12.31.11 fec doheny report - final
TRANSCRIPT
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
FE5AN018
FEC
FORM 3
1. NAME OF COMMITTEE (in full)
ADDRESS (number and street)
Check if different than previously reported. (ACC)
FEC FORM 3(Revised 02/2003)
Office
Use
Only
NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 2 U.S.C. §437g.
I certify that I have examined this Report and to the best of my knowledge and belief it is true, correct and complete.
Type or Print Name of Treasurer
Signature of Treasurer Date
4. TYPE OF REPORT (Choose One)
(a) Quarterly Reports:
12-Day PRE-Election Report for the:
Primary (12P) General (12G) Runoff (12R)
Convention (12C) Special (12S)
30-Day POST-Election Report for the:
General (30G) Runoff (30R) Special (30S)
CITY STATE ZIP CODE2. FEC IDENTIFICATION NUMBER
3. IS THIS NEW AMENDED
REPORT (N) OR (A)
in the
Election on State of
TYPE OR PRINT
REPORT OF RECEIPTS
AND DISBURSEMENTSFor An Authorized Committee
5. Covering Period through
in the
Election on State of
STATE DISTRICT
Office Use Only
April 15 Quarterly Report (Q1)
July 15 Quarterly Report (Q2)
October 15 Quarterly Report (Q3)
January 31 Year-End Report (YE)
Termination Report (TER)
(b)
Example: If typing, type
over the lines.
(c)
12FE4M5
26
13607
23
01
Jeffrey Kirkby
Jeffrey Kirkby
2011
C00462853
PAGE 1 / 74
201110
Alexandria Bay NY
Doheny for Congress
65 High Street
2012
01 3112
NY
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FE5AN018
COLUMN B
Election Cycle-to-Date
COLUMN A
This Period
6. Net Contributions (other than loans)
(a) Total Contributions
(other than loans) (from Line 11(e)) ....
(b) Total Contribution Refunds
(from Line 20(d)) ..................................
(c) Net Contributions (other than loans)
(subtract Line 6(b) from Line 6(a)) ......
7. Net Operating Expenditures
(a) Total Operating Expenditures
(from Line 17) ......................................
(b) Total Offsets to Operating
Expenditures (from Line 14) ................
(c) Net Operating Expenditures
(subtract Line 7(b) from Line 7(a)) ......
8. Cash on Hand at Close of
Reporting Period (from Line 27) .................
9. Debts and Obligations Owed TO
the Committee (Itemize all on
Schedule C and/or Schedule D) ................
10. Debts and Obligations Owed BY
the Committee (Itemize all on
Schedule C and/or Schedule D) ................
For further information contact:
Federal Election Commission
999 E Street, NW
Washington, DC 20463
Toll Free 800-424-9530
Local 202-694-1100
FEC Form 3 (Revised 02/2003) Page 2
SUMMARY PAGEof Receipts and Disbursements
Report Covering the Period: From: To:
Write or Type Committee Name
306105.00
23176.90
316132.37
309155.00
PAGE 2 / 74
2011
309155.00
201110
22212.70
0.00
0.00 0.00
2265000.00
306105.00
Doheny for Congress
39596.19
0.00
61808.89
01 3112
23176.90
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FE5AN018
COLUMN B
Election Cycle-to-Date
COLUMN A
Total This Period
11. CONTRIBUTIONS (other than loans) FROM:
(a) Individuals/Persons Other Than
Political Committees
(i) Itemized (use Schedule A) ...........
(ii) Unitemized ....................................
(iii) TOTAL of contributions
from individuals .......................
(b) Political Party Committees .................
(c) Other Political Committees
(such as PACs) ...................................
(d) The Candidate ....................................
(e) TOTAL CONTRIBUTIONS
(other than loans)
(add Lines 11(a)(iii), (b), (c), and (d)) ..
12. TRANSFERS FROM OTHER
AUTHORIZED COMMITTEES ....................
13. LOANS:
(a) Made or Guaranteed by the
Candidate ............................................
(b) All Other Loans ...................................
(c) TOTAL LOANS
(add Lines 13(a) and (b)) ....................
14. OFFSETS TO OPERATING
EXPENDITURES
(Refunds, Rebates, etc.) ............................
15. OTHER RECEIPTS
(Dividends, Interest, etc.) ...........................
16. TOTAL RECEIPTS (add Lines 11(e), 12, 13(c), 14, and 15) (Carry Total to Line 24, page 4) ............
DETAILED SUMMARY PAGEof Receipts
I. RECEIPTS
FEC Form 3 (Revised 12/2003) Page 3
Report Covering the Period: From: To:
Write or Type Committee Name
0.00
3125.00
0.00
0.00
0.00
373704.99
305980.00
39596.19
305500.00
0.00
0.00
PAGE 3 / 74
2011
480.00
306105.00
2011
2103.80
0.00
10
0.00
0.00
306105.00
0.00
0.00
0.00
Doheny for Congress
306030.00
0.00
22850.00
309155.00
01
125.00
3112
305500.00
530.00
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FE5AN018
COLUMN B
Election Cycle-to-Date
COLUMN A
Total This Period
17. OPERATING EXPENDITURES .....................
18. TRANSFERS TO OTHER
AUTHORIZED COMMITTEES .....................
19. LOAN REPAYMENTS:
(a) Of Loans Made or Guaranteed
by the Candidate .................................
(b) Of All Other Loans ..............................
(c) TOTAL LOAN REPAYMENTS
(add Lines 19(a) and (b)) .....................
20. REFUNDS OF CONTRIBUTIONS TO:
(a) Individuals/Persons Other
Than Political Committees ..................
(b) Political Party Committees ..................
(c) Other Political Committees
(such as PACs) ....................................
(d) TOTAL CONTRIBUTION REFUNDS
(add Lines 20(a), (b), and (c)) ..............
21. OTHER DISBURSEMENTS .........................
22. TOTAL DISBURSEMENTS
(add Lines 17, 18, 19(c), 20(d), and 21)
II. DISBURSEMENTS
DETAILED SUMMARY PAGEof DisbursementsFEC Form 3 (Revised 02/2003) Page 4
III. CASH SUMMARY
23. CASH ON HAND AT BEGINNING OF REPORTING PERIOD ...............................................
24 TOTAL RECEIPTS THIS PERIOD (from Line 16, page 3) .....................................................
25. SUBTOTAL (add Line 23 and Line 24) ..................................................................................
26. TOTAL DISBURSEMENTS THIS PERIOD (from Line 22) ......................................................
27. CASH ON HAND AT CLOSE OF REPORTING PERIOD
(subtract Line 26 from Line 25)..............................................................................................
, , . , , .
316132.37
23176.90
0.00
0.00
23176.90
0.00
0.00
0.00
0.00
0.00
0.00
PAGE 4 / 74
61808.89
0.00
33204.27
0.00
0.00
0.00
0.00
339309.27
0.00
0.00
306105.00
0.00
0.00
23176.90
0.00
61808.89
FEC MISCELLANEOUS TEXT RELATED TO A REPORT, SCHEDULE OR ITEMIZATION Form/Schedule: Transaction ID : Form/Schedule: Transaction ID:
Daniel Krueger duplicated his primary contribution on 11/30/11. We have refunded his over contribution with check #862 dated 1/25/12 in the amount of $2,500 which will be on our next report. One Nation PAC = multiple contributionseach less than $99 totaling $125.00.
PAGE 5 / 74
F3N
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - General
Contribution - Primary
Contribution - Primary
2500.00
5000.00
2500.00
2500.00
2500.00
NY
TX
5 Meadow Gate East
5 Meadow Gate East
2500.00
3503 Harvard Ave
Doheny for Congress
75205Transaction ID : SA11AI.8443
11780
NYSt. James
Dallas
St. James
CloudBlue
Self Employed
Transaction ID : SA11AI.837811780
Transaction ID : SA11AI.8380
CloudBlue
20
20
31
7500.00
2012
6
2012
2012
12
12
12
74
Mr. Randolph Altschuler
2011
2011
Robin Arocha
2011
Mr. Randolph Altschuler
IT Management
IT Management
Consumer Sales
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - Primary
Contribution - General
Contribution - General
2500.00
2500.00
5000.00
2500.00
2500.00
NY
NY
60 Lawrence Avenue
3503 Harvard Ave
5000.00
60 Lawrence Avenue
Doheny for Congress
11559Transaction ID : SA11AI.8327
11559
TXDallas
Lawrence
Lawrence
Self Employed
Ropes & Grey LLP
Transaction ID : SA11AI.844675205
Transaction ID : SA11AI.8326
Ropes & Grey LLP
31
11
11
7500.00
2012
7
2012
2012
12
12
12
74
Mr. Mark I Bane
2011
2011
Mr. Mark I Bane
2011
Robin Arocha
Consumer Sales
Attorney
Attorney
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - Primary
Contribution - General
Contribution - Primary
2500.00
2500.00
5000.00
2500.00
1000.00
OH
OH
3898 Baughman Grant
115 Poplar Drive
1000.00
3898 Baughman Grant
Doheny for Congress
43054Transaction ID : SA11AI.8476
43054
NYRoslyn
New Albany
New Albany
Paul Hastings,Ganofsky&Walker
Desco Capital
Transaction ID : SA11AI.846811576
Transaction ID : SA11AI.8474
Desco Capital
31
29
29
6000.00
2012
8
2012
2012
12
12
12
74
Andrew Bohutinsky
2011
2011
Andrew Bohutinsky
2011
Allan Bloom
Attorney
Finance
Finance
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - General
Contribution - Primary
Contribution - Primary
2500.00
5000.00
2500.00
2500.00
2500.00
OH
NY
3898 Baughman Grant
3898 Baughman Grant
2500.00
111 Garden Road
Doheny for Congress
10583Transaction ID : SA11AI.8354
43054
OHNew Albany
Scarsdale
New Albany
Homemaker
Longacker Fund Management LLC
Transaction ID : SA11AI.847543054
Transaction ID : SA11AI.8477
Homemaker
29
29
15
7500.00
2012
9
2012
2012
12
12
12
74
Elizabeth Siemer Bohutinsky
2011
2011
Mr. John Brecker
2011
Elizabeth Siemer Bohutinsky
Homemaker
Homemaker
Finance
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - Primary
Contribution - General
Contribution - General
2500.00
2500.00
5000.00
2500.00
2500.00
NY
NY
414 Sterling Road
111 Garden Road
5000.00
414 Sterling Road
Doheny for Congress
10528Transaction ID : SA11AI.8334
10528
NYScarsdale
Harrison
Harrison
Longacker Fund Management LLC
Quest Turnaround Advisors
Transaction ID : SA11AI.835510583
Transaction ID : SA11AI.8332
Quest Turnaround Advisors
15
11
11
7500.00
2012
10
2012
2012
12
12
12
74
Mr. Jeffrey Brodsky
2011
2011
Mr. Jeffrey Brodsky
2011
Mr. John Brecker
Finance
Managing Director
Managing Director
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - General
Contribution - Primary
Contribution - Primary
2500.00
5000.00
2500.00
2500.00
2500.00
NY
FL
414 Sterling Road
414 Sterling Road
2500.00
3337 Founders Club Drive
Doheny for Congress
34240Transaction ID : SA11AI.8413
10528
NYHarrison
Sarasota
Harrison
Homemaker
Self Employed
Transaction ID : SA11AI.833310528
Transaction ID : SA11AI.8335
Homemaker
11
11
29
7500.00
2012
11
2012
2012
12
12
12
74
Mrs. Lori Brodsky
2011
2011
Mr. Raymond J. Bromark
2011
Mrs. Lori Brodsky
Homemaker
Homemaker
Consultant
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - Primary
Contribution - General
Contribution - General
2500.00
2500.00
5000.00
2500.00
2500.00
TX
TX
3503 Harvard Ave
3337 Founders Club Drive
5000.00
3503 Harvard Ave
Doheny for Congress
75205Transaction ID : SA11AI.8445
75205
FLSarasota
Dallas
Dallas
Self Employed
Retired
Transaction ID : SA11AI.841534240
Transaction ID : SA11AI.8444
Retired
29
31
31
7500.00
2012
12
2012
2012
12
12
12
74
Brent Buckley
2011
2011
Brent Buckley
2011
Mr. Raymond J. Bromark
Consultant
Retired
Retired
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - Primary
Contribution - Primary
Contribution - Primary
1000.00
2500.00
1000.00
2500.00
1000.00
IL
NY
679 N. Main St
920 Park Ave
1000.00
10 E 70th St
Doheny for Congress
10021Transaction ID : SA11AI.8427
60137
NYNew York
New York City
Glen Ellyn
Perella Weinberg Partners
Self Employed
Transaction ID : SA11AI.833910028
Transaction ID : SA11AI.8411
Self Employed
12
29
30
4500.00
2012
13
2012
2012
12
12
12
74
Apt. 5A
Mr. Douglas Alan Carty
2011
2011
Mr. Edward Cox
2011
Anthony Carbonetti
Financial Services
Consultant
Law
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - Primary
Contribution - Primary
Contribution - Primary
1000.00
2500.00
1000.00
2500.00
2500.00
NY
NY
245 E 21st Street
90 Washington St., Apt 6-H
2500.00
41 Greenacres Ave
Doheny for Congress
10583Transaction ID : SA11AI.8420
10010
NYNew York
Scarsdale
New York
GE
Barclays Capital
Transaction ID : SA11AI.837110006
Transaction ID : SA11AI.8372
Deutsche Bank
30
30
29
6000.00
2012
14
2012
2012
12
12
12
74
Apt. 12-A
Mr. Michael Curreri
2011
2011
Mr. Peter Dellorto
2011
Meredith Mikel Curreri
Lawyer
Managing Director
Finance
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - Primary
Contribution - General
Contribution - Primary
2500.00
2500.00
5000.00
2500.00
1000.00
NY
NY
4 Valley Road
2000 Broadway
1000.00
4 Valley Road
Doheny for Congress
10583Transaction ID : SA11AI.8398
10583
NYNew York
Scarsdale
Scarsdale
Citadel Securities
Milbank Tweed Hadley McCoy LLP
Transaction ID : SA11AI.839610023
Transaction ID : SA11AI.8397
Milbank Tweed Hadley McCoy LLP
27
27
27
6000.00
2012
15
2012
2012
12
12
12
74
Apt 14A
Mr. Dennis F Dunne
2011
2011
Mr. Dennis F Dunne
2011
Harold Derolph
Managing Director
Attorney
Attorney
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - General
Contribution - Primary
Contribution - Primary
2500.00
5000.00
2500.00
2500.00
2500.00
NJ
NY
546 Highland Avenue
546 Highland Avenue
2500.00
43 Bunker Lane
Doheny for Congress
11801Transaction ID : SA11AI.8431
07450
NJRidgewood
Hicksville
Ridgewood
Homemaker
Sirius Radio
Transaction ID : SA11AI.834207450
Transaction ID : SA11AI.8344
Homemaker
13
13
31
7500.00
2012
16
2012
2012
12
12
12
74
Mrs. Sharon Esposit
2011
2011
Mr. Gerald M Esposito
2011
Mrs. Sharon Esposit
Homemaker
Homemaker
Graphic Artist
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - Primary
Contribution - General
Contribution - General
2500.00
2500.00
5000.00
2500.00
2500.00
NJ
NJ
546 Highland Avenue
43 Bunker Lane
5000.00
546 Highland Avenue
Doheny for Congress
07450Transaction ID : SA11AI.8343
07450
NYHicksville
Ridgewood
Ridgewood
Sirius Radio
Capstone Advisory Group LLC
Transaction ID : SA11AI.843211801
Transaction ID : SA11AI.8341
Capstone Advisory Group LLC
31
13
13
7500.00
2012
17
2012
2012
12
12
12
74
Mr. John C Esposito
2011
2011
Mr. John C Esposito
2011
Mr. Gerald M Esposito
Graphic Artist
Analyst
Analyst
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - General
Contribution - Primary
Contribution - Primary
2500.00
5000.00
2500.00
2500.00
2500.00
NJ
NY
546 Highland Avenue
546 Highland Avenue
2500.00
68 Island Drive
Doheny for Congress
10580Transaction ID : SA11AI.8389
07450
NJRidgewood
Rye
Ridgewood
University of Michigan
The Blackstone Group
Transaction ID : SA11AI.842907450
Transaction ID : SA11AI.8430
University of Michigan
31
31
23
7500.00
2012
18
2012
2012
12
12
12
74
Mr. Zachary Esposito
2011
2011
Robert L. Friedman
2011
Mr. Zachary Esposito
Student
Student
Law
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - General
Contribution - Primary
Contribution - Primary
1500.00
5000.00
1500.00
2500.00
2500.00
NY
NY
26035 E Gotham Road
26035 E Gotham Road
2500.00
2392 Hawthorne Drive
Doheny for Congress
10598Transaction ID : SA11AI.8436
13601-5779
NYWatertown
Yorktown Heights
Watertown
Self Employed
Deutsche Bank
Transaction ID : SA11AI.837313601-5779
Transaction ID : SA11AI.8374
Self Employed
30
31
31
6500.00
2012
19
2012
2012
12
12
12
74
Mr. John P Gaus
2011
2011
Mr. Philip Giordano
2011
Mr. John P Gaus
Entrepreneur
Entrepreneur
Analyst
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - Primary
Contribution - General
Contribution - Primary
2500.00
2500.00
5000.00
2500.00
1000.00
NY
NY
388 West Boardway, Unit D
333 1/2 7th St N.E.
1000.00
388 West Boardway, Unit D
Doheny for Congress
10012Transaction ID : SA11AI.8410
10012
DCWashington
New York
New York
Bank of America
Houlihan Lokey
Transaction ID : SA11AI.828820002
Transaction ID : SA11AI.8409
Houlihan Lokey
26
29
29
6000.00
2012
20
2012
2012
12
12
10
74
David R. Hilty
2011
2011
David R. Hilty
2011
Mr. Edward J. Hill
Banking
Managing Director
Managing Director
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - Primary
Contribution - Primary
Contribution - Primary
2500.00
2500.00
2500.00
2500.00
500.00
NY
CT
115 Drake Smith Lane
325 Innes Way
500.00
938 Silvermine Road
Doheny for Congress
06840Transaction ID : SA11AI.8369
10580
IACedar Rapids
New Canaan
Rye
Self-Employed
Goldman Sachs
Transaction ID : SA11AI.839452403
Transaction ID : SA11AI.8404
Taconic Capitol Advisors
27
29
26
5500.00
2012
21
2012
2012
12
12
12
74
Mr. Kevin Kavanagh
2011
2011
Jeremia Keefe
2011
James Hoffman
Consulting
Trader
Financial Advisor
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - Primary
Contribution - General
Contribution - Primary
2500.00
2500.00
5000.00
2500.00
2500.00
NY
NY
27 Chauncey Place
938 Silvermine Road
2500.00
27 Chauncey Place
Doheny for Congress
11797Transaction ID : SA11AI.8347
11797
CTNew Canaan
Woodbury
Woodbury
Homemaker
Quinn Emmanuel Urquhard LLP
Transaction ID : SA11AI.847306840
Transaction ID : SA11AI.8346
Quinn Emmanuel Urquhard LLP
30
14
14
7500.00
2012
22
2012
2012
12
12
12
74
Susheel Kirpalani
2011
2011
Susheel Kirpalani
2011
Mrs. Sarah B. Keefe
Homemaker
Attorney
Attorney
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - General
Contribution - Primary
Contribution - Primary
1000.00
5000.00
1000.00
2500.00
2500.00
CT
NY
101 Washington Blvd
101 Washington Blvd
2500.00
15 Central Park West #11D
Doheny for Congress
10023Transaction ID : SA11AI.8292
06902
CTStamford
New York
Stamford
United Rentals
Perella Weinberg Partners
Transaction ID : SA11AI.843706902
Transaction ID : SA11AI.8439
United Rentals
31
31
13
6000.00
2012
23
2012
2012
12
12
12
74
Apt 402
Apt 402
Mr. Michael Joseph Kneeland
2011
2011
Mr. William Kourakos
2011
Mr. Michael Joseph Kneeland
Equipment Rental
Equipment Rental
Financial Service
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - Primary
Contribution - General
Contribution - Primary
2500.00
5000.00
7500.00
2500.00
2500.00
NY
NY
808 columbus Ave
808 columbus Ave
2500.00
808 columbus Ave
Doheny for Congress
10025Transaction ID : SA11AI.8325
10025
NYNew York
New York
New York
Owl Creek Asset Management
Owl Creek Asset Management
Transaction ID : SA11AI.832110025
Transaction ID : SA11AI.8324
Owl Creek Asset Management
30
01
01
7500.00
2012
24
2012
2012
12
12
11
74
Mr. Daniel Krueger
2011
2011
Mr. Daniel Krueger
2011
Mr. Daniel Krueger
Investment Manager
Investment Manager
Investment Manager
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - General
Contribution - Primary
Contribution - Primary
2500.00
5000.00
2500.00
2500.00
2500.00
NY
NY
808 Columbus Ave
808 Columbus Ave
2500.00
222 W 83rd St
Doheny for Congress
10024Transaction ID : SA11AI.8469
10025
NYNew York
New York
New York
Esopus Creek Advisors, LLC
Tricadia Capital
Transaction ID : SA11AI.832210025
Transaction ID : SA11AI.8323
Esopus Creek Advisors, LLC
30
30
31
7500.00
2012
25
2012
2012
12
11
11
74
Apt. 6E
Ms Lauren Krueger
2011
2011
Mr. Mayur Lakhani
2011
Ms Lauren Krueger
Assset Management
Assset Management
Finance
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - Primary
Contribution - General
Contribution - General
2500.00
2500.00
5000.00
2500.00
2500.00
NJ
NJ
6 Layer Drive
222 W 83rd St
5000.00
6 Layer Drive
Doheny for Congress
07950Transaction ID : SA11AI.8297
07950
NYNew York
Morris Plains
Morris Plains
Tricadia Capital
Deutsche Bank
Transaction ID : SA11AI.847010024
Transaction ID : SA11AI.8294
Deutsche Bank
31
14
14
7500.00
2012
26
2012
2012
12
12
12
74
Apt. 6E
Charles J. Lanktree
2011
2011
Charles J. Lanktree
2011
Mr. Mayur Lakhani
Finance
Director
Director
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - General
Contribution - Primary
Contribution - Primary
2500.00
5000.00
2500.00
2500.00
2500.00
NJ
NY
6 Layer Drive
6 Layer Drive
2500.00
6 Weeping Willow Court
Doheny for Congress
11545Transaction ID : SA11AI.8328
07950
NJMorris Plains
Old Brookville
Morris Plains
Davidson Kempner
FTI
Transaction ID : SA11AI.829507950
Transaction ID : SA11AI.8296
Davidson Kempner
14
14
11
7500.00
2012
27
2012
2012
12
12
12
74
Jennifer K. Lanktree
2011
2011
Kevin Lavin
2011
Jennifer K. Lanktree
Associate
Associate
Partner
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - Primary
Contribution - General
Contribution - General
2500.00
2500.00
5000.00
2500.00
2500.00
NY
NY
6 Weeping Willow Court
6 Weeping Willow Court
5000.00
6 Weeping Willow Court
Doheny for Congress
11545Transaction ID : SA11AI.8331
11545
NYOld Brookville
Old Brookville
Old Brookville
FTI
Homemaker
Transaction ID : SA11AI.833011545
Transaction ID : SA11AI.8329
Homemaker
11
11
11
7500.00
2012
28
2012
2012
12
12
12
74
Laura Lavin
2011
2011
Laura Lavin
2011
Kevin Lavin
Partner
Homemaker
Homemaker
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - Primary
Contribution - Primary
Contribution - Primary
2500.00
500.00
2500.00
500.00
2500.00
NY
NJ
P. O. Box 898
105 W 13th Street
2500.00
421 Mendham Road
Doheny for Congress
07924Transaction ID : SA11AI.8464
13601
NYNew York
Bernardsville
Watertown
Deutsche Bank Securities Inc.
Housewife
Transaction ID : SA11AI.836510011
Transaction ID : SA11AI.8298
Retired
22
21
31
5500.00
2012
29
2012
2012
12
12
12
74
Apt 7E
Richard R. MacSherry
2011
2011
Mrs. Karen Martin
2011
Mr. James H MacInnis
Analyst
Retired
Housewife
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - Primary
Contribution - General
Contribution - General
2500.00
2500.00
5000.00
2500.00
2500.00
NJ
NJ
421 Mendham Road
421 Mendham Road
5000.00
421 Mendham Road
Doheny for Congress
07924Transaction ID : SA11AI.8467
07924
NJBernardsville
Bernardsville
Bernardsville
Housewife
Deutsch Bank
Transaction ID : SA11AI.846607924
Transaction ID : SA11AI.8465
Deutsch Bank
31
31
31
7500.00
2012
30
2012
2012
12
12
12
74
Scott Martin
2011
2011
Scott Martin
2011
Mrs. Karen Martin
Housewife
Financial Services
Financial Services
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - Primary
Contribution - Primary
Contribution - Primary
2500.00
2500.00
2500.00
2500.00
2500.00
CT
NY
31 Hillside Drive
P. O. Box 631
2500.00
50 West 96th Street
Doheny for Congress
10025Transaction ID : SA11AI.8425
06830
NYArmonk
New York
Greenwich
Reed Smith LLP
Taconic Capital
Transaction ID : SA11AI.847210504
Transaction ID : SA11AI.8424
Marblegate Asset Management
30
30
30
7500.00
2012
31
2012
2012
12
12
12
74
Apt. 12C
Mr. Andrew Milgram
2011
2011
Mr. Josh Miller
2011
Mr. James C McCarroll
Attorney
Finance
Finance
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribtuion - Primary
Contribution - General
Contribution - General
2500.00
1000.00
2500.00
1000.00
2500.00
NY
NY
19-22 - 45th Street
50 West 96th Street
5000.00
2166 Broadway
Doheny for Congress
10024Transaction ID : SA11AI.8399
11105
NYNew York
New York
Astoria
Taconic Capital
O'Meleeny Myers LLP
Transaction ID : SA11AI.842610025
Transaction ID : SA11AI.8304
Self Employed
30
22
28
6000.00
2012
32
2012
2012
12
12
12
74
Apt. 12C
#4F
Mr. Matthew Mogavero
2011
2011
Shannon Lowry Nagle
2011
Mr. Josh Miller
Finance
Consultant
Lawyer
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - Primary
Contribution - Primary
Contribution - Primary
1000.00
2500.00
1000.00
2500.00
2500.00
NY
NY
115 Central Park West
2166 Broadway
5000.00
51 W 70th Street
Doheny for Congress
10023Transaction ID : SA11AI.8299
10023
NYNew York
New York
New York
O'Meleeny Myers LLP
IBS Group
Transaction ID : SA11AI.840010024
Transaction ID : SA11AI.8370
Quilvest USA, Inc
28
30
15
6000.00
2012
33
2012
2102
12
12
12
74
#4F
Apt.3B
#16G
Mr. Lawrence Neubauer
2011
2011
Mr. Robert Parker
2011
Shannon Lowry Nagle
Lawyer
Investor
Banker
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - Primary
Contribution - General
Contribution - Primary
500.00
2500.00
3000.00
2500.00
1000.00
NY
NY
10 Legget Rd
4004 Sharp Place
1000.00
10 Legget Rd
Doheny for Congress
10708Transaction ID : SA11AI.8435
10708
VAAlexandria
Bronxville
Bronxville
Akin Gump Strauss Hauer & Feld
Macquarie
Transaction ID : SA11AI.845222304
Transaction ID : SA11AI.8433
Macquarie
30
31
31
4000.00
2012
34
2012
2012
12
12
12
74
Mr. Alex Perez
2011
2011
Mr. Alex Perez
2011
L. William Paxon
Lobbyist
Finance
Finance
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - General
Contribution - Primary
Contribution - Primary
1000.00
5000.00
1000.00
2500.00
2500.00
TX
NY
6158 Prospect
6158 Prospect
2500.00
500 West End Ave
Doheny for Congress
10024Transaction ID : SA11AI.8422
75214
TXDallas
New York
Dallas
YRC Worldwide Inc.
Golub Capital
Transaction ID : SA11AI.838675214
Transaction ID : SA11AI.8388
YRC Worldwide Inc.
22
22
30
6000.00
2012
35
2012
2012
12
12
12
74
Mr. Jamie Glen Pierson
2011
2011
Mr. Daniel Posner
2011
Mr. Jamie Glen Pierson
Transportation
Transportation
Finance
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - General
Contribution - Primary
Contribution - Primary
2500.00
5000.00
2500.00
2500.00
2500.00
NY
NJ
400 Chambers St.
400 Chambers St.
2500.00
345 Mountain Road
Doheny for Congress
07920Transaction ID : SA11AI.8459
10282
NYNew York
Basking Ridge
New York
D.E. Shaw and Co.
Golman Sachs
Transaction ID : SA11AI.848410282
Transaction ID : SA11AI.8485
D.E. Shaw and Co.
31
31
31
7500.00
2012
36
2012
2012
12
12
12
74
Apt 16A
Apt 16A
Ms Mary E. Reidy
2011
2011
Mr. John M. Santonastaso
2011
Ms Mary E. Reidy
Investments
Investments
Finance
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - Primary
Contribution - Primary
Contribution - Primary
2500.00
1000.00
2500.00
1000.00
2500.00
NY
NY
424 Upland Drive
345 Mountain Road
2500.00
344 West 72nd Street
Doheny for Congress
10023Transaction ID : SA11AI.8359
10514
NJBasking Ridge
New York
Chappaqua
Homemaker
Fintech Advisory, Inc.
Transaction ID : SA11AI.845707920
Transaction ID : SA11AI.8361
Taconic Capital Advisors, LP
31
16
15
6000.00
2012
37
2012
2012
12
12
12
74
Apt. 9I
Michael Schatz
2011
2011
Mr. William Schatz
2011
Karen Santonastaso
Homemaker
Investments
Research Analyst
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - Primary
Contribution - Primary
Contribution - General
2500.00
2500.00
2500.00
2500.00
2500.00
NY
NY
31 Overlook Rd
344 West 72nd Street
5000.00
21 S. End Avenue
Doheny for Congress
10280Transaction ID : SA11AI.8461
10804
NYNew York
New York
New Rochelle
Fintech Advisory, Inc.
Perella Weinberg Partners
Transaction ID : SA11AI.836010023
Transaction ID : SA11AI.8405
Self Employed
15
29
31
7500.00
2012
38
2012
2012
12
12
12
74
Apt. 9I
Apt.340
Mr. Bradley Eric Scher
2011
2011
Mr. Richard J Shinder
2011
Mr. William Schatz
Research Analyst
Constultant
Managing Director
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - Primary
Contribution - General
Contribution - Primary
2500.00
2500.00
5000.00
2500.00
1000.00
CT
CT
6 Loretta Court
15 Hodge Road
1000.00
6 Loretta Court
Doheny for Congress
06880Transaction ID : SA11AI.8419
06880
NJPrinceton
Westport
Westport
Westland Ventures
Homemaker
Transaction ID : SA11AI.845308540
Transaction ID : SA11AI.8417
Homemaker
30
29
29
6000.00
2012
39
2012
2012
12
12
12
74
Mr. Ashley A. Skatoff
2011
2011
Mr. Ashley A. Skatoff
2011
Mr. Scott M. Sipprelle
Venture Capitalist
Homemaker
Homemaker
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - General
Contribution - Primary
Contribution - Primary
2500.00
5000.00
2500.00
2500.00
2500.00
CT
CT
6 Loretta Court
6 Loretta Court
2500.00
12 Hillcrest Lane
Doheny for Congress
06870Transaction ID : SA11AI.8363
06880
CTWestport
Old Greenwich
Westport
Skatoff & Company LLC
Perella Weinberg Partners
Transaction ID : SA11AI.841606880
Transaction ID : SA11AI.8418
Skatoff & Company LLC
29
29
18
7500.00
2012
40
2012
2012
12
12
12
74
Mr. David Skatoff
2011
2011
Derron Slonecker
2011
Mr. David Skatoff
Finance
Finance
Partner
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - Primary
Contribution - General
Contribution - General
2500.00
2500.00
5000.00
2500.00
2500.00
NY
NY
151 E. 31st Street
12 Hillcrest Lane
5000.00
151 E. 31st Street
Doheny for Congress
10016Transaction ID : SA11AI.8307
10016
CTOld Greenwich
New York
New York
Perella Weinberg Partners
Ropes & Grey
Transaction ID : SA11AI.836406870
Transaction ID : SA11AI.8306
Ropes & Grey
18
22
22
7500.00
2012
41
2012
2012
12
12
12
74
Apt.10-A
Apt.10-A
Mr. Mark R Somerstein
2011
2011
Mr. Mark R Somerstein
2011
Derron Slonecker
Partner
Attorney
Attorney
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - General
Contribution - Primary
Contribution - Primary
2500.00
5000.00
2500.00
2500.00
2500.00
MD
CT
3535 Loyola Court
3535 Loyola Court
2500.00
45 Upland Drive
Doheny for Congress
06831Transaction ID : SA11AI.8336
20754
MDDunkirk
Greenwich
Dunkirk
Homemaker
Perella Weinberg Partners
Transaction ID : SA11AI.830920754
Transaction ID : SA11AI.8310
Homemaker
12
12
12
7500.00
2012
42
2012
2012
12
12
12
74
Colleen Spencer
2011
2011
John Lincoln Spencer
2011
Colleen Spencer
Homemaker
Homemaker
Financial Services
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - Primary
Contribution - Primary
Contribution - General
2500.00
2500.00
2500.00
2500.00
2500.00
IL
NY
745 Greenwood Ave
45 Upland Drive
5000.00
381 Lattingtown Road
Doheny for Congress
11560Transaction ID : SA11AI.8455
60022
CTGreenwich
Locust Valley
Glencoe
Perella Weinberg Partners
Dorset Management Corporation
Transaction ID : SA11AI.833806831
Transaction ID : SA11AI.8381
Kirkland & Ellis, LLP
12
20
31
7500.00
2012
43
2012
2012
12
12
12
74
James H.M. Sprayegen
2011
2011
Mr. Donald F Textor
2011
John Lincoln Spencer
Financial Services
Lawyer
Finance
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - Primary
Contribution - Primary
Contribution - General
1000.00
2500.00
1000.00
2500.00
2500.00
NY
NJ
2 Larchwood Road
381 Lattingtown Road
5000.00
102 Buttonwood Dr
Doheny for Congress
07704Transaction ID : SA11AI.8408
10538
NYLocust Valley
Fairhaven
Larchmont
Dorset Management Corporation
White & Case LLP
Transaction ID : SA11AI.845611560
Transaction ID : SA11AI.8352
Fried Frank
31
14
29
6000.00
2012
44
2012
2012
12
12
12
74
Mr. Edward Ughetta
2011
2011
Mr. Gerard Uzzi
2011
Mr. Donald F Textor
Finance
Attorney
Attorney
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - Primary
Contribution - Primary
Contribution - Primary
2500.00
2500.00
2500.00
2500.00
2500.00
NY
NY
180 W 20th Street
143 Reade St # 11A
2500.00
555 West 59th Street
Doheny for Congress
10019Transaction ID : SA11AI.8345
10011
NYNew York
New York
New York
Homemaker
Brown Rudnick LLP
Transaction ID : SA11AI.839210013-3826
Transaction ID : SA11AI.8393
Venor Capital
27
27
13
7500.00
2012
45
2012
2012
12
12
12
74
Unit 3A
#phh
Mr. Michael Wartell
2011
2011
Mr. Edward Weisfelner
2011
Mrs. Karen Wartell
Homemaker
Financial Services
Lawyer
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - Primary
Contribution - Primary
Contribution - Primary
2500.00
2000.00
2500.00
2000.00
2000.00
NY
NY
47 Grace Church St
15924 King St.
2000.00
14 Blackberry Hill Road
Doheny for Congress
10536Transaction ID : SA11AI.8383
10580-2521
KSOverland Park
Katonah
Rye
YRC Worldwide
Chanin Capital
Transaction ID : SA11AI.844066062
Transaction ID : SA11AI.8376
Homemaker
31
30
20
6500.00
2012
46
2012
2012
12
12
12
74
Mrs. Catherine White
2011
2011
Brent Williams
2011
Mr. James Liis Welch
Transportation
Homemaker
Investments
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contributions - Primary
Contributions - General
Contribution - Primary
2500.00
2500.00
5000.00
2500.00
2500.00
NY
NY
42 Sage Terrace
74 Cross St
2500.00
42 Sage Terrace
Doheny for Congress
10583Transaction ID : SA11AI.8315
10583
NJLittle Silver
Scarsdale
Scarsdale
Gibson, Dunn & Crutcher
MAEVA Group, LLC
Transaction ID : SA11AI.840107739
Transaction ID : SA11AI.8311
MAEVA Group, LLC
28
12
12
7500.00
2012
47
2012
2012
12
12
12
74
James Wilson
2011
2011
James Wilson
2011
Matthew Williams
Law
Investor
Investor
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contributions - General
Contribution - Primary
Contributions - Primary
1000.00
5000.00
1000.00
2500.00
2500.00
NY
GA
42 Sage Terrace
42 Sage Terrace
2500.00
P. O. Box 422567
Doheny for Congress
30342Transaction ID : SA11AI.8384
10583
NYScarsdale
Atlanta
Scarsdale
Homemaker
Retired
Transaction ID : SA11AI.831610583
Transaction ID : SA11AI.8317
Homemaker
12
12
22
6000.00
2012
48
2012
2012
12
12
12
74
Romas Wilson
2011
2011
Jim Winestock
2011
Romas Wilson
Homemaker
Homemaker
Retired
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - Primary
Contribution - Primary
Contribution - Primary
2500.00
2500.00
2500.00
2500.00
1000.00
TX
NY
623 South Ripple Creek Dr
6312 Fly Road
1000.00
15 Central Park West
Doheny for Congress
10023Transaction ID : SA11AI.8302
77057
NYEast Syracuse
New York
Houston
Wladis Law Firm
Davidson Newhard Kempner Cap.
Transaction ID : SA11AI.829013057
Transaction ID : SA11AI.8402
BridgeStreet Worldwide
05
28
17
6000.00
2012
49
2012
2012
12
12
12
74
Apt.34D
Mr. Sean Christopher Worker
2011
2011
Mr. Anthony A Yoseloff
2011
Mr. Mark N. Wladis
Attorney
Property Development/Mgt
Money Manager
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - Primary
Contribution - General
Contribution - General
2500.00
2500.00
5000.00
2500.00
2500.00
NY
NY
15 Central Park West
15 Central Park West
5000.00
15 Central Park West
Doheny for Congress
305500.00
10023Transaction ID : SA11AI.8301
10023
NYNew York
New York
New York
Davidson Newhard Kempner Cap.
Self Employed
Transaction ID : SA11AI.830310023
Transaction ID : SA11AI.8300
Self Employed
17
18
18
7500.00
2012
50
2012
2012
12
12
12
74
Apt.34D
Apt 34D
Apt 34D
Nanar N Yoseloff
2011
2011
Nanar N Yoseloff
2011
Mr. Anthony A Yoseloff
Money Manager
Writer
Writer
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution - Primary
125.00
PO BOX 10144
125.00
Doheny for Congress
125.00
CAPALM DESERT
C00468447
Transaction ID : SA11C.848292255
01
125.00
2012
51
12
74
2011
ONE NATION PAC
FE5AN018
SCHEDULE B (FEC Form 3)
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 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: 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
NY
NY
NY
808 East Utah Valley Drive
808 East Utah Valley Drive
808 East Utah Valley Drive
20.00
20.00
20.00
Doheny for Congress
Transaction ID : SB17.8268
UT
UT
UT
84003
84003
84003
Transaction ID : SB17.8266
Transaction ID : SB17.8267
11
12
Merchant Fees
10
Merchant Fees
Merchant Fees
2011
Doheny for Congress
Doheny for Congress
60.00
Authorize.net Gateway billing
Doheny for Congress
2012
Authorize.net Gateway billing
2011
Authorize.net Gateway billing
52
2012
2012
2011
04
23
74
23
04
02
American Fork
23
American Fork
American Fork
001
001
001
FE5AN018
SCHEDULE B (FEC Form 3)
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 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: 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
NY
NY
NY
30 South Pearl St.
30 South Pearl St.
30 South Pearl St.
31.94
17.00
17.00
Doheny for Congress
Transaction ID : SB17.8279
NY
NY
NY
12207
12207
12207
Transaction ID : SB17.8277
Transaction ID : SB17.8278
10
11
BankCard Merchant Fees
10
BankCard Merchant Fees
BankCard Merchant Fees - MTOT
2011
Doheny for Congress
Doheny for Congress
65.94
HSBC Bank USA, N.A.
Doheny for Congress
2012
HSBC Bank USA, N.A.
2011
HSBC Bank USA, N.A.
53
2012
2012
2011
03
23
74
23
03
02
Albany
23
Albany
Albany
001
001
001
FE5AN018
SCHEDULE B (FEC Form 3)
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 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: 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
NY
NY
NY
30 South Pearl St.
30 South Pearl St.
30 South Pearl St.
130.94
17.00
31.94
Doheny for Congress
Transaction ID : SB17.8275
NY
NY
NY
12207
12207
12207
Transaction ID : SB17.8276
Transaction ID : SB17.8280
12
12
BankCard Merchant Fees - MTOT
11
BankCard Merchant Fees
BankCard Merchant Fees - MTOT & setup
2011
Doheny for Congress
Doheny for Congress
179.88
HSBC Bank USA, N.A.
Doheny for Congress
2012
HSBC Bank USA, N.A.
2011
HSBC Bank USA, N.A.
54
2012
2012
2011
07
23
74
23
02
05
Albany
23
Albany
Albany
001
001
001
FE5AN018
SCHEDULE B (FEC Form 3)
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 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: 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
NY
NY
NY
512 Means Street
1217 Bronson Street
1217 Bronson Street
3750.00
3750.00
30.00
Suite 404
Doheny for Congress
Transaction ID : SB17.8269
GA
NY
NY
30318
13601
13601
Transaction ID : SB17.8285
Transaction ID : SB17.8287
11
10
Email Marketing Service
10
Spokesman Consulting
Spokesman Consulting
2011
Doheny for Congress
Doheny for Congress
7530.00
Jude R. Seymour
Doheny for Congress
2012
Jude R. Seymour
2011
MailChimp
55
2012
2012
2011
30
23
74
23
30
17
Watertown
23
Watertown
Atlanta
001
001
001
FE5AN018
SCHEDULE B (FEC Form 3)
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 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: 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
NY
NY
NY
1750 Old Meadow Road
512 Means Street
512 Means Street
Suite 404
Suite 404
30.00
30.00
25.00
Suite 300
Doheny for Congress
Transaction ID : SB17.8263
VA
GA
GA
22102
30318
30318
Transaction ID : SB17.8270
Transaction ID : SB17.8271
12
10
Merchant Fees
11
Email Marketing Service
Email Marketing Service
2011
Doheny for Congress
Doheny for Congress
85.00
MailChimp
Doheny for Congress
2012
MailChimp
2011
Sage Payment Solutions Division
56
2012
2012
2011
17
23
74
23
19
04
Atlanta
23
Atlanta
McLean
001
001
001
FE5AN018
SCHEDULE B (FEC Form 3)
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 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: 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
NY
NY
NY
1750 Old Meadow Road
1750 Old Meadow Road
1750 Old Meadow Road
Suite 300
Suite 300
25.00
25.00
675.23
Suite 300
Doheny for Congress
Transaction ID : SB17.8447
VA
VA
VA
22102
22102
22102
Transaction ID : SB17.8264
Transaction ID : SB17.8265
12
12
Piryx 2 - cc fees
11
Merchant Fees
Merchant Fees
2011
Doheny for Congress
Doheny for Congress
725.23
Sage Payment Solutions Division
Doheny for Congress
2012
Sage Payment Solutions Division
2011
Sage Payment Solutions Division
57
2012
2012
2011
03
23
74
23
02
31
McLean
23
McLean
McLean
001
001
001
FE5AN018
SCHEDULE B (FEC Form 3)
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 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: 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
NY
NY
NY
2017 State Route 22B
2017 State Route 22B
1750 Old Meadow RoadSuite 300
3582.00
3050.00
3050.00
Doheny for Congress
Transaction ID : SB17.8284
NY
NY
VA
12962
22102
12962
Transaction ID : SB17.8448
Transaction ID : SB17.8283
10
11
Local Campaign Coordinator
12
Local Campaign Coordinator
Piryx 1 - cc fees
2011
Doheny for Congress
Doheny for Congress
9682.00
Sage Payment Solutions Division
Doheny for Congress
2012
Sirk, Alicia
2011
Sirk, Alicia
58
2012
2012
2011
31
23
74
23
30
30
Morrisonville
23
McLean
Morrisonville
001
001
001
FE5AN018
SCHEDULE B (FEC Form 3)
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 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: 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
NY
435 East Main St.Suite 250
4825.00
Doheny for Congress
23153.05
IN 46143
Transaction ID : SB17.8281
11
Website Development & hosting Invoice 2080
2011
Doheny for Congress
4825.00
The Prosper Group
2012
59
13
74
23
Greenwood
004
FE5AN018
SCHEDULE C (FEC Form 3)
LOANS
PAGE OF
Use separate schedule(s)
for each category of the
Detailed Summary Page
NAME OF COMMITTEE (In Full)
SUBTOTALS This Period This Page (optional) .................................................................
TOTALS This Period (last page in this line only) .............................................................
FEC Schedule C (Form 3) (Revised 02/2003)
Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.
Name of Employer
Occupation
List All Endorsers or Guarantors (if any) to Loan Source
, , .
, , .
, , . , , . , , .
Original Amount of Loan Cumulative Payment To Date Balance Outstanding at Close of This Period
Date Incurred Date Due Interest Rate Secured:
Yes No . % (apr)
Election:
Primary
General
Other (specify)
LOAN SOURCE Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code
1. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
2. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
3. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
4. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
TERMS
FOR LINE NUMBER:
(check only one) 13a
13b
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
0.00
Transaction ID : SC/10.4118
[PERSONAL FUNDS]
Matthew Doheny
NY
2009
Doheny for Congress
29
303 Paddock Street
0.0006
Watertown
500000.00
2009
500000.00
60
500000.00
74
Special-Primary
11/30/2010
13601
FE5AN018
SCHEDULE C (FEC Form 3)
LOANS
PAGE OF
Use separate schedule(s)
for each category of the
Detailed Summary Page
NAME OF COMMITTEE (In Full)
SUBTOTALS This Period This Page (optional) .................................................................
TOTALS This Period (last page in this line only) .............................................................
FEC Schedule C (Form 3) (Revised 02/2003)
Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.
Name of Employer
Occupation
List All Endorsers or Guarantors (if any) to Loan Source
, , .
, , .
, , . , , . , , .
Original Amount of Loan Cumulative Payment To Date Balance Outstanding at Close of This Period
Date Incurred Date Due Interest Rate Secured:
Yes No . % (apr)
Election:
Primary
General
Other (specify)
LOAN SOURCE Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code
1. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
2. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
3. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
4. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
TERMS
FOR LINE NUMBER:
(check only one) 13a
13b
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
0.00
Transaction ID : SC/10.5070
[PERSONAL FUNDS]
Matthew Doheny
NY
2010
Doheny for Congress
15
303 Paddock Street
0.0001
Watertown
150000.00
2010
150000.00
61
150000.00
74
11/10/2010
13601
FE5AN018
SCHEDULE C (FEC Form 3)
LOANS
PAGE OF
Use separate schedule(s)
for each category of the
Detailed Summary Page
NAME OF COMMITTEE (In Full)
SUBTOTALS This Period This Page (optional) .................................................................
TOTALS This Period (last page in this line only) .............................................................
FEC Schedule C (Form 3) (Revised 02/2003)
Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.
Name of Employer
Occupation
List All Endorsers or Guarantors (if any) to Loan Source
, , .
, , .
, , . , , . , , .
Original Amount of Loan Cumulative Payment To Date Balance Outstanding at Close of This Period
Date Incurred Date Due Interest Rate Secured:
Yes No . % (apr)
Election:
Primary
General
Other (specify)
LOAN SOURCE Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code
1. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
2. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
3. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
4. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
TERMS
FOR LINE NUMBER:
(check only one) 13a
13b
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
0.00
Transaction ID : SC/10.5725
[PERSONAL FUNDS]
Matthew Doheny
NY
2010
Doheny for Congress
25
303 Paddock Street
0.0006
Watertown
100000.00
2010
100000.00
62
100000.00
74
11/30/10
13601
FE5AN018
SCHEDULE C (FEC Form 3)
LOANS
PAGE OF
Use separate schedule(s)
for each category of the
Detailed Summary Page
NAME OF COMMITTEE (In Full)
SUBTOTALS This Period This Page (optional) .................................................................
TOTALS This Period (last page in this line only) .............................................................
FEC Schedule C (Form 3) (Revised 02/2003)
Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.
Name of Employer
Occupation
List All Endorsers or Guarantors (if any) to Loan Source
, , .
, , .
, , . , , . , , .
Original Amount of Loan Cumulative Payment To Date Balance Outstanding at Close of This Period
Date Incurred Date Due Interest Rate Secured:
Yes No . % (apr)
Election:
Primary
General
Other (specify)
LOAN SOURCE Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code
1. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
2. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
3. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
4. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
TERMS
FOR LINE NUMBER:
(check only one) 13a
13b
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
0.00
Transaction ID : SC/10.6527
[PERSONAL FUNDS]
Matthew Doheny
NY
2010
Doheny for Congress
15
303 Paddock Street
0.0008
Watertown
100000.00
2010
100000.00
63
100000.00
74
11/30/10
13601
FE5AN018
SCHEDULE C (FEC Form 3)
LOANS
PAGE OF
Use separate schedule(s)
for each category of the
Detailed Summary Page
NAME OF COMMITTEE (In Full)
SUBTOTALS This Period This Page (optional) .................................................................
TOTALS This Period (last page in this line only) .............................................................
FEC Schedule C (Form 3) (Revised 02/2003)
Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.
Name of Employer
Occupation
List All Endorsers or Guarantors (if any) to Loan Source
, , .
, , .
, , . , , . , , .
Original Amount of Loan Cumulative Payment To Date Balance Outstanding at Close of This Period
Date Incurred Date Due Interest Rate Secured:
Yes No . % (apr)
Election:
Primary
General
Other (specify)
LOAN SOURCE Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code
1. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
2. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
3. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
4. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
TERMS
FOR LINE NUMBER:
(check only one) 13a
13b
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
0.00
Transaction ID : SC/10.6526
[PERSONAL FUNDS]
Matthew Doheny
NY
2010
Doheny for Congress
24
303 Paddock Street
0.0008
Watertown
150000.00
2010
150000.00
64
150000.00
74
11/30/10
13601
FE5AN018
SCHEDULE C (FEC Form 3)
LOANS
PAGE OF
Use separate schedule(s)
for each category of the
Detailed Summary Page
NAME OF COMMITTEE (In Full)
SUBTOTALS This Period This Page (optional) .................................................................
TOTALS This Period (last page in this line only) .............................................................
FEC Schedule C (Form 3) (Revised 02/2003)
Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.
Name of Employer
Occupation
List All Endorsers or Guarantors (if any) to Loan Source
, , .
, , .
, , . , , . , , .
Original Amount of Loan Cumulative Payment To Date Balance Outstanding at Close of This Period
Date Incurred Date Due Interest Rate Secured:
Yes No . % (apr)
Election:
Primary
General
Other (specify)
LOAN SOURCE Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code
1. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
2. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
3. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
4. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
TERMS
FOR LINE NUMBER:
(check only one) 13a
13b
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
0.00
Transaction ID : SC/10.6662
[PERSONAL FUNDS]
Matthew Doheny
NY
2010
Doheny for Congress
07
303 Paddock Street
0.0009
Watertown
150000.00
2010
150000.00
65
150000.00
74
11/30/10
13601
FE5AN018
SCHEDULE C (FEC Form 3)
LOANS
PAGE OF
Use separate schedule(s)
for each category of the
Detailed Summary Page
NAME OF COMMITTEE (In Full)
SUBTOTALS This Period This Page (optional) .................................................................
TOTALS This Period (last page in this line only) .............................................................
FEC Schedule C (Form 3) (Revised 02/2003)
Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.
Name of Employer
Occupation
List All Endorsers or Guarantors (if any) to Loan Source
, , .
, , .
, , . , , . , , .
Original Amount of Loan Cumulative Payment To Date Balance Outstanding at Close of This Period
Date Incurred Date Due Interest Rate Secured:
Yes No . % (apr)
Election:
Primary
General
Other (specify)
LOAN SOURCE Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code
1. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
2. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
3. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
4. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
TERMS
FOR LINE NUMBER:
(check only one) 13a
13b
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
0.00
Transaction ID : SC/10.6797
[PERSONAL FUNDS]
Matthew Doheny
NY
2010
Doheny for Congress
13
303 Paddock Street
0.0009
Watertown
40000.00
2010
40000.00
66
40000.00
74
11/30/10
13601
FE5AN018
SCHEDULE C (FEC Form 3)
LOANS
PAGE OF
Use separate schedule(s)
for each category of the
Detailed Summary Page
NAME OF COMMITTEE (In Full)
SUBTOTALS This Period This Page (optional) .................................................................
TOTALS This Period (last page in this line only) .............................................................
FEC Schedule C (Form 3) (Revised 02/2003)
Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.
Name of Employer
Occupation
List All Endorsers or Guarantors (if any) to Loan Source
, , .
, , .
, , . , , . , , .
Original Amount of Loan Cumulative Payment To Date Balance Outstanding at Close of This Period
Date Incurred Date Due Interest Rate Secured:
Yes No . % (apr)
Election:
Primary
General
Other (specify)
LOAN SOURCE Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code
1. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
2. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
3. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
4. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
TERMS
FOR LINE NUMBER:
(check only one) 13a
13b
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
0.00
Transaction ID : SC/10.6922
[PERSONAL FUNDS]
Matthew Doheny
NY
2010
Doheny for Congress
30
303 Paddock Street
0.0009
Watertown
200000.00
2010
200000.00
67
200000.00
74
11/30/10
13601
FE5AN018
SCHEDULE C (FEC Form 3)
LOANS
PAGE OF
Use separate schedule(s)
for each category of the
Detailed Summary Page
NAME OF COMMITTEE (In Full)
SUBTOTALS This Period This Page (optional) .................................................................
TOTALS This Period (last page in this line only) .............................................................
FEC Schedule C (Form 3) (Revised 02/2003)
Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.
Name of Employer
Occupation
List All Endorsers or Guarantors (if any) to Loan Source
, , .
, , .
, , . , , . , , .
Original Amount of Loan Cumulative Payment To Date Balance Outstanding at Close of This Period
Date Incurred Date Due Interest Rate Secured:
Yes No . % (apr)
Election:
Primary
General
Other (specify)
LOAN SOURCE Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code
1. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
2. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
3. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
4. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
TERMS
FOR LINE NUMBER:
(check only one) 13a
13b
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
0.00
Transaction ID : SC/10.7045
[PERSONAL FUNDS]
Matthew Doheny
NY
2010
Doheny for Congress
30
303 Paddock Street
0.0009
Watertown
300000.00
2010
300000.00
68
300000.00
74
11/30/2010
13601
FE5AN018
SCHEDULE C (FEC Form 3)
LOANS
PAGE OF
Use separate schedule(s)
for each category of the
Detailed Summary Page
NAME OF COMMITTEE (In Full)
SUBTOTALS This Period This Page (optional) .................................................................
TOTALS This Period (last page in this line only) .............................................................
FEC Schedule C (Form 3) (Revised 02/2003)
Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.
Name of Employer
Occupation
List All Endorsers or Guarantors (if any) to Loan Source
, , .
, , .
, , . , , . , , .
Original Amount of Loan Cumulative Payment To Date Balance Outstanding at Close of This Period
Date Incurred Date Due Interest Rate Secured:
Yes No . % (apr)
Election:
Primary
General
Other (specify)
LOAN SOURCE Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code
1. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
2. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
3. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
4. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
TERMS
FOR LINE NUMBER:
(check only one) 13a
13b
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
0.00
Transaction ID : SC/10.7415
[PERSONAL FUNDS]
Matthew Doheny
NY
2010
Doheny for Congress
19
303 Paddock Street
0.0010
Watertown
225000.00
2010
225000.00
69
225000.00
74
11/30/10
13601
FE5AN018
SCHEDULE C (FEC Form 3)
LOANS
PAGE OF
Use separate schedule(s)
for each category of the
Detailed Summary Page
NAME OF COMMITTEE (In Full)
SUBTOTALS This Period This Page (optional) .................................................................
TOTALS This Period (last page in this line only) .............................................................
FEC Schedule C (Form 3) (Revised 02/2003)
Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.
Name of Employer
Occupation
List All Endorsers or Guarantors (if any) to Loan Source
, , .
, , .
, , . , , . , , .
Original Amount of Loan Cumulative Payment To Date Balance Outstanding at Close of This Period
Date Incurred Date Due Interest Rate Secured:
Yes No . % (apr)
Election:
Primary
General
Other (specify)
LOAN SOURCE Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code
1. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
2. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
3. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
4. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
TERMS
FOR LINE NUMBER:
(check only one) 13a
13b
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
0.00
Transaction ID : SC/10.7416
[PERSONAL FUNDS]
Matthew Doheny
NY
2010
Doheny for Congress
19
303 Paddock Street
0.0010
Watertown
50000.00
2010
50000.00
70
50000.00
74
11/30/10
13601
FE5AN018
SCHEDULE C (FEC Form 3)
LOANS
PAGE OF
Use separate schedule(s)
for each category of the
Detailed Summary Page
NAME OF COMMITTEE (In Full)
SUBTOTALS This Period This Page (optional) .................................................................
TOTALS This Period (last page in this line only) .............................................................
FEC Schedule C (Form 3) (Revised 02/2003)
Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.
Name of Employer
Occupation
List All Endorsers or Guarantors (if any) to Loan Source
, , .
, , .
, , . , , . , , .
Original Amount of Loan Cumulative Payment To Date Balance Outstanding at Close of This Period
Date Incurred Date Due Interest Rate Secured:
Yes No . % (apr)
Election:
Primary
General
Other (specify)
LOAN SOURCE Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code
1. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
2. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
3. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
4. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
TERMS
FOR LINE NUMBER:
(check only one) 13a
13b
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
0.00
Transaction ID : SC/10.7417
[PERSONAL FUNDS]
Matthew Doheny
NY
2010
Doheny for Congress
19
303 Paddock Street
0.0010
Watertown
50000.00
2010
50000.00
71
50000.00
74
11/30/10
13601
FE5AN018
SCHEDULE C (FEC Form 3)
LOANS
PAGE OF
Use separate schedule(s)
for each category of the
Detailed Summary Page
NAME OF COMMITTEE (In Full)
SUBTOTALS This Period This Page (optional) .................................................................
TOTALS This Period (last page in this line only) .............................................................
FEC Schedule C (Form 3) (Revised 02/2003)
Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.
Name of Employer
Occupation
List All Endorsers or Guarantors (if any) to Loan Source
, , .
, , .
, , . , , . , , .
Original Amount of Loan Cumulative Payment To Date Balance Outstanding at Close of This Period
Date Incurred Date Due Interest Rate Secured:
Yes No . % (apr)
Election:
Primary
General
Other (specify)
LOAN SOURCE Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code
1. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
2. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
3. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
4. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
TERMS
FOR LINE NUMBER:
(check only one) 13a
13b
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
0.00
Transaction ID : SC/10.7459
[PERSONAL FUNDS]
Matthew Doheny
NY
2010
Doheny for Congress
21
303 Paddock Street
0.0010
Watertown
40000.00
2010
40000.00
72
40000.00
74
11/30/10
13601
FE5AN018
SCHEDULE C (FEC Form 3)
LOANS
PAGE OF
Use separate schedule(s)
for each category of the
Detailed Summary Page
NAME OF COMMITTEE (In Full)
SUBTOTALS This Period This Page (optional) .................................................................
TOTALS This Period (last page in this line only) .............................................................
FEC Schedule C (Form 3) (Revised 02/2003)
Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.
Name of Employer
Occupation
List All Endorsers or Guarantors (if any) to Loan Source
, , .
, , .
, , . , , . , , .
Original Amount of Loan Cumulative Payment To Date Balance Outstanding at Close of This Period
Date Incurred Date Due Interest Rate Secured:
Yes No . % (apr)
Election:
Primary
General
Other (specify)
LOAN SOURCE Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code
1. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
2. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
3. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
4. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
TERMS
FOR LINE NUMBER:
(check only one) 13a
13b
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
0.00
Transaction ID : SC/10.7460
[PERSONAL FUNDS]
Matthew Doheny
NY
2010
Doheny for Congress
21
303 Paddock Street
0.0010
Watertown
60000.00
2010
60000.00
73
60000.00
74
11/30/10
13601
FE5AN018
SCHEDULE C (FEC Form 3)
LOANS
PAGE OF
Use separate schedule(s)
for each category of the
Detailed Summary Page
NAME OF COMMITTEE (In Full)
SUBTOTALS This Period This Page (optional) .................................................................
TOTALS This Period (last page in this line only) .............................................................
FEC Schedule C (Form 3) (Revised 02/2003)
Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.
Name of Employer
Occupation
List All Endorsers or Guarantors (if any) to Loan Source
, , .
, , .
, , . , , . , , .
Original Amount of Loan Cumulative Payment To Date Balance Outstanding at Close of This Period
Date Incurred Date Due Interest Rate Secured:
Yes No . % (apr)
Election:
Primary
General
Other (specify)
LOAN SOURCE Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code
1. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
2. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
3. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
4. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
TERMS
FOR LINE NUMBER:
(check only one) 13a
13b
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
0.00
Transaction ID : SC/10.7765
[PERSONAL FUNDS]
Matthew Doheny
NY
2010
Doheny for Congress
2265000.00
26
303 Paddock Street
0.0010
Watertown
150000.00
2010
150000.00
74
150000.00
74
11/30/2010
13601