report of receipts fec and disbursementsdocquery.fec.gov/pdf/790/14961587790/14961587790.pdf ·...
TRANSCRIPT
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
FE5AN018
FEC
FORM 3
1. NAME OF COMMITTEE (in full)
ADDRESS (number and street)
Check if different than previously reported. (ACC)
FEC FORM 3(Revised 02/2003)
Office
Use
Only
NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 2 U.S.C. §437g.
I certify that I have examined this Report and to the best of my knowledge and belief it is true, correct and complete.
Type or Print Name of Treasurer
Signature of Treasurer Date
4. TYPE OF REPORT (Choose One)
(a) Quarterly Reports:
12-Day PRE-Election Report for the:
Primary (12P) General (12G) Runoff (12R)
Convention (12C) Special (12S)
30-Day POST-Election Report for the:
General (30G) Runoff (30R) Special (30S)
CITY STATE ZIP CODE2. FEC IDENTIFICATION NUMBER
3. IS THIS NEW AMENDED
REPORT (N) OR (A)
in the
Election on State of
TYPE OR PRINT
REPORT OF RECEIPTS
AND DISBURSEMENTSFor An Authorized Committee
5. Covering Period through
in the
Election on State of
STATE DISTRICT
Office Use Only
April 15 Quarterly Report (Q1)
July 15 Quarterly Report (Q2)
October 15 Quarterly Report (Q3)
January 31 Year-End Report (YE)
Termination Report (TER)
(b)
Example: If typing, type
over the lines.
(c)
12FE4M5
15
85629
02
07
Kerry Kathleen Tomlinson
Kerry Kathleen Tomlinson
2014
[Electronically Filed]
C00551267
PAGE 1 / 26
201404
SAHUARITA AZ
SHELLEY KAIS FOR CONGRESS
PO BOX 1417
07/15/2014 12 : 10Image# 14961587790
2014
01 3006
AZ
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FE5AN018
COLUMN B
Election Cycle-to-Date
COLUMN A
This Period
6. Net Contributions (other than loans)
(a) Total Contributions
(other than loans) (from Line 11(e)) ....
(b) Total Contribution Refunds
(from Line 20(d)) ..................................
(c) Net Contributions (other than loans)
(subtract Line 6(b) from Line 6(a)) ......
7. Net Operating Expenditures
(a) Total Operating Expenditures
(from Line 17) ......................................
(b) Total Offsets to Operating
Expenditures (from Line 14) ................
(c) Net Operating Expenditures
(subtract Line 7(b) from Line 7(a)) ......
8. Cash on Hand at Close of
Reporting Period (from Line 27) .................
9. Debts and Obligations Owed TO
the Committee (Itemize all on
Schedule C and/or Schedule D) ................
10. Debts and Obligations Owed BY
the Committee (Itemize all on
Schedule C and/or Schedule D) ................
For further information contact:
Federal Election Commission
999 E Street, NW
Washington, DC 20463
Toll Free 800-424-9530
Local 202-694-1100
FEC Form 3 (Revised 02/2003) Page 2
SUMMARY PAGEof Receipts and Disbursements
Report Covering the Period: From: To:
Write or Type Committee Name
9364.71
10975.24
13313.79
30158.71
PAGE 2 / 26
2014
30058.71
201404
17767.99
1820.00
100.00 100.00
1120.90
9464.71
SHELLEY KAIS FOR CONGRESS
1820.00
Image# 14961587791
0.00
19587.99
01 3006
9155.24
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M M / D D / Y Y Y Y M M / D D / Y Y Y Y
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FE5AN018
COLUMN B
Election Cycle-to-Date
COLUMN A
Total This Period
11. CONTRIBUTIONS (other than loans) FROM:
(a) Individuals/Persons Other Than
Political Committees
(i) Itemized (use Schedule A) ...........
(ii) Unitemized ....................................
(iii) TOTAL of contributions
from individuals .......................
(b) Political Party Committees .................
(c) Other Political Committees
(such as PACs) ...................................
(d) The Candidate ....................................
(e) TOTAL CONTRIBUTIONS
(other than loans)
(add Lines 11(a)(iii), (b), (c), and (d)) ..
12. TRANSFERS FROM OTHER
AUTHORIZED COMMITTEES ....................
13. LOANS:
(a) Made or Guaranteed by the
Candidate ............................................
(b) All Other Loans ...................................
(c) TOTAL LOANS
(add Lines 13(a) and (b)) ....................
14. OFFSETS TO OPERATING
EXPENDITURES
(Refunds, Rebates, etc.) ............................
15. OTHER RECEIPTS
(Dividends, Interest, etc.) ...........................
16. TOTAL RECEIPTS (add Lines 11(e), 12, 13(c), 14, and 15) (Carry Total to Line 24, page 4) ............
DETAILED SUMMARY PAGEof Receipts
I. RECEIPTS
FEC Form 3 (Revised 12/2003) Page 3
Report Covering the Period: From: To:
Write or Type Committee Name
0.00
1000.00
0.00
40.26
0.00
33154.27
9424.45
1820.00
23400.00
0.00
1820.00
PAGE 3 / 26
2014
1924.45
9464.71
2014
0.00
1175.56
04
0.00
45.26
11284.71
0.00
0.00
0.00
SHELLEY KAIS FOR CONGRESS
29113.45
1175.56
0.00
Image# 14961587792
30158.71
01
0.00
3006
7500.00
5713.45
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FE5AN018
COLUMN B
Election Cycle-to-Date
COLUMN A
Total This Period
17. OPERATING EXPENDITURES .....................
18. TRANSFERS TO OTHER
AUTHORIZED COMMITTEES .....................
19. LOAN REPAYMENTS:
(a) Of Loans Made or Guaranteed
by the Candidate .................................
(b) Of All Other Loans ..............................
(c) TOTAL LOAN REPAYMENTS
(add Lines 19(a) and (b)) .....................
20. REFUNDS OF CONTRIBUTIONS TO:
(a) Individuals/Persons Other
Than Political Committees ..................
(b) Political Party Committees ..................
(c) Other Political Committees
(such as PACs) ....................................
(d) TOTAL CONTRIBUTION REFUNDS
(add Lines 20(a), (b), and (c)) ..............
21. OTHER DISBURSEMENTS .........................
22. TOTAL DISBURSEMENTS
(add Lines 17, 18, 19(c), 20(d), and 21)
II. DISBURSEMENTS
DETAILED SUMMARY PAGEof DisbursementsFEC Form 3 (Revised 02/2003) Page 4
III. CASH SUMMARY
23. CASH ON HAND AT BEGINNING OF REPORTING PERIOD ...............................................
24 TOTAL RECEIPTS THIS PERIOD (from Line 16, page 3) .....................................................
25. SUBTOTAL (add Line 23 and Line 24) ..................................................................................
26. TOTAL DISBURSEMENTS THIS PERIOD (from Line 22) ......................................................
27. CASH ON HAND AT CLOSE OF REPORTING PERIOD
(subtract Line 26 from Line 25)..............................................................................................
, , . , , .
13313.79
11075.24
0.00
0.00
11075.24
0.00
0.00
100.00
152.49
152.49
100.00
PAGE 4 / 26
19587.99
100.00
13104.32
0.00
0.00
0.00
0.00
24389.03
0.00
0.00
11284.71
0.00
0.00
Image# 14961587793
10975.24
100.00
19840.48
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution
Contribution
Contribution
100.00
300.00
400.00
100.00
100.00
AZ
AZ
2595 E Arica Way
2595 E Arica Way
2595 E Arica Way
300.00
SHELLEY KAIS FOR CONGRESS
85614-5688Transaction ID : SA11AI.4598
85614-5688
AZGreen Valley
Green Valley
Green Valley
Retired
Retired
Transaction ID : SA11AI.452485614-5688
Transaction ID : SA11AI.4555
Retired
07
30
06
300.00
2014
5
2014
2014
Image# 14961587794
06
05
05
26
Diane E Aitken
2014
2014
Diane E Aitken
2014
Diane E Aitken
Retired
Retired
Retired
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution
Contribution
Contribution
300.00
2600.00
300.00
1600.00
500.00
AZ
NV
2252 E Spurwind Lane
2595 E Arica Way
1105 Terminal, Ste 202-70
900.00
SHELLEY KAIS FOR CONGRESS
89502Transaction ID : SA11AI.4514
85614
AZGreen Valley
Reno
Green Valley
Retired
Retired
Transaction ID : SA11AI.460385614-5688
Transaction ID : SA11AI.4511
Retired
13
06
07
2400.00
2014
6
2014
2014
Image# 14961587795
05
05
06
26
John Emery
2014
2014
Elmer Hansen
2014
Diane E Aitken
Retired
Retired
Retired
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution
Contribution
Contribution
250.00
500.00
250.00
500.00
1000.00
AZ
DC
767 E Canyon Rock Road
310 Inlet Avenue
754 Park Rd NW, #1
1000.00
SHELLEY KAIS FOR CONGRESS
20010Transaction ID : SA11AI.4548
85614
FLMerritt Island
Washington
Green Valley
Retired
US Government
Transaction ID : SA11AI.460032953
Transaction ID : SA11AI.4445
Retired
07
04
12
1750.00
2014
7
2014
2014
Image# 14961587796
05
04
06
26
Kathryn Kohler
2014
2014
Margie Lutz
2014
Jane Huff
Data Processor
Retired
Program Manager
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution
Contribution
Contribution
500.00
1750.00
500.00
1000.00
500.00
DE
PA
139 Evergreen Road
2131 E Spurwind Lane
175 Wyndham Woods Way
500.00
SHELLEY KAIS FOR CONGRESS
19440Transaction ID : SA11AI.4526
19930
AZGreen Valley
Hatfield
Bethany Beach
Retired
Retired
Transaction ID : SA11AI.452985614
Transaction ID : SA11AI.4509
Retired
09
02
08
2000.00
2014
8
2014
2014
Image# 14961587797
05
05
05
26
Judith Myers
2014
2014
Judith Pfander
2014
Susan Miller
Retired
Retired
Retired
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution
Contribution
Contribution
250.00
412.00
342.44
250.00
250.00
MI
AZ
19830 County Road 459
7302 Rhondda Dr
2252 E Spurwind Lane
250.00
SHELLEY KAIS FOR CONGRESS
85614Transaction ID : SA11AI.4552
49746
VALorton
Green Valley
Hillman
Department of Justice
Retired
Transaction ID : SA11AI.460622079
Transaction ID : SA11AI.4602
Self Employes
24
10
21
750.00
2014
9
2014
2014
Image# 14961587798
05
06
06
26
Susan Stacey
2014
2014
Christine Tucker
2014
Craig Rupert
Facilities Mgmt Specialists
Independant Contractor
Retired
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Contribution
300.00
PO Box 1598
300.00
SHELLEY KAIS FOR CONGRESS
7500.00
AZSahuarita
Retired
Transaction ID : SA11AI.453785629-1010
09
300.00
2014
10
Image# 14961587799
05
26
2014
Patricia Woolley
Retired
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
In-kind - Mailing Labels
Contribution
45.26
30.26
10.00
AZ
2592 E Alexis Court
2592 E Alexis Court
15.00
SHELLEY KAIS FOR CONGRESS
40.26
85614
AZGreen Valley
Green Valley
H4AZ02135
H4AZ02135
Kais E Systems, Inc
Transaction ID : SA11D.458785614
Transaction ID : SA11D.4604
Kais E Systems, Inc
01
20
40.26
2014
11
2014
Image# 14961587800
06
06
26
Shelley Kais
2014
2014
Shelley Kais
Consultant/Trainer
Consultant/Trainer
SCHEDULE A (FEC Form 3)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
A.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
B.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
C.
Election Cycle-to-Date
Date of Receipt
Name of Employer Occupation
! ! ! , , .
FEC ID number of contributing
federal political committee. C
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
Amount of Each Receipt this Period
! ! ! , , .
FEC Schedule A (Form 3) (Revised 02/2009)
Reimburse for Friends of NRA Tickets
Refund Social Media Costs
462.44
120.00
1700.00
AZ
2252 E Spurwind Lane
PO Box 723
1700.00
SHELLEY KAIS FOR CONGRESS
1820.00
85614
IDHailey
Green Valley
Transaction ID : SA14.450583333
Transaction ID : SA14.4617
Retired
16
06
1820.00
2014
12
2014
Image# 14961587801
06
04
26
Christine Tucker
2014
2014
Connect GOP, Inc
Retired
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
5641 E Broadway
5641 E Broadway
PO Box 83323
500.00
236.74
236.74
SHELLEY KAIS FOR CONGRESS
Transaction ID : SB17.4642
AZ
AZ
AZ
85711
85071
85711
Transaction ID : SB17.4473
Transaction ID : SB17.4477
04
06
Palm CArds
04
Palm cards
Advertising
2014
973.48
Arizona Veterans Magazine
2014
Desert Pacific Printing & Mailing
2014
Desert Pacific Printing & Mailing
13
2014
2014
Image# 14961587802
06
26
14
30
Tucson
Phoenix
Tucson
004
004
006
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
PO Box 3429
PO Box 3429
PO Box 3429
64.58
3.22
66.07
SHELLEY KAIS FOR CONGRESS
Transaction ID : SB17.4567
CA
CA
CA
91359
91359
91359
Transaction ID : SB17.4467
Transaction ID : SB17.4497
04
05
Transaction Fees
04
Transaction Fees
Processing fees for March
2014
133.87
Flagship Merchant Services
2014
Flagship Merchant Services
2014
Flagship Merchant Services
14
2014
2014
2014
Image# 14961587803
02
26
30
05
Thousand Oaks
Thousand Oaks
Thousand Oaks
001
001
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
PO Box 3429
PO Box 3429
PO Box 3429
73.03
158.26
30.75
SHELLEY KAIS FOR CONGRESS
Transaction ID : SB17.4649
CA
CA
CA
91359
91359
91359
Transaction ID : SB17.4586
Transaction ID : SB17.4622
06
06
Transaction Fees
05
Transaction Fees
Transaction Fees
2014
262.04
Flagship Merchant Services
2014
Flagship Merchant Services
2014
Flagship Merchant Services
15
2014
2014
2014
Image# 14961587804
31
26
02
30
Thousand Oaks
Thousand Oaks
Thousand Oaks
001
001
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
2592 E Alexis Court
2592 E Alexis Court
National Rifle Assoc of America11250 Waples Mill Road
120.00
87.80
40.00
SHELLEY KAIS FOR CONGRESS
Transaction ID : SB17.4643
AZ
AZ
VA
85614
22030
85614
Transaction ID : SB17.4575
Transaction ID : SB17.4481
04
06
Reimbursement
05
Reimbursement
Old Pueblo DInner
2014
247.80
Friends of the NRA
2014
James Kais
2014
James Kais
16
2014
2014
2014
Image# 14961587805
14
26
16
30
Green Valley
Fairfax
Green Valley
003
003
001
FEC MISCELLANEOUS TEXT RELATED TO A REPORT, SCHEDULE OR ITEMIZATION Form/Schedule: Transaction ID : Form/Schedule: Transaction ID:
Pima County Republican Women, 8710 Little Oak Lane, Tucson, AZ 85714
Image# 14961587806 PAGE 17 / 26
SB17.4643SB17
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
2475 N Haskell Rd, Apt 362
1840 E Valencia Rd
1840 E Valencia Rd
Bldg 8, Suite 209
Bldg 8, Suite 209
3000.00
74.05
558.17
SHELLEY KAIS FOR CONGRESS
Transaction ID : SB17.4469
AZ
AZ
AZ
85716
85706
85706
Transaction ID : SB17.4644
Transaction ID : SB17.4645
06
04
Communications Director
06
Photo Copies
Graphic Design, Web Design & IT
2014
3632.22
Kais E Systems, Imc
2014
Kais E Systems, Imc
2014
John Kinnicutt
18
2014
2014
2014
Image# 14961587807
30
26
30
03
Tucson
Tucson
Tucson
001
001
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
2475 N Haskell Rd, Apt 362
2475 N Haskell Rd, Apt 362
2475 N Haskell Rd, Apt 362
19.99
558.17
558.17
SHELLEY KAIS FOR CONGRESS
Transaction ID : SB17.4624
AZ
AZ
AZ
85716
85716
85716
Transaction ID : SB17.4472
Transaction ID : SB17.4566
05
06
Communications
04
Communications
Postage
2014
1136.33
John Kinnicutt
2014
John Kinnicutt
2014
John Kinnicutt
19
2014
2014
2014
Image# 14961587808
04
26
03
02
Tucson
Tucson
Tucson
001
001
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
9700 NW 112th Avenue
2664 N 1st Ave
Cross & Oberle916 Byrd Avenue
1456.84
621.58
48.87
SHELLEY KAIS FOR CONGRESS
Transaction ID : SB17.4475
FL
AZ
WI
33178
54946
85719
Transaction ID : SB17.4632
Transaction ID : SB17.4636
06
04
Telephone
06
Signs
Signs
2014
2127.29
Political Lawn Signs
2014
Sav-On Signs
2014
Straight Talk
20
2014
2014
2014
Image# 14961587809
19
26
24
07
Tucson
Neenah
Miami
001
004
004
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
9700 NW 112th Avenue
9700 NW 112th Avenue
9700 NW 112th Avenue
48.88
48.88
48.88
SHELLEY KAIS FOR CONGRESS
Transaction ID : SB17.4583
FL
FL
FL
33178
33178
33178
Transaction ID : SB17.4495
Transaction ID : SB17.4568
05
05
Telephone
04
Telephone
Telephone
2014
146.64
Straight Talk
2014
Straight Talk
2014
Straight Talk
21
2014
2014
2014
Image# 14961587810
27
26
07
29
Miami
Miami
Miami
001
001
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
766 S La Huerta
766 S La Huerta
9700 NW 112th Avenue
48.88
142.50
122.50
SHELLEY KAIS FOR CONGRESS
Transaction ID : SB17.4490
AZ
AZ
FL
85614
33178
85614
Transaction ID : SB17.4628
Transaction ID : SB17.4471
04
04
Bookkeeping
06
Bookkeeping March 2014
Telephone
2014
313.88
Straight Talk
2014
Tomlinson Accounting Services
2014
Tomlinson Accounting Services
22
2014
2014
2014
Image# 14961587811
06
26
03
16
Green Valley
Miami
Green Valley
001
001
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
815 W Via Rancho Sahuarita
766 S La Huerta
766 S La Huerta
125.00
325.00
49.00
SHELLEY KAIS FOR CONGRESS
Transaction ID : SB17.4578
AZ
AZ
AZ
85629
85614
85614
Transaction ID : SB17.4565
Transaction ID : SB17.4623
06
05
Stamps
05
Bookkeeping
Bookkeeping
2014
499.00
Tomlinson Accounting Services
2014
Tomlinson Accounting Services
2014
USPS
23
2014
2014
2014
Image# 14961587812
03
26
02
19
Green Valley
Green Valley
Sahuarita
001
001
001
FE5AN018
SCHEDULE B (FEC Form 3)
ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
! ! ! , , .
! ! ! , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3) (Revised 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
C.Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
815 W Via Rancho Sahuarita
815 W Via Rancho Sahuarita
815 W Via Rancho Sahuarita
49.00
16.95
16.95
SHELLEY KAIS FOR CONGRESS
9555.45
Transaction ID : SB17.4631
AZ
AZ
AZ
85629
85629
85629
Transaction ID : SB17.4579
Transaction ID : SB17.4630
06
06
Delivery
05
Delivery
Postage
2014
82.90
USPS
2014
USPS
2014
USPS
24
2014
2014
2014
Image# 14961587813
20
26
13
13
Sahuarita
Sahuarita
Sahuarita
001
001
001
FE5AN018
SCHEDULE C (FEC Form 3)
LOANS
PAGE OF
Use separate schedule(s)
for each category of the
Detailed Summary Page
NAME OF COMMITTEE (In Full)
SUBTOTALS This Period This Page (optional) .................................................................
TOTALS This Period (last page in this line only) .............................................................
FEC Schedule C (Form 3) (Revised 02/2003)
Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.
Name of Employer
Occupation
List All Endorsers or Guarantors (if any) to Loan Source
, , .
, , .
, , . , , . , , .
Original Amount of Loan Cumulative Payment To Date Balance Outstanding at Close of This Period
Date Incurred Date Due Interest Rate Secured:
Yes No . % (apr)
Election:
Primary
General
Other (specify)
LOAN SOURCE Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code
1. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
2. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
3. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .Amount
Guaranteed
Outstanding:
Name of Employer
Occupation
4. Full Name (Last, First, Middle Initial)
Mailing Address
City State ZIP Code , , .
Amount
Guaranteed
Outstanding:
TERMS
FOR LINE NUMBER:
(check only one) 13a
13b
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
84.42
Transaction ID : SC/10.4253
[PERSONAL FUNDS]
Shelley Kais
AZ
SHELLEY KAIS FOR CONGRESS
2013
1023.07
01
2592 E Alexis Court
0.0010
Green Valley
1107.49
2014
1023.07
25
1023.07
Image# 14961587814
26
none
85614
FE5AN018
SCHEDULE D (FEC Form 3)
DEBTS AND OBLIGATIONS
Excluding Loans
(Use separate
schedule(s)
for each
numbered line)
NAME OF COMMITTEE (In Full)
, , .
, , .
1) SUBTOTALS This Period This Page (optional) ...................................................................
2) TOTALS This Period (last page this line number only) ......................................................
3) TOTAL OUTSTANDING LOANS from Schedule C (last page only) ..................................
4) ADD 2) and 3) and carry forward to appropriate line of Summary Page (last page only)
A. Full Name (Last, First, Middle Initial) of Debtor or Creditor
Mailing Address
City State Zip Code
Payment This Period
, , .
FEC Schedule D (Form 3) (Revised 02/2003)
Outstanding Balance at Close of This Period
, , .
, , .
, , .
Outstanding Balance Beginning This Period
, , .Amount Incurred This Period
, , .
Nature of Debt (Purpose):
B. Full Name (Last, First, Middle Initial) of Debtor or Creditor
Mailing Address
City State Zip Code
Payment This Period
, , .
Outstanding Balance at Close of This Period
, , .
Outstanding Balance Beginning This Period
, , .Amount Incurred This Period
, , .
Nature of Debt (Purpose):
C. Full Name (Last, First, Middle Initial) of Debtor or Creditor
Mailing Address
City State Zip Code
Payment This Period
, , .
Outstanding Balance at Close of This Period
, , .
Outstanding Balance Beginning This Period
, , .Amount Incurred This Period
, , .
Nature of Debt (Purpose):
PAGE OF
FOR LINE NUMBER:
(check only one) 9
10
85711
247 S Wilmot Rd
182.60 97.83
Tucson
97.83
26
1023.07
Image# 14961587815
26
SHELLEY KAIS FOR CONGRESS
97.83
Williams & Associates
84.77
AZ
T-Shirts
Transaction ID : SD10.4646
1120.90
0.00