read jindal fundraising report
DESCRIPTION
Read Jindal fundraising reportTRANSCRIPT
-
Office
Use
Only
NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 2 U.S.C. 437g.
All previous versions of this form are obsolete and should no longer be used.
4. TYPE OF REPORT (Choose One)
FEC
FORM 3P
1. NAME OF COMMITTEE (in full, type or print)
ADDRESS (number and street))
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
Office Use Only
W
3. THIS REPORT IS FOR Primary or General
Example: If typing, type over the lines.
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
C
)(0
REPORT OF RECEIPTS
AND DISBURSEMENTSBY AN AUTHORIZED COMMITTEE OF A CANDIDATE
FOR THE OFFICE OF PRESIDENT OR VICE PRESIDENT
Check if different
than previously
reported. (ACC
April 15 (Q1)
July 15 (Q2)
October 15 (Q3)
January 31 Year-End Report (YE)
Check here if this is a Termination Report (TER)
Feb 20 (M2) May 20 (M5)
Jun 20 (M6)
Jul 20 (M7) Oct 20 (M10)) Jan 31 (YE)
Sep 20 (M9) Dec 20 (M12)
Aug 20 (M8) Nov 20 (M11)
Mar 20 (M3)
Apr 20 (M4)
Quarterly Reports: Monthly Reports:
Twelfth day report preceding election
on in the State of .
M M / D D / Y Y Y Y
Thirtieth day report following the General Election
on .
M M / D D / Y Y Y Y
Is this Report an Amendment?
yes no
W
FEC Form 3P (Rev. 03/2011)
70821
07
2015
PAGE 1 / 106
04
Baton Rouge LA
PO BOX 5101
06
15
Rolfe McCollister
Rolfe McCollister [Electronically Filed]
C00580159
2015
JINDAL FOR PRESIDENT
07/15/2015 09 : 19Image# 201507159000124013
2015
01 30
-
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
, , .
, , .
, , .
, , .
, , .
, , .
, , .
, , .
, , .
, , .
6. CASH ON HAND AT BEGINNING OF REPORTING PERIOD .............................................................
7. TOTAL RECEIPTS THIS PERIOD
(From Line 22, Column A, Page 3) ......................................................................................................
8. SUBTOTAL
(Lines 6 and 7) ......................................................................................................................................
9. TOTAL DISBURSEMENTS THIS PERIOD
(From Line 30, Column A, Page 2) ......................................................................................................
10. CASH ON HAND AT CLOSE OF THE REPORTING PERIOD
(Subtract Line 9 from 8 .........................................................................................................................
11. DEBTS AND OBLIGATIONS OWED TO THE COMMITTEE
(Itemize All on Schedule C-P or Schedule D-P) ..................................................................................
12. DEBTS AND OBLIGATIONS OWED BY THE COMMITTEE
(Itemize All on Schedule C-P or Schedule D-P) ..................................................................................
13. EXPENDITURES SUBJECT TO LIMIITATION .......................................................................................
FEC Form 3P (Rev. 03/2011 ) Page 2
SUMMARY
NET ELECTION CYCLE-TO-DATE CONTRIBUTIONS AND EXPENDITURES
Report Covering the Period: From: To:
Write or Type Committee Name
14. NET CONTRIBUTIONS (Other than Loans)
(Subtract Line 28d, Column B from 17e, Column B, Page 2) ...........................................................
15. NET OPERATING EXPENDITURES
(Subtract Line 20a, Column B from 23, Column B, Page 2) ..............................................................
0.00
578758.51
578758.51
201504
Image# 201507159000124014
578758.51
06
65043.87
PAGE 2 / 106
0.00
2015
0.00
65043.87
JINDAL FOR PRESIDENT01 30
513714.64
0.00
-
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
, , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
COLUMN B
Election Cycle-to-Date
COLUMN A
Total This Period
16. FEDERAL FUNDS (Itemize on Schedule A-P) ............
17. CONTRIBUTIONS (other than loans) FROM:
(a) Individuals/Persons Other Than Political
Committees
(i) itemized ............................................................
(ii) unitemized .......................................................
(iii) Total contributions ..........................................
(b) Political Party Committees ...............................
(c) Other Political Committees ..............................
(d) The Candidate ..................................................
(e) TOTAL CONTRIBUTIONS (other than loans)
(Add 17(a), 17(b), 17(c) and 17(d)) ....................
18. TRANSFERS FROM OTHER AUTHORIZED
COMMITTEES ............................................................
19. LOANS RECEIVED:
(a) Loans Received From or Guaranteed by
Candidate .........................................................
(b) Other Loans......................................................
(c) TOTAL LOANS (Add 19(a) and 19(b) ................
20. OFFSETS TO EXPENDITURES
(Refunds,Rebates, etc.):
(a) Operating .........................................................
(b) Fundraising .......................................................
(c) Legal and Accounting ......................................
(d) TOTAL OFFSETS TO EXPENDITURES
(Add 20(a), 20(b) and 20(c)) ..............................
21. OTHER RECEIPTS (Dividends, Interest, etc.).............
22. TOTAL RECEIPTS
(Add 16, 17(e), 18, 19(c), 20(d) and 21) ......................
DETAILED SUMMARY PAGEof Receipts
I. RECEIPTS
FEC Form 3P (Rev. 03/2011) Page 3
Report Covering the Period: From: To:
NAME OF COMMITEE (in Full)
0.00
514316.00
0.00
0.00
5000.00
578758.51
0.00
0.00
2015
0.00
0.00
04
0.00
573758.51
0.00
0.00
59442.51
0.00
0.00
Image# 201507159000124015
578758.51
06
0.00
0.00
5000.00
0.00
0.00
0.00
0.00
59442.51
0.00
PAGE 3 / 106
578758.51
2015
0.00
0.00
578758.51
JINDAL FOR PRESIDENT
514316.00
01
0.00
30
573758.51
0.00
0.00
-
COLUMN B
Calendar Year-to-Date
COLUMN A
Total This PeriodII. DISBURSEMENTS
23. OPERATING EXPENDITURES ....................................
24. TRANSFERS TO OTHER
AUTHORIZED COMMITTEES ....................................
25. FUNDRAISING DISBURSEMENTS ............................
26. EXEMPT LEGAL AND
ACCOUNTING DISBURSEMENTS.............................
27. LOAN REPAYMENTS MADE:
(a) Repayments of Loans made or Guaranteed
by Candidate ....................................................
(b) Other Repayments ...........................................
(c) TOTAL LOAN REPAYMENTS MADE
(Add 27(a) and 27(b)) ........................................
28. REFUNDS OF CONTRIBUTIONS TO:
(a) Individuals/Persons Other Than Political
Committees ......................................................
(b) Political Party Committees ...............................
(c) Other Political Committees ..............................
(d) TOTAL CONTRIBUTION REFUNDS
(Add 28(a), 28(b) and 28(c)) ..............................
29 OTHER DISBURSEMENTS ........................................
30. TOTAL DISBURSEMENTS
(Add 23, 24, 25, 26, 27(c), 28(d) and 29) ....................
31. ITEMS ON HAND TO BE LIQUIDATED
(Attach List) ................................................................
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
DETAILED SUMMARY PAGEof Disbursements and Contributed Items FEC Form 3P (Rev. 03/2011) Page 4
Report Covering the Period: From: To:
NAME OF COMMITEE (in Full)
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
III. CONTRIBUTED ITEMS(Stock, Art Objects, Etc.)
65043.87
0.00
0.00
65043.87
2015
0.00
0.00
0.00
04
0.00
65043.87
0.00
Image# 201507159000124016
0.00
0.00
0.00
06
0.00 0.00
0.00
PAGE 4 / 106
0.00
0.00
0.00
0.00
0.00
2015
0.00
0.00
0.00
JINDAL FOR PRESIDENT
0.00
65043.87
01
0.00
30
-
)(&)25033DJH)HGHUDO(OHFWLRQ&RPPLVVLRQ(6WUHHW1::DVKLQJWRQ'&
$//2&$7,212)35,0$5
-
STATE ALLOCATION This Period TOTAL ALLOCATION To Date
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
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
Image# 201507159000124018
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
PAGE 6 / 106
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
-
STATE ALLOCATION This Period TOTAL ALLOCATION To Date
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Guam
Virgin Islands
TOTALS
V V V , , . V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
V V V , , .
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
Image# 201507159000124019
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
PAGE 7 / 106
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
-
SCHEDULE A-P
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
Subtotal Of Receipts This Page (optional)...............................................................................
Total This Period (last page this line number only) ........................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 16
19a
17b
20a
17a
19b
17c
20b
17d
20c
18
21
V V V , , .
V V V , , .
V V V , , .
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
WW
FEC Schedule AP (Form 3P) (Rev. 03/2011)
2700.00
2700.00
2700.00
2700.00
500.00
LA
LA
PO Box 4097
9089 Shady Hollow Way
Po Box 4097
500.00
JINDAL FOR PRESIDENT
70361-4097
70361-4097
Transaction ID : A5277E7D103784A8C839
CAFair Oaks
Houma
Houma
Mercy Medical Group
N/A
Transaction ID : A626BD31002974AC087B
95628-8101
Transaction ID : A51FFC5C2C7464849B5E
N/A
18
21
21
5900.00
2016
2016
2016
Image# 201507159000124020
05
05
05
Joy Bollinger
2015
2015
Donald Bollinger
2015
Uday Poonamallee
Physician
Retired
Retired
PAGE 8 / 106
-
SCHEDULE A-P
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
Subtotal Of Receipts This Page (optional)...............................................................................
Total This Period (last page this line number only) ........................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 16
19a
17b
20a
17a
19b
17c
20b
17d
20c
18
21
V V V , , .
V V V , , .
V V V , , .
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
WW
FEC Schedule AP (Form 3P) (Rev. 03/2011)
2700.00
250.00
2700.00
250.00
2700.00
VA
LA
5378 Susquehanna Drive
909 Poydras St. #1700
909 Poydras St #1700
2700.00
JINDAL FOR PRESIDENT
70112-4010
23462-5907
Transaction ID : A5A87C6E41B2C4F67844
LANew Orleans
New Orleans
Virginia Beach
N/A
First Trust Corp.
Transaction ID : A5B87C66CE73B4431A87
70112-4010
Transaction ID : A2AEE5906339645C480D
Regent University
21
21
21
5650.00
2016
2016
2016
Image# 201507159000124021
05
05
05
Paul Bonicelli
2015
2015
Joseph Canizaro
2015
Sue Ellen Canizaro
Homemaker
Professor
Banker/Developer
PAGE 9 / 106
-
SCHEDULE A-P
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
Subtotal Of Receipts This Page (optional)...............................................................................
Total This Period (last page this line number only) ........................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 16
19a
17b
20a
17a
19b
17c
20b
17d
20c
18
21
V V V , , .
V V V , , .
V V V , , .
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
WW
FEC Schedule AP (Form 3P) (Rev. 03/2011)
250.00
250.00
250.00
250.00
500.00
TX
TX
5830 Republic of Texas Blvd
242 W. Livingston Pl.
11511 Katy Fwy Suite 510
500.00
JINDAL FOR PRESIDENT
77079-9701
78735-6317
Transaction ID : AA8D4F139A76E4AD7970
LAMetairie
Houston
Austin
Ungarino&Eckert, Llc
Diabetes Relief
Transaction ID : A56440FAB7A0F40B58C8
70005-3950
Transaction ID : A88995FD4AAC44C9C88F
GRAND SLAM FINANCE
21
21
21
1000.00
2016
2016
2016
Image# 201507159000124022
05
05
05
Russell Anderson
2015
2015
Hunter Carr
2015
Matthew Ungarino
Attorney
Partner
Business owner
PAGE 10 / 106
-
SCHEDULE A-P
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
Subtotal Of Receipts This Page (optional)...............................................................................
Total This Period (last page this line number only) ........................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 16
19a
17b
20a
17a
19b
17c
20b
17d
20c
18
21
V V V , , .
V V V , , .
V V V , , .
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
WW
FEC Schedule AP (Form 3P) (Rev. 03/2011)
250.00
2700.00
250.00
2700.00
2700.00
LA
MO
714 N Ashley Ridge Loop
714 N Ashley Ridge Loop
622 West 60Th Terrace
2700.00
JINDAL FOR PRESIDENT
64113-1303
71106-7242
Transaction ID : A387CB2E17F2E486C850
LAShreveport
Kansas City
Shreveport
Self Employed
Jonathan Sternberg, Attorney, P.C.
Transaction ID : AA56230248A4549BD916
71106-7242
Transaction ID : AA9889D135F99449CA26
N/A
21
21
22
5650.00
2016
2016
2016
Image# 201507159000124023
05
05
05
Leasha Loftin
2015
2015
Jonathan Sternberg
2015
Jeff Loftin
Business Owner/Manager
Homemaker
Attorney
PAGE 11 / 106
-
SCHEDULE A-P
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
Subtotal Of Receipts This Page (optional)...............................................................................
Total This Period (last page this line number only) ........................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 16
19a
17b
20a
17a
19b
17c
20b
17d
20c
18
21
V V V , , .
V V V , , .
V V V , , .
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
WW
FEC Schedule AP (Form 3P) (Rev. 03/2011)
2700.00
2700.00
2700.00
2700.00
2700.00
LA
LA
P.O. Box 52389
3480 Ne Evangeline Trwy.
P.O. Box 52389
2700.00
JINDAL FOR PRESIDENT
71135-2389
71135-2389
Transaction ID : A0DE76CBADF5444FFB7F
LALafayette
Shreveport
Shreveport
Prejean'S Restaurant, Inc.
N/A
Transaction ID : A502CEEE203234B888B5
70507-2554
Transaction ID : A04A70537A7C04DC5A88
Gamble Guest Care
26
26
26
8100.00
2016
2016
2016
Image# 201507159000124024
05
05
05
Denny Gamble
2015
2015
Lesa Gamble
2015
Robert Guilbeau
self-employed
Chairman
Homemaker
PAGE 12 / 106
-
SCHEDULE A-P
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
Subtotal Of Receipts This Page (optional)...............................................................................
Total This Period (last page this line number only) ........................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 16
19a
17b
20a
17a
19b
17c
20b
17d
20c
18
21
V V V , , .
V V V , , .
V V V , , .
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
WW
FEC Schedule AP (Form 3P) (Rev. 03/2011)
2700.00
2700.00
2700.00
2700.00
2700.00
LA
LA
120 W. Pujo St. Ste. 300
17 Waverly Place
120 W. Pujo St. Ste. 300
2700.00
JINDAL FOR PRESIDENT
70601-4202
70601-4202
Transaction ID : AF69C31F616CD409A89B
LAMetairie
Lake Charles
Lake Charles
N-Y Associates, Inc
N/A
Transaction ID : A902BBD04F0D14DA8BE7
70003-2553
Transaction ID : A2368646382EB4473AA9
Dore Energy Corporation
26
26
26
8100.00
2016
2016
2016
Image# 201507159000124025
05
05
05
William Dore
2015
2015
Kay Dore
2015
Michael Nicoladis
Engineering
CEO
Investor
PAGE 13 / 106
-
SCHEDULE A-P
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
Subtotal Of Receipts This Page (optional)...............................................................................
Total This Period (last page this line number only) ........................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 16
19a
17b
20a
17a
19b
17c
20b
17d
20c
18
21
V V V , , .
V V V , , .
V V V , , .
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
WW
FEC Schedule AP (Form 3P) (Rev. 03/2011)
250.00
2700.00
250.00
2700.00
2700.00
LA
LA
P.O. Box 5745
707 Kyle Lane
20 F Street Nw, Suite 1000
2700.00
JINDAL FOR PRESIDENT
70123
71135-5745
Transaction ID : AF0C04C8198EF4191B6F
PAAmbler
New Orleans
Shreveport
SMG
American College Of Surgeons
Transaction ID : A90F1B55E57B04134A7D
19002-2531
Transaction ID : A0285A244F6DA4AAEA7F
Calumet Specialty Products
26
26
28
5650.00
2016
2016
2016
Image# 201507159000124026
05
05
05
Robert Mills
2015
2015
Frank Opelka
2015
Harold Westley
CEO
Oil & Gas
Surgeon Administrator
PAGE 14 / 106
-
SCHEDULE A-P
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
Subtotal Of Receipts This Page (optional)...............................................................................
Total This Period (last page this line number only) ........................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 16
19a
17b
20a
17a
19b
17c
20b
17d
20c
18
21
V V V , , .
V V V , , .
V V V , , .
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
WW
FEC Schedule AP (Form 3P) (Rev. 03/2011)
2700.00
2700.00
2700.00
2700.00
2700.00
LA
LA
18250 S Mission Hills Ave.
4426 W Lakeshore Dr.
4426 West Lakeshore Drive
2700.00
JINDAL FOR PRESIDENT
70808-4632
70810-7974
Transaction ID : A73BED3C05F55441FA6E
LABaton Rouge
Baton Rouge
Baton Rouge
The Hise Company
The Hise Company
Transaction ID : AA207C98C4F2B490082E
70808-4632
Transaction ID : AECA7B0153C664880AC3
ISC Constructors, LLC
01
01
01
8100.00
2016
2016
2016
Image# 201507159000124027
06
06
06
Edward Rispone
2015
2015
Anne Hise
2015
Bill R. Hise
Petroleum Engineer Consultant
Contractor
Principal
PAGE 15 / 106
-
SCHEDULE A-P
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
Subtotal Of Receipts This Page (optional)...............................................................................
Total This Period (last page this line number only) ........................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 16
19a
17b
20a
17a
19b
17c
20b
17d
20c
18
21
V V V , , .
V V V , , .
V V V , , .
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
WW
FEC Schedule AP (Form 3P) (Rev. 03/2011)
1000.00
2700.00
1000.00
2700.00
2700.00
TX
LA
10 Muirfield Way
16201 East Main
1110 HWY 1
2700.00
JINDAL FOR PRESIDENT
70301-6169
77479-3966
Transaction ID : AEF72D98106F6452A85E
LACut Off
Thibodaux
Sugar Land
N/A
Byron E. Talbot Contractor, Inc.
Transaction ID : A4B4FF9240DEE44EA810
70345-3804
Transaction ID : A0FD57B4DBF4649FB9A8
N/A
01
01
01
6400.00
2016
2016
2016
Image# 201507159000124028
06
06
06
Darla Gonsoulin
2015
2015
Byron Talbot
2015
Carolyn Chouest
Homemaker
Homemaker
Contractor
PAGE 16 / 106
-
SCHEDULE A-P
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
Subtotal Of Receipts This Page (optional)...............................................................................
Total This Period (last page this line number only) ........................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 16
19a
17b
20a
17a
19b
17c
20b
17d
20c
18
21
V V V , , .
V V V , , .
V V V , , .
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
WW
FEC Schedule AP (Form 3P) (Rev. 03/2011)
2700.00
2700.00
2700.00
2700.00
2700.00
LA
LA
18250 S. Mission Hills Ave
P.O. Box 310
3925 N. I-10 Service Rd W. #105
2700.00
JINDAL FOR PRESIDENT
70002-6831
70810-7974
Transaction ID : AA99F849DFA4742F4BF8
LAGalliano
Metairie
Baton Rouge
Edison Chouest Offshore
Self Employed
Transaction ID : A5728FCE543AE4A85B85
70354-0310
Transaction ID : A87189E7F5BC648A0B6F
N/A
01
01
01
8100.00
2016
2016
2016
Image# 201507159000124029
06
06
06
Linda Rispone
2015
2015
Pat Shane
2015
Gary Chouest
President
Homemaker
Real Estate Investor
PAGE 17 / 106
-
SCHEDULE A-P
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
Subtotal Of Receipts This Page (optional)...............................................................................
Total This Period (last page this line number only) ........................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 16
19a
17b
20a
17a
19b
17c
20b
17d
20c
18
21
V V V , , .
V V V , , .
V V V , , .
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
WW
FEC Schedule AP (Form 3P) (Rev. 03/2011)
2700.00
2700.00
2700.00
2700.00
2700.00
TX
LA
10 Muirfield Way
3925 N I10 Service Rd W STE 105
P.O. Box 83280
2700.00
JINDAL FOR PRESIDENT
70884-3280
77479-3966
Transaction ID : A3E6381C2C11644C3900
LAMetairie
Baton Rouge
Sugar Land
Favrot and Shane Companies, Inc
Lass LLC
Transaction ID : A24A618924E954D2D8A1
70002
Transaction ID : AB2D3E512369345BFB1F
PHI, Inc.
01
01
02
8100.00
2016
2016
2016
Image# 201507159000124030
06
06
06
Al Gonsoulin
2015
2015
Susan Lipsey
2015
William Shane
Architect
CEO
Owner
PAGE 18 / 106
-
SCHEDULE A-P
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
Subtotal Of Receipts This Page (optional)...............................................................................
Total This Period (last page this line number only) ........................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 16
19a
17b
20a
17a
19b
17c
20b
17d
20c
18
21
V V V , , .
V V V , , .
V V V , , .
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
WW
FEC Schedule AP (Form 3P) (Rev. 03/2011)
2700.00
2700.00
2700.00
2700.00
2700.00
LA
LA
10632 Hillary Court
Po Box 83280
2256 Eliza Beaumont Lane
2700.00
JINDAL FOR PRESIDENT
70808-2269
70810-2842
Transaction ID : AE7D359501C3A4B45AE1
LABaton Rouge
Baton Rouge
Baton Rouge
Lipsey'S
N/A
Transaction ID : ADA0E6E9E9E7B474691B
70884-3280
Transaction ID : A6F884275DB4A45DCAAC
Southern Key Investments
02
02
03
8100.00
2016
2016
2016
Image# 201507159000124031
06
06
06
David McCollister
2015
2015
Shelley Massengale
2015
Richard Lipsey
Chairman
Healthcare
Homemaker
PAGE 19 / 106
-
SCHEDULE A-P
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
Subtotal Of Receipts This Page (optional)...............................................................................
Total This Period (last page this line number only) ........................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 16
19a
17b
20a
17a
19b
17c
20b
17d
20c
18
21
V V V , , .
V V V , , .
V V V , , .
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
WW
FEC Schedule AP (Form 3P) (Rev. 03/2011)
2700.00
2700.00
2700.00
2700.00
2700.00
CO
CO
2750 Coreillera Way
2256 Eliza Beaumont Lane
2750 Coreillera Way
2700.00
JINDAL FOR PRESIDENT
81632-6237
81632-6237
Transaction ID : AA5EB0CC5A44F43E794E
LAKenner
Edwards
Edwards
Informd Solutions
Correct Care, Inc.
Transaction ID : AEF07DA71E87B406BA4B
70065
Transaction ID : A1176DA6C36E14D528FF
N/A
03
04
04
8100.00
2016
2016
2016
Image# 201507159000124032
06
06
06
Elna Dease
2015
2015
Eddie Dease
2015
Richard Massengale
President
Homemaker
President/Ceo
PAGE 20 / 106
-
SCHEDULE A-P
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
Subtotal Of Receipts This Page (optional)...............................................................................
Total This Period (last page this line number only) ........................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 16
19a
17b
20a
17a
19b
17c
20b
17d
20c
18
21
V V V , , .
V V V , , .
V V V , , .
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
WW
FEC Schedule AP (Form 3P) (Rev. 03/2011)
2700.00
2700.00
2700.00
2700.00
2700.00
AZ
LA
6434 E. Gainsborough Road
PO Box 1460
Po Box 98000
2700.00
JINDAL FOR PRESIDENT
70509-8000
85251-1950
Transaction ID : AB0C8AFEADD6346E4B9C
LALarose
Lafayette
Scottsdale
Danos
Acadian Ambulance Service
Transaction ID : AEF729F0A2A6F434FA11
70373-1460
Transaction ID : ABFF8D9E12C094E03BB9
Crescent Crown Distributing, LLC
05
05
05
8100.00
2016
2016
2016
Image# 201507159000124033
06
06
06
James Moffett
2015
2015
Richard Zuschlag
2015
Hank Danos
CEO
President
Chairman & Ceo
PAGE 21 / 106
-
SCHEDULE A-P
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
Subtotal Of Receipts This Page (optional)...............................................................................
Total This Period (last page this line number only) ........................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 16
19a
17b
20a
17a
19b
17c
20b
17d
20c
18
21
V V V , , .
V V V , , .
V V V , , .
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
WW
FEC Schedule AP (Form 3P) (Rev. 03/2011)
2700.00
2700.00
2700.00
2700.00
2700.00
LA
LA
204 Ormond Blvd
204 Ormond Blvd
P.O. Box 1460
2700.00
JINDAL FOR PRESIDENT
70373-1460
70047-3603
Transaction ID : A139A9E781D1A4CF7BF6
LADestrehan
Larose
Destrehan
Picciola & Associates, Inc.
N/A
Transaction ID : A586280733FA94DBF81C
70047-3603
Transaction ID : A4D950A1E172F4607B93
N/A
05
05
05
8100.00
2016
2016
2016
Image# 201507159000124034
06
06
06
Ella Jane Picciola
2015
2015
Rodlyn Danos
2015
Joseph Picciola
Engineer
Homemaker
Homemaker
PAGE 22 / 106
-
SCHEDULE A-P
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
Subtotal Of Receipts This Page (optional)...............................................................................
Total This Period (last page this line number only) ........................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 16
19a
17b
20a
17a
19b
17c
20b
17d
20c
18
21
V V V , , .
V V V , , .
V V V , , .
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
WW
FEC Schedule AP (Form 3P) (Rev. 03/2011)
2700.00
2700.00
2700.00
2700.00
2700.00
LA
LA
P.O. Box 98000
4709 Christopher Place
114 LSU Avenue
2700.00
JINDAL FOR PRESIDENT
70808-4634
70509-8000
Transaction ID : A197FCDEF36304849B11
LAAlexandria
Baton Rouge
Lafayette
Healthcare Pharmacy
Capital Area Finance Authority
Transaction ID : A97D5A4142075454486C
71303-3900
Transaction ID : AE46862D5A86E4501AC9
N/A
05
05
05
8100.00
2016
2016
2016
Image# 201507159000124035
06
06
06
Elaine Zuschlag
2015
2015
Michael Airhart
2015
Sam Mahfouz
Self Employed
Homemaker
Executive Director
PAGE 23 / 106
-
SCHEDULE A-P
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
Subtotal Of Receipts This Page (optional)...............................................................................
Total This Period (last page this line number only) ........................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 16
19a
17b
20a
17a
19b
17c
20b
17d
20c
18
21
V V V , , .
V V V , , .
V V V , , .
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
WW
FEC Schedule AP (Form 3P) (Rev. 03/2011)
2700.00
2700.00
2700.00
2700.00
2700.00
LA
LA
P.O. Box 259
6434 E. Gainsborough Road
2728 Athania Pkwy
2700.00
JINDAL FOR PRESIDENT
70002-5904
71261-0259
Transaction ID : A7191B292BCB245CCB0E
AZScottsdale
Metairie
Mer Rouge
N/A
Self Employed
Transaction ID : AAA1CD0DBF8AB4B9281D
85251-1950
Transaction ID : AD16BA20F8B064B718BB
N/A
05
11
11
8100.00
2016
2016
2016
Image# 201507159000124036
06
06
06
Anne Kennedy
2015
2015
Michael Delesdernier
2015
Blair Moffett
Homemaker
Homemaker
Attorney
PAGE 24 / 106
-
SCHEDULE A-P
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
Subtotal Of Receipts This Page (optional)...............................................................................
Total This Period (last page this line number only) ........................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 16
19a
17b
20a
17a
19b
17c
20b
17d
20c
18
21
V V V , , .
V V V , , .
V V V , , .
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
WW
FEC Schedule AP (Form 3P) (Rev. 03/2011)
2700.00
2700.00
2700.00
2700.00
2700.00
LA
LA
1215 Bay Ridge Drive
211 Red Ok
213 Worth Ave.
2700.00
JINDAL FOR PRESIDENT
70508-6634
71006-3468
Transaction ID : A329217F6E2A74475AF4
LAPineville
Lafayette
Benton
N/A
Richardson Companies
Transaction ID : AF1D4F9B3FA7B413AB01
71360-5481
Transaction ID : ADD7CBF3AD7F042E8A26
Cyber Innovation Center
11
11
11
8100.00
2016
2016
2016
Image# 201507159000124037
06
06
06
Craig Spohn
2015
2015
Jeffrey Richardson
2015
Camille Robison
Homemaker
Executive Director
Owner
PAGE 25 / 106
-
SCHEDULE A-P
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
Subtotal Of Receipts This Page (optional)...............................................................................
Total This Period (last page this line number only) ........................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 16
19a
17b
20a
17a
19b
17c
20b
17d
20c
18
21
V V V , , .
V V V , , .
V V V , , .
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
WW
FEC Schedule AP (Form 3P) (Rev. 03/2011)
2700.00
2700.00
2700.00
2700.00
2700.00
LA
LA
P.O. Box 856
198 Dawkins Rd
P.O. Box 259
2700.00
JINDAL FOR PRESIDENT
71261-0259
71058-0856
Transaction ID : A111ADB90496142EE8D8
LAFarmerville
Mer Rouge
Minden
Centurylink
Kennedy Rice Dryers
Transaction ID : A33B01F49B0594BE3A77
71241-5200
Transaction ID : A72F43CBBA80D4241BFD
Madden Contracting Co LLC
11
11
11
8100.00
2016
2016
2016
Image# 201507159000124038
06
06
06
David Madden
2015
2015
Elton Kennedy
2015
Glen Post
CEO
Road Contractor
President
PAGE 26 / 106
-
SCHEDULE A-P
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
Subtotal Of Receipts This Page (optional)...............................................................................
Total This Period (last page this line number only) ........................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 16
19a
17b
20a
17a
19b
17c
20b
17d
20c
18
21
V V V , , .
V V V , , .
V V V , , .
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
WW
FEC Schedule AP (Form 3P) (Rev. 03/2011)
2700.00
2700.00
2700.00
2700.00
2700.00
LA
LA
2739 Alvamar Drive
2739 Alvamar Drive
211 Red Oak
2700.00
JINDAL FOR PRESIDENT
71360-5481
71106-8262
Transaction ID : A8DAF540B28DE4F8AA1B
LAShreveport
Pineville
Shreveport
Self Employed
Crest Industries
Transaction ID : A141616613FEB41CD993
71106-8262
Transaction ID : AE59F68CD38244EAEB54
Regional Urology
11
11
11
8100.00
2016
2016
2016
Image# 201507159000124039
06
06
06
Jonathan Henderson
2015
2015
Kenneth Robison
2015
Leigh Henderson
Physican
Physician
CEO
PAGE 27 / 106
-
SCHEDULE A-P
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
Subtotal Of Receipts This Page (optional)...............................................................................
Total This Period (last page this line number only) ........................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 16
19a
17b
20a
17a
19b
17c
20b
17d
20c
18
21
V V V , , .
V V V , , .
V V V , , .
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
WW
FEC Schedule AP (Form 3P) (Rev. 03/2011)
2700.00
2700.00
2700.00
2700.00
2700.00
LA
LA
9037 False River Rd.
P.O. Box
213 Worth Ave.
2700.00
JINDAL FOR PRESIDENT
70508-6634
70760-4009
Transaction ID : A57E886DA289F4B5D85E
LAMinden
Lafayette
New Roads
N/A
N/A
Transaction ID : A80F006B291454DD69AF
71058
Transaction ID : A4F20B00F682D420E999
Olol
11
11
11
8100.00
2016
2016
2016
Image# 201507159000124040
06
06
06
Louis Montelaro
2015
2015
Sybil Richardson
2015
Connie Madden
Homemaker
Medical Doctor
Homemaker
PAGE 28 / 106
-
SCHEDULE A-P
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
Subtotal Of Receipts This Page (optional)...............................................................................
Total This Period (last page this line number only) ........................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 16
19a
17b
20a
17a
19b
17c
20b
17d
20c
18
21
V V V , , .
V V V , , .
V V V , , .
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
WW
FEC Schedule AP (Form 3P) (Rev. 03/2011)
2700.00
500.00
2700.00
500.00
2700.00
TN
VA
5867 E Ashland Dr
17331 Masters Pointe Court
7703 Northdown Dr.
2700.00
JINDAL FOR PRESIDENT
22308-1333
37215-5237
Transaction ID : A973D31CD44AA498FB99
LABaton Rouge
Alexandria
Nashville
Orion Instruments, Llc
N/A
Transaction ID : A2D9CC9CFA3FA45B79E2
70810-5917
Transaction ID : A2772C3C74802488B829
Celanese
12
13
17
5900.00
2016
2016
2016
Image# 201507159000124041
06
06
06
Amy Hebert
2015
2015
Bonnie Livingston
2015
Don Sanders
General Manager
Vp Europe
Homemaker
PAGE 29 / 106
-
SCHEDULE A-P
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
Subtotal Of Receipts This Page (optional)...............................................................................
Total This Period (last page this line number only) ........................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 16
19a
17b
20a
17a
19b
17c
20b
17d
20c
18
21
V V V , , .
V V V , , .
V V V , , .
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
WW
FEC Schedule AP (Form 3P) (Rev. 03/2011)
2700.00
2700.00
2700.00
2700.00
2700.00
LA
MO
2743 Cedar Lodge Drive
7703 Northdown Dr.
44 Woodcliffe Road
2700.00
JINDAL FOR PRESIDENT
63124-1336
70809-1060
Transaction ID : A501409B32F0F426CA2C
VAAlexandria
Saint Louis
Baton Rouge
The Livingston Group
N/A
Transaction ID : A44D4E042F7FA47578E2
22308-1333
Transaction ID : AE2B6321B7AF6494DBD4
Louisiana Business Inc.
17
18
18
8100.00
2016
2016
2016
Image# 201507159000124042
06
06
06
Rolfe McCollister
2015
2015
Kelly Layton
2015
Robert Livingston
Consultant
Publisher
Homemaker
PAGE 30 / 106
-
SCHEDULE A-P
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
Subtotal Of Receipts This Page (optional)...............................................................................
Total This Period (last page this line number only) ........................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 16
19a
17b
20a
17a
19b
17c
20b
17d
20c
18
21
V V V , , .
V V V , , .
V V V , , .
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
Amount of Each Receipt this Period
V V V , , .
WW
FEC Schedule AP (Form 3P) (Rev. 03/2011)
2700.00
2700.00
2700.00
2700.00
2700.00
LA
LA
1450 William St 2nd Floor Lawton B
1608 Dogwood Drive
5531 St. Charles Avenue
2700.00
JINDAL FOR PRESIDENT
70115-5047
70601-3802
Transaction ID : A3D6249A283F742129A2
LAMinden
New Orleans
Lake Charles
N/A
River Birch LLC
Transaction ID : AF8BA66F8A28D4C78A84
71055-8906
Transaction ID : A90828DDAEDD94455995
Walnut Grove
18
18
18
8100.00
2016
2016
2016
Image# 201507159000124043
06
06
06
Holly Lawton
2015
2015
Frederick Heebe
2015
Sharon Madden
Homemaker
Founder & Design Coordinator
Executive
PAGE 31 / 106
-
SCHEDULE A-P
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
Subtotal Of Receipts This Page (optional)...............................................................................
Total This Period (last page this line number only) ........................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date W
Date of Receipt
Name of Employer Occupation
W V V V , , .
FEC ID number of contributing
federal political committee. C
Full