REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... ·...

43
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 01/31/2018 22 : 27 Image# 201801319091309999 PAGE 1 / 43 CLUB FOR CONSERVATIVES 435 MERCHANT WALK SQUARE SUITE300 #516 CHARLOTTESVILLE VA 22902 C00658302 01 01 2017 12 31 2017 Pendley, Nathanael, , , Pendley, Nathanael, , , [Electronically Filed] 01 31 2018

Transcript of REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... ·...

Page 1: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

FEC FORM 3XRev. 05/2016

Office Use Only

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

4. TYPE OF REPORT (Choose One)

(a) Quarterly Reports:

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

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

(b) Monthly Report Due On:

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

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

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

FEC FORM 3X

REPORT OF RECEIPTS AND DISBURSEMENTSFor Other Than An Authorized Committee

1. NAME OF COMMITTEE (in full)

ADDRESS (number and street)

Check if different than previously reported. (ACC)

TYPE OR PRINT

CITY STATE ZIP CODE2. FEC IDENTIFICATION NUMBER ▼

▼ ▼ ▼

5. Covering Period through

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

Type or Print Name of Treasurer

Signature of Treasurer Date

April 15 Quarterly Report (Q1)

July 15 Quarterly Report (Q2)

October 15 Quarterly Report (Q3)

January 31 Year-End Report (YE)

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

Termination Report (TER) in the

Election on State of

in the Election on State of

Office Use Only

C

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

(c)

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

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

Example: If typing, type over the lines.

(d)

M M / D D / Y Y Y Y

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

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

12FE4M5

01/31/2018 22 : 27

Image# 201801319091309999 PAGE 1 / 43

CLUB FOR CONSERVATIVES

435 MERCHANT WALK SQUARE

SUITE300 #516

CHARLOTTESVILLE VA 22902

C00658302

01 01 2017 12 31 2017

Pendley, Nathanael, , ,

Pendley, Nathanael, , ,[Electronically Filed] 01 31 2018

Page 2: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . ▲ ▲ ▲ , , .

▲ ▲ ▲ , , . ▲ ▲ ▲ , , .

▲ ▲ ▲ , , . ▲ ▲ ▲ , , .

▲ ▲ ▲ , , . ▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

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

CLUB FOR CONSERVATIVES

01 01 2017 12 31 2017

Image# 201801319091310000

2017 0.00

0.00

161768.59 161768.59

161768.59 161768.59

72795.81 72795.81

88972.78 88972.78

0.00

13000.00

Page 3: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . ▲ ▲ ▲ , , .

▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , .

▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , .

▲ ▲ ▲ , , . ▲ ▲ ▲ , , .

▲ ▲ ▲ , , . ▲ ▲ ▲ , , .

▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , .

▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , .

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

▲ ▲ ▲ , , . ▲ ▲ ▲ , , .

▲ ▲ ▲ , , . ▲ ▲ ▲ , , .

, , . ▲ ▲ ▲ , , .

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

▼▼

▼▼

CLUB FOR CONSERVATIVES

01 01 2017 12 31 2017

Image# 201801319091310001

35380.00 35380.00

126388.59 126388.59

161768.59 161768.59

0.00 0.00

0.00 0.00

161768.59 161768.59

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

161768.59 161768.59

161768.59 161768.59

Page 4: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , .

▲ ▲ ▲ , , . ▲ ▲ ▲ , , .

▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , .

▲ ▲ ▲ , , . ▲ ▲ ▲ , , .

▲ ▲ ▲ , , . ▲ ▲ ▲ , , .

▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , .

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# 201801319091310002

0.00 0.00

0.00 0.00

18595.81 18595.81

18595.81 18595.81

0.00 0.00

16200.00 16200.00

38000.00 38000.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

72795.81 72795.81

72795.81 72795.81

Page 5: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , .

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# 201801319091310003

161768.59 161768.59

0.00 0.00

161768.59 161768.59

18595.81 18595.81

0.00 0.00

18595.81 18595.81

Page 6: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

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# 201801319091310004

6 43

CLUB FOR CONSERVATIVES

Auray, Robert, , ,

10040 E Happy Valley Rd12 07 2017

SCOTTSDALE AZ 85255Transaction ID : SA11AI.5173

retired

250.00

250.00

Bahler, Walter, , ,5927 S Creekside Ct

12 09 2017

REMINGTON IN 47977Transaction ID : SA11AI.4792

250.00

100.00

Beck, Gordon, , ,14506 N FAIRVIEW DR

11 20 2017

MEAD WA 99021Transaction ID : SA11AI.7318

Farmer

250.00

250.00

600.00

Page 7: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

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# 201801319091310005

7 43

CLUB FOR CONSERVATIVES

bell, bruce, , ,

26112 fawnwood11 13 2017

BONITA SPRINGS FL 34134Transaction ID : SA11AI.10696

Retired

500.00

500.00

Boenker, Al, , ,6030 Lake Worth Blvd

11 21 2017

FORT WORTH TX 76135Transaction ID : SA11AI.7185

Al Boenker Insurance Insurance

250.00

250.00

BONANNO, CHARLES, , ,10016 PINES BLVD

11 27 2017

HOLLYWOOD FL 33024Transaction ID : SA11AI.6377

Retired

1000.00

1000.00

1750.00

Page 8: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

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# 201801319091310006

8 43

CLUB FOR CONSERVATIVES

Borgmeyer, Roger, , ,

1200 N. Park Avenue11 14 2017

California MO 65018-1641Transaction ID : SA11AI.9966

Veterinarian

500.00

500.00

Bosma, Gerrit, , ,22 Rotterdam Crt

11 26 2017

VISALIA CA 93277Transaction ID : SA11AI.6533

Retired Dairyman

250.00

250.00

Brockett, William, , ,1215 James Madison Hwy

11 29 2017

HAYMARKET VA 20169Transaction ID : SA11AI.6006

Virginia Beef Corporation

350.00

250.00

1000.00

Page 9: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

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# 201801319091310007

9 43

CLUB FOR CONSERVATIVES

Budig, Michael, , ,

5304 e silver spurs lane11 20 2017

SPOKANE WA 99217Transaction ID : SA11AI.7288

Arborists of Washington

250.00

250.00

Burrows, Cary, , ,9008 Alden Nash Ave SE

11 25 2017

ALTO MI 49302Transaction ID : SA11AI.6707

Self Lon Haul Trucking

500.00

500.00

Byrd, Jerr, , ,2110 T Street SE

11 16 2017

WASHINGTON DC 20020Transaction ID : SA11AI.9150

Retired

500.00

500.00

1250.00

Page 10: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

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# 201801319091310008

10 43

CLUB FOR CONSERVATIVES

Cannon, Joe, , ,

P. O. Box 6181412 07 2017

SAN ANGELO TX 76906Transaction ID : SA11AI.5184

Dodge Jones Foundation

250.00

250.00

Carlson, Chris, , ,45 Harrison Avenue

11 14 2017

LYNBROOK NY 11563Transaction ID : SA11AI.10232

Rightway AC

250.00

250.00

Cathcart, Clifton, , ,4003 South Chestnut St.

11 24 2017

LUFKIN TX 75901Transaction ID : SA11AI.6728

Physician

500.00

500.00

1000.00

Page 11: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

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# 201801319091310009

11 43

CLUB FOR CONSERVATIVES

Chenevert, Keith, , ,

165 River Birch Ln11 17 2017

OAKDALE LA 71463Transaction ID : SA11AI.8496

Retired

250.00

250.00

Chenevert, Keith, , ,165 River Birch Ln

12 07 2017

OAKDALE LA 71463Transaction ID : SA11AI.5203

Retired

350.00

100.00

Choi, Ruby, , ,P.O. Box 4877

12 09 2017

Foster City CA 94404Transaction ID : SA11AI.4880

Property Manager

525.00

500.00

850.00

Page 12: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201801319091310010

12 43

CLUB FOR CONSERVATIVES

Clemmons, Charles, , ,

4601 Hamblen Ct.11 17 2017

SEABROOK TX 77586Transaction ID : SA11AI.8379

Retired

500.00

500.00

Cobb, Donna, , ,810 W Round Grove Rd

11 17 2017

LEWISVILLE TX 75067Transaction ID : SA11AI.8501

Declined

250.00

250.00

Cobb, Donna, , ,810 W Round Grove Rd

12 07 2017

LEWISVILLE TX 75067Transaction ID : SA11AI.5205

Declined

750.00

500.00

1250.00

Page 13: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201801319091310011

13 43

CLUB FOR CONSERVATIVES

Collins, Robert, , ,

21500 Lassen St11 19 2017

CHATSWORTH CA 91311Transaction ID : SA11AI.7907

Retired

250.00

250.00

Collins, Robert, , ,21500 Lassen St

12 09 2017

CHATSWORTH CA 91311Transaction ID : SA11AI.4654

Retired

300.00

50.00

Conrad, Ted, , ,507Perrin dr

11 13 2017

SPARTANBURG SC 29307Transaction ID : SA11AI.10667

Conrad & Associates Attorney & CPA

250.00

250.00

550.00

Page 14: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201801319091310012

14 43

CLUB FOR CONSERVATIVES

Corelli, Phillip, , ,

5006 80th Avenue Ct. E11 28 2017

Fife WA 98424Transaction ID : SA11AI.6183

250.00

50.00

Crouch, Roddie, , ,2145 river falls dr

11 13 2017

ROSWELL GA 30076Transaction ID : SA11AI.10596

Retired

250.00

250.00

Curran, William, , ,401 Temple St

11 14 2017

NEW HAVEN CT 06511Transaction ID : SA11AI.10009

Halsey Associates

500.00

500.00

800.00

Page 15: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201801319091310013

15 43

CLUB FOR CONSERVATIVES

Demetriades, Penny, , ,

P.O. Box 179011 16 2017

HENDERSON NC 27536Transaction ID : SA11AI.8841

ETC of Henderson, Inc.

1000.00

1000.00

Dendorfer, Eric, , ,1944 S Routt Ct

11 13 2017

DENVER CO 80227Transaction ID : SA11AI.10488

Retired

2500.00

2500.00

downey, james, , ,26000 newbridge drive

11 28 2017

LOS ALTOS CA 94022Transaction ID : SA11AI.6157

Altos Sonoma Corp

500.00

500.00

4000.00

Page 16: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201801319091310014

16 43

CLUB FOR CONSERVATIVES

Edling, Jack, , ,

338 West Caroline St11 13 2017

FENTON MI 48430Transaction ID : SA11AI.10456

Retired

500.00

500.00

Ervin, Dan, , ,617 Rosewood Drive

12 07 2017

FLORENCE SC 29501Transaction ID : SA11AI.5152

Physician

500.00

500.00

Filip, Daniela, , ,34690 Sawtooth Ct

11 18 2017

MURRIETA CA 92563Transaction ID : SA11AI.8000

Retired

250.00

250.00

1250.00

Page 17: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201801319091310015

17 43

CLUB FOR CONSERVATIVES

Ford, Carl, , ,

P.O. Box11 18 2017

LAUREL MS 39441Transaction ID : SA11AI.8224

Attorney

500.00

500.00

Frechtling, Andrew, , ,1141 Greathouse Rd

11 22 2017

Waxahachie TX 75167Transaction ID : SA11AI.6960

Southwest Airlines

250.00

250.00

Ganske, John, , ,5206 waterbury rd

11 18 2017

DES MOINES IA 50312Transaction ID : SA11AI.8110

Physician

1000.00

1000.00

1750.00

Page 18: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201801319091310016

18 43

CLUB FOR CONSERVATIVES

George, Gary, , ,

6309 E Lake Anne Drive11 20 2017

RALEIGH NC 27612Transaction ID : SA11AI.7413

Retired

500.00

500.00

Gibson, jon, , ,2976 Alhambra Dr. Suite 500

11 17 2017

Cameron Park CA 95682Transaction ID : SA11AI.8500

Gibson Real Estate

500.00

500.00

Gray, Gretchen S, , ,515 Fairway Dr.

11 21 2017

BROKEN ARROW OK 74011Transaction ID : SA11AI.7244

Retired

250.00

250.00

1250.00

Page 19: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201801319091310017

19 43

CLUB FOR CONSERVATIVES

Gunn, David, , ,

1834 Gunn Rd11 14 2017

SPRINGFIELD TN 37172Transaction ID : SA11AI.9638

Self Farmer

250.00

250.00

Hawkins, Kevin, , ,9524 East Silent Hills Place

12 01 2017

LONE TREE CO 80124Transaction ID : SA11AI.5837

IMA

250.00

250.00

Haythe, Thomas, , ,11 Lamboll Street

12 09 2017

CHARLESTON SC 29401Transaction ID : SA11AI.4704

Business Lawyer

250.00

250.00

750.00

Page 20: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201801319091310018

20 43

CLUB FOR CONSERVATIVES

Hedrick, Dale, , ,

2200 Centrepark West Dr11 19 2017

WEST PALM BEACH FL 33409Transaction ID : SA11AI.7738

Hedrick Bros. Construction

250.00

250.00

Henderson, Larry, , ,1933 south Pinnebog Road

12 09 2017

BAD AXE MI 48413Transaction ID : SA11AI.4604

300.00

100.00

Herring, Laurs, , ,232 N Kingshighway #1702

11 18 2017

SAINT LOUIS MO 63108Transaction ID : SA11AI.8154

Retired

250.00

250.00

600.00

Page 21: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201801319091310019

21 43

CLUB FOR CONSERVATIVES

Holloway, Randall, , ,

2416 N Atlantic Blvd11 27 2017

FORT LAUDERDALE FL 33305Transaction ID : SA11AI.6438

Retired

1000.00

1000.00

Holmes, Lee, , ,P.O. Box AR

11 21 2017

Hagatna GU 96932Transaction ID : SA11AI.7003

Southern Media

500.00

500.00

Holmes, Lee, , ,P.O. Box AR

11 30 2017

Hagatna GU 96932Transaction ID : SA11AI.5938

Southern Media

1000.00

500.00

2000.00

Page 22: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201801319091310020

22 43

CLUB FOR CONSERVATIVES

Holmes, Lee, , ,

P.O. Box AR12 05 2017

Hagatna GU 96932Transaction ID : SA11AI.5396

Southern Media

1250.00

250.00

Hoots, Marti, , ,Box 36

12 05 2017

DEETH NV 89823Transaction ID : SA11AI.5419

250.00

100.00

hornstein, steven, , ,36 westwood lane

12 09 2017

WOODBURY NY 11797Transaction ID : SA11AI.4628

Global Credit Advisors

1000.00

1000.00

1350.00

Page 23: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201801319091310021

23 43

CLUB FOR CONSERVATIVES

Hughes, Talbert, , ,

7224 Panorama Drive12 09 2017

Rockville MD 20855-1939Transaction ID : SA11AI.4434

Property Management

205.00

205.00

Johnson, Malcolm, , ,405 Caddie Dr

11 13 2017

DEBARY FL 32713Transaction ID : SA11AI.10781

Malcom Johnson & Company P.A.

250.00

250.00

jolliff, richard, , ,3527 kailua lane

11 17 2017

CHICO CA 95928Transaction ID : SA11AI.8550

250.00

100.00

555.00

Page 24: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201801319091310022

24 43

CLUB FOR CONSERVATIVES

Jones, Kathryn, , ,

12534 Hazelwood Lane11 28 2017

HOUSTON TX 77077Transaction ID : SA11AI.6221

225.00

25.00

Keefe, Robert, , ,1301 Sarasota Center Bivd

11 23 2017

SARASOTA FL 34240Transaction ID : SA11AI.6817

250.00

250.00

Keefe, Robert, , ,1301 Sarasota Center Bivd

12 12 2017

SARASOTA FL 34240Transaction ID : SA11AI.4193

300.00

50.00

325.00

Page 25: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201801319091310023

25 43

CLUB FOR CONSERVATIVES

Keinath, Warren c., , ,

24 Ravens pointe dr.12 06 2017

LAKE SAINT LOUIS MO 63367Transaction ID : SA11AI.5278

Retired

250.00

250.00

Latham, Larry, , ,1720 N Dowell Rd

11 21 2017

AMARILLO TX 79124Transaction ID : SA11AI.7124

Self Investments

250.00

250.00

Lee, Eleanor, , ,1930 W. River Bend Ct.

12 10 2017

MEQUON WI 53092Transaction ID : SA11AI.4323

300.00

200.00

700.00

Page 26: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201801319091310024

26 43

CLUB FOR CONSERVATIVES

Lim, Herbert, , ,

208 Upland Ct.11 20 2017

REDWOOD CITY CA 94062Transaction ID : SA11AI.7469

Retired

500.00

500.00

Lundquist, David R, , ,41-980 Kakaina Street

11 19 2017

Waimanalo HI 86795Transaction ID : SA11AI.7952

self

500.00

500.00

m, C, , ,595 Inlet Dr

11 23 2017

MARCO ISLAND FL 34145Transaction ID : SA11AI.6805

Retired

250.00

250.00

1250.00

Page 27: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201801319091310025

27 43

CLUB FOR CONSERVATIVES

McCormac, Phil, , ,

1701 E Meadowbrook Ave Apt 13111 14 2017

PHOENIX AZ 85016Transaction ID : SA11AI.9696

Retired

250.00

250.00

MCMURRAY, DAVID, , ,P.O. Box 5694

11 27 2017

BEND OR 97708Transaction ID : SA11AI.6401

McMurray & Son Contractor

500.00

500.00

Merriman, Stephen, , ,1811 Rhode Island Ave N

11 19 2017

Golden Valley MN 55427Transaction ID : SA11AI.7861

etired/Energy

500.00

500.00

1250.00

Page 28: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201801319091310026

28 43

CLUB FOR CONSERVATIVES

Montgomery, John, , ,

PO Box 2015312 04 2017

WICKENBURG AZ 85358Transaction ID : SA11AI.5635

Retired

250.00

250.00

Morgan, Carolyn, , ,5013 Cascade Dr

12 10 2017

CORPUS CHRISTI TX 78413Transaction ID : SA11AI.4388

250.00

100.00

music, james, , ,511 sw 11th avenue

12 06 2017

OKEECHOBEE FL 34974Transaction ID : SA11AI.5246

Retired Building Contractor

250.00

250.00

600.00

Page 29: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201801319091310027

29 43

CLUB FOR CONSERVATIVES

OConnor, Richard, , ,

8051 Crestwood Cove11 16 2017

BILOXI MS 39532Transaction ID : SA11AI.8919

Self Independent Consulting

250.00

250.00

Padgett, Ken, , ,15 Locust Avenue

11 18 2017

FT MITCHELL KY 41017Transaction ID : SA11AI.8255

Reitred

250.00

250.00

Padgett, Patrick, , ,38 Stone Creek Park

11 22 2017

OWENSBORO KY 42303Transaction ID : SA11AI.6882

Owensboro Health Medical Group

250.00

250.00

750.00

Page 30: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201801319091310028

30 43

CLUB FOR CONSERVATIVES

Paris, Janet Lupy, , ,

12240 Spring Place Lane12 09 2017

ALPHARETTA GA 30004Transaction ID : SA11AI.4624

Retired

500.00

500.00

Phillips, Tim, , ,438 Valley View Drive

11 16 2017

WINTER GARDEN FL 34787Transaction ID : SA11AI.8897

Certi-Fine Fruit Co.

500.00

500.00

Plant, Charles, , ,3615 Rainbow Lane

11 17 2017

COLORADO SPRINGS CO 80908Transaction ID : SA11AI.8345

Electrical Engineer

250.00

250.00

1250.00

Page 31: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

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# 201801319091310029

31 43

CLUB FOR CONSERVATIVES

Posma, Bonne, , ,

12946 Kedleston Circle11 13 2017

FORT MYERS FL 33912Transaction ID : SA11AI.10444

Saminco, Inc.

500.00

500.00

Prylinski, Cindy, , ,5610 Tarelton Dr. S.E.

11 26 2017

HUNTSVILLE AL 35802Transaction ID : SA11AI.6543

Declined

250.00

250.00

Reedal, Richard, , ,85221 Ridgetop Dr

11 22 2017

EUGENE OR 97405Transaction ID : SA11AI.6898

Pharmacist

250.00

250.00

1000.00

Page 32: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

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# 201801319091310030

32 43

CLUB FOR CONSERVATIVES

Reynolds, David, , ,

5305 Fulton Industrial Blvd SW11 20 2017

ATLANTA GA 30336Transaction ID : SA11AI.7605

Reynolds Direct

250.00

250.00

Roberts, Gary, , ,6206 Appian Way

12 09 2017

RIVERSIDE CA 92506Transaction ID : SA11AI.4822

250.00

50.00

Schaffnit, Bobbie, , ,P. O. Box 1385

12 06 2017

ROCKINGHAM NC 28380Transaction ID : SA11AI.5236

225.00

100.00

400.00

Page 33: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201801319091310031

33 43

CLUB FOR CONSERVATIVES

Schell, Frank, , ,

545 bennett st12 05 2017

LUZERNE PA 18709Transaction ID : SA11AI.5489

300.00

100.00

Selich, Judith, , ,P.O. BOX 358

12 01 2017

SOUTH BEACH OR 97366Transaction ID : SA11AI.5881

Retired

1000.00

1000.00

Smith, Terry, , ,800 Kiowa Dr. E

11 18 2017

GAINESVILLE TX 76240Transaction ID : SA11AI.8212

American Airlines

250.00

250.00

1350.00

Page 34: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

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# 201801319091310032

34 43

CLUB FOR CONSERVATIVES

smith, william, , ,

906 snowberry ln11 25 2017

SANIBEL FL 33957Transaction ID : SA11AI.6722

205.00

200.00

Sorenson, Joseph, , ,6440 S Wasatch Blvd. suite 105

11 21 2017

SALT LAKE CITY UT 84121Transaction ID : SA11AI.7049

Self Manager

500.00

500.00

TANNER, JOHN, , ,327 BROWN DRIVE

11 13 2017

CLERMONT GA 30527-1756Transaction ID : SA11AI.10871

Retired

250.00

250.00

950.00

Page 35: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201801319091310033

35 43

CLUB FOR CONSERVATIVES

Thompson, Colleen, , ,

482 Wicks St11 16 2017

Grayslake IL 60030-2757Transaction ID : SA11AI.8732

Brighthope

500.00

500.00

Vacek, Mark, , ,12886 Aries Loop

11 28 2017

WILLIS TX 77318Transaction ID : SA11AI.6217

YMT Ltd. Accountant

250.00

250.00

van Amerongen, Lewis, , ,509 Madison Ave Fl23

11 28 2017

NEW YORK NY 10022Transaction ID : SA11AI.6179

Self Investor

250.00

250.00

1000.00

Page 36: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

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# 201801319091310034

36 43

CLUB FOR CONSERVATIVES

Vargas, Joseph, , ,

2950 Van Horn Rd11 13 2017

FAIRBANKS AK 99709Transaction ID : SA11AI.10598

Denali Fenceworks, LLC.

250.00

250.00

Westley, Charles Ross, , ,12976 West 78 Circle

11 26 2017

ARVADA CO 80005Transaction ID : SA11AI.6672

Retired

250.00

250.00

Wiggins, Matt, , ,P.O. Box 139

12 09 2017

KEMAH TX 77565Transaction ID : SA11AI.4716

self

1000.00

1000.00

1500.00

Page 37: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201801319091310035

37 43

CLUB FOR CONSERVATIVES

Yakovakis, Matthew, , ,

39 Juniper Dr.11 18 2017

Amherst NH 03031Transaction ID : SA11AI.8120

Retired Home Furnishings

500.00

500.00

500.00

35380.00

Page 38: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

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

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

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

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201801319091310036

38 43

CLUB FOR CONSERVATIVES

Anedot Inc

P.O. Box 84314 12 31 2017

Baton Rouge LA 70884

Credit Card Processing FeesTransaction ID : SB21B.4124

7497.54

Apple Technology Company

1 Infinite Loop 12 26 2017

Cupertino CA 95014

Purchase of video editing and communications equipmentTransaction ID : SB21B.4115

6843.55

Best Buy Co. Inc

7601 Penn Ave S 12 30 2017

Richfield MN 55423

Office EquipmentTransaction ID : SB21B.4122

2593.97

16935.06

Page 39: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

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

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

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

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201801319091310037

39 43

CLUB FOR CONSERVATIVES

Habitat for Humanity of Forsyth County

608 Colesium Dr. 12 18 2017

Winston-Salem NC 27106

Purchase of Used Office FurnitureTransaction ID : SB21B.4109

297.03

Old Clemmons School Properties

3540 Clemmons Rd 12 13 2017

#111

Clemmons NC 27012

Monthly Budget Office RentalTransaction ID : SB21B.4107

1075.00

1372.03

18307.09

Page 40: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

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

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

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

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201801319091310038

40 43

CLUB FOR CONSERVATIVES

CHIP ROY FOR CONGRESS

6705 W. HWY 290 12 29 2017

SUITE 50295

AUSTIN TX 78735

C00662767

Transaction ID : SB23.4142

ROY, CHIP, , ,2700.00

✘ 2018

TX 21

CITIZENS FOR JOSH MANDEL INC

9856 ARCHER LANE 12 29 2017

DUBLIN OH 43017

C00494930

Transaction ID : SB23.4157

MANDEL, JOSH, , ,

2018 2700.00

OH 00

LOU BARLETTA FOR SENATE

P.O. BOX 128 12 29 2017

HAZLETON PA 18201

C00445122

Transaction ID : SB23.4134

BARLETTA, LOU, , ,

2700.002018

PA 00

8100.00

Page 41: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

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

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

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

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201801319091310039

41 43

CLUB FOR CONSERVATIVES

MARSHA FOR SENATE

4916 THOROUGHBRED LN 12 29 2017

BRENTWOOD TN 37027

C00376939

Transaction ID : SB23.4175

BLACKBURN, MARSHA MRS, , ,2700.00

2018

TN 00

RICK FOR CONGRESS

404 BOSTON HOLLOW RD 12 31 2017

ELIZABETH PA 15037

C00658708

Transaction ID : SB23.4146

SACCONE, RICK, , ,✘ 2018 2700.00

Special-GeneralPA 18

TREY GOWDY FOR CONGRESS

PO BOX 3324 12 29 2017

SPARTANBURG SC 29304

C00462523

Transaction ID : SB23.4153

GOWDY, TREY, , ,✘

2700.002018

SC 04

8100.00

16200.00

Page 42: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

SCHEDULE D (FEC Form 3X)DEBTS AND OBLIGATIONSExcluding Loans

(Use separateschedule(s)

for each numbered line)

NAME OF COMMITTEE (In Full)

▲ ▲ ▲ , , . ▲ ▲ ▲ , , .

1) SUBTOTALS This Period This Page (optional) ...................................................................

2) TOTALS This Period (last page this line number only) ......................................................

3) TOTAL OUTSTANDING LOANS from Schedule C (last page only) .................................

4) ADD 2) and 3) and carry forward to appropriate line of Summary Page (last page only) ▼▼

A. Full Name (Last, First, Middle Initial) of Debtor or Creditor

Mailing Address

City State Zip Code

Payment This Period

▲ ▲ ▲ , , .

FEC Schedule D (Form 3X) Rev. 05/2016

Outstanding Balance at Close of This Period

▲ ▲ ▲ , , .

▲ ▲ ▲ , , . ▲ ▲ ▲ , , .

▼▼

Outstanding Balance Beginning This Period

▲ ▲ ▲ , , .Amount Incurred This Period

▲ ▲ ▲ , , .

Nature of Debt (Purpose):

B. Full Name (Last, First, Middle Initial) of Debtor or Creditor

Mailing Address

City State Zip Code

Payment This Period

▲ ▲ ▲ , , .Outstanding Balance at Close of This Period

▲ ▲ ▲ , , .

Outstanding Balance Beginning This Period

▲ ▲ ▲ , , .Amount Incurred This Period

▲ ▲ ▲ , , .

Nature of Debt (Purpose):

C. Full Name (Last, First, Middle Initial) of Debtor or Creditor

Mailing Address

City State Zip Code

Payment This Period

▲ ▲ ▲ , , .Outstanding Balance at Close of This Period

▲ ▲ ▲ , , .

Outstanding Balance Beginning This Period

▲ ▲ ▲ , , .Amount Incurred This Period

▲ ▲ ▲ , , .

Nature of Debt (Purpose):

PAGE OF

FOR LINE NUMBER: (check only one) 9

10

Image# 201801319091310040

42 43

CLUB FOR CONSERVATIVES

Breitbart News Network LLC

Ste. 401149 South Barrington Ave

Los Angeles CA 90049

Digital Advertising

0.00

Transaction ID : SD10.4167

13000.00 0.00 13000.00

13000.00

13000.00

0.00

13000.00

Page 43: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3Xdocquery.fec.gov/pdf/999/201801319091309999/... · 2018. 2. 1. · Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT

Date of Public Distribution/Dissemination

Amount

Date of Disbursement or Obligation

Date of Public Distribution/Dissemination

Amount

Date of Disbursement or Obligation

Memo Item

Memo Item

FEC Schedule E (Form 3X) Rev. 05/2016

Calendar Year-To-Date Per Election for Office Sought

Calendar Year-To-Date Per Election for Office Sought

NAME OF COMMITTEE (In Full)

SCHEDULE E (FEC Form 3X)ITEMIZED INDEPENDENT EXPENDITURES

FOR LINE 24 OF FORM 3X PAGE OF

CFEC IDENTIFICATION NUMBER ▼

▲ ▲ ▲

▲ ▲ ▲

, , .

, , .

Full Name of Payee

Mailing Address

City State Zip Code

Purpose of Expenditure

Name of Federal Candidate:

Full Name of Payee

Mailing Address

City State Zip Code

Purpose of Expenditure

Name of Federal Candidate:

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

Disbursement For: Primary General

Other (specify)

Disbursement For: Primary General

Other (specify)

Category/Type

Category/Type

Office Sought: House District:

President Senate State:

Office Sought: House District:

President Senate State:

Check if 24-hour report 48-hour report New report Amends report filed on M M / D D / Y Y Y Y

Support

Oppose

Support

Oppose

(a) SUBTOTAL of Itemized Independent Expenditures ..............................................................

(b) SUBTOTAL of Unitemized Independent Expenditures ..........................................................

(c) TOTAL Independent Expenditures ........................................................................................

▼▼

Under penalty of perjury I certify that the independent expenditures reported herein were not made in cooperation, consultation, or concert with, or at the request or suggestion of, any candidate or authorized committee or agent of either, or (if the reporting entity is not a political party committee) any political party committee or its agent.

DateSignature

M M / D D / Y Y Y Y

Image# 201801319091310041

43

CLUB FOR CONSERVATIVESC00658302

Breitbart News Network LLC12 10

149 South Barrington Ave

Ste. 401

Los Angeles CA 90049

13000.00

Transaction ID : SE.4164

Digital Advertising 004 12 07

MOORE, ROY JUDGE, , ,

38000.00 2018 Special-General

Paramount Communication Inc

Leesburg VA 20176

Digital Advertising

12

#114

11

525 K East Market St.

004

Transaction ID : SE.4160

25000.00

12 07

MOORE, ROY JUDGE, , ,

25000.00 2018✘ Special-General

Pendley, Nathanael, , , [Electronically Filed] 01 31

43

2017

2017

AL

2017

2017

AL

38000.00

38000.00

2018