    4500.00

    A.

    Form 3

    Form 3

    Image# 11931912524

    (Revised 02/2009

    X

    C6564745

    W.T. Phillips, Sr.

    6621 Willbanks Road

    Knoxville TN 37912

    X

    2012

    0 6 3 0 2 0 1 1

    2500.00

    2500.00

    Phillips & Jordan, Inc.Chairman of Board

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-DatePrimary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    B.

    C6557228

    Joe Sam Sa Queen

    209 Hillview Cir

    Waynesville NC 28786-6710

    X2012

    0 6 2 9 2 0 1 1

    500.00

    500.00

    SelfArchitect

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    C.

    C6557210

    Jo Doris Shuler

    PO Box 909

    Robbinsville NC 28771-0909

    X

    2012

    0 6 2 9 2 0 1 1

    1500.00

    1500.00

    Cheoah Construction

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    SCHEDULE A (FEC )

    ITEMIZED RECEIPTS

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

    NAME OF COMMITTEE (In Full)

    FOR LINE NUMBER: PAGEUse separate schedule(s) (check only one)for each category of the

    Detailed Summary Page

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

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

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

    FECSchedule A ( )

    Heath Shuler for Congress

    20 / 83

    11a

    12

    11b

    13a

    11c

    13b

    11d

    14 15

    2250.00

    A.

    Form 3

    Form 3

    Image# 11931912525

    (Revised 02/2009

    X

    C6557219

    John J. Snow, Jr

    105 Van Horn St

    Murphy NC 28906

    X

    2012

    0 6 2 9 2 0 1 1

    1000.00

    1000.00

    RetiredRetried

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-DatePrimary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    B.

    C6557236

    John Joyner Snow, III

    PO Box 66163 Poor Mans Trail

    Murphy NC 28906

    X2012

    0 6 2 9 2 0 1 1

    250.00

    250.00

    Nantahala Bank & TrustSenior Vice Pres

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    C.

    C6557221

    Mike Stevenson

    1711 Mission Road

    Murphy NC 28906

    X

    2012

    0 6 2 9 2 0 1 1

    1000.00

    1000.00

    Murphy Medical Center Hospital CEO

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    SCHEDULE A (FEC )

    ITEMIZED RECEIPTS

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

    NAME OF COMMITTEE (In Full)

    FOR LINE NUMBER: PAGEUse separate schedule(s) (check only one)for each category of the

    Detailed Summary Page

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

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

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

    FECSchedule A ( )

    Heath Shuler for Congress

    21 / 83

    11a

    12

    11b

    13a

    11c

    13b

    11d

    14 15

    3250.00

    A.

    Form 3

    Form 3

    Image# 11931912526

    (Revised 02/2009

    X

    C6557224

    Courtenay S. Sumpter

    820 Picnic Way

    Murphy NC 28906-7082

    X

    2012

    0 6 2 9 2 0 1 1

    2500.00

    2500.00

    Information RequestedInformation Requested

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-DatePrimary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    B.

    C6340998

    Douglas B Underwood

    823 Northbrook Dr

    Hixson TN 37343-1261

    X2012

    0 4 1 8 2 0 1 1

    500.00

    500.00

    DFM GroupExecutive

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    C.

    C6557237

    William A Vespasian, Jr

    94 West Ridge Drive

    Murphy NC 28906

    X

    2012

    0 6 2 9 2 0 1 1

    250.00

    350.00

    Tri County Community Coll-ege Chief Financial Officer

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    SCHEDULE A (FEC )

    ITEMIZED RECEIPTS

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

    NAME OF COMMITTEE (In Full)

    FOR LINE NUMBER: PAGEUse separate schedule(s) (check only one)for each category of the

    Detailed Summary Page

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

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

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

    FECSchedule A ( )

    Heath Shuler for Congress

    22 / 83

    11a

    12

    11b

    13a

    11c

    13b

    11d

    14 15

    1500.00

    A.

    Form 3

    Form 3

    Image# 11931912527

    (Revised 02/2009

    X

    C6618412

    Tom Wilton Wade, III

    101 Grayson Circle

    Union City TN 38261

    X

    2012

    0 6 3 0 2 0 1 1

    250.00

    250.00

    Self EmployedFarming

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-DatePrimary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    B.

    C6557227

    Charles West, Jr.

    PO Box 967

    Murphy NC 28906

    X2012

    0 6 2 9 2 0 1 1

    1000.00

    1000.00

    Wells and West, Inc.Construction

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    C.

    C6557239

    Roger West

    P.O. Box 160

    Marble NC 28905

    X

    2012

    0 6 2 9 2 0 1 1

    250.00

    250.00

    Self Contractor

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    SCHEDULE A (FEC )

    ITEMIZED RECEIPTS

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

    NAME OF COMMITTEE (In Full)

    FOR LINE NUMBER: PAGEUse separate schedule(s) (check only one)for each category of the

    Detailed Summary Page

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

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

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

    FECSchedule A ( )

    Heath Shuler for Congress

    23 / 83

    11a

    12

    11b

    13a

    11c

    13b

    11d

    14 15

    750.00

    A.

    Form 3

    Form 3

    Image# 11931912528

    (Revised 02/2009

    X

    C6557222

    Kevennie B. Westmoreland

    45 Neyland Drive

    Murphy NC 28906

    X

    2012

    0 6 2 9 2 0 1 1

    500.00

    500.00

    United Community BankAssistant VP

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-DatePrimary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    48050.00

    B.

    C6618402

    Charles Yarbrough

    758 E. County Home Road

    Union City TN 38261

    X2012

    0 6 3 0 2 0 1 1

    250.00

    250.00

    Goodyear / Local 878L Ste-elworkers Site Education Coordinator

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    SCHEDULE A (FEC )

    ITEMIZED RECEIPTS

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

    NAME OF COMMITTEE (In Full)

    FOR LINE NUMBER: PAGEUse separate schedule(s) (check only one)for each category of the

    Detailed Summary Page

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

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

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

    FECSchedule A ( )

    Heath Shuler for Congress

    24 / 83

    11a

    12

    11b

    13a

    11c

    13b

    11d

    14 15

    7000.00

    A.

    Form 3

    Form 3

    Image# 11931912529

    (Revised 02/2009

    X

    C6559352

    ABBOTT LABORATORIES EMPLOYEE POLITICAL ACTION COMM

    100 Abbott Park Rd.D312 AP6D

    Abbott Park IL 60064

    X

    2012

    0 6 3 0 2 0 1 1

    2500.00

    2500.00

    C00040279

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-DatePrimary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    B.

    C6553065

    ACCENTURE PAC

    800 Connecticut Ave NW

    Washington DC 20006

    X2012

    0 6 2 3 2 0 1 1

    2000.00

    2000.00

    C00300707

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    C.

    C6565867

    Aetna, Inc. Political Action Committee

    20 F Street, N.W.Suite 350

    Washington DC 20001

    X

    2012

    0 6 3 0 2 0 1 1

    2500.00

    2500.00

    C00181826

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    SCHEDULE A (FEC )

    ITEMIZED RECEIPTS

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

    NAME OF COMMITTEE (In Full)

    FOR LINE NUMBER: PAGEUse separate schedule(s) (check only one)for each category of the

    Detailed Summary Page

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

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

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

    FECSchedule A ( )

    Heath Shuler for Congress

    25 / 83

    11a

    12

    11b

    13a

    11c

    13b

    11d

    14 15

    6500.00

    A.

    Form 3

    Form 3

    Image# 11931912530

    (Revised 02/2009

    X

    C6553841

    AMERICAN BANKERS ASSOCIATION PAC (BANKPAC)

    1120 Connecticut Avenue NW.

    Washington DC 20036

    X

    2012

    0 6 2 4 2 0 1 1

    2500.00

    5000.00

    C00004275

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-DatePrimary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    B.

    C6557213

    AMERICAN BANKERS ASSOCIATION PAC (BANKPAC)

    1120 Connecticut Avenue NW.

    Washington DC 20036

    X2012

    0 6 2 9 2 0 1 1

    1500.00

    5000.00

    C00004275

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    C.

    C6560763

    American Postal Workers Union

    1300 L Street NW

    Washington DC 20005

    X

    2012

    0 6 3 0 2 0 1 1

    2500.00

    2500.00

    C00010322

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    SCHEDULE A (FEC )

    ITEMIZED RECEIPTS

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

    NAME OF COMMITTEE (In Full)

    FOR LINE NUMBER: PAGEUse separate schedule(s) (check only one)for each category of the

    Detailed Summary Page

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

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

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

    FECSchedule A ( )

    Heath Shuler for Congress

    26 / 83

    11a

    12

    11b

    13a

    11c

    13b

    11d

    14 15

    7000.00

    A.

    Form 3

    Form 3

    Image# 11931912531

    (Revised 02/2009

    X

    C6497088

    AMERICAN SUGAR CANE LEAGUE OF USA INC POLITICAL AC

    PO Box 938

    Thibodaux LA 70302-0938

    X

    2012

    0 5 2 5 2 0 1 1

    1000.00

    1000.00

    C00081414

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-DatePrimary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    B.

    C6553038

    AMERIPAC: THE FUND FOR A GREATER AMERICA

    499 South Capitol Street SWSuite 108

    Washington DC 20003

    X2012

    0 6 2 3 2 0 1 1

    5000.00

    10000.00

    C00271338

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    C.

    C6554620

    Association of American Railroads PAC

    50 F Street N.W.

    Washington DC 20001

    X

    2012

    0 6 2 5 2 0 1 1

    1000.00

    1000.00

    C00280743

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    SCHEDULE A (FEC )

    ITEMIZED RECEIPTS

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

    NAME OF COMMITTEE (In Full)

    FOR LINE NUMBER: PAGEUse separate schedule(s) (check only one)for each category of the

    Detailed Summary Page

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

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

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

    FECSchedule A ( )

    Heath Shuler for Congress

    27 / 83

    11a

    12

    11b

    13a

    11c

    13b

    11d

    14 15

    5000.00

    A.

    Form 3

    Form 3

    Image# 11931912532

    (Revised 02/2009

    X

    C6553077

    AT&T CORP. POLITICAL ACTION COMMITTEE

    175 E. Houston StreetRoom 7-A-50

    San Antonio TX 78205

    X

    2012

    0 6 2 3 2 0 1 1

    3000.00

    3000.00

    C00185124

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-DatePrimary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    B.

    C6564743

    Boeing Political Action Committee

    1200 Wilson Boulevard

    Arlington VA 22209

    X2012

    0 6 3 0 2 0 1 1

    1000.00

    2000.00

    C00142711

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    C.

    C6615604

    BOREN FOR CONGRESS 2006

    PO BOX 1924

    MUSKOGEE OK 74401

    X

    2012

    0 6 3 0 2 0 1 1

    1000.00

    1000.00

    C00410829

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    SCHEDULE A (FEC )

    ITEMIZED RECEIPTS

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

    NAME OF COMMITTEE (In Full)

    FOR LINE NUMBER: PAGEUse separate schedule(s) (check only one)for each category of the

    Detailed Summary Page

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

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

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

    FECSchedule A ( )

    Heath Shuler for Congress

    28 / 83

    11a

    12

    11b

    13a

    11c

    13b

    11d

    14 15

    6000.00

    A.

    Form 3

    Form 3

    Image# 11931912533

    (Revised 02/2009

    X

    C6618426

    BURLINGTON NORTHERN SANTA FE CORPORATION RAILPAC (

    P.O. Box 961039Suite 220

    Fort Worth TX 76161

    X

    2012

    0 6 2 3 2 0 1 1

    2500.00

    2500.00

    C00235739

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-DatePrimary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    B.

    C6557216

    CREDIT UNION LEGISLATIVE ACTION COUNCIL OF CUNA

    601 Pennsylvania Avenue NWSouth Building Suite 600

    Washington DC 20004

    X2012

    0 6 2 9 2 0 1 1

    1000.00

    1000.00

    C00007880

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    C.

    C6531971

    CSX CORPORATION GOOD GOVERNMENT FUND

    1331 Pennsylvania Avenue NWSuite 560

    Washington DC 20004

    X

    2012

    0 6 1 7 2 0 1 1

    2500.00

    2500.00

    C00163832

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    SCHEDULE A (FEC )

    ITEMIZED RECEIPTS

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

    NAME OF COMMITTEE (In Full)

    FOR LINE NUMBER: PAGEUse separate schedule(s) (check only one)for each category of the

    Detailed Summary Page

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

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

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

    FECSchedule A ( )

    Heath Shuler for Congress

    29 / 83

    11a

    12

    11b

    13a

    11c

    13b

    11d

    14 15

    4500.00

    A.

    Form 3

    Form 3

    Image# 11931912534

    (Revised 02/2009

    X

    C6553831

    DUKE ENERGY CORPORATION PAC

    400 South Tryon Street ST06F

    Charlotte NC 28285

    X

    2012

    0 6 2 4 2 0 1 1

    1000.00

    1000.00

    C00083535

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-DatePrimary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    B.

    C6557253

    Employees of Northrop Grumman PAC

    11

    Washington DC 20001

    X2012

    0 6 2 9 2 0 1 1

    1000.00

    1000.00

    c00088591

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    C.

    C6553066

    FEDERAL EXPRESS POLITICAL ACTION COMMITTEE

    942 South Shady Grove Road.

    Memphis TN 38120

    X

    2012

    0 6 2 3 2 0 1 1

    2500.00

    2500.00

    C00068692

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    SCHEDULE A (FEC )

    ITEMIZED RECEIPTS

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

    NAME OF COMMITTEE (In Full)

    FOR LINE NUMBER: PAGEUse separate schedule(s) (check only one)for each category of the

    Detailed Summary Page

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

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

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

    FECSchedule A ( )

    Heath Shuler for Congress

    30 / 83

    11a

    12

    11b

    13a

    11c

    13b

    11d

    14 15

    4000.00

    A.

    Form 3

    Form 3

    Image# 11931912535

    (Revised 02/2009

    X

    C6618370

    FRIENDS OF JOHN TANNER

    Post Office Box 1994Post Office Box 1994

    Union City TN 38281

    X

    2012

    0 6 3 0 2 0 1 1

    2000.00

    2000.00

    C00223230

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-DatePrimary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    B.

    C6553833

    GENERAL DYNAMICS VOLUNTARY POLITICAL CONTRIBUTION

    2941 Fairview Park Dr.Suite 100

    Falls Church VA 22042

    X2012

    0 6 2 4 2 0 1 1

    1000.00

    1000.00

    C00078451

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    C.

    C6553852

    GENERAL ELECTRIC COMPANY POLITICAL ACTION COMMITTE

    1299 Pennsylvania Ave NWSuite 900W

    Washington DC 20004

    X

    2012

    0 6 2 4 2 0 1 1

    1000.00

    2000.00

    C00024869

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    SCHEDULE A (FEC )

    ITEMIZED RECEIPTS

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

    NAME OF COMMITTEE (In Full)

    FOR LINE NUMBER: PAGEUse separate schedule(s) (check only one)for each category of the

    Detailed Summary Page

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

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

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

    FECSchedule A ( )

    Heath Shuler for Congress

    31 / 83

    11a

    12

    11b

    13a

    11c

    13b

    11d

    14 15

    3000.00

    A.

    Form 3

    Form 3

    Image# 11931912536

    (Revised 02/2009

    X

    C6560702

    GRASSROOTS ORGANIZING ACTING & LEADING PAC - GOALP

    PO Box 30344

    Bethesda MD 20824

    X

    2012

    0 6 3 0 2 0 1 1

    1000.00

    1000.00

    C00381996

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-DatePrimary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    B.

    C6560747

    HONEYWELL INTERNATIONAL POLITICAL ACTION COMMITTEE

    101 Constitution Ave. NWSuite 500 West

    Washington DC 20001

    X2012

    0 6 3 0 2 0 1 1

    1000.00

    1000.00

    C00096156

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    C.

    C6557255

    HUMANA, Inc. PAC

    975 F Street, NWSuite 550

    Washington DC 20004

    X

    2012

    0 6 2 9 2 0 1 1

    1000.00

    1000.00

    C00271007

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    SCHEDULE A (FEC )

    ITEMIZED RECEIPTS

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

    NAME OF COMMITTEE (In Full)

    FOR LINE NUMBER: PAGEUse separate schedule(s) (check only one)for each category of the

    Detailed Summary Page

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

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

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

    FECSchedule A ( )

    Heath Shuler for Congress

    32 / 83

    11a

    12

    11b

    13a

    11c

    13b

    11d

    14 15

    8500.00

    A.

    Form 3

    Form 3

    Image# 11931912537

    (Revised 02/2009

    X

    C6557361

    INDEPENDENT COMMUNITY BANKERS OF AMERICA POLITICAL

    1615 L Street NWSuite 900

    Washington DC 20036

    X

    2012

    0 6 2 9 2 0 1 1

    1000.00

    1000.00

    C00032698

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-DatePrimary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    B.

    C6557212

    INTERNATIONAL BROTHERHOOD OF ELECTRICAL WORKERS PO

    900 Seventh St, NW

    Washington DC 20001

    X2012

    0 6 2 9 2 0 1 1

    5000.00

    5000.00

    C00027342

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    C.

    C6554622

    Laborers' Political League

    905 16th St., N.W.Second FLoor

    Washington DC 20006

    X

    2012

    0 6 2 5 2 0 1 1

    2500.00

    2500.00

    C00007922

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  • 8/6/2019 Shuler FEC Report April 01 to June 30, 2011

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    SCHEDULE A (FEC )

    ITEMIZED RECEIPTS

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

    NAME OF COMMITTEE (In Full)

    FOR LINE NUMBER: PAGEUse separate schedule(s) (check only one)for each category of the

    Detailed Summary Page

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

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

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

    FECSchedule A ( )

    Heath Shuler for Congress

    34 / 83

    11a

    12

    11b

    13a

    11c

    13b

    11d

    14 15

    8500.00

    A.

    Form 3

    Form 3

    Image# 11931912539

    (Revised 02/2009

    X

    C6564738

    MACHINISTS NON-PARTISAN POLITICAL LEAGUE

    9000 MACHINISTS PLACE

    UPPER MARLBORO MD 20772

    X

    2012

    0 6 3 0 2 0 1 1

    5000.00

    5000.00

    C00002469

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-DatePrimary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    B.

    C6558083

    Merck Employees Political Action Committee

    601 Pennsylvania Ave NWNorth Building, Suite 1200

    Washington DC 20004-2601

    X2012

    0 6 2 9 2 0 1 1

    2500.00

    500.00

    C00097485

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    C.

    C6553836

    NATIONAL ASSOCIATION OF BROADCASTERS POLITICAL ACT

    1771 N Street NW

    Washington DC 20036

    X

    2012

    0 6 2 4 2 0 1 1

    1000.00

    2000.00

    C00009985

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    SCHEDULE A (FEC )

    ITEMIZED RECEIPTS

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

    NAME OF COMMITTEE (In Full)

    FOR LINE NUMBER: PAGEUse separate schedule(s) (check only one)for each category of the

    Detailed Summary Page

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

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

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

    FECSchedule A ( )

    Heath Shuler for Congress

    35 / 83

    11a

    12

    11b

    13a

    11c

    13b

    11d

    14 15

    4500.00

    A.

    Form 3

    Form 3

    Image# 11931912540

    (Revised 02/2009

    X

    C6363286

    NATIONAL ASSOCIATION OF HEALTH UNDERWRITERS PAC (H

    2000 14TH STSUITE 450

    ARLINGTON VA 22201

    X

    2012

    0 5 0 2 2 0 1 1

    1000.00

    1000.00

    C00283135

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-DatePrimary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    B.

    C6557256

    NATIONAL CABLE AND TELECOMMUNICATIONS ASSOCIATION

    25 Massachusetts Avenue, NW #100

    Washington DC 20001

    X2012

    0 6 2 9 2 0 1 1

    1000.00

    1000.00

    C00010082

    Date of Receipt

    M M DD Y Y Y Y/ /

    Amount of Each Receipt this Period

    Transaction ID:

    FEC ID number of contributingfederal political committee.

    Name of Employer Occupation

    C

    Receipt For: Election Cycle-to-Date

    Primary General

    Other (specify)

    Full Name (Last, First, Middle Initial)

    Mailing Address

    City State Zip Code

    C.

    C6553082

    NATIONAL RESTAURANT ASSOCIATION

    1200 17TH STREET NW

    WASHINGTON DC 20036