docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · fec form 3x rev. 05/2016 office...

253
FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 52 U.S.C. § 30109. 4. TYPE OF REPORT (Choose One) (a) Quarterly Reports: 12-Day Primary (12P) General (12G) Runoff (12R) PRE-Election Report for the: Convention (12C) Special (12S) 30-Day POST-Election General (30G) Runoff (30R) Special (30S) Report for the: (b) Monthly Report Due On: Feb 20 (M2) May 20 (M5) Aug 20 (M8) Mar 20 (M3) Jun 20 (M6) Sep 20 (M9) Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT OF RECEIPTS AND DISBURSEMENTS For Other Than An Authorized Committee 1. NAME OF COMMITTEE (in full) ADDRESS (number and street) Check if different than previously reported. (ACC) TYPE OR PRINT CITY STATE ZIP CODE 2. FEC IDENTIFICATION NUMBER 5. Covering Period through I certify that I have examined this Report and to the best of my knowledge and belief it is true, correct and complete. Type or Print Name of Treasurer Signature of Treasurer Date April 15 Quarterly Report (Q1) July 15 Quarterly Report (Q2) October 15 Quarterly Report (Q3) January 31 Year-End Report (YE) July 31 Mid-Year Report (Non-election Year Only) (MY) Termination Report (TER) in the Election on State of in the Election on State of Office Use Only C 3. IS THIS NEW AMENDED REPORT (N) OR (A) (c) Nov 20 (M11) (Non-Election Year Only) Dec 20 (M12) (Non-Election Year Only) Example: If typing, type over the lines. (d) M M / D D / Y Y Y Y M M / D D / Y Y Y Y M M / D D / Y Y Y Y M M / D D / Y Y Y Y M M / D D / Y Y Y Y 12FE4M5 09/15/2017 09 : 50 Image# 201709159074698169 PAGE 1 / 253 Philip A. Hart Democratic Club 176 S. Main Street Suite 4 Mount Clemens MI 48043 C00224717 08 01 2017 08 31 2017 Holtslander, Roger, , , Holtslander, Roger, , , [Electronically Filed] 09 15 2017

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Page 1: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

FEC FORM 3XRev. 05/2016

Office Use Only

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

4. TYPE OF REPORT (Choose One)

(a) Quarterly Reports:

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

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

(b) Monthly Report Due On:

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

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

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

FEC FORM 3X

REPORT OF RECEIPTS AND DISBURSEMENTSFor Other Than An Authorized Committee

1. NAME OF COMMITTEE (in full)

ADDRESS (number and street)

Check if different than previously reported. (ACC)

TYPE OR PRINT

CITY STATE ZIP CODE2. FEC IDENTIFICATION NUMBER ▼

▼ ▼ ▼

5. Covering Period through

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

Type or Print Name of Treasurer

Signature of Treasurer Date

April 15 Quarterly Report (Q1)

July 15 Quarterly Report (Q2)

October 15 Quarterly Report (Q3)

January 31 Year-End Report (YE)

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

Termination Report (TER) in the

Election on State of

in the Election on State of

Office Use Only

C

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

(c)

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

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

Example: If typing, type over the lines.

(d)

M M / D D / Y Y Y Y

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

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

12FE4M5

09/15/2017 09 : 50

Image# 201709159074698169 PAGE 1 / 253

Philip A. Hart Democratic Club

176 S. Main Street

Suite 4

Mount Clemens MI 48043

C00224717

08 01 2017 08 31 2017

Holtslander, Roger, , ,

Holtslander, Roger, , ,[Electronically Filed] 09 15 2017

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

Y Y Y Y

COLUMN BCalendar Year-to-Date

COLUMN AThis Period

6. (a) Cash on Hand January 1,

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

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

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

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

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

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

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

For further information contact:

Federal Election Commission999 E Street, NW

Washington, DC 20463

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

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

SUMMARY PAGEOF RECEIPTS AND DISBURSEMENTS

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

Report Covering the Period: From: To:

Write or Type Committee Name

Philip A. Hart Democratic Club

08 01 2017 08 31 2017

Image# 201709159074698170

2017 52420.64

73187.93

107071.90 868906.91

180259.83 921327.55

106699.19 847766.91

73560.64 73560.64

0.00

0.00

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

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

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Report Covering the Period: From: To:

COLUMN BCalendar Year-to-Date

COLUMN ATotal This Period

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

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

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

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

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

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

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

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

DETAILED SUMMARY PAGEof Receipts

Write or Type Committee Name

I. Receipts

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

▼▼

▼▼

Philip A. Hart Democratic Club

08 01 2017 08 31 2017

Image# 201709159074698171

61015.00 532175.00

46056.90 336731.91

107071.90 868906.91

0.00 0.00

0.00 0.00

107071.90 868906.91

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

107071.90 868906.91

107071.90 868906.91

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

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

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

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

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

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

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

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

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

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

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

COLUMN BCalendar Year-to-Date

COLUMN ATotal This Period

II. Disbursements

DETAILED SUMMARY PAGEof Disbursements

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

▼▼

▼▼

Image# 201709159074698172

1138.83 6617.51

4284.17 24894.51

101276.19 816254.89

106699.19 847766.91

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

106699.19 847766.91

102415.02 822872.40

Page 5: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

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

COLUMN BCalendar Year-to-Date

COLUMN ATotal This Period

DETAILED SUMMARY PAGEof Disbursements

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

Operating Expenditures

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

▼▼

Image# 201709159074698173

107071.90 868906.91

0.00 0.00

107071.90 868906.91

102415.02 822872.40

0.00 0.00

102415.02 822872.40

Page 6: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698174

6 253

Philip A. Hart Democratic Club

Alexander, Shirley, , ,

20511 Biltmore08 04 2017

Detroit MI 48238Transaction ID : SA11AI.86389

None Retired

6190.00

550.00

Aliotta, Toni, , ,33132 Morrison

08 18 2017

Sterling Heights MI 48312Transaction ID : SA11AI.86466

None Retired

1665.00

225.00

Amouri, Samia, , ,4842 Farrer

08 29 2017

West Bloomfield MI 48320Transaction ID : SA11AI.86814

None Retired

825.00

175.00

950.00

Page 7: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698175

7 253

Philip A. Hart Democratic Club

Ard, Katina, , ,

18603 Eureka08 01 2017

Detroit MI 48234Transaction ID : SA11AI.86670

None Retired

280.00

140.00

Banas, Rosemary, , ,34158 Tudor Court

08 13 2017

Sterling Heights MI 48312Transaction ID : SA11AI.86563

None Retired

3165.00

250.00

Barbieri, Helen, , ,35024 Brighton Dr.

08 01 2017

Sterling Heights MI 48310Transaction ID : SA11AI.86671

None Retired

1900.00

350.00

740.00

Page 8: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698176

8 253

Philip A. Hart Democratic Club

Beatty, Diane, , ,

25205 Lindenwood Lane08 01 2017

Southfield MI 48033Transaction ID : SA11AI.86672

None Retired

210.00

210.00

Beauchamp, Lameisha, , ,17650 Beech Daily

08 08 2017

Redford MI 48240Transaction ID : SA11AI.86711

None Retired

1140.00

90.00

Beauchamp, Lameisha, , ,17650 Beech Daily

08 27 2017

Redford MI 48240Transaction ID : SA11AI.86632

None Retired

1240.00

100.00

400.00

Page 9: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698177

9 253

Philip A. Hart Democratic Club

Beauchamp, Quardell, , ,

17650 Beech Daily08 11 2017

Redford MI 48240Transaction ID : SA11AI.86450

None Retired

675.00

100.00

Becker, Mary, , ,412 W. Otis

08 22 2017

Hazel Park MI 48030Transaction ID : SA11AI.86789

None Homemaker

560.00

175.00

Beier, Twila, , ,5154 W. Tothill Circle

08 18 2017

Sterling Heights MI 48310Transaction ID : SA11AI.86467

None Homemaker

535.00

225.00

500.00

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▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698178

10 253

Philip A. Hart Democratic Club

Bial, Betty, , ,

29807 Norma08 08 2017

Warren MI 48093Transaction ID : SA11AI.86712

None Retired

1335.00

175.00

Brooks, William, , ,1304 E Harry

08 04 2017

Hazel Park MI 48030Transaction ID : SA11AI.86394

None Retired

520.00

150.00

Brown, Christine, , ,31 Cross

08 13 2017

Pontiac MI 48342Transaction ID : SA11AI.86565

None Retired

300.00

300.00

625.00

Page 11: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698179

11 253

Philip A. Hart Democratic Club

BRYANT, ERICA, , ,

17602 CHAFER08 15 2017

DETROIT MI 48231Transaction ID : SA11AI.86753

None Retired

215.00

90.00

Buechel, Barbara, , ,13818 Barfield

08 08 2017

Warren MI 48088Transaction ID : SA11AI.86713

None Retired

1100.00

125.00

Buechel, Barbara, , ,13818 Barfield

08 22 2017

Warren MI 48088Transaction ID : SA11AI.86790

None Retired

1190.00

90.00

305.00

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▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698180

12 253

Philip A. Hart Democratic Club

Burns, Pat, , ,

9389 Lessing08 04 2017

Detroit MI 48234Transaction ID : SA11AI.86396

None Retired

515.00

200.00

Buss, Karen, , ,33365 Harrington Dr

08 11 2017

Fraser MI 48026Transaction ID : SA11AI.86452

None Retired

2775.00

200.00

Capizzi, Anthony, , ,38825 Westchester

08 06 2017

Sterling Heights MI 48310Transaction ID : SA11AI.86529

None Retired

505.00

125.00

525.00

Page 13: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698181

13 253

Philip A. Hart Democratic Club

Capizzi, Anthony, , ,

38825 Westchester08 25 2017

Sterling Heights MI 48310Transaction ID : SA11AI.86499

None Retired

1005.00

500.00

Cavazas, Jerri, , ,11335 13 Mile

08 13 2017

Warren MI 48093Transaction ID : SA11AI.86568

None Retired

250.00

250.00

cavazos, jerri, , ,11335 13 mile

08 18 2017

warren MI 48093Transaction ID : SA11AI.86476

None Retired

730.00

200.00

950.00

Page 14: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698182

14 253

Philip A. Hart Democratic Club

cavazos, jerri, , ,

11335 13 mile08 29 2017

warren MI 48093Transaction ID : SA11AI.86816

None Retired

855.00

125.00

Ciesielski, Pauline, , ,9135 Greensboro

08 06 2017

Detroit MI 48224Transaction ID : SA11AI.86532

None Retired

400.00

200.00

Coleman, Jeanette, , ,831 Pingree

08 06 2017

Detroit MI 48202Transaction ID : SA11AI.86533

None Retired

755.00

300.00

625.00

Page 15: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698183

15 253

Philip A. Hart Democratic Club

Coleman, Jeanette, , ,

831 Pingree08 13 2017

Detroit MI 48202Transaction ID : SA11AI.86566

None Retired

955.00

200.00

Cotter, Carol, , ,2011 E 10 Mile Rd.

08 18 2017

Royal Oak MI 48067Transaction ID : SA11AI.86463

None Retired

555.00

125.00

Cox, Carol, , ,447 Kenilworth

08 08 2017

Pontiac MI 48342Transaction ID : SA11AI.86715

None Retired

1860.00

225.00

550.00

Page 16: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698184

16 253

Philip A. Hart Democratic Club

Cullen, Mark, , ,

4441 Linville08 20 2017

Warren MI 48092Transaction ID : SA11AI.86602

None Retired

225.00

225.00

Cullen, Maureen, , ,4441 Linville

08 04 2017

Warren MI 48092Transaction ID : SA11AI.86391

None Retired

1775.00

200.00

Daiowd, Hanna, , ,5276 Gerald

08 08 2017

Warren MI 48092Transaction ID : SA11AI.86716

None Retired

625.00

125.00

550.00

Page 17: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698185

17 253

Philip A. Hart Democratic Club

Daiowd, Hannaa, , ,

5276 Gerald St08 29 2017

Warren MI 48092Transaction ID : SA11AI.86819

None Retired

300.00

175.00

Daiowd, Hannaa, , ,5276 Gerald St

08 29 2017

Warren MI 48092Transaction ID : SA11AI.86820

None Retired

425.00

125.00

Damron, Maynard, , ,25106 Hoover

08 29 2017

Warren MI 48089Transaction ID : SA11AI.86821

None Retired

375.00

375.00

675.00

Page 18: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698186

18 253

Philip A. Hart Democratic Club

Davis, Latasha, , ,

13690 E, State Fair08 08 2017

Detroit MI 48205Transaction ID : SA11AI.86717

None Retired

1415.00

175.00

Davis, Raymonda, , ,19150 Buffalo

08 15 2017

Detroit MI 48234Transaction ID : SA11AI.86754

None Retired

1815.00

175.00

Davison, Clarissa, , ,18905 Carmona

08 04 2017

Southfield MI 48075Transaction ID : SA11AI.86410

None Retired

5735.00

100.00

450.00

Page 19: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698187

19 253

Philip A. Hart Democratic Club

Davison, Clarissa, , ,

18905 Carmona08 08 2017

Southfield MI 48075Transaction ID : SA11AI.86718

None Retired

5855.00

120.00

Decker, Norma, , ,187 Fallow Lane

08 27 2017

Alworth GA 30101Transaction ID : SA11AI.86638

None Retired

300.00

300.00

Dewld, Barbara, , ,5064 Buchanan ave

08 06 2017

Warren MI 49092Transaction ID : SA11AI.86536

None Retired

3715.00

175.00

595.00

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▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698188

20 253

Philip A. Hart Democratic Club

Dexter, Georgia, , ,

87 Fireside Lane08 25 2017

Pontiac MI 48340Transaction ID : SA11AI.86502

None Retired

1085.00

75.00

DIEMERT, CHERIE, , ,27515 FLORAL ST

08 04 2017

ROSEVILLE MI 48066Transaction ID : SA11AI.86423

None Retired

815.00

150.00

Dumas, Britney, , ,20026 Bradford

08 08 2017

Detroit MI 48205Transaction ID : SA11AI.86719

None Retired

250.00

250.00

475.00

Page 21: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698189

21 253

Philip A. Hart Democratic Club

Fowler, Sharon, , ,

150 N Lafayette08 11 2017

Warren MI 48091Transaction ID : SA11AI.86454

None Retired

450.00

300.00

Fowler, Sharon, , ,150 N Lafayette

08 20 2017

Warren MI 48091Transaction ID : SA11AI.86606

None Retired

675.00

225.00

Fowler, Sharon, , ,150 N Lafayette

08 27 2017

Warren MI 48091Transaction ID : SA11AI.86641

None Retired

900.00

225.00

750.00

Page 22: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698190

22 253

Philip A. Hart Democratic Club

Franklin, Heather, , ,

2644 Chestnut08 01 2017

Warren MI 48091Transaction ID : SA11AI.86673

None Retired

210.00

210.00

Franklin, Heather, , ,2644 Chestnut

08 01 2017

Warren MI 48091Transaction ID : SA11AI.86674

None Retired

350.00

140.00

Franklin, Virginia, , ,25427 Briar

08 18 2017

Oak Park MI 48237Transaction ID : SA11AI.86493

None Retired

270.00

90.00

440.00

Page 23: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698191

23 253

Philip A. Hart Democratic Club

Gansior, Debbie, , ,

28917 James08 20 2017

Warren MI 48092Transaction ID : SA11AI.86603

None Retired

755.00

100.00

Gasso, Debbie, , ,8401 18 Mile rd

08 13 2017

Sterling Hts MI 48313Transaction ID : SA11AI.86572

None Retired

340.00

340.00

Gholston, Ericka, , ,439 Valencia

08 11 2017

Pontiac MI 48342Transaction ID : SA11AI.86460

None Retired

725.00

250.00

690.00

Page 24: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698192

24 253

Philip A. Hart Democratic Club

Gholston, Ericka, , ,

439 Valencia08 13 2017

Pontiac MI 48342Transaction ID : SA11AI.86573

None Retired

825.00

100.00

Gilbert, Betty, , ,2407 Reva

08 27 2017

Warren MI 48091Transaction ID : SA11AI.86642

None Retired

1055.00

125.00

Gilbert, Toni, , ,99934 Cheynne

08 25 2017

Detroit MI 48227Transaction ID : SA11AI.86498

None Retired

320.00

200.00

425.00

Page 25: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698193

25 253

Philip A. Hart Democratic Club

Goode, Carol, , ,

1402 Owanna Ave.08 01 2017

Royal Oak MI 48067Transaction ID : SA11AI.86675

None Homemaker

1930.00

140.00

Gorges, Thekra, , ,51158 Clear Spring

08 01 2017

Shelby Township MI 48316Transaction ID : SA11AI.86676

None Retired

1895.00

140.00

Gorges, Thekra, , ,51158 Clear Spring

08 01 2017

Shelby Township MI 48316Transaction ID : SA11AI.86677

None Retired

2020.00

125.00

405.00

Page 26: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698194

26 253

Philip A. Hart Democratic Club

Gorges, Thekra, , ,

51158 Clear Spring08 22 2017

Shelby Township MI 48316Transaction ID : SA11AI.86793

None Retired

2145.00

125.00

Hale, Laverne, , ,26560 Burg Road

08 11 2017

Warren MI 48089Transaction ID : SA11AI.86451

None Retired

1225.00

450.00

Hall, Andrea, , ,4905 E 10 Mile Rd

08 11 2017

Warrem MI 48091Transaction ID : SA11AI.86455

None Retired

595.00

200.00

775.00

Page 27: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698195

27 253

Philip A. Hart Democratic Club

Hall, Andrea, , ,

4905 E 10 Mile Rd08 15 2017

Warrem MI 48091Transaction ID : SA11AI.86759

None Retired

795.00

200.00

Hall, Gwen, , ,4905 E 10 Mile Rd

08 08 2017

Warrem MI 48091Transaction ID : SA11AI.86722

None Retired

440.00

350.00

Hall, Gwen, , ,4905 E 10 Mile Rd

08 15 2017

Warrem MI 48091Transaction ID : SA11AI.86760

None Retired

615.00

175.00

725.00

Page 28: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698196

28 253

Philip A. Hart Democratic Club

Hall, Kim, , ,

4988 Engleman08 11 2017

Warren MI 48091Transaction ID : SA11AI.86428

None Retired

650.00

125.00

Ham, Cathy, , ,4719 N. Grand Oaks

08 06 2017

Warren MI 48092Transaction ID : SA11AI.86540

None Retired

675.00

175.00

Hanes, Nancy, , ,46174 Palmer

08 18 2017

Shelby Township MI 48316Transaction ID : SA11AI.86477

None Retired

1285.00

125.00

425.00

Page 29: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698197

29 253

Philip A. Hart Democratic Club

Hansen, Anna, , ,

25505 Cubberness08 13 2017

St. Clair Shores MI 48081Transaction ID : SA11AI.86576

None Retired

1840.00

100.00

Hebert, Maryann, , ,31390 Schoenherr

08 15 2017

Warren MI 48088Transaction ID : SA11AI.86761

None Retired

570.00

100.00

Hizon, Linda, , ,542 Margaret

08 18 2017

Sterling Heights MI 48313Transaction ID : SA11AI.86494

None Retired

6750.00

200.00

400.00

Page 30: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698198

30 253

Philip A. Hart Democratic Club

Hizon, Linda, , ,

542 Margaret08 25 2017

Sterling Heights MI 48313Transaction ID : SA11AI.86528

None Retired

6925.00

175.00

Hoag, Joanne, , ,49 Quail

08 04 2017

Plant City FL 33565Transaction ID : SA11AI.86411

None Retired

4110.00

325.00

Hoag, Jo Anne, , ,2141 Crystal Lake Apt 264

08 06 2017

Shelby Twp MI 48316Transaction ID : SA11AI.86542

None Retired

225.00

225.00

725.00

Page 31: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698199

31 253

Philip A. Hart Democratic Club

Hoag, Joanne, , ,

49 Quail08 11 2017

Plant City FL 33565Transaction ID : SA11AI.86444

None Retired

4260.00

150.00

Hoag, Joanne, , ,49 Quail

08 18 2017

Plant City FL 33565Transaction ID : SA11AI.86488

None Retired

4660.00

400.00

Hoag, Joanne, , ,49 Quail

08 25 2017

Plant City FL 33565Transaction ID : SA11AI.86518

None Retired

4960.00

300.00

850.00

Page 32: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698200

32 253

Philip A. Hart Democratic Club

Holmes, Kim, , ,

20431 Irvington08 11 2017

Highland park MI 48203Transaction ID : SA11AI.86456

None Retired

475.00

125.00

Howard, Johnnie, , ,13000 Joan

08 18 2017

Detroit MI 48205Transaction ID : SA11AI.86464

None Retired

1100.00

375.00

Hughes, June, , ,14380 Brookings

08 18 2017

Sterling Heights MI 48313Transaction ID : SA11AI.86472

None Retired

1310.00

125.00

625.00

Page 33: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698201

33 253

Philip A. Hart Democratic Club

Jackson, Dorothy, , ,

3501 Woodward08 25 2017

Detroit MI 48224Transaction ID : SA11AI.86527

None Retired

225.00

225.00

Johnson, Adrienne, , ,16511 Greenlawn

08 25 2017

Detroit MI 48221Transaction ID : SA11AI.86505

None Retired

3200.00

150.00

Johnson, Cassandra, , ,16099 W. 11 Mile Road, #101

08 04 2017

Southfield MI 48076Transaction ID : SA11AI.86418

None Retired

1025.00

150.00

525.00

Page 34: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698202

34 253

Philip A. Hart Democratic Club

Johnson, Maxine, , ,

16681 Farimount08 06 2017

Detroit MI 48205Transaction ID : SA11AI.86545

None Retired

650.00

300.00

Johnston, Barb, , ,32435 Kelly

08 04 2017

Fraser MI 48026Transaction ID : SA11AI.86415

None Retired

1200.00

500.00

Jones, Doris, , ,19722 Wexford

08 25 2017

Detroit MI 48234Transaction ID : SA11AI.86510

None Retired

655.00

175.00

975.00

Page 35: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698203

35 253

Philip A. Hart Democratic Club

Jones, Kathleen, , ,

24 Sheridan08 04 2017

Mt. Clemens MI 48043Transaction ID : SA11AI.86424

None Retired

830.00

150.00

Jones, Suzette, , ,20117 Hall

08 06 2017

Detroit MI 48203Transaction ID : SA11AI.86546

None Retired

4915.00

225.00

Jones, Tina, , ,18101 Mound

08 01 2017

Detroit MI 48234Transaction ID : SA11AI.86679

None Retired

3490.00

210.00

585.00

Page 36: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698204

36 253

Philip A. Hart Democratic Club

Jones, Tina, , ,

18101 Mound08 01 2017

Detroit MI 48234Transaction ID : SA11AI.86680

None Retired

3630.00

140.00

Jovcevski, Tina, , ,30548 Groveland

08 20 2017

Madison Hts MI 48071Transaction ID : SA11AI.86610

None Retired

550.00

550.00

Jovcevski, Tina, , ,30548 Groveland

08 20 2017

Madison Hts MI 48071Transaction ID : SA11AI.86614

None Retired

1050.00

500.00

1190.00

Page 37: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698205

37 253

Philip A. Hart Democratic Club

Kanou, Julie, , ,

24901 Panama08 20 2017

Warren MI 48091Transaction ID : SA11AI.86611

None Retired

420.00

100.00

Kempf, Christina, , ,56536 Chesapeake Dr

08 01 2017

SHelby Twp MI 48316Transaction ID : SA11AI.86682

None Retired

250.00

250.00

Kilgore, Marg, , ,8439 Decatur

08 29 2017

Centerline MI 48015Transaction ID : SA11AI.86827

None Retired

700.00

475.00

825.00

Page 38: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698206

38 253

Philip A. Hart Democratic Club

King, Elizabeth, , ,

26682 Hale08 15 2017

Madison Heights MI 48071Transaction ID : SA11AI.86762

None Retired

7335.00

90.00

King, Elizabeth, , ,26682 Hale

08 15 2017

Madison Heights MI 48071Transaction ID : SA11AI.86763

None Retired

7410.00

75.00

King, Elizabeth, , ,26682 Hale

08 15 2017

Madison Heights MI 48071Transaction ID : SA11AI.86764

None Retired

7485.00

75.00

240.00

Page 39: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698207

39 253

Philip A. Hart Democratic Club

King, Elizabeth, , ,

26682 Hale08 18 2017

Madison Heights MI 48071Transaction ID : SA11AI.86487

None Retired

7585.00

100.00

King, Elizabeth, , ,26682 Hale

08 22 2017

Madison Heights MI 48071Transaction ID : SA11AI.86796

None Retired

7710.00

125.00

King, Jateye, , ,19349 Kelly Rd

08 08 2017

Detroit MI 48025Transaction ID : SA11AI.86728

None Retired

300.00

175.00

400.00

Page 40: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698208

40 253

Philip A. Hart Democratic Club

King, Jateye, , ,

19349 Kelly Rd08 08 2017

Detroit MI 48025Transaction ID : SA11AI.86729

None Retired

475.00

175.00

Kingston, Keith, , ,216 Chandler

08 27 2017

Detroit MI 48205Transaction ID : SA11AI.86645

None Retired

925.00

200.00

Koenig, Mike, , ,26257 Dale ct

08 20 2017

Roseville MI 48066Transaction ID : SA11AI.86612

None Retired

1105.00

200.00

575.00

Page 41: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698209

41 253

Philip A. Hart Democratic Club

Koenig, Mike, , ,

26257 Dale ct08 27 2017

Roseville MI 48066Transaction ID : SA11AI.86646

None Retired

1305.00

200.00

Kuberski, Thomas, , ,6937 Copper Creek

08 01 2017

Washington MI 48094Transaction ID : SA11AI.86683

None Retired

340.00

140.00

Kudla, Denise, , ,11738 Gallagher

08 25 2017

Hamtramck MI 48212Transaction ID : SA11AI.86519

None Retired

800.00

300.00

640.00

Page 42: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698210

42 253

Philip A. Hart Democratic Club

KUKLA, KAREN, , ,

105 BOBOLINK ST08 13 2017

ROCHESTER HILLS MI 48309Transaction ID : SA11AI.86579

None Retired

275.00

125.00

KUKLA, KAREN, , ,105 BOBOLINK ST

08 20 2017

ROCHESTER HILLS MI 48309Transaction ID : SA11AI.86613

None Retired

475.00

200.00

Landorf, Charles, , ,14447 Edshire

08 01 2017

Sterling Heights MI 48312Transaction ID : SA11AI.86684

None Retired

1425.00

210.00

535.00

Page 43: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698211

43 253

Philip A. Hart Democratic Club

Landorf, Charles, , ,

14447 Edshire08 15 2017

Sterling Heights MI 48312Transaction ID : SA11AI.86765

None Retired

1500.00

75.00

Landorf, Charles, , ,14447 Edshire

08 22 2017

Sterling Heights MI 48312Transaction ID : SA11AI.86797

None Retired

1675.00

175.00

Lawson, Lorraine, , ,7552 Continental

08 08 2017

Warren MI 48091Transaction ID : SA11AI.86733

None Retired

215.00

90.00

340.00

Page 44: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698212

44 253

Philip A. Hart Democratic Club

Leoni, Mitsuko, , ,

36346 Tulane08 01 2017

Sterling Heights MI 48312Transaction ID : SA11AI.86685

None Retired

3309.00

250.00

Leoni, Mitsuko, , ,36346 Tulane

08 04 2017

Sterling Heights MI 48312Transaction ID : SA11AI.86426

None Retired

3509.00

200.00

Leoni, Mitsuko, , ,36346 Tulane

08 13 2017

Sterling Heights MI 48312Transaction ID : SA11AI.86581

None Retired

3959.00

450.00

900.00

Page 45: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698213

45 253

Philip A. Hart Democratic Club

Leoni, Mitsuko, , ,

36346 Tulane08 15 2017

Sterling Heights MI 48312Transaction ID : SA11AI.86766

None Retired

4059.00

100.00

Leoni, Mitsuko, , ,36346 Tulane

08 25 2017

Sterling Heights MI 48312Transaction ID : SA11AI.86508

None Retired

4134.00

75.00

Leoni, Mitsuko, , ,36346 Tulane

08 27 2017

Sterling Heights MI 48312Transaction ID : SA11AI.86647

None Retired

4334.00

200.00

375.00

Page 46: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698214

46 253

Philip A. Hart Democratic Club

Leoni, Mitsuko, , ,

36346 Tulane08 29 2017

Sterling Heights MI 48312Transaction ID : SA11AI.86828

None Retired

4509.00

175.00

Leoni, Mitsuko, , ,36346 Tulane

08 29 2017

Sterling Heights MI 48312Transaction ID : SA11AI.86829

None Retired

4659.00

150.00

LESTER, LAURA, , ,23333 BERDEMD

08 20 2017

HAZEL PARK MI 48030Transaction ID : SA11AI.86615

None Retired

300.00

300.00

625.00

Page 47: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698215

47 253

Philip A. Hart Democratic Club

Logan, Ann, , ,

23675 Grabar08 06 2017

Warren MI 48089Transaction ID : SA11AI.86547

None Retired

440.00

100.00

Lopez, Brittany, , ,5819 Tarnow

08 11 2017

Detroit MI 48210Transaction ID : SA11AI.86449

None Retired

1100.00

150.00

Lopez, Brittany, , ,5819 Tarnow

08 25 2017

Detroit MI 48210Transaction ID : SA11AI.86512

None Retired

1450.00

350.00

600.00

Page 48: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698216

48 253

Philip A. Hart Democratic Club

Love, Kellie, , ,

216 Chandler08 27 2017

Detroit MI 48202Transaction ID : SA11AI.86649

None Retired

325.00

325.00

Lovell, Pat, , ,592 E. Hudson

08 25 2017

Madison Heights MI 48071Transaction ID : SA11AI.86513

None Retired

595.00

225.00

Lye, Mel, , ,3516 Lirn

08 20 2017

Bay City MI 48706Transaction ID : SA11AI.86618

None Retired

375.00

375.00

925.00

Page 49: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698217

49 253

Philip A. Hart Democratic Club

Martin, Lisa, , ,

16435 E. 12 Mile Road, #4908 11 2017

Roseville MI 48066Transaction ID : SA11AI.86433

None Retired

1655.00

150.00

Massey, Trudy, , ,45455 Fox Lane

08 06 2017

Utica MI 48317Transaction ID : SA11AI.86550

None Homemaker

1210.00

250.00

Maul, Amanda, , ,1665 Hempstead

08 06 2017

Troy MI 48083Transaction ID : SA11AI.86552

None Retired

935.00

225.00

625.00

Page 50: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698218

50 253

Philip A. Hart Democratic Club

Maul, Kaarina, , ,

59032 Roycroft08 06 2017

Washington Township MI 48094Transaction ID : SA11AI.86551

None Retired

2260.00

125.00

Maul, Kaarina, , ,59032 Roycroft

08 13 2017

Washington Township MI 48094Transaction ID : SA11AI.86582

None Retired

2460.00

200.00

Maul, Kathy, , ,45610 Spring Lane Apt107

08 20 2017

Shelby Township MI 48317Transaction ID : SA11AI.86619

None Retired

1085.00

240.00

565.00

Page 51: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698219

51 253

Philip A. Hart Democratic Club

MCCLIMENT, GEORGINA, , ,

930 JOHN R RD08 13 2017

TROY MI 48083Transaction ID : SA11AI.86580

None Retired

790.00

100.00

McLaren, Janet, , ,3033 Palms Road

08 25 2017

Casco MI 48064Transaction ID : SA11AI.86525

None Retired

325.00

225.00

Metchell, Yrozpne, , ,216 Chandler

08 27 2017

Detroit MI 48202Transaction ID : SA11AI.86651

None Retired

500.00

500.00

825.00

Page 52: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698220

52 253

Philip A. Hart Democratic Club

Miller, Lisa, , ,

26659 Bonnie08 04 2017

Warren MI 48089Transaction ID : SA11AI.86422

None Retired

890.00

90.00

Miller, Lisa, , ,26659 Bonnie

08 11 2017

Warren MI 48089Transaction ID : SA11AI.86427

None Retired

990.00

100.00

Miller, Lisa, , ,26659 Bonnie

08 20 2017

Warren MI 48089Transaction ID : SA11AI.86622

None Retired

1310.00

320.00

510.00

Page 53: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698221

53 253

Philip A. Hart Democratic Club

Miller, Lisa, , ,

26659 Bonnie08 25 2017

Warren MI 48089Transaction ID : SA11AI.86524

None Retired

1610.00

300.00

Mitchell, Fronzine, , ,2432 Ewald Circle

08 04 2017

Detroit MI 48212Transaction ID : SA11AI.86409

None Retired

475.00

125.00

Monroe, Cheryl, , ,34597 Richard O

08 11 2017

Sterling Heights MI 48310Transaction ID : SA11AI.86448

None Retired

850.00

90.00

515.00

Page 54: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698222

54 253

Philip A. Hart Democratic Club

Moore, William, , ,

15700 Providence08 11 2017

Southfield MI 48075Transaction ID : SA11AI.86437

None Retired

290.00

90.00

Morenski, Catherine, , ,359903 Vaughn

08 08 2017

Clinton Twp MI 48035Transaction ID : SA11AI.86735

None Retired

1080.00

175.00

Morenski, Catherine, , ,359903 Vaughn

08 08 2017

Clinton Twp MI 48035Transaction ID : SA11AI.86736

None Retired

1255.00

175.00

440.00

Page 55: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698223

55 253

Philip A. Hart Democratic Club

Morenski, Catherine, , ,

359903 Vaughn08 11 2017

Clinton Twp MI 48035Transaction ID : SA11AI.86429

None Retired

1405.00

150.00

Morenski, Catherine, , ,359903 Vaughn

08 27 2017

Clinton Twp MI 48035Transaction ID : SA11AI.86652

None Retired

1545.00

140.00

Morgan, Lila, , ,22780 Roxana

08 04 2017

Eastpointe MI 48021Transaction ID : SA11AI.86406

None Retired

275.00

275.00

565.00

Page 56: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698224

56 253

Philip A. Hart Democratic Club

Morgan, Mattie, , ,

20214 Stotter08 11 2017

Detroit MI 48234Transaction ID : SA11AI.86443

None Retired

210.00

100.00

Morgan, Vanessa, , ,8590 Chicago

08 01 2017

Warren MI 48093Transaction ID : SA11AI.86686

None Retired

882.00

210.00

Morrison, Richard, , ,33167 Vista Way

08 25 2017

Fraser MI 48026Transaction ID : SA11AI.86509

None Retired

390.00

300.00

610.00

Page 57: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698225

57 253

Philip A. Hart Democratic Club

Myre, Debbie, , ,

207 N. Wilson08 25 2017

Royal Oak MI 48067Transaction ID : SA11AI.86516

None Retired

775.00

275.00

Nasir, Lisa, , ,4143 Monroe St

08 27 2017

Dearborn MI 48125Transaction ID : SA11AI.86654

None Retired

250.00

250.00

Nazeine, Sarah, , ,30138 Bradner

08 27 2017

Warren MI 48088Transaction ID : SA11AI.86662

None Retired

210.00

210.00

735.00

Page 58: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698226

58 253

Philip A. Hart Democratic Club

Neithofer, Randy, , ,

16435 12 Mile Apt 4508 22 2017

Roseville MI 48066Transaction ID : SA11AI.86799

None Retired

225.00

225.00

Newsome, Sylvia, , ,727 W. Lantz

08 08 2017

Detroit MI 48203Transaction ID : SA11AI.86738

None Retired

265.00

90.00

Newsome, Sylvia, , ,727 W. Lantz

08 08 2017

Detroit MI 48203Transaction ID : SA11AI.86739

None Retired

390.00

125.00

440.00

Page 59: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698227

59 253

Philip A. Hart Democratic Club

Nguyen, Lan, , ,

11414 W. Birch08 29 2017

Wichita KS 67212Transaction ID : SA11AI.86832

none Retired

210.00

120.00

Nobili, Renee, , ,23433 Crossley

08 22 2017

Hazel Park MI 48030Transaction ID : SA11AI.86800

None Retired

3110.00

175.00

Olejnik, Diane, , ,30107 Lorraine

08 08 2017

Warren MI 48092Transaction ID : SA11AI.86740

None Retired

1320.00

90.00

385.00

Page 60: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698228

60 253

Philip A. Hart Democratic Club

Olejnik, Diane, , ,

30107 Lorraine08 22 2017

Warren MI 48092Transaction ID : SA11AI.86801

None Retired

1445.00

125.00

Oraha, Nazhat, , ,4453 Berkshire

08 06 2017

Sterling Hts MI 48314Transaction ID : SA11AI.86553

None Retired

1460.00

125.00

Oraha, Nazhat, , ,4453 Berkshire

08 20 2017

Sterling Hts MI 48314Transaction ID : SA11AI.86626

None Retired

1560.00

100.00

350.00

Page 61: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698229

61 253

Philip A. Hart Democratic Club

Palazzola, Robert, , ,

14002 Warren08 04 2017

Sterling Heights MI 48312Transaction ID : SA11AI.86413

None Retired

615.00

150.00

Palazzola, Robert, , ,14002 Warren

08 11 2017

Sterling Heights MI 48312Transaction ID : SA11AI.86461

None Retired

690.00

75.00

Palazzola, Robert, , ,14002 Warren

08 18 2017

Sterling Heights MI 48312Transaction ID : SA11AI.86465

None Retired

1040.00

350.00

575.00

Page 62: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698230

62 253

Philip A. Hart Democratic Club

Paquette, May, , ,

44328 Lakepointe08 18 2017

Sterling Heights MI 48313Transaction ID : SA11AI.86489

None Retired

575.00

175.00

Parker`, Hailey, , ,26634 Compson St

08 01 2017

Roseville MI 48066Transaction ID : SA11AI.86687

None Retired

1180.00

100.00

Parker`, Hailey, , ,26634 Compson St

08 01 2017

Roseville MI 48066Transaction ID : SA11AI.86688

None Retired

1455.00

275.00

550.00

Page 63: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698231

63 253

Philip A. Hart Democratic Club

Parker`, Hailey, , ,

26634 Compson St08 01 2017

Roseville MI 48066Transaction ID : SA11AI.86689

None Retired

1665.00

210.00

Parker`, Hailey, , ,26634 Compson St

08 01 2017

Roseville MI 48066Transaction ID : SA11AI.86690

None Retired

1875.00

210.00

PEARSON, QUINETTA, , ,7616 MEADOW

08 13 2017

WARREN MI 48091Transaction ID : SA11AI.86583

None Retired

280.00

200.00

620.00

Page 64: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698232

64 253

Philip A. Hart Democratic Club

PEARSON, QUINETTA, , ,

7616 MEADOW08 27 2017

WARREN MI 48091Transaction ID : SA11AI.86656

None Retired

380.00

100.00

Pedrosi, Dusty, , ,21200 Lamier Circle

08 04 2017

Macomb Township MI 48044Transaction ID : SA11AI.86421

None Retired

3305.00

150.00

Pedrosi, Dusty, , ,21200 Lamier Circle

08 11 2017

Macomb Township MI 48044Transaction ID : SA11AI.86438

None Retired

3455.00

150.00

400.00

Page 65: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698233

65 253

Philip A. Hart Democratic Club

Perkins, Deanna, , ,

27601 Princeton08 11 2017

St. Clair Shores MI 48081Transaction ID : SA11AI.86445

None Retired

4600.00

200.00

Perkins, Deanna, , ,27601 Princeton

08 22 2017

St. Clair Shores MI 48081Transaction ID : SA11AI.86802

None Retired

4825.00

225.00

Perkins, Deanna, , ,27601 Princeton

08 22 2017

St. Clair Shores MI 48081Transaction ID : SA11AI.86803

None Retired

5200.00

375.00

800.00

Page 66: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698234

66 253

Philip A. Hart Democratic Club

Phelps, Doris, , ,

24300 Civic Center Drive08 01 2017

Southfield MI 48033Transaction ID : SA11AI.86691

None Retired

870.00

140.00

Phelps, Doris, , ,24300 Civic Center Drive

08 04 2017

Southfield MI 48033Transaction ID : SA11AI.86414

None Retired

1070.00

200.00

Phifen, Lucille, , ,17910 Maine

08 27 2017

Detroit MI 48212Transaction ID : SA11AI.86658

None Retired

210.00

210.00

550.00

Page 67: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

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

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

13 15 14 16 17

Memo Item

Memo Item

Memo Item

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

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

Image# 201709159074698235

67 253

Philip A. Hart Democratic Club

Pickell, Patricia, , ,

7870 Carpenter08 15 2017

Shelby Township MI 48317Transaction ID : SA11AI.86769

None Retired

3215.00

120.00

Pickell, Patricia, , ,7870 Carpenter

08 29 2017

Shelby Township MI 48317Transaction ID : SA11AI.86833

None Retired

3435.00

220.00

Pierce, Nancy, , ,42124 Hanks Lane

08 04 2017

Sterling Heights MI 48314Transaction ID : SA11AI.86425

None Retired

3040.00

200.00

540.00

Page 68: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

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

NAME OF COMMITTEE (In Full)

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

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

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

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

Date of Receipt

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

FEC ID number of contributingfederal political committee.

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

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698236

68 253

Philip A. Hart Democratic Club

Pikora, Mary, , ,

24436 Cottrell08 01 2017

Clinton Twp MI 48035Transaction ID : SA11AI.86692

None Retired

490.00

140.00

Pikora, Mary, , ,24436 Cottrell

08 15 2017

Clinton Twp MI 48035Transaction ID : SA11AI.86770

None Retired

610.00

120.00

Pomeroy, Elsie, , ,29265 Hillview

08 13 2017

Roseville MI 48066Transaction ID : SA11AI.86584

None Retired

865.00

100.00

360.00

Page 69: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698237

69 253

Philip A. Hart Democratic Club

Pomeroy, Elsie, , ,

29265 Hillview08 27 2017

Roseville MI 48066Transaction ID : SA11AI.86659

None Retired

1075.00

210.00

Powell, Willie L, , ,146 E Nevada St

08 08 2017

Detroit MI 48209Transaction ID : SA11AI.86741

None Retired

1295.00

90.00

Powell, Willie L, , ,146 E Nevada St

08 22 2017

Detroit MI 48209Transaction ID : SA11AI.86804

None Retired

1545.00

250.00

550.00

Page 70: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698238

70 253

Philip A. Hart Democratic Club

Powell, Willie L, , ,

146 E Nevada St08 29 2017

Detroit MI 48209Transaction ID : SA11AI.86834

None Retired

1665.00

120.00

Prosser, Ashley, , ,642 Langley

08 06 2017

Rochester Hills MI 48307Transaction ID : SA11AI.86554

None Retired

370.00

200.00

Prosser, Ashley, , ,642 Langley

08 27 2017

Rochester Hills MI 48307Transaction ID : SA11AI.86660

None Retired

580.00

210.00

530.00

Page 71: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698239

71 253

Philip A. Hart Democratic Club

Purty, Sortoris, , ,

700 Old Oak Ct #70608 08 2017

Pontiac MI 48340Transaction ID : SA11AI.86742

None Retired

965.00

275.00

Purty, Sortoris, , ,700 Old Oak Ct #706

08 08 2017

Pontiac MI 48340Transaction ID : SA11AI.86743

None Retired

1165.00

200.00

Purty, Sortoris, , ,700 Old Oak Ct #706

08 08 2017

Pontiac MI 48340Transaction ID : SA11AI.86744

None Retired

1285.00

120.00

595.00

Page 72: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698240

72 253

Philip A. Hart Democratic Club

Purty, Sotoris, , ,

700 Old Oak Ct08 11 2017

Pontiac MI 48342Transaction ID : SA11AI.86440

None Retired

350.00

350.00

Qualls, Alicia, , ,18648 Gallaher

08 08 2017

Detroit MI 48231Transaction ID : SA11AI.86745

None Retired

600.00

200.00

Qualls, Allicia, , ,18648 Gallagher

08 06 2017

Detroit MI 48234Transaction ID : SA11AI.86556

None Retired

250.00

250.00

800.00

Page 73: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698241

73 253

Philip A. Hart Democratic Club

Rashel, Freddel, , ,

1442 Huylul08 15 2017

SHelby Twp MI 48315Transaction ID : SA11AI.86771

None Retired

280.00

90.00

Rashel, Freddel, , ,1442 Huylul

08 15 2017

SHelby Twp MI 48315Transaction ID : SA11AI.86772

None Retired

400.00

120.00

Redmon, Colleen, , ,8435 Busko

08 01 2017

Warren MI 48093Transaction ID : SA11AI.86694

None Retired

280.00

140.00

350.00

Page 74: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698242

74 253

Philip A. Hart Democratic Club

Reese, Bobby, , ,

15850 Rutherford08 27 2017

Detroit MI 48227Transaction ID : SA11AI.86663

None Retired

315.00

315.00

Rhine, Natalie, , ,2656 Capitol

08 27 2017

Warren MI 48091Transaction ID : SA11AI.86665

None Retired

600.00

210.00

Riley, Donna, , ,2539 Patrick Henry

08 25 2017

Auburn Hills MI 48326Transaction ID : SA11AI.86504

None Retired

740.00

125.00

650.00

Page 75: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698243

75 253

Philip A. Hart Democratic Club

RINES, NICOLE, , ,

19350 LUMKINP08 06 2017

DETROIT MI 48234Transaction ID : SA11AI.86557

None Retired

2470.00

225.00

RINES, NICOLE, , ,19350 LUMKINP

08 08 2017

DETROIT MI 48234Transaction ID : SA11AI.86746

None Retired

2745.00

275.00

RINES, NICOLE, , ,19350 LUMKINP

08 08 2017

DETROIT MI 48234Transaction ID : SA11AI.86747

None Retired

2865.00

120.00

620.00

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▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698244

76 253

Philip A. Hart Democratic Club

RINES, NICOLE, , ,

19350 LUMKINP08 20 2017

DETROIT MI 48234Transaction ID : SA11AI.86623

None Retired

3065.00

200.00

RINES, NICOLE, , ,19350 LUMKINP

08 27 2017

DETROIT MI 48234Transaction ID : SA11AI.86664

None Retired

3205.00

140.00

Rines, Thelma, , ,19690 Norwood

08 01 2017

Detroit MI 48234Transaction ID : SA11AI.86695

None Retired

1675.00

100.00

440.00

Page 77: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698245

77 253

Philip A. Hart Democratic Club

Rines, Thelma, , ,

19690 Norwood08 01 2017

Detroit MI 48234Transaction ID : SA11AI.86696

None Retired

2025.00

350.00

Rines, Thelma, , ,19690 Norwood

08 01 2017

Detroit MI 48234Transaction ID : SA11AI.86697

None Retired

2125.00

100.00

Rines, Thelma, , ,19690 Norwood

08 06 2017

Detroit MI 48234Transaction ID : SA11AI.86558

None Retired

2625.00

500.00

950.00

Page 78: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698246

78 253

Philip A. Hart Democratic Club

Rivers, Cherry, , ,

20441 Vermander08 04 2017

Clinton Township MI 48035Transaction ID : SA11AI.86388

None Retired

600.00

375.00

Rivers, Cherry, , ,20441 Vermander

08 06 2017

Clinton Township MI 48035Transaction ID : SA11AI.86559

None Retired

1100.00

500.00

Rivers, Cherry, , ,20441 Vermander

08 18 2017

Clinton Township MI 48035Transaction ID : SA11AI.86469

None Retired

1400.00

300.00

1175.00

Page 79: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698247

79 253

Philip A. Hart Democratic Club

Robb, Edith, , ,

39330 Aynesley08 25 2017

Clinton Twp MI 48038Transaction ID : SA11AI.86495

None Retired

1425.00

500.00

Rofa, Raad, , ,2360 Chelsey Dr

08 22 2017

Sterling Hts MI 48310Transaction ID : SA11AI.86805

None Retired

535.00

175.00

Rofa, Raad, , ,2360 Chelsey Dr

08 22 2017

Sterling Hts MI 48310Transaction ID : SA11AI.86806

None Retired

660.00

125.00

800.00

Page 80: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698248

80 253

Philip A. Hart Democratic Club

Rofa, Raad, , ,

2360 Chelsey Dr08 22 2017

Sterling Hts MI 48310Transaction ID : SA11AI.86807

None Retired

885.00

225.00

Rofa, Raad, , ,2360 Chelsey Dr

08 29 2017

Sterling Hts MI 48310Transaction ID : SA11AI.86835

None Retired

1065.00

180.00

Rofa, Raad, , ,2360 Chelsey Dr

08 29 2017

Sterling Hts MI 48310Transaction ID : SA11AI.86836

None Retired

1290.00

225.00

630.00

Page 81: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698249

81 253

Philip A. Hart Democratic Club

Rofa, Raad, , ,

2360 Chelsey Dr08 29 2017

Sterling Hts MI 48310Transaction ID : SA11AI.86837

None Retired

1380.00

90.00

Routheaut, James, , ,66650 Van Dyke

08 27 2017

Washington MI 48095Transaction ID : SA11AI.86667

None Retired

210.00

210.00

RUONAVAARA, L, , ,777 E WOODWARD HTS

08 13 2017

HAZEL PARK MI 48030Transaction ID : SA11AI.86587

None Retired

845.00

340.00

640.00

Page 82: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698250

82 253

Philip A. Hart Democratic Club

RUONAVAARA, LINDA, , ,

914 GENESEE08 04 2017

ROYAL OAK MI 48073Transaction ID : SA11AI.86401

None Retired

895.00

325.00

Russell, Patricia, , ,7667 Carsod

08 08 2017

Brockway Township MI 48097Transaction ID : SA11AI.86748

None Retired

315.00

175.00

Sanchez, Roxanne, , ,920 John R Apt 607

08 15 2017

Troy MI 48083Transaction ID : SA11AI.86773

None Retired

1025.00

125.00

625.00

Page 83: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698251

83 253

Philip A. Hart Democratic Club

Sanchez, Roxanne, , ,

920 John R Apt 60708 15 2017

Troy MI 48083Transaction ID : SA11AI.86774

None Retired

1200.00

175.00

Savoe, Linda, , ,15707 Flaagan st

08 13 2017

Roseville MI 48066Transaction ID : SA11AI.86588

None Retired

310.00

200.00

Schroeder, Candy, , ,13754 Chelsea Court

08 11 2017

Shelby Township MI 48315Transaction ID : SA11AI.86457

None Retired

1875.00

75.00

450.00

Page 84: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698252

84 253

Philip A. Hart Democratic Club

Schroeder, Candy, , ,

13754 Chelsea Court08 15 2017

Shelby Township MI 48315Transaction ID : SA11AI.86775

None Retired

2050.00

175.00

Schroeder, Candy, , ,13754 Chelsea Court

08 25 2017

Shelby Township MI 48315Transaction ID : SA11AI.86521

None Retired

2175.00

125.00

Schwenke, Marlene, , ,3958 Cambrook

08 27 2017

Waterford MI 48329Transaction ID : SA11AI.86668

None Retired

250.00

250.00

550.00

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▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698253

85 253

Philip A. Hart Democratic Club

SCOTT, BETTY, , ,

965 RIVERVIEW08 29 2017

DETROIT MI 48236Transaction ID : SA11AI.86838

None Retired

415.00

175.00

Sengletany, Stacey, , ,14351 W 10 Mile

08 11 2017

Oak Park MI 48232Transaction ID : SA11AI.86431

None Retired

275.00

275.00

Shaba, Suham, , ,48844 Pond valley Dr Apt 118

08 01 2017

Shelby Twp MI 48317Transaction ID : SA11AI.86699

None Retired

1590.00

140.00

590.00

Page 86: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698254

86 253

Philip A. Hart Democratic Club

Shamo, Amira, , ,

26632 Sanford Dr W08 15 2017

Southfield MI 48033Transaction ID : SA11AI.86776

None Retired

705.00

125.00

Shivers, Leah, , ,19450 Lamont

08 13 2017

Detroit MI 48234Transaction ID : SA11AI.86589

None Retired

2700.00

400.00

Shivers, Leah, , ,19450 Lamont

08 15 2017

Detroit MI 48234Transaction ID : SA11AI.86777

None Retired

2820.00

120.00

645.00

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▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698255

87 253

Philip A. Hart Democratic Club

Sikora, Lori, , ,

31352 Hartford08 11 2017

Warren MI 48088Transaction ID : SA11AI.86458

None Retired

1180.00

250.00

Simmons, Shanita, , ,12216 Stringham

08 29 2017

Detroit MI 48213Transaction ID : SA11AI.86839

None Retired

570.00

220.00

Smith, Kenya, , ,115 N River Rd apt 202

08 18 2017

Mt Clemens MI 48043Transaction ID : SA11AI.86475

None Retired

475.00

325.00

795.00

Page 88: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698256

88 253

Philip A. Hart Democratic Club

Smitka, Dolores, , ,

16221Scenic08 08 2017

Clinton Township MI 48038Transaction ID : SA11AI.86749

None Retired

1275.00

125.00

Stephens, Tabitha, , ,23115 Hardwood

08 29 2017

Hazel Park MI 48030Transaction ID : SA11AI.86840

None Retired

915.00

100.00

Stephens, Tabitha, , ,23115 Hardwood

08 29 2017

Hazel Park MI 48030Transaction ID : SA11AI.86841

None Retired

1090.00

175.00

400.00

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▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698257

89 253

Philip A. Hart Democratic Club

Stevens, Michelle, , ,

382 W. Maxine08 11 2017

Hazel Park MI 48030Transaction ID : SA11AI.86436

None Retired

2345.00

475.00

Stoner, Kim, , ,1474 E Lincoln

08 04 2017

Birmingham MI 48009Transaction ID : SA11AI.86392

None Retired

2350.00

100.00

Stoner, Kim, , ,1474 E Lincoln

08 18 2017

Birmingham MI 48009Transaction ID : SA11AI.86492

None Retired

2525.00

175.00

750.00

Page 90: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698258

90 253

Philip A. Hart Democratic Club

Stoudemire, Martinique, , ,

24541 Oneida Blvd08 18 2017

Oak Park MI 48227Transaction ID : SA11AI.86484

None Retired

275.00

275.00

Stowinski, Jessica, , ,3690 Royal

08 20 2017

Berkley MI 48072Transaction ID : SA11AI.86627

None Retired

280.00

100.00

Tanner, Roxanne, , ,P O Box 546

08 15 2017

Washington MI 48094Transaction ID : SA11AI.86782

None Retired

210.00

90.00

465.00

Page 91: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698259

91 253

Philip A. Hart Democratic Club

Thomas, Nora, , ,

153 Dwight08 04 2017

Pontiac MI 48341Transaction ID : SA11AI.86393

None Retired

900.00

80.00

Tillie-Willi, Cynthia, , ,11943 Bloom St

08 15 2017

Detroit MI 48212Transaction ID : SA11AI.86784

None Retired

375.00

375.00

Tillie-Willi, Cynthia, , ,11943 Bloom St

08 22 2017

Detroit MI 48212Transaction ID : SA11AI.86808

None Retired

550.00

175.00

630.00

Page 92: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698260

92 253

Philip A. Hart Democratic Club

Times, Tonya, , ,

901 South 27th08 29 2017

Saginaw MI 48601Transaction ID : SA11AI.86842

None Retired

545.00

300.00

Tucker, Barb, , ,1480 AnnTer

08 04 2017

Madison Heights MI 48071Transaction ID : SA11AI.86407

None Retired

1605.00

275.00

Tucker, Barb, , ,1480 AnnTer

08 11 2017

Madison Heights MI 48071Transaction ID : SA11AI.86453

None Retired

1755.00

150.00

725.00

Page 93: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698261

93 253

Philip A. Hart Democratic Club

Tucker, Barb, , ,

1480 AnnTer08 18 2017

Madison Heights MI 48071Transaction ID : SA11AI.86485

None Retired

2005.00

250.00

Tucker, Barbara, , ,1483 Ann Ter

08 25 2017

Madison heights MI 48071Transaction ID : SA11AI.86511

None Retired

5540.00

300.00

Viaz, Doris, , ,3624 Country View

08 11 2017

Oxford MI 48371Transaction ID : SA11AI.86432

None Retired

2820.00

450.00

1000.00

Page 94: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698262

94 253

Philip A. Hart Democratic Club

Villaire, Virginia, , ,

34508 Manor Run Circle08 08 2017

Sterling Heights MI 48312Transaction ID : SA11AI.86750

None Retired

1515.00

125.00

Villaire, Virginia, , ,34508 Manor Run Circle

08 22 2017

Sterling Heights MI 48312Transaction ID : SA11AI.86809

None Retired

1690.00

175.00

Walker, Eunice, , ,27693 Harrison Woods Lane

08 04 2017

Harrison Township MI 48045Transaction ID : SA11AI.86412

None Retired

410.00

200.00

500.00

Page 95: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698263

95 253

Philip A. Hart Democratic Club

Watson, Margaretha, , ,

19968 Five Points08 06 2017

Detroit MI 48240Transaction ID : SA11AI.86561

None Retired

2510.00

100.00

Watson, Margaretha, , ,19968 Five Points

08 13 2017

Detroit MI 48240Transaction ID : SA11AI.86590

None Retired

2860.00

350.00

Wayne, Diane, , ,524 Wedgewood

08 13 2017

Pontiac MI 48340Transaction ID : SA11AI.86591

None Retired

595.00

125.00

575.00

Page 96: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698264

96 253

Philip A. Hart Democratic Club

White, Barbara, , ,

8298 Hall08 18 2017

Detroit MI 48234Transaction ID : SA11AI.86462

None Retired

1390.00

75.00

Wietecha, Gerry, , ,39414 Tecla Dr

08 01 2017

Sterling Hts MI 48310Transaction ID : SA11AI.86702

None Retired

870.00

140.00

Wietecha, Gerry, , ,39414 Tecla Dr

08 01 2017

Sterling Hts MI 48310Transaction ID : SA11AI.86703

None Retired

1080.00

210.00

425.00

Page 97: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698265

97 253

Philip A. Hart Democratic Club

Wietecha, Gerry, , ,

39414 Tecla Dr08 01 2017

Sterling Hts MI 48310Transaction ID : SA11AI.86704

None Retired

1290.00

210.00

Wietecha, Gerry, , ,39414 Tecla Dr

08 08 2017

Sterling Hts MI 48310Transaction ID : SA11AI.86751

None Retired

1540.00

250.00

Wietecha, Gerry, , ,39414 Tecla Dr

08 08 2017

Sterling Hts MI 48310Transaction ID : SA11AI.86752

None Retired

1715.00

175.00

635.00

Page 98: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698266

98 253

Philip A. Hart Democratic Club

Wiley, Denise, , ,

19752 Rowe08 13 2017

Detroit MI 48205Transaction ID : SA11AI.86592

None Retired

1200.00

500.00

Williams, Carrie, , ,14057 Bringard

08 01 2017

Detroit MI 48215Transaction ID : SA11AI.86705

None Retired

2705.00

125.00

Williams, Doug, , ,5256 Earl

08 04 2017

Warren MI 48092Transaction ID : SA11AI.86395

None Retired

1330.00

100.00

725.00

Page 99: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698267

99 253

Philip A. Hart Democratic Club

Williams, Jackie, , ,

17474 Fleming08 22 2017

Detroit MI 48221Transaction ID : SA11AI.86810

None Retired

1710.00

180.00

Williams, Jackie, , ,17474 Fleming

08 22 2017

Detroit MI 48221Transaction ID : SA11AI.86811

None Retired

1900.00

190.00

Williams, Maxine, , ,9965 Bramell

08 01 2017

Redford MI 48239Transaction ID : SA11AI.86706

None Retired

1125.00

200.00

570.00

Page 100: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698268

100 253

Philip A. Hart Democratic Club

Williams, Maxine, , ,

9965 Bramell08 01 2017

Redford MI 48239Transaction ID : SA11AI.86707

None Retired

1225.00

100.00

Williams, Tammie, , ,18506 Sparling

08 18 2017

Detroit MI 48212Transaction ID : SA11AI.86480

None Retired

225.00

225.00

WILLIAMS, TASHA, , ,11055 KENMOOR

08 01 2017

Detroit MI 48205Transaction ID : SA11AI.86708

None Retired

700.00

300.00

625.00

Page 101: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698269

101 253

Philip A. Hart Democratic Club

WILLIAMS, TASHA, , ,

11055 KENMOOR08 13 2017

Detroit MI 48205Transaction ID : SA11AI.86593

None Retired

900.00

200.00

WILLIAMS, TASHA, , ,11055 KENMOOR

08 20 2017

Detroit MI 48205Transaction ID : SA11AI.86630

None Retired

1025.00

125.00

Williams, Victoria, , ,15415 Lakeside Village

08 06 2017

Clinton Township MI 48038Transaction ID : SA11AI.86562

None Retired

2720.00

200.00

525.00

Page 102: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698270

102 253

Philip A. Hart Democratic Club

Williams, Victoria, , ,

15415 Lakeside Village08 13 2017

Clinton Township MI 48038Transaction ID : SA11AI.86594

None Retired

2820.00

100.00

Williamson, Mae, , ,17894 Anglin

08 04 2017

Detroit MI 48212Transaction ID : SA11AI.86402

None Retired

325.00

325.00

WILSON, TRICIA, , ,5134 COHOCTAH

08 04 2017

WATERFORD MI 48327Transaction ID : SA11AI.86419

None Retired

1310.00

275.00

700.00

Page 103: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698271

103 253

Philip A. Hart Democratic Club

WILSON, TRICIA, , ,

5134 COHOCTAH08 13 2017

WATERFORD MI 48327Transaction ID : SA11AI.86595

None Retired

1710.00

400.00

WILSON, TRICIA, , ,5134 COHOCTAH

08 25 2017

WATERFORD MI 48327Transaction ID : SA11AI.86503

None Retired

1960.00

250.00

Yaido, May, , ,3030 Alban

08 29 2017

Troy MI 48083Transaction ID : SA11AI.86843

None Retired

325.00

175.00

825.00

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▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698272

104 253

Philip A. Hart Democratic Club

Yousef, Hayat, , ,

29340 Dequindre, #10208 20 2017

Warren MI 48092Transaction ID : SA11AI.86631

None Retired

1565.00

200.00

Yousef, Hayat, , ,29340 Dequindre, #102

08 29 2017

Warren MI 48092Transaction ID : SA11AI.86844

None Retired

1740.00

175.00

Yousif, Raad, , ,26632 Standford Dr

08 01 2017

Southfield MI 48033Transaction ID : SA11AI.86709

None Retired

1755.00

175.00

550.00

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▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698273

105 253

Philip A. Hart Democratic Club

Yousif, Raad, , ,

26632 Standford Dr08 01 2017

Southfield MI 48033Transaction ID : SA11AI.86710

None Retired

1930.00

175.00

Yousif, Raad, , ,26632 Standford Dr

08 22 2017

Southfield MI 48033Transaction ID : SA11AI.86812

None Retired

2105.00

175.00

Zaia, Faye, , ,484848 Hoover

08 22 2017

Warren MI 48093Transaction ID : SA11AI.86813

None Retired

390.00

90.00

440.00

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▲ ▲ ▲ , , . , , .

▲ ▲ ▲ , , .

Aggregate Year-to-Date ▼

▲ ▲ ▲ , , .

C

▲ ▲ ▲ , , .C

, , .

▲ ▲ ▲

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

, , .

SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

SUBTOTAL of Receipts This Page (optional) ............................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 06/2016

Date of Receipt

Name of Employer (for Individual) Occupation (for Individual)

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date ▼

Date of Receipt

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

Memo Item

Memo Item

Memo Item

Name of Employer (for Individual) Occupation (for Individual)

Name of Employer (for Individual) Occupation (for Individual)

Image# 201709159074698274

106 253

Philip A. Hart Democratic Club

Zory, Esliway, , ,

26730 Couzens Ave08 13 2017

Madison Hts MI 48071-3890Transaction ID : SA11AI.86598

None Retired

980.00

200.00

200.00

61015.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698275

107 253

Philip A. Hart Democratic Club

Advance Novelty

29199 W. Six Mile 08 03 2017

Livonia MI 48152

bingo suppliesTransaction ID : SB21B.87226

4848.14

Advance Novelty

29199 W. Six Mile 08 03 2017

Livonia MI 48152

bingo suppliesTransaction ID : SB21B.87227

6603.84

Advance Novelty

29199 W. Six Mile 08 03 2017

Livonia MI 48152

bingo suppliesTransaction ID : SB21B.87228

6766.53

18218.51

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698276

108 253

Philip A. Hart Democratic Club

Alexander, Shirley, , ,

20511 Biltmore 08 04 2017

Detroit MI 48238

Bingo PrizeTransaction ID : SB21B.86846

505.00

Aliotta, Toni, , ,

33132 Morrison 08 18 2017

Sterling Heights MI 48312

Bingo PrizeTransaction ID : SB21B.86913

200.00

Amouri, Samia, , ,

4842 Farrer 08 29 2017

West Bloomfield MI 48320

Bingo PrizeTransaction ID : SB21B.87198

150.00

855.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698277

109 253

Philip A. Hart Democratic Club

Banas, Rosemary, , ,

34158 Tudor Court 08 13 2017

Sterling Heights MI 48312

Bingo PrizeTransaction ID : SB21B.86991

180.00

Barbieri, Helen, , ,

35024 Brighton Dr. 08 01 2017

Sterling Heights MI 48310

Bingo PrizeTransaction ID : SB21B.87072

250.00

Bazucki, Chad, , ,

31519 Edgeworth 08 06 2017

Madison heights MI 48071

worker payoutTransaction ID : SB21B.87282

30.00

460.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698278

110 253

Philip A. Hart Democratic Club

Beauchamp, Lameisha, , ,

17650 Beech Daily 08 08 2017

Redford MI 48240

Bingo PrizeTransaction ID : SB21B.87110

75.00

Beauchamp, Lameisha, , ,

17650 Beech Daily 08 27 2017

Redford MI 48240

Bingo PrizeTransaction ID : SB21B.87043

75.00

Beauchamp, Quardell, , ,

17650 Beech Daily 08 11 2017

Redford MI 48240

Bingo PrizeTransaction ID : SB21B.86897

100.00

250.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698279

111 253

Philip A. Hart Democratic Club

Becker, Mary, , ,

412 W. Otis 08 22 2017

Hazel Park MI 48030

Bingo PrizeTransaction ID : SB21B.87176

150.00

Beier, Twila, , ,

5154 W. Tothill Circle 08 18 2017

Sterling Heights MI 48310

Bingo PrizeTransaction ID : SB21B.86914

500.00

Bial, Betty, , ,

29807 Norma 08 08 2017

Warren MI 48093

Bingo PrizeTransaction ID : SB21B.87111

150.00

800.00

Page 112: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698280

112 253

Philip A. Hart Democratic Club

Bohren & Associates

409 Cass 08 04 2017

Mount Clemens MI 48043

accountingTransaction ID : SB21B.87242

88.00

Boundy, Donna, , ,

15474 Grovedale 08 06 2017

Roseville MI 48066

worker payoutTransaction ID : SB21B.87278

30.00

Boundy, Donna, , ,

15474 Grovedale 08 13 2017

Roseville MI 48066

worker payoutTransaction ID : SB21B.87312

30.00

148.00

Page 113: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698281

113 253

Philip A. Hart Democratic Club

Boundy, Donna, , ,

15474 Grovedale 08 15 2017

Roseville MI 48066

worker payoutTransaction ID : SB21B.87326

30.00

Boundy, Donna, , ,

15474 Grovedale 08 20 2017

Roseville MI 48066

worker payoutTransaction ID : SB21B.87355

30.00

Boundy, Donna, , ,

15474 Grovedale 08 27 2017

Roseville MI 48066

worker payoutTransaction ID : SB21B.87379

30.00

90.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698282

114 253

Philip A. Hart Democratic Club

Brooks, William, , ,

1304 E Harry 08 04 2017

Hazel Park MI 48030

Bingo PrizeTransaction ID : SB21B.86851

150.00

Brown, Christine, , ,

31 Cross 08 13 2017

Pontiac MI 48342

Bingo PrizeTransaction ID : SB21B.86992

500.00

Buechel, Barbara, , ,

13818 Barfield 08 08 2017

Warren MI 48088

Bingo PrizeTransaction ID : SB21B.87112

100.00

750.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698283

115 253

Philip A. Hart Democratic Club

Buechel, Barbara, , ,

13818 Barfield 08 22 2017

Warren MI 48088

Bingo PrizeTransaction ID : SB21B.87177

75.00

Burns, Pat, , ,

9389 Lessing 08 04 2017

Detroit MI 48234

Bingo PrizeTransaction ID : SB21B.86853

175.00

Buss, Karen, , ,

33365 Harrington Dr 08 11 2017

Fraser MI 48026

Bingo PrizeTransaction ID : SB21B.86899

180.00

430.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698284

116 253

Philip A. Hart Democratic Club

Capizzi, Anthony, , ,

38825 Westchester 08 06 2017

Sterling Heights MI 48310

Bingo PrizeTransaction ID : SB21B.86964

100.00

Capizzi, Anthony, , ,

38825 Westchester 08 25 2017

Sterling Heights MI 48310

Bingo PrizeTransaction ID : SB21B.86939

1000.00

cavazos, jerri, , ,

11335 13 mile 08 18 2017

warren MI 48093

Bingo PrizeTransaction ID : SB21B.86921

180.00

1280.00

Page 117: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698285

117 253

Philip A. Hart Democratic Club

cavazos, jerri, , ,

11335 13 mile 08 29 2017

warren MI 48093

Bingo PrizeTransaction ID : SB21B.87200

100.00

Chunn, Chris, , ,

27204 James 08 01 2017

Warren MI 48092

worker payoutTransaction ID : SB21B.87255

30.00

Chunn, Chris, , ,

27204 James 08 04 2017

Warren MI 48092

worker payoutTransaction ID : SB21B.87261

50.00

180.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698286

118 253

Philip A. Hart Democratic Club

Chunn, Chris, , ,

27204 James 08 06 2017

Warren MI 48092

worker payoutTransaction ID : SB21B.87273

50.00

Chunn, Chris, , ,

27204 James 08 08 2017

Warren MI 48092

worker payoutTransaction ID : SB21B.87290

30.00

Chunn, Chris, , ,

27204 James 08 11 2017

Warren MI 48092

worker payoutTransaction ID : SB21B.87296

50.00

130.00

Page 119: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698287

119 253

Philip A. Hart Democratic Club

Chunn, Chris, , ,

27204 James 08 13 2017

Warren MI 48092

worker payoutTransaction ID : SB21B.87308

50.00

Chunn, Chris, , ,

27204 James 08 18 2017

Warren MI 48092

worker payoutTransaction ID : SB21B.87327

50.00

Chunn, Chris, , ,

27204 James 08 20 2017

Warren MI 48092

worker payoutTransaction ID : SB21B.87350

50.00

150.00

Page 120: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698288

120 253

Philip A. Hart Democratic Club

Chunn, Chris, , ,

27204 James 08 22 2017

Warren MI 48092

worker payoutTransaction ID : SB21B.87344

30.00

Chunn, Chris, , ,

27204 James 08 25 2017

Warren MI 48092

worker payoutTransaction ID : SB21B.87361

50.00

Chunn, Chris, , ,

27204 James 08 27 2017

Warren MI 48092

worker payoutTransaction ID : SB21B.87373

50.00

130.00

Page 121: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698289

121 253

Philip A. Hart Democratic Club

Chunn, Chris, , ,

27204 James 08 29 2017

Warren MI 48092

worker payoutTransaction ID : SB21B.87389

30.00

Ciesielski, Pauline, , ,

9135 Greensboro 08 06 2017

Detroit MI 48224

Bingo PrizeTransaction ID : SB21B.86966

400.00

Coleman, Jeanette, , ,

831 Pingree 08 06 2017

Detroit MI 48202

Bingo PrizeTransaction ID : SB21B.86967

500.00

930.00

Page 122: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698290

122 253

Philip A. Hart Democratic Club

Coleman, Jeanette, , ,

831 Pingree 08 13 2017

Detroit MI 48202

Bingo PrizeTransaction ID : SB21B.86993

150.00

CONN, BECKY, , ,

45789 MORCEAU 08 01 2017

MACOMB MI 48044

30.00Transaction ID : SB21B.87259

30.00

CONN, BECKY, , ,

45789 MORCEAU 08 04 2017

MACOMB MI 48044

worker payoutTransaction ID : SB21B.87263

30.00

210.00

Page 123: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698291

123 253

Philip A. Hart Democratic Club

CONN, BECKY, , ,

45789 MORCEAU 08 08 2017

MACOMB MI 48044

worker payoutTransaction ID : SB21B.87294

30.00

CONN, BECKY, , ,

45789 MORCEAU 08 11 2017

MACOMB MI 48044

worker payoutTransaction ID : SB21B.87298

30.00

CONN, BECKY, , ,

45789 MORCEAU 08 15 2017

MACOMB MI 48044

worker payoutTransaction ID : SB21B.87325

30.00

90.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698292

124 253

Philip A. Hart Democratic Club

CONN, BECKY, , ,

45789 MORCEAU 08 18 2017

MACOMB MI 48044

worker payoutTransaction ID : SB21B.87329

30.00

CONN, BECKY, , ,

45789 MORCEAU 08 22 2017

MACOMB MI 48044

worker payoutTransaction ID : SB21B.87348

30.00

CONN, BECKY, , ,

45789 MORCEAU 08 25 2017

MACOMB MI 48044

worker payoutTransaction ID : SB21B.87363

30.00

90.00

Page 125: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698293

125 253

Philip A. Hart Democratic Club

CONN, BECKY, , ,

45789 MORCEAU 08 27 2017

MACOMB MI 48044

worker payoutTransaction ID : SB21B.87383

30.00

CONN, BECKY, , ,

45789 MORCEAU 08 29 2017

MACOMB MI 48044

worker payoutTransaction ID : SB21B.87392

30.00

Cotter, Carol, , ,

2011 E 10 Mile Rd. 08 18 2017

Royal Oak MI 48067

Bingo PrizeTransaction ID : SB21B.86910

120.00

180.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698294

126 253

Philip A. Hart Democratic Club

Cox, Carol, , ,

447 Kenilworth 08 08 2017

Pontiac MI 48342

Bingo PrizeTransaction ID : SB21B.87114

180.00

Cullen, Maureen, , ,

4441 Linville 08 04 2017

Warren MI 48092

Bingo PrizeTransaction ID : SB21B.86848

180.00

Daiowd, Hanna, , ,

5276 Gerald 08 08 2017

Warren MI 48092

Bingo PrizeTransaction ID : SB21B.87115

100.00

460.00

Page 127: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698295

127 253

Philip A. Hart Democratic Club

Daiowd, Hannaa, , ,

5276 Gerald St 08 29 2017

Warren MI 48092

Bingo PrizeTransaction ID : SB21B.87202

150.00

Daiowd, Hannaa, , ,

5276 Gerald St 08 29 2017

Warren MI 48092

Bingo PrizeTransaction ID : SB21B.87203

100.00

Damron, Maynard, , ,

25106 Hoover 08 29 2017

Warren MI 48089

Bingo PrizeTransaction ID : SB21B.87204

750.00

1000.00

Page 128: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698296

128 253

Philip A. Hart Democratic Club

Davis, Latasha, , ,

13690 E, State Fair 08 08 2017

Detroit MI 48205

Bingo PrizeTransaction ID : SB21B.87116

150.00

Davis, Raymonda, , ,

19150 Buffalo 08 15 2017

Detroit MI 48234

Bingo PrizeTransaction ID : SB21B.87149

150.00

Davison, Clarissa, , ,

18905 Carmona 08 04 2017

Southfield MI 48075

Bingo PrizeTransaction ID : SB21B.86863

100.00

400.00

Page 129: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698297

129 253

Philip A. Hart Democratic Club

Davison, Clarissa, , ,

18905 Carmona 08 08 2017

Southfield MI 48075

Bingo PrizeTransaction ID : SB21B.87117

100.00

Decker, Norma, , ,

187 Fallow Lane 08 27 2017

Alworth GA 30101

Bingo PrizeTransaction ID : SB21B.87046

600.00

Dewld, Barbara, , ,

5064 Buchanan ave 08 06 2017

Warren MI 49092

Bingo PrizeTransaction ID : SB21B.86969

150.00

850.00

Page 130: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698298

130 253

Philip A. Hart Democratic Club

Dexter, Georgia, , ,

87 Fireside Lane 08 25 2017

Pontiac MI 48340

Bingo PrizeTransaction ID : SB21B.86941

60.00

DiBartolomeo, Maggie, , ,

24507 Liberty 08 04 2017

Centerline MI 48015

worker payoutTransaction ID : SB21B.87270

30.00

DIEMERT, CHERIE, , ,

27515 FLORAL ST 08 04 2017

ROSEVILLE MI 48066

Bingo PrizeTransaction ID : SB21B.86875

150.00

240.00

Page 131: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698299

131 253

Philip A. Hart Democratic Club

Donahue, Kevin, , ,

1505 Elliot 08 04 2017

Madison Heights MI 48071

worker payoutTransaction ID : SB21B.87267

30.00

Donahue, Kevin, , ,

1505 Elliot 08 11 2017

Madison Heights MI 48071

worker payoutTransaction ID : SB21B.87305

30.00

Donahue, Kevin, , ,

1505 Elliot 08 15 2017

Madison Heights MI 48071

worker payoutTransaction ID : SB21B.87318

50.00

110.00

Page 132: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698300

132 253

Philip A. Hart Democratic Club

Donahue, Kevin, , ,

1505 Elliot 08 18 2017

Madison Heights MI 48071

worker payoutTransaction ID : SB21B.87336

30.00

Donahue, Kevin, , ,

1505 Elliot 08 25 2017

Madison Heights MI 48071

worker payoutTransaction ID : SB21B.87370

30.00

Dumas, Britney, , ,

20026 Bradford 08 08 2017

Detroit MI 48205

Bingo PrizeTransaction ID : SB21B.87118

500.00

560.00

Page 133: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698301

133 253

Philip A. Hart Democratic Club

Fadhl, Abeeb, , ,

4143 Monroe St 08 27 2017

Dearborn MI 48125

Bingo PrizeTransaction ID : SB21B.87047

400.00

Fowler, Sharon, , ,

150 N Lafayette 08 11 2017

Warren MI 48091

Bingo PrizeTransaction ID : SB21B.86901

280.00

Fowler, Sharon, , ,

150 N Lafayette 08 20 2017

Warren MI 48091

Bingo PrizeTransaction ID : SB21B.87023

175.00

855.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698302

134 253

Philip A. Hart Democratic Club

Fowler, Sharon, , ,

150 N Lafayette 08 27 2017

Warren MI 48091

Bingo PrizeTransaction ID : SB21B.87048

180.00

Franklin, Heather, , ,

2644 Chestnut 08 01 2017

Warren MI 48091

Bingo PrizeTransaction ID : SB21B.87075

100.00

Franklin, Virginia, , ,

25427 Briar 08 18 2017

Oak Park MI 48237

Bingo PrizeTransaction ID : SB21B.86934

75.00

355.00

Page 135: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698303

135 253

Philip A. Hart Democratic Club

Gansior, Debbie, , ,

28917 James 08 20 2017

Warren MI 48092

Bingo PrizeTransaction ID : SB21B.87021

75.00

Gasso, Debbie, , ,

8401 18 Mile rd 08 13 2017

Sterling Hts MI 48313

Bingo PrizeTransaction ID : SB21B.86996

250.00

Gholston, Ericka, , ,

439 Valencia 08 11 2017

Pontiac MI 48342

Bingo PrizeTransaction ID : SB21B.86907

500.00

825.00

Page 136: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698304

136 253

Philip A. Hart Democratic Club

Gholston, Ericka, , ,

439 Valencia 08 13 2017

Pontiac MI 48342

Bingo PrizeTransaction ID : SB21B.86997

75.00

Gilbert, Betty, , ,

2407 Reva 08 27 2017

Warren MI 48091

Bingo PrizeTransaction ID : SB21B.87049

100.00

Gilbert, Toni, , ,

99934 Cheynne 08 25 2017

Detroit MI 48227

Bingo PrizeTransaction ID : SB21B.86938

200.00

375.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698305

137 253

Philip A. Hart Democratic Club

Goode, Carol, , ,

1402 Owanna Ave. 08 01 2017

Royal Oak MI 48067

Bingo PrizeTransaction ID : SB21B.87076

100.00

Gorges, Thekra, , ,

51158 Clear Spring 08 01 2017

Shelby Township MI 48316

Bingo PrizeTransaction ID : SB21B.87077

100.00

Gorges, Thekra, , ,

51158 Clear Spring 08 01 2017

Shelby Township MI 48316

Bingo PrizeTransaction ID : SB21B.87078

90.00

290.00

Page 138: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698306

138 253

Philip A. Hart Democratic Club

Gorges, Thekra, , ,

51158 Clear Spring 08 22 2017

Shelby Township MI 48316

Bingo PrizeTransaction ID : SB21B.87179

100.00

Hale, Laverne, , ,

26560 Burg Road 08 11 2017

Warren MI 48089

Bingo PrizeTransaction ID : SB21B.86898

900.00

Hall, Andrea, , ,

4905 E 10 Mile Rd 08 11 2017

Warrem MI 48091

Bingo PrizeTransaction ID : SB21B.86902

175.00

1175.00

Page 139: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698307

139 253

Philip A. Hart Democratic Club

Hall, Andrea, , ,

4905 E 10 Mile Rd 08 15 2017

Warrem MI 48091

Bingo PrizeTransaction ID : SB21B.87152

400.00

Hall, Gwen, , ,

4905 E 10 Mile Rd 08 08 2017

Warrem MI 48091

Bingo PrizeTransaction ID : SB21B.87120

500.00

Hall, Gwen, , ,

4905 E 10 Mile Rd 08 15 2017

Warrem MI 48091

Bingo PrizeTransaction ID : SB21B.87153

150.00

1050.00

Page 140: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698308

140 253

Philip A. Hart Democratic Club

Hall, Kim, , ,

4988 Engleman 08 11 2017

Warren MI 48091

Bingo PrizeTransaction ID : SB21B.86880

100.00

Ham, Cathy, , ,

4719 N. Grand Oaks 08 06 2017

Warren MI 48092

Bingo PrizeTransaction ID : SB21B.86972

150.00

Ham, Cathy, , ,

4719 N. Grand Oaks 08 11 2017

Warren MI 48092

worker payoutTransaction ID : SB21B.87297

30.00

280.00

Page 141: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698309

141 253

Philip A. Hart Democratic Club

Ham, Cathy, , ,

4719 N. Grand Oaks 08 13 2017

Warren MI 48092

worker payoutTransaction ID : SB21B.87310

30.00

Ham, Cathy, , ,

4719 N. Grand Oaks 08 18 2017

Warren MI 48092

worker payoutTransaction ID : SB21B.87328

50.00

Ham, Cathy, , ,

4719 N. Grand Oaks 08 20 2017

Warren MI 48092

worker payoutTransaction ID : SB21B.87352

30.00

110.00

Page 142: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698310

142 253

Philip A. Hart Democratic Club

Ham, Cathy, , ,

4719 N. Grand Oaks 08 25 2017

Warren MI 48092

worker payoutTransaction ID : SB21B.87362

50.00

Hamm, Cathy, , ,

4719 N. Grand Oaks 08 04 2017

Warren MI 48092

worker payoutTransaction ID : SB21B.87262

50.00

Hamm, Cathy, , ,

4719 N. Grand Oaks 08 27 2017

Warren MI 48092

worker payoutTransaction ID : SB21B.87375

30.00

130.00

Page 143: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698311

143 253

Philip A. Hart Democratic Club

Hanes, Nancy, , ,

46174 Palmer 08 18 2017

Shelby Township MI 48316

Bingo PrizeTransaction ID : SB21B.86922

100.00

Hansen, Anna, , ,

25505 Cubberness 08 13 2017

St. Clair Shores MI 48081

Bingo PrizeTransaction ID : SB21B.86999

75.00

Hebert, Maryann, , ,

31390 Schoenherr 08 15 2017

Warren MI 48088

Bingo PrizeTransaction ID : SB21B.87154

90.00

265.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698312

144 253

Philip A. Hart Democratic Club

Hernandez, Yolanda, , ,

18883 Gable 08 01 2017

Detroit MI 48234

worker payoutTransaction ID : SB21B.87257

30.00

Hernandez, Yolanda, , ,

18883 Gable 08 04 2017

Detroit MI 48234

worker payoutTransaction ID : SB21B.87268

30.00

Hernandez, Yolanda, , ,

18883 Gable 08 08 2017

Detroit MI 48234

worker payoutTransaction ID : SB21B.87292

30.00

90.00

Page 145: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698313

145 253

Philip A. Hart Democratic Club

Hernandez, Yolanda, , ,

18883 Gable 08 11 2017

Detroit MI 48234

worker payoutTransaction ID : SB21B.87306

30.00

Hernandez, Yolanda, , ,

18883 Gable 08 15 2017

Detroit MI 48234

worker payoutTransaction ID : SB21B.87323

30.00

Hernandez, Yolanda, , ,

18883 Gable 08 18 2017

Detroit MI 48234

worker payoutTransaction ID : SB21B.87337

10.00

70.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698314

146 253

Philip A. Hart Democratic Club

Hernandez, Yolanda, , ,

18883 Gable 08 22 2017

Detroit MI 48234

worker payoutTransaction ID : SB21B.87346

30.00

Hernandez, Yolanda, , ,

18883 Gable 08 25 2017

Detroit MI 48234

worker payoutTransaction ID : SB21B.87371

30.00

Hernandez, Yolanda, , ,

18883 Gable 08 29 2017

Detroit MI 48234

worker payoutTransaction ID : SB21B.87391

30.00

90.00

Page 147: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698315

147 253

Philip A. Hart Democratic Club

Hizon, Linda, , ,

542 Margaret 08 18 2017

Sterling Heights MI 48313

Bingo PrizeTransaction ID : SB21B.86935

180.00

Hizon, Linda, , ,

542 Margaret 08 25 2017

Sterling Heights MI 48313

Bingo PrizeTransaction ID : SB21B.86963

150.00

Hoag, Joanne, , ,

49 Quail 08 04 2017

Plant City FL 33565

Bingo PrizeTransaction ID : SB21B.86864

300.00

630.00

Page 148: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698316

148 253

Philip A. Hart Democratic Club

Hoag, Joanne, , ,

49 Quail 08 11 2017

Plant City FL 33565

Bingo PrizeTransaction ID : SB21B.86892

150.00

Hoag, Joanne, , ,

49 Quail 08 18 2017

Plant City FL 33565

Bingo PrizeTransaction ID : SB21B.86930

350.00

Hoag, Joanne, , ,

49 Quail 08 25 2017

Plant City FL 33565

Bingo PrizeTransaction ID : SB21B.86955

250.00

750.00

Page 149: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698317

149 253

Philip A. Hart Democratic Club

Holmes, Kim, , ,

20431 Irvington 08 11 2017

Highland park MI 48203

Bingo PrizeTransaction ID : SB21B.86903

120.00

Howard, Johnnie, , ,

13000 Joan 08 18 2017

Detroit MI 48205

Bingo PrizeTransaction ID : SB21B.86911

750.00

Hughes, June, , ,

14380 Brookings 08 18 2017

Sterling Heights MI 48313

Bingo PrizeTransaction ID : SB21B.86918

120.00

990.00

Page 150: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698318

150 253

Philip A. Hart Democratic Club

Johnson, Adrienne, , ,

16511 Greenlawn 08 25 2017

Detroit MI 48221

Bingo PrizeTransaction ID : SB21B.86944

120.00

Johnson, Cassandra, , ,

16099 W. 11 Mile Road, #101 08 04 2017

Southfield MI 48076

Bingo PrizeTransaction ID : SB21B.86870

150.00

Johnson, Maxine, , ,

16681 Farimount 08 06 2017

Detroit MI 48205

Bingo PrizeTransaction ID : SB21B.86975

250.00

520.00

Page 151: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698319

151 253

Philip A. Hart Democratic Club

Johnston, Barb, , ,

32435 Kelly 08 04 2017

Fraser MI 48026

Bingo PrizeTransaction ID : SB21B.86868

1000.00

Jones, Doris, , ,

19722 Wexford 08 25 2017

Detroit MI 48234

Bingo PrizeTransaction ID : SB21B.86948

150.00

Jones, Kathleen, , ,

24 Sheridan 08 04 2017

Mt. Clemens MI 48043

Bingo PrizeTransaction ID : SB21B.86876

150.00

1300.00

Page 152: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698320

152 253

Philip A. Hart Democratic Club

Jones, Suzette, , ,

20117 Hall 08 06 2017

Detroit MI 48203

Bingo PrizeTransaction ID : SB21B.86976

180.00

Jones, Tina, , ,

18101 Mound 08 01 2017

Detroit MI 48234

Bingo PrizeTransaction ID : SB21B.87080

150.00

Jones, Tina, , ,

18101 Mound 08 01 2017

Detroit MI 48234

Bingo PrizeTransaction ID : SB21B.87081

100.00

430.00

Page 153: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698321

153 253

Philip A. Hart Democratic Club

Jovcevski, Tina, , ,

30548 Groveland 08 20 2017

Madison Hts MI 48071

Bingo PrizeTransaction ID : SB21B.87025

425.00

Jovcevski, Tina, , ,

30548 Groveland 08 20 2017

Madison Hts MI 48071

Bingo PrizeTransaction ID : SB21B.87029

1000.00

Kanou, Julie, , ,

24901 Panama 08 20 2017

Warren MI 48091

Bingo PrizeTransaction ID : SB21B.87026

75.00

1500.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698322

154 253

Philip A. Hart Democratic Club

Keffer, Ted, , ,

32757 McConnell Ct. 08 01 2017

Warren MI 48092

worker payoutTransaction ID : SB21B.87250

50.00

Keffer, Ted, , ,

32757 McConnell Ct. 08 08 2017

Warren MI 48092

worker payoutTransaction ID : SB21B.87285

50.00

Keffer, Ted, , ,

32757 McConnell Ct. 08 11 2017

Warren MI 48092

worker payoutTransaction ID : SB21B.87302

30.00

130.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698323

155 253

Philip A. Hart Democratic Club

Keffer, Ted, , ,

32757 McConnell Ct. 08 15 2017

Warren MI 48092

worker payoutTransaction ID : SB21B.87317

50.00

Keffer, Ted, , ,

32757 McConnell Ct. 08 18 2017

Warren MI 48092

worker payoutTransaction ID : SB21B.87333

30.00

Keffer, Ted, , ,

32757 McConnell Ct. 08 22 2017

Warren MI 48092

worker payoutTransaction ID : SB21B.87340

50.00

130.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698324

156 253

Philip A. Hart Democratic Club

Keffer, Ted, , ,

32757 McConnell Ct. 08 25 2017

Warren MI 48092

worker payoutTransaction ID : SB21B.87367

30.00

Keffer, Ted, , ,

32757 McConnell Ct. 08 29 2017

Warren MI 48092

worker payoutTransaction ID : SB21B.87385

50.00

Kilgore, Marg, , ,

8439 Decatur 08 29 2017

Centerline MI 48015

Bingo PrizeTransaction ID : SB21B.87208

400.00

480.00

Page 157: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698325

157 253

Philip A. Hart Democratic Club

King, Elizabeth, , ,

26682 Hale 08 15 2017

Madison Heights MI 48071

Bingo PrizeTransaction ID : SB21B.87155

75.00

King, Elizabeth, , ,

26682 Hale 08 15 2017

Madison Heights MI 48071

Bingo PrizeTransaction ID : SB21B.87156

50.00

King, Elizabeth, , ,

26682 Hale 08 15 2017

Madison Heights MI 48071

Bingo PrizeTransaction ID : SB21B.87157

50.00

175.00

Page 158: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698326

158 253

Philip A. Hart Democratic Club

King, Elizabeth, , ,

26682 Hale 08 18 2017

Madison Heights MI 48071

Bingo PrizeTransaction ID : SB21B.86929

60.00

King, Elizabeth, , ,

26682 Hale 08 22 2017

Madison Heights MI 48071

Bingo PrizeTransaction ID : SB21B.87181

100.00

King, Jateye, , ,

19349 Kelly Rd 08 08 2017

Detroit MI 48025

Bingo PrizeTransaction ID : SB21B.87124

150.00

310.00

Page 159: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698327

159 253

Philip A. Hart Democratic Club

King, Jateye, , ,

19349 Kelly Rd 08 08 2017

Detroit MI 48025

Bingo PrizeTransaction ID : SB21B.87125

150.00

Kingston, Keith, , ,

216 Chandler 08 27 2017

Detroit MI 48205

Bingo PrizeTransaction ID : SB21B.87051

150.00

Koenig, Mike, , ,

26257 Dale ct 08 20 2017

Roseville MI 48066

Bingo PrizeTransaction ID : SB21B.87027

150.00

450.00

Page 160: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698328

160 253

Philip A. Hart Democratic Club

Koenig, Mike, , ,

26257 Dale ct 08 27 2017

Roseville MI 48066

Bingo PrizeTransaction ID : SB21B.87052

150.00

Kuberski, Thomas, , ,

6937 Copper Creek 08 01 2017

Washington MI 48094

Bingo PrizeTransaction ID : SB21B.87083

100.00

Kudla, Denise, , ,

11738 Gallagher 08 25 2017

Hamtramck MI 48212

Bingo PrizeTransaction ID : SB21B.86956

250.00

500.00

Page 161: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698329

161 253

Philip A. Hart Democratic Club

KUKLA, KAREN, , ,

105 BOBOLINK ST 08 20 2017

ROCHESTER HILLS MI 48309

Bingo PrizeTransaction ID : SB21B.87028

150.00

Landorf, Charles, , ,

14447 Edshire 08 01 2017

Sterling Heights MI 48312

Bingo PrizeTransaction ID : SB21B.87084

150.00

Landorf, Charles, , ,

14447 Edshire 08 15 2017

Sterling Heights MI 48312

Bingo PrizeTransaction ID : SB21B.87158

150.00

450.00

Page 162: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698330

162 253

Philip A. Hart Democratic Club

Landorf, Charles, , ,

14447 Edshire 08 22 2017

Sterling Heights MI 48312

Bingo PrizeTransaction ID : SB21B.87182

150.00

Lemieux, Sharon, , ,

37568 Charter Oaks 08 11 2017

Clinton Township MI 48036

worker payoutTransaction ID : SB21B.87299

30.00

Lemieux, Sharon, , ,

37568 Charter Oaks 08 18 2017

Clinton Township MI 48036

worker payoutTransaction ID : SB21B.87330

30.00

210.00

Page 163: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698331

163 253

Philip A. Hart Democratic Club

Lemieux, Sharon, , ,

37568 Charter Oaks 08 25 2017

Clinton Township MI 48036

worker payoutTransaction ID : SB21B.87364

30.00

Leoni, Mitsuko, , ,

36346 Tulane 08 01 2017

Sterling Heights MI 48312

Bingo PrizeTransaction ID : SB21B.87085

180.00

Leoni, Mitsuko, , ,

36346 Tulane 08 04 2017

Sterling Heights MI 48312

Bingo PrizeTransaction ID : SB21B.86878

180.00

390.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698332

164 253

Philip A. Hart Democratic Club

Leoni, Mitsuko, , ,

36346 Tulane 08 13 2017

Sterling Heights MI 48312

Bingo PrizeTransaction ID : SB21B.87003

330.00

Leoni, Mitsuko, , ,

36346 Tulane 08 15 2017

Sterling Heights MI 48312

Bingo PrizeTransaction ID : SB21B.87159

90.00

Leoni, Mitsuko, , ,

36346 Tulane 08 25 2017

Sterling Heights MI 48312

Bingo PrizeTransaction ID : SB21B.86946

60.00

480.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698333

165 253

Philip A. Hart Democratic Club

Leoni, Mitsuko, , ,

36346 Tulane 08 27 2017

Sterling Heights MI 48312

Bingo PrizeTransaction ID : SB21B.87053

150.00

Leoni, Mitsuko, , ,

36346 Tulane 08 29 2017

Sterling Heights MI 48312

Bingo PrizeTransaction ID : SB21B.87209

150.00

Leoni, Mitsuko, , ,

36346 Tulane 08 29 2017

Sterling Heights MI 48312

Bingo PrizeTransaction ID : SB21B.87210

150.00

450.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698334

166 253

Philip A. Hart Democratic Club

Lesewski, Sylvia, , ,

15552 White Oak 08 11 2017

Fraser MI 48026

worker payoutTransaction ID : SB21B.87300

30.00

Lesewski, Sylvia, , ,

15552 White Oak 08 18 2017

Fraser MI 48026

worker payoutTransaction ID : SB21B.87331

30.00

Lesewski, Sylvia, , ,

15552 White Oak 08 25 2017

Fraser MI 48026

worker payoutTransaction ID : SB21B.87365

30.00

90.00

Page 167: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698335

167 253

Philip A. Hart Democratic Club

LESTER, LAURA, , ,

23333 BERDEMD 08 20 2017

HAZEL PARK MI 48030

Bingo PrizeTransaction ID : SB21B.87030

500.00

Lewis, Tina, , ,

53253 Hawald 08 01 2017

Shelby Township MI 48316

worker payoutTransaction ID : SB21B.87251

50.00

Lewis, Tina, , ,

53253 Hawald 08 08 2017

Shelby Township MI 48316

worker payoutTransaction ID : SB21B.87286

50.00

600.00

Page 168: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698336

168 253

Philip A. Hart Democratic Club

Lewis, Tina, , ,

53253 Hawald 08 22 2017

Shelby Township MI 48316

worker payoutTransaction ID : SB21B.87341

50.00

Lewis, Tina, , ,

53253 Hawald 08 29 2017

Shelby Township MI 48316

worker payoutTransaction ID : SB21B.87386

50.00

Logan, Ann, , ,

23675 Grabar 08 06 2017

Warren MI 48089

Bingo PrizeTransaction ID : SB21B.86977

75.00

175.00

Page 169: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698337

169 253

Philip A. Hart Democratic Club

Lopez, Brittany, , ,

5819 Tarnow 08 11 2017

Detroit MI 48210

Bingo PrizeTransaction ID : SB21B.86896

150.00

Lopez, Brittany, , ,

5819 Tarnow 08 25 2017

Detroit MI 48210

Bingo PrizeTransaction ID : SB21B.86950

300.00

Love, Kellie, , ,

216 Chandler 08 27 2017

Detroit MI 48202

Bingo PrizeTransaction ID : SB21B.87054

250.00

700.00

Page 170: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698338

170 253

Philip A. Hart Democratic Club

Lovell, Pat, , ,

592 E. Hudson 08 25 2017

Madison Heights MI 48071

Bingo PrizeTransaction ID : SB21B.86951

180.00

Lye, Mel, , ,

3516 Lirn 08 20 2017

Bay City MI 48706

Bingo PrizeTransaction ID : SB21B.87032

280.00

Martin, Lisa, , ,

16435 E. 12 Mile Road, #49 08 11 2017

Roseville MI 48066

Bingo PrizeTransaction ID : SB21B.86884

150.00

610.00

Page 171: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698339

171 253

Philip A. Hart Democratic Club

Massey, Trudy, , ,

45455 Fox Lane 08 04 2017

Utica MI 48317

worker payoutTransaction ID : SB21B.87272

30.00

Massey, Trudy, , ,

45455 Fox Lane 08 06 2017

Utica MI 48317

Bingo PrizeTransaction ID : SB21B.86979

425.00

Massey, Trudy, , ,

45455 Fox Lane 08 27 2017

Utica MI 48317

worker payoutTransaction ID : SB21B.87381

30.00

485.00

Page 172: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698340

172 253

Philip A. Hart Democratic Club

Maul, Amanda, , ,

1665 Hempstead 08 06 2017

Troy MI 48083

Bingo PrizeTransaction ID : SB21B.86981

180.00

Maul, Kaarina, , ,

59032 Roycroft 08 06 2017

Washington Township MI 48094

Bingo PrizeTransaction ID : SB21B.86980

100.00

Maul, Kaarina, , ,

59032 Roycroft 08 13 2017

Washington Township MI 48094

Bingo PrizeTransaction ID : SB21B.87004

150.00

430.00

Page 173: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698341

173 253

Philip A. Hart Democratic Club

Maul, Kathy, , ,

45610 Spring Lane Apt107 08 20 2017

Shelby Township MI 48317

Bingo PrizeTransaction ID : SB21B.87033

360.00

MCCLIMENT, GEORGINA, , ,

930 JOHN R RD 08 13 2017

TROY MI 48083

Bingo PrizeTransaction ID : SB21B.87002

75.00

McLaren, Janet, , ,

3033 Palms Road 08 25 2017

Casco MI 48064

Bingo PrizeTransaction ID : SB21B.86961

180.00

615.00

Page 174: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698342

174 253

Philip A. Hart Democratic Club

Metchell, Yrozpne, , ,

216 Chandler 08 27 2017

Detroit MI 48202

Bingo PrizeTransaction ID : SB21B.87055

1000.00

Miller, Lisa, , ,

26659 Bonnie 08 04 2017

Warren MI 48089

Bingo PrizeTransaction ID : SB21B.86874

75.00

Miller, Lisa, , ,

26659 Bonnie 08 11 2017

Warren MI 48089

Bingo PrizeTransaction ID : SB21B.86879

100.00

1175.00

Page 175: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698343

175 253

Philip A. Hart Democratic Club

Miller, Lisa, , ,

26659 Bonnie 08 20 2017

Warren MI 48089

Bingo PrizeTransaction ID : SB21B.87035

250.00

Miller, Lisa, , ,

26659 Bonnie 08 25 2017

Warren MI 48089

Bingo PrizeTransaction ID : SB21B.86960

250.00

Mitchell, Fronzine, , ,

2432 Ewald Circle 08 04 2017

Detroit MI 48212

Bingo PrizeTransaction ID : SB21B.86862

120.00

620.00

Page 176: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698344

176 253

Philip A. Hart Democratic Club

Monroe, Cheryl, , ,

34597 Richard O 08 11 2017

Sterling Heights MI 48310

Bingo PrizeTransaction ID : SB21B.86895

75.00

Moore, William, , ,

15700 Providence 08 11 2017

Southfield MI 48075

Bingo PrizeTransaction ID : SB21B.86887

75.00

Morenski, Catherine, , ,

359903 Vaughn 08 08 2017

Clinton Twp MI 48035

Bingo PrizeTransaction ID : SB21B.87130

150.00

300.00

Page 177: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698345

177 253

Philip A. Hart Democratic Club

Morenski, Catherine, , ,

359903 Vaughn 08 08 2017

Clinton Twp MI 48035

Bingo PrizeTransaction ID : SB21B.87131

150.00

Morenski, Catherine, , ,

359903 Vaughn 08 11 2017

Clinton Twp MI 48035

Bingo PrizeTransaction ID : SB21B.86881

150.00

Morenski, Catherine, , ,

359903 Vaughn 08 27 2017

Clinton Twp MI 48035

Bingo PrizeTransaction ID : SB21B.87056

100.00

400.00

Page 178: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698346

178 253

Philip A. Hart Democratic Club

Morgan, Lila, , ,

22780 Roxana 08 04 2017

Eastpointe MI 48021

Bingo PrizeTransaction ID : SB21B.86859

500.00

Morgan, Vanessa, , ,

8590 Chicago 08 01 2017

Warren MI 48093

Bingo PrizeTransaction ID : SB21B.87086

150.00

Morrison, Richard, , ,

33167 Vista Way 08 25 2017

Fraser MI 48026

Bingo PrizeTransaction ID : SB21B.86947

250.00

900.00

Page 179: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698347

179 253

Philip A. Hart Democratic Club

Myre, Debbie, , ,

207 N. Wilson 08 25 2017

Royal Oak MI 48067

Bingo PrizeTransaction ID : SB21B.86953

225.00

National Security Patrol

27950 Jefferson 08 30 2017

St. Clair Shores MI 48081

bingo game transferTransaction ID : SB21B.87241

884.00

Newsome, Sylvia, , ,

727 W. Lantz 08 08 2017

Detroit MI 48203

Bingo PrizeTransaction ID : SB21B.87133

75.00

1184.00

Page 180: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698348

180 253

Philip A. Hart Democratic Club

Newsome, Sylvia, , ,

727 W. Lantz 08 08 2017

Detroit MI 48203

Bingo PrizeTransaction ID : SB21B.87134

100.00

Nobili, Renee, , ,

23433 Crossley 08 22 2017

Hazel Park MI 48030

Bingo PrizeTransaction ID : SB21B.87184

150.00

Norris, Chuck, , ,

5867 E Coy 08 06 2017

Hazel Park MI 48030

worker payoutTransaction ID : SB21B.87281

30.00

280.00

Page 181: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698349

181 253

Philip A. Hart Democratic Club

Norris, Chuck, , ,

5867 E Coy 08 13 2017

Hazel Park MI 48030

worker payoutTransaction ID : SB21B.87314

30.00

Norris, Chuck, , ,

5867 E Coy 08 20 2017

Hazel Park MI 48030

worker payoutTransaction ID : SB21B.87358

30.00

Norris, Chuck, , ,

5867 E Coy 08 27 2017

Hazel Park MI 48030

worker payoutTransaction ID : SB21B.87382

30.00

90.00

Page 182: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698350

182 253

Philip A. Hart Democratic Club

OCDP (non-fed)

24445 Northwestern Hwy 08 04 2017

Southfield MI 48075

shared game transferTransaction ID : SB21B.87229

520.00

OCDP (non-fed)

24445 Northwestern Hwy 08 06 2017

Southfield MI 48075

bingo game transferTransaction ID : SB21B.87230

242.00

OCDP (non-fed)

24445 Northwestern Hwy 08 08 2017

Southfield MI 48075

shared game transferTransaction ID : SB21B.87231

205.00

967.00

Page 183: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698351

183 253

Philip A. Hart Democratic Club

OCDP (non-fed)

24445 Northwestern Hwy 08 11 2017

Southfield MI 48075

shared game transferTransaction ID : SB21B.87232

206.00

OCDP (non-fed)

24445 Northwestern Hwy 08 13 2017

Southfield MI 48075

shared game transferTransaction ID : SB21B.87233

217.00

OCDP (non-fed)

24445 Northwestern Hwy 08 15 2017

Southfield MI 48075

shared game transferTransaction ID : SB21B.87234

163.00

586.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698352

184 253

Philip A. Hart Democratic Club

OCDP (non-fed)

24445 Northwestern Hwy 08 18 2017

Southfield MI 48075

shared game transferTransaction ID : SB21B.87235

166.00

OCDP (non-fed)

24445 Northwestern Hwy 08 20 2017

Southfield MI 48075

shared game transferTransaction ID : SB21B.87236

188.00

OCDP (non-fed)

24445 Northwestern Hwy 08 22 2017

Southfield MI 48075

shared game transferTransaction ID : SB21B.87237

201.00

555.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698353

185 253

Philip A. Hart Democratic Club

OCDP (non-fed)

24445 Northwestern Hwy 08 25 2017

Southfield MI 48075

shared game transferTransaction ID : SB21B.87238

255.00

OCDP (non-fed)

24445 Northwestern Hwy 08 27 2017

Southfield MI 48075

shared game transferTransaction ID : SB21B.87239

334.00

OCDP (non-fed)

24445 Northwestern Hwy 08 29 2017

Southfield MI 48075

shared game transferTransaction ID : SB21B.87240

317.00

906.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698354

186 253

Philip A. Hart Democratic Club

Olejnik, Diane, , ,

30107 Lorraine 08 08 2017

Warren MI 48092

Bingo PrizeTransaction ID : SB21B.87135

75.00

Olejnik, Diane, , ,

30107 Lorraine 08 22 2017

Warren MI 48092

Bingo PrizeTransaction ID : SB21B.87185

100.00

Oraha, Nazhat, , ,

4453 Berkshire 08 06 2017

Sterling Hts MI 48314

Bingo PrizeTransaction ID : SB21B.86982

100.00

275.00

Page 187: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698355

187 253

Philip A. Hart Democratic Club

Oraha, Nazhat, , ,

4453 Berkshire 08 20 2017

Sterling Hts MI 48314

Bingo PrizeTransaction ID : SB21B.87038

75.00

Palazzola, Robert, , ,

14002 Warren 08 04 2017

Sterling Heights MI 48312

Bingo PrizeTransaction ID : SB21B.86866

150.00

Palazzola, Robert, , ,

14002 Warren 08 11 2017

Sterling Heights MI 48312

Bingo PrizeTransaction ID : SB21B.86908

60.00

285.00

Page 188: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698356

188 253

Philip A. Hart Democratic Club

Palazzola, Robert, , ,

14002 Warren 08 18 2017

Sterling Heights MI 48312

Bingo PrizeTransaction ID : SB21B.86912

750.00

Paquette, May, , ,

44328 Lakepointe 08 18 2017

Sterling Heights MI 48313

Bingo PrizeTransaction ID : SB21B.86931

150.00

Parker`, Hailey, , ,

26634 Compson St 08 01 2017

Roseville MI 48066

Bingo PrizeTransaction ID : SB21B.87087

75.00

975.00

Page 189: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698357

189 253

Philip A. Hart Democratic Club

Parker`, Hailey, , ,

26634 Compson St 08 01 2017

Roseville MI 48066

Bingo PrizeTransaction ID : SB21B.87088

200.00

Parker`, Hailey, , ,

26634 Compson St 08 01 2017

Roseville MI 48066

Bingo PrizeTransaction ID : SB21B.87089

150.00

Parker`, Hailey, , ,

26634 Compson St 08 01 2017

Roseville MI 48066

Bingo PrizeTransaction ID : SB21B.87090

150.00

500.00

Page 190: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698358

190 253

Philip A. Hart Democratic Club

PEARSON, QUINETTA, , ,

7616 MEADOW 08 13 2017

WARREN MI 48091

Bingo PrizeTransaction ID : SB21B.87005

150.00

PEARSON, QUINETTA, , ,

7616 MEADOW 08 27 2017

WARREN MI 48091

Bingo PrizeTransaction ID : SB21B.87059

75.00

Pedrosi, Dusty, , ,

21200 Lamier Circle 08 04 2017

Macomb Township MI 48044

Bingo PrizeTransaction ID : SB21B.86873

150.00

375.00

Page 191: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698359

191 253

Philip A. Hart Democratic Club

Pedrosi, Dusty, , ,

21200 Lamier Circle 08 11 2017

Macomb Township MI 48044

Bingo PrizeTransaction ID : SB21B.86888

150.00

Perkins, Deanna, , ,

27601 Princeton 08 11 2017

St. Clair Shores MI 48081

Bingo PrizeTransaction ID : SB21B.86893

180.00

Perkins, Deanna, , ,

27601 Princeton 08 22 2017

St. Clair Shores MI 48081

Bingo PrizeTransaction ID : SB21B.87186

200.00

530.00

Page 192: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698360

192 253

Philip A. Hart Democratic Club

Perkins, Deanna, , ,

27601 Princeton 08 22 2017

St. Clair Shores MI 48081

Bingo PrizeTransaction ID : SB21B.87187

750.00

Phelps, Doris, , ,

24300 Civic Center Drive 08 01 2017

Southfield MI 48033

Bingo PrizeTransaction ID : SB21B.87091

100.00

Phelps, Doris, , ,

24300 Civic Center Drive 08 04 2017

Southfield MI 48033

Bingo PrizeTransaction ID : SB21B.86867

180.00

1030.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698361

193 253

Philip A. Hart Democratic Club

Pickell, Patricia, , ,

7870 Carpenter 08 15 2017

Shelby Township MI 48317

Bingo PrizeTransaction ID : SB21B.87161

100.00

Pickell, Patricia, , ,

7870 Carpenter 08 29 2017

Shelby Township MI 48317

Bingo PrizeTransaction ID : SB21B.87214

180.00

Pierce, Nancy, , ,

42124 Hanks Lane 08 04 2017

Sterling Heights MI 48314

Bingo PrizeTransaction ID : SB21B.86877

180.00

460.00

Page 194: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698362

194 253

Philip A. Hart Democratic Club

Pikora, Mary, , ,

24436 Cottrell 08 01 2017

Clinton Twp MI 48035

Bingo PrizeTransaction ID : SB21B.87092

100.00

Pikora, Mary, , ,

24436 Cottrell 08 15 2017

Clinton Twp MI 48035

Bingo PrizeTransaction ID : SB21B.87162

100.00

Pomeroy, Elsie, , ,

29265 Hillview 08 13 2017

Roseville MI 48066

Bingo PrizeTransaction ID : SB21B.87006

75.00

275.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698363

195 253

Philip A. Hart Democratic Club

Pomeroy, Elsie, , ,

29265 Hillview 08 27 2017

Roseville MI 48066

Bingo PrizeTransaction ID : SB21B.87061

150.00

Powell, Willie L, , ,

146 E Nevada St 08 08 2017

Detroit MI 48209

Bingo PrizeTransaction ID : SB21B.87136

75.00

Powell, Willie L, , ,

146 E Nevada St 08 22 2017

Detroit MI 48209

Bingo PrizeTransaction ID : SB21B.87188

200.00

425.00

Page 196: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698364

196 253

Philip A. Hart Democratic Club

Powell, Willie L, , ,

146 E Nevada St 08 29 2017

Detroit MI 48209

Bingo PrizeTransaction ID : SB21B.87215

100.00

Prosser, Ashley, , ,

642 Langley 08 06 2017

Rochester Hills MI 48307

Bingo PrizeTransaction ID : SB21B.86983

330.00

Prosser, Ashley, , ,

642 Langley 08 27 2017

Rochester Hills MI 48307

Bingo PrizeTransaction ID : SB21B.87062

150.00

580.00

Page 197: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698365

197 253

Philip A. Hart Democratic Club

Purty, Sortoris, , ,

700 Old Oak Ct #706 08 08 2017

Pontiac MI 48340

Bingo PrizeTransaction ID : SB21B.87137

250.00

Purty, Sortoris, , ,

700 Old Oak Ct #706 08 08 2017

Pontiac MI 48340

Bingo PrizeTransaction ID : SB21B.87138

180.00

Purty, Sortoris, , ,

700 Old Oak Ct #706 08 08 2017

Pontiac MI 48340

Bingo PrizeTransaction ID : SB21B.87139

100.00

530.00

Page 198: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698366

198 253

Philip A. Hart Democratic Club

Purty, Sotoris, , ,

700 Old Oak Ct 08 11 2017

Pontiac MI 48342

Bingo PrizeTransaction ID : SB21B.86889

750.00

Qualls, Alicia, , ,

18648 Gallaher 08 08 2017

Detroit MI 48231

Bingo PrizeTransaction ID : SB21B.87140

180.00

Rashel, Freddel, , ,

1442 Huylul 08 15 2017

SHelby Twp MI 48315

Bingo PrizeTransaction ID : SB21B.87163

75.00

1005.00

Page 199: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698367

199 253

Philip A. Hart Democratic Club

Rashel, Freddel, , ,

1442 Huylul 08 15 2017

SHelby Twp MI 48315

Bingo PrizeTransaction ID : SB21B.87164

100.00

Reese, Bobby, , ,

15850 Rutherford 08 27 2017

Detroit MI 48227

Bingo PrizeTransaction ID : SB21B.87065

225.00

Rhine, Natalie, , ,

2656 Capitol 08 27 2017

Warren MI 48091

Bingo PrizeTransaction ID : SB21B.87067

150.00

475.00

Page 200: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698368

200 253

Philip A. Hart Democratic Club

Riley, Donna, , ,

2539 Patrick Henry 08 25 2017

Auburn Hills MI 48326

Bingo PrizeTransaction ID : SB21B.86943

100.00

RINES, NICOLE, , ,

19350 LUMKINP 08 06 2017

DETROIT MI 48234

Bingo PrizeTransaction ID : SB21B.86985

180.00

RINES, NICOLE, , ,

19350 LUMKINP 08 08 2017

DETROIT MI 48234

Bingo PrizeTransaction ID : SB21B.87141

250.00

530.00

Page 201: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698369

201 253

Philip A. Hart Democratic Club

RINES, NICOLE, , ,

19350 LUMKINP 08 08 2017

DETROIT MI 48234

Bingo PrizeTransaction ID : SB21B.87142

100.00

RINES, NICOLE, , ,

19350 LUMKINP 08 20 2017

DETROIT MI 48234

Bingo PrizeTransaction ID : SB21B.87036

150.00

RINES, NICOLE, , ,

19350 LUMKINP 08 27 2017

DETROIT MI 48234

Bingo PrizeTransaction ID : SB21B.87066

100.00

350.00

Page 202: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698370

202 253

Philip A. Hart Democratic Club

Rines, Thelma, , ,

19690 Norwood 08 01 2017

Detroit MI 48234

Bingo PrizeTransaction ID : SB21B.87095

75.00

Rines, Thelma, , ,

19690 Norwood 08 01 2017

Detroit MI 48234

Bingo PrizeTransaction ID : SB21B.87096

250.00

Rines, Thelma, , ,

19690 Norwood 08 01 2017

Detroit MI 48234

Bingo PrizeTransaction ID : SB21B.87097

75.00

400.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698371

203 253

Philip A. Hart Democratic Club

Rines, Thelma, , ,

19690 Norwood 08 06 2017

Detroit MI 48234

Bingo PrizeTransaction ID : SB21B.86986

400.00

Rivers, Cherry, , ,

20441 Vermander 08 04 2017

Clinton Township MI 48035

Bingo PrizeTransaction ID : SB21B.86845

350.00

Rivers, Cherry, , ,

20441 Vermander 08 06 2017

Clinton Township MI 48035

Bingo PrizeTransaction ID : SB21B.86987

1000.00

1750.00

Page 204: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698372

204 253

Philip A. Hart Democratic Club

Rivers, Cherry, , ,

20441 Vermander 08 18 2017

Clinton Township MI 48035

Bingo PrizeTransaction ID : SB21B.86916

270.00

Robb, Edith, , ,

39330 Aynesley 08 25 2017

Clinton Twp MI 48038

Bingo PrizeTransaction ID : SB21B.86936

1000.00

Rofa, Raad, , ,

2360 Chelsey Dr 08 22 2017

Sterling Hts MI 48310

Bingo PrizeTransaction ID : SB21B.87189

150.00

1420.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698373

205 253

Philip A. Hart Democratic Club

Rofa, Raad, , ,

2360 Chelsey Dr 08 22 2017

Sterling Hts MI 48310

Bingo PrizeTransaction ID : SB21B.87190

100.00

Rofa, Raad, , ,

2360 Chelsey Dr 08 22 2017

Sterling Hts MI 48310

Bingo PrizeTransaction ID : SB21B.87191

180.00

Rofa, Raad, , ,

2360 Chelsey Dr 08 29 2017

Sterling Hts MI 48310

Bingo PrizeTransaction ID : SB21B.87216

150.00

430.00

Page 206: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698374

206 253

Philip A. Hart Democratic Club

Rofa, Raad, , ,

2360 Chelsey Dr 08 29 2017

Sterling Hts MI 48310

Bingo PrizeTransaction ID : SB21B.87217

180.00

Rofa, Raad, , ,

2360 Chelsey Dr 08 29 2017

Sterling Hts MI 48310

Bingo PrizeTransaction ID : SB21B.87218

75.00

RUONAVAARA, L, , ,

777 E WOODWARD HTS 08 13 2017

HAZEL PARK MI 48030

Bingo PrizeTransaction ID : SB21B.87008

250.00

505.00

Page 207: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698375

207 253

Philip A. Hart Democratic Club

RUONAVAARA, LINDA, , ,

914 GENESEE 08 04 2017

ROYAL OAK MI 48073

Bingo PrizeTransaction ID : SB21B.86856

500.00

Russell, Patricia, , ,

7667 Carsod 08 08 2017

Brockway Township MI 48097

Bingo PrizeTransaction ID : SB21B.87143

150.00

Sanchez, Roxanne, , ,

920 John R Apt 607 08 15 2017

Troy MI 48083

Bingo PrizeTransaction ID : SB21B.87165

100.00

750.00

Page 208: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698376

208 253

Philip A. Hart Democratic Club

Sanchez, Roxanne, , ,

920 John R Apt 607 08 15 2017

Troy MI 48083

Bingo PrizeTransaction ID : SB21B.87166

150.00

Savoe, Linda, , ,

15707 Flaagan st 08 13 2017

Roseville MI 48066

Bingo PrizeTransaction ID : SB21B.87009

150.00

Schaefer, Pam, , ,

4960 Sanford 08 01 2017

Sterling Heights MI 48310

worker payoutTransaction ID : SB21B.87253

30.00

330.00

Page 209: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698377

209 253

Philip A. Hart Democratic Club

Schaefer, Pam, , ,

4960 Sanford 08 06 2017

Sterling Heights MI 48310

worker payoutTransaction ID : SB21B.87284

30.00

Schaefer, Pam, , ,

4960 Sanford 08 08 2017

Sterling Heights MI 48310

worker payoutTransaction ID : SB21B.87288

30.00

Schaefer, Pam, , ,

4960 Sanford 08 13 2017

Sterling Heights MI 48310

worker payoutTransaction ID : SB21B.87316

30.00

90.00

Page 210: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698378

210 253

Philip A. Hart Democratic Club

Schaefer, Pam, , ,

4960 Sanford 08 15 2017

Sterling Heights MI 48310

worker payoutTransaction ID : SB21B.87320

30.00

Schaefer, Pam, , ,

4960 Sanford 08 20 2017

Sterling Heights MI 48310

worker payoutTransaction ID : SB21B.87360

30.00

Schaefer, Pam, , ,

4960 Sanford 08 27 2017

Sterling Heights MI 48310

worker payoutTransaction ID : SB21B.87384

30.00

90.00

Page 211: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698379

211 253

Philip A. Hart Democratic Club

Schaefer, Pam, , ,

4960 Sanford 08 29 2017

Sterling Heights MI 48310

worker payoutTransaction ID : SB21B.87388

30.00

Schroeder, Candy, , ,

13754 Chelsea Court 08 11 2017

Shelby Township MI 48315

Bingo PrizeTransaction ID : SB21B.86904

60.00

Schroeder, Candy, , ,

13754 Chelsea Court 08 15 2017

Shelby Township MI 48315

Bingo PrizeTransaction ID : SB21B.87167

150.00

240.00

Page 212: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698380

212 253

Philip A. Hart Democratic Club

Schroeder, Candy, , ,

13754 Chelsea Court 08 25 2017

Shelby Township MI 48315

Bingo PrizeTransaction ID : SB21B.86958

100.00

SCOTT, BETTY, , ,

965 RIVERVIEW 08 29 2017

DETROIT MI 48236

Bingo PrizeTransaction ID : SB21B.87219

150.00

Sengletany, Stacey, , ,

14351 W 10 Mile 08 11 2017

Oak Park MI 48232

Bingo PrizeTransaction ID : SB21B.86882

250.00

500.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698381

213 253

Philip A. Hart Democratic Club

Shaba, Suham, , ,

48844 Pond valley Dr Apt 118 08 01 2017

Shelby Twp MI 48317

Bingo PrizeTransaction ID : SB21B.87099

100.00

Shamo, Amira, , ,

26632 Sanford Dr W 08 15 2017

Southfield MI 48033

Bingo PrizeTransaction ID : SB21B.87168

100.00

Sharples, Krista, , ,

7731 Brace 08 06 2017

Detroit MI 48210

worker payoutTransaction ID : SB21B.87280

30.00

230.00

Page 214: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698382

214 253

Philip A. Hart Democratic Club

Sharples, Krista, , ,

7731 Brace 08 20 2017

Detroit MI 48210

worker payoutTransaction ID : SB21B.87357

30.00

Shivers, Leah, , ,

19450 Lamont 08 13 2017

Detroit MI 48234

Bingo PrizeTransaction ID : SB21B.87010

300.00

Shivers, Leah, , ,

19450 Lamont 08 15 2017

Detroit MI 48234

Bingo PrizeTransaction ID : SB21B.87169

100.00

430.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698383

215 253

Philip A. Hart Democratic Club

Sikora, Lori, , ,

31352 Hartford 08 11 2017

Warren MI 48088

Bingo PrizeTransaction ID : SB21B.86905

500.00

Simmons, Shanita, , ,

12216 Stringham 08 29 2017

Detroit MI 48213

Bingo PrizeTransaction ID : SB21B.87220

180.00

Smith, Kenya, , ,

115 N River Rd apt 202 08 18 2017

Mt Clemens MI 48043

Bingo PrizeTransaction ID : SB21B.86920

300.00

980.00

Page 216: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698384

216 253

Philip A. Hart Democratic Club

Smitka, Dolores, , ,

16221Scenic 08 08 2017

Clinton Township MI 48038

Bingo PrizeTransaction ID : SB21B.87144

100.00

Stephens, Tabitha, , ,

23115 Hardwood 08 29 2017

Hazel Park MI 48030

Bingo PrizeTransaction ID : SB21B.87221

75.00

Stephens, Tabitha, , ,

23115 Hardwood 08 29 2017

Hazel Park MI 48030

Bingo PrizeTransaction ID : SB21B.87222

150.00

325.00

Page 217: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698385

217 253

Philip A. Hart Democratic Club

Stevens, Michelle, 382 W. Maxlow, Hazel Park, MI

382 W. Maxlow 08 01 2017

Hazel Park MI 48030

worker payoutTransaction ID : SB21B.87260

30.00

Stevens, Michelle, 382 W. Maxlow, Hazel Park, MI

382 W. Maxlow 08 04 2017

Hazel Park MI 48030

worker payoutTransaction ID : SB21B.87271

30.00

Stevens, Michelle, 382 W. Maxlow, Hazel Park, MI

382 W. Maxlow 08 06 2017

Hazel Park MI 48030

worker payoutTransaction ID : SB21B.87274

50.00

110.00

Page 218: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698386

218 253

Philip A. Hart Democratic Club

Stevens, Michelle, 382 W. Maxlow, Hazel Park, MI

382 W. Maxlow 08 08 2017

Hazel Park MI 48030

worker payoutTransaction ID : SB21B.87295

30.00

Stevens, Michelle, , ,

382 W. Maxine 08 11 2017

Hazel Park MI 48030

Bingo PrizeTransaction ID : SB21B.86886

425.00

Stevens, Michelle, 382 W. Maxlow, Hazel Park, MI

382 W. Maxlow 08 13 2017

Hazel Park MI 48030

worker payoutTransaction ID : SB21B.87309

50.00

505.00

Page 219: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698387

219 253

Philip A. Hart Democratic Club

Stevens, Michelle, 382 W. Maxlow, Hazel Park, MI

382 W. Maxlow 08 20 2017

Hazel Park MI 48030

worker payoutTransaction ID : SB21B.87351

50.00

Stevens, Michelle, 382 W. Maxlow, Hazel Park, MI

382 W. Maxlow 08 22 2017

Hazel Park MI 48030

worker payoutTransaction ID : SB21B.87349

30.00

Stevens, Michelle, 382 W. Maxlow, Hazel Park, MI

382 W. Maxlow 08 27 2017

Hazel Park MI 48030

worker payoutTransaction ID : SB21B.87374

50.00

130.00

Page 220: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698388

220 253

Philip A. Hart Democratic Club

Stoner, Kim, , ,

1474 E Lincoln 08 04 2017

Birmingham MI 48009

Bingo PrizeTransaction ID : SB21B.86849

100.00

Stoner, Kim, , ,

1474 E Lincoln 08 18 2017

Birmingham MI 48009

Bingo PrizeTransaction ID : SB21B.86933

150.00

Stoudemire, Martinique, , ,

24541 Oneida Blvd 08 18 2017

Oak Park MI 48227

Bingo PrizeTransaction ID : SB21B.86926

250.00

500.00

Page 221: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698389

221 253

Philip A. Hart Democratic Club

Stowinski, Jessica, , ,

3690 Royal 08 20 2017

Berkley MI 48072

Bingo PrizeTransaction ID : SB21B.87039

75.00

Suttles, Pat, , ,

8447 Pershing 08 01 2017

Centerline MI 48015

worker payoutTransaction ID : SB21B.87254

30.00

Suttles, Pat, , ,

8447 Pershing 08 04 2017

Centerline MI 48015

worker payoutTransaction ID : SB21B.87264

30.00

135.00

Page 222: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698390

222 253

Philip A. Hart Democratic Club

Suttles, Pat, , ,

8447 Pershing 08 08 2017

Centerline MI 48015

worker payoutTransaction ID : SB21B.87289

30.00

Suttles, Pat, , ,

8447 Pershing 08 11 2017

Centerline MI 48015

worker payoutTransaction ID : SB21B.87301

30.00

Suttles, Pat, , ,

8447 Pershing 08 15 2017

Centerline MI 48015

worker payoutTransaction ID : SB21B.87321

30.00

90.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698391

223 253

Philip A. Hart Democratic Club

Suttles, Pat, , ,

8447 Pershing 08 18 2017

Centerline MI 48015

worker payoutTransaction ID : SB21B.87332

30.00

Suttles, Pat, , ,

8447 Pershing 08 22 2017

Centerline MI 48015

worker payoutTransaction ID : SB21B.87343

30.00

Suttles, Pat, , ,

8447 Pershing 08 25 2017

Centerline MI 48015

worker payoutTransaction ID : SB21B.87366

30.00

90.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698392

224 253

Philip A. Hart Democratic Club

Techow, Carol, , ,

23242 Fountain 08 01 2017

Clinton Township MI 48036

worker payoutTransaction ID : SB21B.87256

30.00

Techow, Carol, , ,

23242 Fountain 08 04 2017

Clinton Township MI 48036

worker payoutTransaction ID : SB21B.87266

30.00

Techow, Carol, , ,

23242 Fountain 08 08 2017

Clinton Township MI 48036

worker payoutTransaction ID : SB21B.87291

30.00

90.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698393

225 253

Philip A. Hart Democratic Club

Techow, Carol, , ,

23242 Fountain 08 11 2017

Clinton Township MI 48036

worker payoutTransaction ID : SB21B.87304

30.00

Techow, Carol, , ,

23242 Fountain 08 15 2017

Clinton Township MI 48036

worker payoutTransaction ID : SB21B.87322

30.00

Techow, Carol, , ,

23242 Fountain 08 18 2017

Clinton Township MI 48036

worker payoutTransaction ID : SB21B.87335

30.00

90.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698394

226 253

Philip A. Hart Democratic Club

Techow, Carol, , ,

23242 Fountain 08 22 2017

Clinton Township MI 48036

worker payoutTransaction ID : SB21B.87345

10.00

Techow, Carol, , ,

23242 Fountain 08 25 2017

Clinton Township MI 48036

worker payoutTransaction ID : SB21B.87369

30.00

Techow, Carol, , ,

23242 Fountain 08 29 2017

Clinton Township MI 48036

worker payoutTransaction ID : SB21B.87390

30.00

70.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698395

227 253

Philip A. Hart Democratic Club

Thomas, Nora, , ,

153 Dwight 08 04 2017

Pontiac MI 48341

Bingo PrizeTransaction ID : SB21B.86850

75.00

Tillie-Willi, Cynthia, , ,

11943 Bloom St 08 15 2017

Detroit MI 48212

Bingo PrizeTransaction ID : SB21B.87173

750.00

Tillie-Willi, Cynthia, , ,

11943 Bloom St 08 22 2017

Detroit MI 48212

Bingo PrizeTransaction ID : SB21B.87192

150.00

975.00

Page 228: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698396

228 253

Philip A. Hart Democratic Club

Times, Tonya, , ,

901 South 27th 08 29 2017

Saginaw MI 48601

Bingo PrizeTransaction ID : SB21B.87223

250.00

Tucker, Barb, , ,

1480 AnnTer 08 04 2017

Madison Heights MI 48071

Bingo PrizeTransaction ID : SB21B.86860

535.00

Tucker, Barb, , ,

1480 AnnTer 08 11 2017

Madison Heights MI 48071

Bingo PrizeTransaction ID : SB21B.86900

150.00

935.00

Page 229: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698397

229 253

Philip A. Hart Democratic Club

Tucker, Barb, , ,

1480 AnnTer 08 18 2017

Madison Heights MI 48071

Bingo PrizeTransaction ID : SB21B.86927

225.00

Tucker, Barbara, , ,

1483 Ann Ter 08 25 2017

Madison heights MI 48071

Bingo PrizeTransaction ID : SB21B.86949

250.00

U.S. Treasury

P.O. Box 105659 08 22 2017

Atlanta GA 30348

employment taxesTransaction ID : SB21B.87243

1911.68

2386.68

Page 230: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698398

230 253

Philip A. Hart Democratic Club

Valerio, Angel, , ,

25539 Tecla 08 06 2017

Warren MI 48089

worker payoutTransaction ID : SB21B.87283

30.00

Valerio, Angel, , ,

25539 Tecla 08 13 2017

Warren MI 48089

worker payoutTransaction ID : SB21B.87315

30.00

Valerio, Angel, , ,

25539 Tecla 08 20 2017

Warren MI 48089

worker payoutTransaction ID : SB21B.87359

30.00

90.00

Page 231: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698399

231 253

Philip A. Hart Democratic Club

Viaz, Doris, , ,

3624 Country View 08 11 2017

Oxford MI 48371

Bingo PrizeTransaction ID : SB21B.86883

400.00

Villaire, Virginia, , ,

34508 Manor Run Circle 08 08 2017

Sterling Heights MI 48312

Bingo PrizeTransaction ID : SB21B.87145

100.00

Villaire, Virginia, , ,

34508 Manor Run Circle 08 22 2017

Sterling Heights MI 48312

Bingo PrizeTransaction ID : SB21B.87193

150.00

650.00

Page 232: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698400

232 253

Philip A. Hart Democratic Club

Vought, Deborah, , ,

14036 Common Rd. 08 06 2017

Warren MI 48088

worker payoutTransaction ID : SB21B.87277

30.00

Vought, Deborah, , ,

14036 Common Rd. 08 20 2017

Warren MI 48088

worker payoutTransaction ID : SB21B.87354

30.00

Vought, Deborah, , ,

14036 Common Rd. 08 27 2017

Warren MI 48088

worker payoutTransaction ID : SB21B.87378

30.00

90.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698401

233 253

Philip A. Hart Democratic Club

Walker, Eunice, , ,

27693 Harrison Woods Lane 08 04 2017

Harrison Township MI 48045

Bingo PrizeTransaction ID : SB21B.86865

180.00

Warunek, Sharyl, , ,

14036 Common Road 08 01 2017

Warren MI 48088

worker payoutTransaction ID : SB21B.87258

30.00

Warunek, Sharyl, , ,

14036 Common Road 08 04 2017

Warren MI 48088

worker payoutTransaction ID : SB21B.87269

30.00

240.00

Page 234: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698402

234 253

Philip A. Hart Democratic Club

Warunek, Sharyl, , ,

14036 Common Road 08 06 2017

Warren MI 48088

worker payoutTransaction ID : SB21B.87276

30.00

Warunek, Sharyl, , ,

14036 Common Road 08 08 2017

Warren MI 48088

worker payoutTransaction ID : SB21B.87293

30.00

Warunek, Sharyl, , ,

14036 Common Road 08 11 2017

Warren MI 48088

worker payoutTransaction ID : SB21B.87307

30.00

90.00

Page 235: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698403

235 253

Philip A. Hart Democratic Club

Warunek, Sharyl, , ,

14036 Common Road 08 13 2017

Warren MI 48088

worker payoutTransaction ID : SB21B.87311

30.00

Warunek, Sharyl, , ,

14036 Common Road 08 15 2017

Warren MI 48088

worker payoutTransaction ID : SB21B.87324

30.00

Warunek, Sharyl, , ,

14036 Common Road 08 18 2017

Warren MI 48088

worker payoutTransaction ID : SB21B.87338

30.00

90.00

Page 236: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698404

236 253

Philip A. Hart Democratic Club

Warunek, Sharyl, , ,

14036 Common Road 08 20 2017

Warren MI 48088

worker payoutTransaction ID : SB21B.87353

30.00

Warunek, Sharyl, , ,

14036 Common Road 08 22 2017

Warren MI 48088

worker payoutTransaction ID : SB21B.87347

30.00

Warunek, Sharyl, , ,

14036 Common Road 08 25 2017

Warren MI 48088

worker payoutTransaction ID : SB21B.87372

30.00

90.00

Page 237: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698405

237 253

Philip A. Hart Democratic Club

Warunek, Sharyl, , ,

14036 Common Road 08 27 2017

Warren MI 48088

worker payoutTransaction ID : SB21B.87376

30.00

Warunek, Sharyl, , ,

14036 Common Road 08 27 2017

Warren MI 48088

worker payoutTransaction ID : SB21B.87377

30.00

Watson, Margaretha, , ,

19968 Five Points 08 06 2017

Detroit MI 48240

Bingo PrizeTransaction ID : SB21B.86989

75.00

135.00

Page 238: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698406

238 253

Philip A. Hart Democratic Club

Watson, Margaretha, , ,

19968 Five Points 08 13 2017

Detroit MI 48240

Bingo PrizeTransaction ID : SB21B.87011

255.00

Wayne, Diane, , ,

524 Wedgewood 08 13 2017

Pontiac MI 48340

Bingo PrizeTransaction ID : SB21B.87012

100.00

White, Barbara, , ,

8298 Hall 08 18 2017

Detroit MI 48234

Bingo PrizeTransaction ID : SB21B.86909

60.00

415.00

Page 239: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698407

239 253

Philip A. Hart Democratic Club

White, Karen, , ,

960 E. Morehouse 08 04 2017

Hazel Park MI 48030

worker payoutTransaction ID : SB21B.87265

30.00

White, Karen, , ,

960 E. Morehouse 08 06 2017

Hazel Park MI 48030

worker payoutTransaction ID : SB21B.87279

30.00

White, Karen, , ,

960 E. Morehouse 08 11 2017

Hazel Park MI 48030

worker payoutTransaction ID : SB21B.87303

30.00

90.00

Page 240: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698408

240 253

Philip A. Hart Democratic Club

White, Karen, , ,

960 E. Morehouse 08 13 2017

Hazel Park MI 48030

worker payoutTransaction ID : SB21B.87313

30.00

White, Karen, , ,

960 E. Morehouse 08 18 2017

Hazel Park MI 48030

worker payoutTransaction ID : SB21B.87334

30.00

White, Karen, , ,

960 E. Morehouse 08 20 2017

Hazel Park MI 48030

worker payoutTransaction ID : SB21B.87356

30.00

90.00

Page 241: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698409

241 253

Philip A. Hart Democratic Club

White, Karen, , ,

960 E. Morehouse 08 25 2017

Hazel Park MI 48030

worker payoutTransaction ID : SB21B.87368

30.00

White, Karen, , ,

960 E. Morehouse 08 27 2017

Hazel Park MI 48030

worker payoutTransaction ID : SB21B.87380

30.00

Wietecha, Gerry, , ,

39414 Tecla Dr 08 01 2017

Sterling Hts MI 48310

Bingo PrizeTransaction ID : SB21B.87101

100.00

160.00

Page 242: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698410

242 253

Philip A. Hart Democratic Club

Wietecha, Gerry, , ,

39414 Tecla Dr 08 01 2017

Sterling Hts MI 48310

Bingo PrizeTransaction ID : SB21B.87102

150.00

Wietecha, Gerry, , ,

39414 Tecla Dr 08 01 2017

Sterling Hts MI 48310

Bingo PrizeTransaction ID : SB21B.87103

150.00

Wietecha, Gerry, , ,

39414 Tecla Dr 08 08 2017

Sterling Hts MI 48310

Bingo PrizeTransaction ID : SB21B.87146

500.00

800.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698411

243 253

Philip A. Hart Democratic Club

Wietecha, Gerry, , ,

39414 Tecla Dr 08 08 2017

Sterling Hts MI 48310

Bingo PrizeTransaction ID : SB21B.87147

150.00

Wiley, Denise, , ,

19752 Rowe 08 13 2017

Detroit MI 48205

Bingo PrizeTransaction ID : SB21B.87013

1000.00

Williams, Carrie, , ,

14057 Bringard 08 01 2017

Detroit MI 48215

Bingo PrizeTransaction ID : SB21B.87104

90.00

1240.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698412

244 253

Philip A. Hart Democratic Club

Williams, Doug, , ,

5256 Earl 08 04 2017

Warren MI 48092

Bingo PrizeTransaction ID : SB21B.86852

100.00

Williams, Jackie, , ,

17474 Fleming 08 22 2017

Detroit MI 48221

Bingo PrizeTransaction ID : SB21B.87194

150.00

Williams, Jackie, , ,

17474 Fleming 08 22 2017

Detroit MI 48221

Bingo PrizeTransaction ID : SB21B.87195

150.00

400.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698413

245 253

Philip A. Hart Democratic Club

Williams, Maxine, , ,

9965 Bramell 08 01 2017

Redford MI 48239

Bingo PrizeTransaction ID : SB21B.87105

150.00

Williams, Maxine, , ,

9965 Bramell 08 01 2017

Redford MI 48239

Bingo PrizeTransaction ID : SB21B.87106

75.00

WILLIAMS, TASHA, , ,

11055 KENMOOR 08 01 2017

Detroit MI 48205

Bingo PrizeTransaction ID : SB21B.87107

1000.00

1225.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698414

246 253

Philip A. Hart Democratic Club

WILLIAMS, TASHA, , ,

11055 KENMOOR 08 13 2017

Detroit MI 48205

Bingo PrizeTransaction ID : SB21B.87014

150.00

WILLIAMS, TASHA, , ,

11055 KENMOOR 08 20 2017

Detroit MI 48205

Bingo PrizeTransaction ID : SB21B.87041

100.00

Williams, Victoria, , ,

15415 Lakeside Village 08 06 2017

Clinton Township MI 48038

Bingo PrizeTransaction ID : SB21B.86990

150.00

400.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698415

247 253

Philip A. Hart Democratic Club

Williams, Victoria, , ,

15415 Lakeside Village 08 13 2017

Clinton Township MI 48038

Bingo PrizeTransaction ID : SB21B.87015

75.00

Williamson, Mae, , ,

17894 Anglin 08 04 2017

Detroit MI 48212

Bingo PrizeTransaction ID : SB21B.86857

500.00

WILSON, TRICIA, , ,

5134 COHOCTAH 08 04 2017

WATERFORD MI 48327

Bingo PrizeTransaction ID : SB21B.86871

250.00

825.00

Page 248: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698416

248 253

Philip A. Hart Democratic Club

WILSON, TRICIA, , ,

5134 COHOCTAH 08 13 2017

WATERFORD MI 48327

Bingo PrizeTransaction ID : SB21B.87016

455.00

WILSON, TRICIA, , ,

5134 COHOCTAH 08 25 2017

WATERFORD MI 48327

Bingo PrizeTransaction ID : SB21B.86942

575.00

Yaido, May, , ,

3030 Alban 08 29 2017

Troy MI 48083

Bingo PrizeTransaction ID : SB21B.87224

150.00

1180.00

Page 249: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698417

249 253

Philip A. Hart Democratic Club

Yousef, Hayat, , ,

29340 Dequindre, #102 08 20 2017

Warren MI 48092

Bingo PrizeTransaction ID : SB21B.87042

150.00

Yousef, Hayat, , ,

29340 Dequindre, #102 08 29 2017

Warren MI 48092

Bingo PrizeTransaction ID : SB21B.87225

150.00

Yousif, Raad, , ,

26632 Standford Dr 08 01 2017

Southfield MI 48033

Bingo PrizeTransaction ID : SB21B.87108

150.00

450.00

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SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698418

250 253

Philip A. Hart Democratic Club

Yousif, Raad, , ,

26632 Standford Dr 08 01 2017

Southfield MI 48033

Bingo PrizeTransaction ID : SB21B.87109

150.00

Yousif, Raad, , ,

26632 Standford Dr 08 22 2017

Southfield MI 48033

Bingo PrizeTransaction ID : SB21B.87196

150.00

Zaia, Faye, , ,

484848 Hoover 08 22 2017

Warren MI 48093

Bingo PrizeTransaction ID : SB21B.87197

75.00

375.00

Page 251: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

TOTAL This Period (last page this line number only) ............................................................... ▼▼

FEC Schedule B (Form 3X) Rev. 05/2016

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) ▼

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

21b 22 23 26 27 28a 28b 28c 29 30b

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201709159074698419

251 253

Philip A. Hart Democratic Club

Zory, Esliway, , ,

26730 Couzens Ave 08 13 2017

Madison Hts MI 48071-3890

Bingo PrizeTransaction ID : SB21B.87018

150.00

150.00

89346.19

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NAME OF COMMITTEE (In Full)

FEC Schedule H4 (Form 3X) Rev. 05/2016

SUBTOTAL of Allocated Federal and NonFederal Activity This Page

▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , .NONFEDERAL SHAREFEDERAL SHARE TOTAL AMOUNT

TOTAL This Period (last page for each line only)(Federal share to 21(a)(i) and NonFederal share to 21(a)(ii))

▲ ▲ ▲ , , . ▲ ▲ ▲ , , .FEDERAL SHARE TOTAL AMOUNT

+ =

▲ ▲ ▲ , , .NONFEDERAL SHARE

SCHEDULE H4 (FEC Form 3X)DISBURSEMENTS FOR ALLOCATED FEDERAL/NONFEDERAL ACTIVITY

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

Allocated Activity or Event:

Administrative Fundraising Exempt

Voter Drive Direct Candidate Support

Public Comm (ref to party only) by PAC

Allocated Activity or Event Year-To-Date

Date

A. Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Purpose of Disbursement:

Activity or Event Identifier:

▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , .NONFEDERAL SHAREFEDERAL SHARE TOTAL AMOUNT+ =

Category/Type

PAGE OF

FOR LINE 21a OF FORM 3X

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

Allocated Activity or Event:

Administrative Fundraising Exempt

Voter Drive Direct Candidate Support

Public Comm (ref to party only) by PAC

Allocated Activity or Event Year-To-Date

Date

B. Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Purpose of Disbursement:

Activity or Event Identifier:

▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , .NONFEDERAL SHAREFEDERAL SHARE TOTAL AMOUNT+ =

Category/Type

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

Allocated Activity or Event:

Administrative Fundraising Exempt

Voter Drive Direct Candidate Support

Public Comm (ref to party only) by PAC

Allocated Activity or Event Year-To-Date

Date

C. Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Purpose of Disbursement:

Activity or Event Identifier:

▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , .NONFEDERAL SHAREFEDERAL SHARE TOTAL AMOUNT+ =

Category/Type

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Image# 201709159074698420

252 253

Philip A. Hart Democratic ClubTransaction ID : H4.87244

ATT Uverse ✘

PO Box 5014

Carol Stream IL 60197

internet 26170.44

Administrative08 01 2017

17.10 64.32 81.42

Transaction ID : H4.87245

DNI Realty ✘

176 South MainSuite 1

Mount Clemens MI 48043

office rent 27652.44

Administrative08 01 2017

311.22 1170.78 1482.00

Transaction ID : H4.87246Holtslander, Roger, , , ✘

23140 Wellington CresApt 104

Clinton Twp MI 48036

payroll 28767.87

Administrative08 08 2017

234.24 881.19 1115.43

562.56 2116.29 2678.85

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Page 253: docquery.fec.govdocquery.fec.gov/pdf/169/201709159074698169/... · FEC FORM 3X Rev. 05/2016 Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject

NAME OF COMMITTEE (In Full)

FEC Schedule H4 (Form 3X) Rev. 05/2016

SUBTOTAL of Allocated Federal and NonFederal Activity This Page

▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , .NONFEDERAL SHAREFEDERAL SHARE TOTAL AMOUNT

TOTAL This Period (last page for each line only)(Federal share to 21(a)(i) and NonFederal share to 21(a)(ii))

▲ ▲ ▲ , , . ▲ ▲ ▲ , , .FEDERAL SHARE TOTAL AMOUNT

+ =

▲ ▲ ▲ , , .NONFEDERAL SHARE

SCHEDULE H4 (FEC Form 3X)DISBURSEMENTS FOR ALLOCATED FEDERAL/NONFEDERAL ACTIVITY

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

Allocated Activity or Event:

Administrative Fundraising Exempt

Voter Drive Direct Candidate Support

Public Comm (ref to party only) by PAC

Allocated Activity or Event Year-To-Date

Date

A. Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Purpose of Disbursement:

Activity or Event Identifier:

▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , .NONFEDERAL SHAREFEDERAL SHARE TOTAL AMOUNT+ =

Category/Type

PAGE OF

FOR LINE 21a OF FORM 3X

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

Allocated Activity or Event:

Administrative Fundraising Exempt

Voter Drive Direct Candidate Support

Public Comm (ref to party only) by PAC

Allocated Activity or Event Year-To-Date

Date

B. Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Purpose of Disbursement:

Activity or Event Identifier:

▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , .NONFEDERAL SHAREFEDERAL SHARE TOTAL AMOUNT+ =

Category/Type

M M / D D / Y Y Y Y

▲ ▲ ▲ , , .

Allocated Activity or Event:

Administrative Fundraising Exempt

Voter Drive Direct Candidate Support

Public Comm (ref to party only) by PAC

Allocated Activity or Event Year-To-Date

Date

C. Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Purpose of Disbursement:

Activity or Event Identifier:

▲ ▲ ▲ , , . ▲ ▲ ▲ , , . ▲ ▲ ▲ , , .NONFEDERAL SHAREFEDERAL SHARE TOTAL AMOUNT+ =

Category/Type

Memo Item

Memo Item

Memo Item

Image# 201709159074698421

253 253

Philip A. Hart Democratic ClubTransaction ID : H4.87247

Holtslander, Roger, , , ✘

23140 Wellington CresApt 104

Clinton Twp MI 48036

payroll 29883.31

Administrative08 22 2017

234.24 881.20 1115.44

Transaction ID : H4.87248

DNI Realty ✘

176 South MainSuite 1

Mount Clemens MI 48043

office rent 31365.31

Administrative08 25 2017

311.22 1170.78 1482.00

Transaction ID : H4.87249AT & T ✘

PO Box 5080

Carol Stream IL 60197

phone 31512.02

Administrative08 25 2017

30.81 115.90 146.71

576.27 2167.88 2744.15

1138.83 4284.17 5423.00

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