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r FEC FORIUI 3X REPORT OF RECEIPTS AND DISBURSEMENTS For Other Than An Authorized Committee 201M.UG-3 AMII:20 1. NAME OF COMMITTEE (in full) TYPE OR PRINT Example: If typing, type over the lines. iil2FE4M5' I Cl A J U iNi iP lOi Ll I Tii G A iL i i A G T i l i Oi N i Ci 0 M M i11 T T E lE I i i I 1 I i . I I L ADDRESS (number and street) I 1 ? jO j S i T. i |N j Al 2i A jR I Ei jR i 0; A D J LJL if=| Checi< if different O than previously reported. (ACC) JL,R lOj,UL.&.-,aj£LiRiJX.J^ 2. FEC IDENTiFiCATiON NUMBER T CITYA J I. HI...k \i\ 0 5 n IsLi, STATE A ZIP CODE A |C(iO^C)4 9. 19851 3. IS THIS r"^? NEW REPORT (N) OR AMENDED (A) 4. TYPE OF REPORT (Choose One) (a) Quarteriy Reports: L ''™i Aprii 15 J Quarteriy Report (01) fl July 15 iJ Quarteriy Report (02) fl October 15 Quarteriy Report (03) January 31 Year-End Report (YE) ^ July 31 Mid-Year btJi Report (Non-eiection Year Only) (MY) Termination Report (TER) (b) Monthly Report Due On: I f Feb 20 (M2) I 1 Mar 20 (M3) r 1 Apr 20 (M4) I May 20 (M5) f 1 Aug 20 (M8) 'I Jun 20 (M6) t7 Sep 20 (M9) Jul 20 (M7) 'Al Oct 20 (MIO) i Nov20(M11) ^ (Non-Election Year Only) 1 Dec 20 (Ml 2) (Non-Election Year Only) 1 Jan 31 (YE) (c) 12-Day PRE-Election Report for the: f^i General (12G) n Primary (12P) Convention (12C) Runoff (12R) assess?? I Special (12S) Election on in the r"^"" State of il . (d) 30-Day POST-Eiection Report for the: Election on H II Generai (SOG) Runoff (30R) " i l l I i:-. i; ii:.'i..m.}.'k In the State of Special (SOS) 5. Covering Period X'; ' f CO'"': ! T^^'%:i^x-.. '<0\ 14 ; 01 - r 2 0 1 u through ii 0? Ji !t.,3.C!t.i t 2.8yk. » I certify that I have examined this Report and to the best of my knowledge and belief it is true, correct and complete. BENJAMIN L LANDRY Type or Print Name of Treasurer Signature of Treasurer Date |0 7g j 2 9| 2011 NOTE: Submission of false, erroneous, or incompiete information may subject the person signing this Report to the penalties of 2 U.S.C. §437g. L FE6AN026 Office Use Only FEC FORM 3X Rev. 12/2004 |
Transcript
Page 1: 0 5 n IsLi, - FEC.govdocquery.fec.gov/pdf/678/11030644678/11030644678.pdfr FEC FORIUI 3X REPORT OF RECEIPTS AND DISBURSEMENTS For Other Than An Authorized Committee 201M.UG-3 AMII:20

r FEC

FORIUI 3X

REPORT OF RECEIPTS AND DISBURSEMENTS For Other Than An Authorized Committee 201M.UG-3 AMII:20

1. NAME OF COMMITTEE (in full)

TYPE OR PRINT • Example: If typing, type over the lines. iil2FE4M5' I

Cl A J U iNi iP lOi Ll I T i i G A iL i i A G T i l i Oi N i Ci 0 M M i11 T T E lE

I i i I 1 I i . I I L

ADDRESS (number and street) I 1 ? jO j S i T . i |N j Al 2i A jR I Ei jR i 0; A D J LJL

if=| Checi< if different O than previously

reported. (ACC) J L , R lOj,UL.&.-,aj£LiRiJX.J^

2. FEC IDENTiFiCATiON NUMBER T C I T Y A

J I. HI...k \ i \ 0 5 n IsLi, STATE A ZIP CODE A

| C ( i O ^ C ) 4 9. 1 9 8 5 1 3. IS THIS r" ? NEW REPORT (N) OR

AMENDED (A)

4. TYPE OF REPORT (Choose One)

(a) Quarteriy Reports:

L''™i Aprii 15 J Quarteriy Report (01)

f l July 15 i J Quarteriy Report (02) f l October 15

Quarteriy Report (03) January 31 Year-End Report (YE)

^ July 31 Mid-Year btJi Report (Non-eiection

Year Only) (MY)

Termination Report (TER)

(b) Monthly Report Due On:

I f Feb 20 (M2)

I 1 Mar 20 (M3)

r 1 Apr 20 (M4)

I May 20 (M5) f 1 Aug 20 (M8)

'I Jun 20 (M6) t 7 Sep 20 (M9)

Jul 20 (M7) 'Al Oct 20 (MIO)

i Nov20(M11) ^ (Non-Election

Year Only)

1 Dec 20 (Ml 2) (Non-Election Year Only)

1 Jan 31 (YE)

(c) 12-Day PRE-Election Report for the:

f^ i General (12G)

n Primary (12P)

Convention (12C)

Runoff (12R)

assess??

I Special (12S)

Election on in the r"^"" State of il .

(d) 30-Day POST-Eiection

Report for the:

Election on

H II Generai (SOG) Runoff (30R)

" i l l I i:-. i; ii:.'i..m.}.'k

In the State of

Special (SOS)

5. Covering Period X'; ' f CO'"': ! T^^'%:i^x-.. '<0\ 14 ; 01 - r 2 0 1 u through ii 0? Ji !t.,3.C!t.i t 2.8yk. »

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

Type or Print Name of Treasurer

Signature of Treasurer Date | 0 7g j 2 9| 2011

NOTE: Submission of false, erroneous, or incompiete information may subject the person signing this Report to the penalties of 2 U.S.C. §437g.

L FE6AN026

Office Use Only

FEC FORM 3X Rev. 12/2004 |

Page 2: 0 5 n IsLi, - FEC.govdocquery.fec.gov/pdf/678/11030644678/11030644678.pdfr FEC FORIUI 3X REPORT OF RECEIPTS AND DISBURSEMENTS For Other Than An Authorized Committee 201M.UG-3 AMII:20

r SUMMARY PAGE OF RECEIPTS AND DISBURSEMENTS 1

FEC Form 3X (Rev. 02/2003) Page 2

Write or Type Committee Name

Report Covering the Period: From: Mill To: \ 06 30 il {12011

COLUMN A COLUMN B This Period Calendar Year-to-Date

6 . ( a ) C a s h o n H a n d |:-«<^-;jj'.-A-y^.x;:-y':^ IB'.K^.;;!^'.';^--^,' •v•.x,i;^•.?«^B^^3,^w••i«3^^^^

Januaryl, P " ^ " ^ I i ^ . Q.,CI Oj

( b ) C a s h o n H a n d a t :^=-^=^r^r^i^r:^^t,.:c^.=^ii^..:..•^^v-•^<f^™-^

Beginning of Reporting Period f; ^ , .^ ,. ,. 0^ yO?;

(c) Total Receipts (from Une 19) 8 . . . . . . "" L ^ ^ ^ ^ . . . 1-3 6 7 5 0 0 I

(d) Subtotal (add Lines 6(b) and 6 ( C ) f o r C o l u m n A a n d L i n e s p/-i. i : i^ss!ri^! is,!x^^ies^ |:3ims;^Y.-A-i ;s«:ESj-?K:.-^TOS'jr:v-;/i ^

6(a) and 6(c) for Column B) | ^ , \ \ . 7 5 0 Oj _ 3 6 7 5 0 o |

7. Total Disbursements (from Line 31) i , .. „^ i n T, R 9. 0 2fl I . , . • ^ . - ^ . , . ' ^ - ^ , ^ . ^ , 21

8. Cash on Hand at Close of Reporting Period ;:;i-:r ,vv.vsi'i'r"j'<.->'i".«t-.jK ^ ps v.-!»».viu!K-ipsi^^

(subtract Line 7 from Line 6(d)) i , . . - ^ . r ^ , ^ ^ ^ ^ . ^ ^ 1 • , „ , 1 8 8 5 9 8

9. Debts and Obligations Owed TO the Committee (Itemize all on HisKfivsatis-sss-isMssts-;^ Schedule C and/br Schedule D) ^ . . , ,. „ i

10. Debts and Obligations Owed BY the Committee (Itemize all on ^,^T^..r-,^^..f.i-.r^x^.^<^::,:..w^^^ Schedule C and/or Schedule D) i\ . . 1

TI 'S committee has qualified as a multicandidate committee, (see FEC FORM IM)

For further mformation contact:

Federal Election Commission 999 E Street. NW

Washington, DC 20463

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

L F E 6 A N 0 2 6

J

Page 3: 0 5 n IsLi, - FEC.govdocquery.fec.gov/pdf/678/11030644678/11030644678.pdfr FEC FORIUI 3X REPORT OF RECEIPTS AND DISBURSEMENTS For Other Than An Authorized Committee 201M.UG-3 AMII:20

r FEC Form 3X (Rev. 06/2004)

DETAILED SUMMARY PAGE of Receipts

Page 3

Write or Type Committee Name

Report Covering the Period: From: ; 0„,

I. Receipts

11. Contributions (other than loans) From: (a) Individuals/Persons Other

Than Political Committees (i) Itemized (use Schedule A)

(11) Unitemized (ili) TOTAL (add

Lines ll(a)(i) and (il) •

(b) Political Party Committees (c) Other Political Committees

(such as PACs) (d) Total Contributions (add Lines

11(a)(ili), (b), and (c)) (Carry Totals to Line 33, page 5) ^

12. Transfers From Affiliated/Other Party Committees

13. All Loans Received

14. Loan Repayments Received 15. Offsets To Operating Expenditures

(Refunds, Rebates, etc.) (Carry Totals to Une 37, page 5)

16. Refunds of Contributions Made to Federal Candidates and Other Political Committees

17. Other Federal Receipts (Dividends, Interest, etc.)

18. Transfers from Non-Federal and Levin Funds (a) Non-Federal Account

(from Schedule H3)

(b) Levin Funds (from Schedule H5)

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

: 0 f ' 'D

0 a ;'v":/'y--.i-'y%-\i'' -y

:2....0 ,l , lj To: 0 6! 13 Ol 12 0 1 l i

COLUMN A Total This Period

COLUMN B Calendar Year-to-Date

I ^ 8 6_ 7 5 0| (|

i^-.,:;.&.....-:<:.:iy:-;'i7'h,.. .,•.«-?^•:•^f^^.v:.. •':.-:...,.,^!j'.i/^^.y^,-,... A:

iJ . . ,8 6 .7 5 .0 .0 I

I c 0 0 () (D Gi

8.-rA •i: •v. u-J TO «?i; .S3!5Kllrt•! ^

...iXiS^:'. ..:2:::f',Si\(;.:h,.Ai..:!.^<iSSS!S:.

Si V, . . . . . . . . . K

'H - .. - .

u I

-••....'.K....-:'.T-'.-;:.--.A...:i::rx.}:.-.r.-.'.li^.'-A-Jt.::.-^^^^^^

ll'm'i^WjSE&ffiSiS'rSsSS^

Srjf.l;,j;'.'i.;-.;;!i;.>:S.;?.lW'JiaS-,'i

I -r r. 8,. 6, 7„ 5.. Q, ol

.. \ I . \ I I I i . . 8 6 7 5 0 (M

j ^ ' ^ 5 O' 0 0 0 0|

U

ii fl

p i

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

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

M 3 6 7 5 0 ol ^ .• i >..•.••. ::.•:. l.'.'-.'I Atf JL'-:

':•. : .'•.7. ''. i ;• : .~ •:::;•.:.•.ii ;;. •s•5:: 3 y.:::••' ^ ;.i : :;:; ^

I I 1 3 6 7 5 0 01

L FE6AN026

J

Page 4: 0 5 n IsLi, - FEC.govdocquery.fec.gov/pdf/678/11030644678/11030644678.pdfr FEC FORIUI 3X REPORT OF RECEIPTS AND DISBURSEMENTS For Other Than An Authorized Committee 201M.UG-3 AMII:20

I DETAILED SUMMARY PAGE of Disbursements

FEC Form 3X (Rev. 02/2003)

II. Disbursements COLUMN A Total This Period

21. Operating Expenditures: (a) Allocated Federal/Non-Federal

Activity (from Schedule H4) ^:^:^^?:«r.-.-g,^,^...^.,«.:^^ (i) Federal Share ... » . „ ~ -i

(ii) Non-Federal Share \ ^ , ^ „ J (b) Other Federal Operating -^.'^ii.p^.ias.y.-..:^-^!^-:.-^^.^^-^^.-^,^^^^^^^

Expenditures \ ^ . . n (c) Total Operating Expenditures ^ssssr?^.::s!ffx:x-s^K3i^^

(add 21(a)(i), (a)(ii), and (b)) • S , I 22. Transfers to Affiliated/Other Party _OTsaB::='a™5wj5K^^^

Committees t .. ~ ^, . „ „ . . ^, , i 23. Contributions to

Federal Candidates/Committees ' - - ......... .. ™ and Other Political Committees li ... « «s - ^ x.. .t ^

24. Independent Expenditures .i•:lr.•.- .,..r r:,,v«. w.-;.•i:••- ^ ^ ^ (use Schedule E) S , ^ ^ , , ... , 1

25. Coordinated Party Expenditures

(use Schedule F) ; . ^ , . „ ^, ^ „^ r

26. Loan Repayments Made ,i' ., „ . „ ,,. .. „ !

27. Loans Made 6 ^ _ , , .,. . . . , L 28. Refunds of Contributions To: i. :-;:; «i.T;,»aiK»< *.'«j.s.r.:;->- -,: ^

(a) Individuals/Persons Other « ^ ^ ./ s , ... ^ Than Political Committees | , „ ^ „. , ^ . „ H

>pi.\3S(5™i.'!SSBqS!>SS3!!pS.\-a ^

(b) Political Party Committees | 2,. 5^ 0^ 0..^0^. o | (c) Other Political Committees js-B:YiK-.-?sp-3ff:ir«!s.r;i>-E'>'.-j,;?!>-/<3

(such as RACs) i; . _ ^ . , (6) Total Contribution Refunds ^ . . >.,

(add Lines 28(a), (b). and (c)) • \ . „ . « s S ^;:i.'S!S^TO!r!Htf!iK.':.»^S!S3Til^

29. Other Disbursements | 9 2 8 , 9. 0., 21

30. Federal Election Activity (2 U.S.C. §431(20)) (a) Allocated Federal Election Activity

( f r o m S c h e d u l e H 6 )

(i) Federai Share it . . ^ ..^ , i

(ii) "Levin" Share |3 « - t. ^ r - I (b) Federal Election Activity Paid Entirely

With Federal Funds 1 „ . . « . , i (c) Total Federal Election Activity (add ..

Lines 30(a)(i),30(a)(ii) and 30(b))....• p , . , ^

31. Total Disbursements (add Unes 21(c), 22, ......v-. 23, 24, 25, 26, 27, 28(d), 29 and 30(c)).. I " 1 1 7 8 3 0 , 2

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

Page 4

COLUMN B Calendar Year-to-Date

I

l;!.-:::.-K::-;:':«ai:i' : -i?:.:k?.Vjx?;.S ^

% V'sr ir.i!:i? '3:!H £::is ?;| ^

1: • " 1

\ 2 5 0 0 0 0

I " 9" 2 8 9 0 2I

¥••. v:l V£•l ! 4 t• « ^

I 1. 1 7. 8 St 0 d!

grata X:^'a:w.Sj^Sffi«j;pwffl:^,fi^^

L FE6AN026

J

Page 5: 0 5 n IsLi, - FEC.govdocquery.fec.gov/pdf/678/11030644678/11030644678.pdfr FEC FORIUI 3X REPORT OF RECEIPTS AND DISBURSEMENTS For Other Than An Authorized Committee 201M.UG-3 AMII:20

r DETAILED SUMMARY PAGE of Disbursements

FEC Form 3X (Rev. 02/2003) III. Net Contributions/Operating Ex- COLUMN A

pendltures Total This Period

33. Total Contributions (other than loans) ^.^-^:.^v^ni^-^.:,^-:^,i,

(from Line 11 (d), page 3) l ^ ^ ^ , , ^ ^ 34. Total Contribution Refunds ..<. .,,..

(from Line 28(d)) • .; . 35. Net Contributions (other than loans)

(subtract Line 34 from Line 33) | ^« i^^..--r...^.w., 36. Total Federal Operating Expenditures

(add Une 21(a)(i) and Une 21(b)) • L. . . , , . , . , . , . , , ; . . , .^^ . , ,^ . . ,^ . , , , , . , J 37. Offsets to Operating Expenditures -p:.fi-;T;.-.: '...:-,p.,-: -;

(from Line 15, page 3) i . , „ , ^ I 38. Net Operating Expenditures ^.-r^^-r^.^.-^j.,

(subtract Une 37 from Une 36) .• ;i... .,. ,,,A.... n-..A -. A. .. }:

Page 5

COLUMN B Calendar Year-to-Date

1. 3 D f/ ^ U

0. Q 2,, 5. p.

1, 7. 5, o„ Q (|

1 1 3 6 7 5 0 d

I " i. .2 5 0 0 0 0 |

L.jx..^.^.^7LJm2,.7^^Si,^^ >f

; »:.-sasE!!;'i':!.sjig j:?ff ^ ? : ic' B ^

I ' li ]. . . .. 1 1 7 5. 0 0 ({

L FE6AN026

J

Page 6: 0 5 n IsLi, - FEC.govdocquery.fec.gov/pdf/678/11030644678/11030644678.pdfr FEC FORIUI 3X REPORT OF RECEIPTS AND DISBURSEMENTS For Other Than An Authorized Committee 201M.UG-3 AMII:20

SCHEDULE A (FEC Form 3X) ITEMIZED RECEIPTS

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

FOR UNE NUMBER: (check only one)

PAGE OF

11a l ib 11c 12 13 14 15 16 17

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

NAME OF COMMITTEE (In Full)

Full Name (Last, First, Middle Initial)

M^ng^dre^Q^ 98000

City L a f a y e t t e

State Zip Code LA 70509

FEC ID number of contributing federai political committee.

i:Q| 003'35570 " ji

Name of Empioyer Occupation

Receipt For: ^ Primary | J General

Other (specify) Y

Aggregate Year-to-Date T

i .. , , 2, 5, 0^ 0,...0.. oi

Date of Receipt

1 031 i 2 ^ i 2 0 1 1

Amount of Each Receipt this Period

\ " ' 2 5 q 0 0 cf

Full Name (Last, First, Middle Initial) B. A c a d i a n A m b u l a n c e E m p l o y e e PAC

Mailing Address P . 0 . Box 98000

L a f a y e t t e State ZipCode 7 0 5 0 9

FEC ID number of contributing 0C)33557d " % federal political committee.

Name of Employer Occupation

Date of Receipt

Amount of Each Receipt this Period

I 2 5 0 0 0 Oi

Receipt For: Primary | j Generai

I Other (specify) Y

Aggregate Year-to-Date T

1 . > . 5 0 Q 0 d

Full Name (Last, First, Middie Initiai) C. G o s n e l l , A l l e n

Mailing Address

4 1 0 1 W a l n n t n r i v p City

New I b e r i a State

LA Zip Code

70563

Date of Receipt

FEC ID number of contributing federal political committee. IC

Amount of Each Receipt this Period

i 3 0 0 0 0

Name of Empioyer

P r e s i d e n t Receipt For:

3^ Primary General Other (specify) y

Occupation

Dutch Gosnell Manufactdr

Aggregate Year-to-Date T p.'v:'- .,...^yx,x.,..^i-ix^.t.'>....::.^.,s....-...^.^^

I ,3 00, 00

SUBTOTAL of Receipts This Page (optionai).

TOTAL This Period (last page this line number oniy).

i '. . 5" 3 0 q 0 (|

FE6AN026 FEC Schedule A (Form 3X) Rev. 02/2003

Page 7: 0 5 n IsLi, - FEC.govdocquery.fec.gov/pdf/678/11030644678/11030644678.pdfr FEC FORIUI 3X REPORT OF RECEIPTS AND DISBURSEMENTS For Other Than An Authorized Committee 201M.UG-3 AMII:20

SCHEDULE A (FEC Form 3X)

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

FOR LINE NUMBER: (check only one)

PAGE OF

11a 11b 11c 12 13 14 15 16 17

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

NAME OF COMMITTEE (In Full)

Full Name (Last, First, Middie Initiai) A. Fon teno t , Andre

Mailing Address

32 S u n s e t P a r k L a n e City State Zip Code

S u a a r l a n d TX 77479 FEC ID number of contributing federal poiiticai committee.

•r£i^iBBp::.\'!::?^^E!;.T!;ir:ji

Name of Employer Occupation BP S y s t e m Manage r

Receipt For: ^ Primary I j General

Other (specify) y

Aggregate Year-to-Date T

i , [, 3 0 q.. 0 Oi

Date of Receipt

I 03 I 1.01 J I 2,, q 1. 1|

Amount of Each Receipt this Period

I _ 3 0 0, 0 ol

Full Name (Last, First, Middle Initial) B. Land ry ,Ben jam in

Mailing Address

: ? 1 Q 9 n y p r p . q g T .g l an r ^ H w y City

St. Martinville State

LA Zip Code

70582

Date of Receipt

li 0 :^ 1 Q. l | M O . , 1.. l j

FEC ID number of contributing federal political committee. ^ " ^ . M . i

Amount of Each Receipt this Period

i ^3 0„ 0. 0 of

Name of Employer

owner Receipt For:

X Primary j ] General Other (specify) y

Occupation

B . L . Landry Aggregate Year-to-Oate T ;jc'.v-i,;^.'i-'.»frs.'~-.i;j:-.;-.",ft.i a,•?y^f.f.•.' r.•f^;!i l•^;_il!^«•4fSJ«a^:^^

3 . . ... ^ 3 0 q Q (i

Full Name (Last, First, Middle Initiai) C. Cox, Brad

Mailing Address 4514 C o l e A v e S t e 1175

City D a l l a s

State Tx

Zip Code 75205

FEC 10 number of contributing federal political committee.

Name of Employer Occupation

Cox O i l owner

Date of Receipt

0 3 I l r 2 0 i i

Amount of Each Receipt this Period

i 1 2 5 0 ql

Receipt For: ["3^ Primary | j Generai r j Other (specify) y

Aggregate Year-to-Date •

, .. ., 3. q q. () C))i

SUBTOTAL of Receipts This Page (optional).

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

I ' ' ^ 7 2 0 0| ;,-ai5iiaj!iiPi"5fff55K.'j;.^iaai^^

FE6AN026 FEC Schedule A (Form 3X) Rev. 02/2003

Page 8: 0 5 n IsLi, - FEC.govdocquery.fec.gov/pdf/678/11030644678/11030644678.pdfr FEC FORIUI 3X REPORT OF RECEIPTS AND DISBURSEMENTS For Other Than An Authorized Committee 201M.UG-3 AMII:20

SCHEDULE A (FEC Form 3X) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)

PAGE OF

11a l i b l i e 12

13 14 15 16 17

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

NAME OF COMMITTEE (In Full)

Full Name (Last, First, Middle Initial)

Mailing Address

111 I n t e r l a k e n D r i v e City State Zip Code

New I b e r i a LA 70563

FEC ID number of contributing federal political committee. fci ' • .• , i Name of Employer Occupation

B r e a u x B r o t h e r s c o - o w n e r Receipt For:

^ Primary | ] General Other (specify) y

Aggregate Year-to-Date T

)! • ^ ^ • 3 6 q Cl (|

Date of Receipt

!'i'''ti ''^ 'M''\i ! S 'n'^"'-tf 'vl i : ? - Y ^ r ' V ^ " V " ' ^ 2 ^ - ^

;i 0 :ii \ 0 % ii 2 0 1 l i

Amount of Each Receipt this Period

i . . . , 3 0 0 0 ©

Full Name (Last, First, Middle Initial) B. Caubar reaux, B r i a n

Mailing Address 4620 Hwy. 1

City M a r k s v i l l e

State Zip Code

LA 71351

FEC ID number of contributing federal political committee. i|C|j _ . „ , . _ . . . . . !

Name of Empioyer

B r i a n C a u b a r r e a u x & A s s Occupation

. L a w y e r

Date of Receipt

I 0 3 So 11 2 0 111

Amount of Each Receipt this Period

I 3 0 0 0 0

Receipt For: X Primary j ^ J General

Other (specify) y

Aggregate Year-to-Date •

I . K 4- 3, q, Qk_CL oil

Full Name (Last, First, Middle Initial)

Mailing Address 628 E . 1 s t S t .

City T h i b o d a u x

State Zip Code LA 70301

FEC ID number of contributing federal political committee.

Name of Employer Occupation M a r t i n Company Owner

Date of Receipt

l o t f o i i 2 0 i i i!s:'j:s:E.'.iM'/'.': b SJISITO?^-.-:-;:.* Bsass&'jSKSbsosiS^Siisajalt

Amount of Each Receipt this Period

I " " 3 0 0 0 C|

Receipt For: Primary General Other (specify) y

Aggregate Year-to-Date T

i 3.. 0., 0,, 0, ol

SUBTOTAL of Receipts This Page (optional).

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

I • . ^ 9 0 9 0 0 jj. .•.rA•ss^^^^m^•t"i•!«.JffW.'' ™uaagp^^

Mii'ss'fXi.,-,:.-;f.»tev?.'.'')'&.'wlW,'K-;^^

FE6AN026 FEC Schedule A (Form 3X) Rev. 02/2003

Page 9: 0 5 n IsLi, - FEC.govdocquery.fec.gov/pdf/678/11030644678/11030644678.pdfr FEC FORIUI 3X REPORT OF RECEIPTS AND DISBURSEMENTS For Other Than An Authorized Committee 201M.UG-3 AMII:20

SCHEDULE A (FEC Form 3X) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)

PAGE OF

11a l ib 11c 12 13 14 15 16 17

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

NAME OF COMMITTEE (In Full)

Full Name (Last, First, Middle Initial) A. M i l l e r , Dav id

Mailing Address 127 N o l a n F e l d e r R d .

City State Zip Code

M a g n o l i a MS 39652

FEC ID number of contributing federai poiiticai committee. ' c| Name of Employer Occupation

Cha tawa Management Owner Receipt For:

Jj Primary [ j Other (specify) y

General Aggregate Year-to-Date T

i '. .\ ... .3.. °i

Date of Receipt

\ 03% lo 1| i2 0 1 1|

Amount of Each Receipt this Period

I 3 0 0 0 (|

Full Name (Last, First, Middle Initial) B. B l a n c h a r d , Dean

Mailing Address P . O . Box 931

City State Zip Code

B r e a u x B r i d g e LA 70517

FEC ID number of contributing federal political committee.

Name of Empioyer Occupation

The M a i d s owner

Date of Receipt

ji q3 I I qi I ^ 2 q i_ i |

Amount of Each Receipt this Period

I ' . 3 q o' 0 ci

Receipt For: 3<[ Primary j General

"1 Other (specifyr y

Aggregate Year-to-Date • ^ .'H•.x?.ii ••.•• •i:•.•

. ... ... 3„ o._ q^ 0, o|

Full Name (Last, First, Middle Initial) Date of Receipt

Mailing Address 208 D o y l e D r i v e

City L a f a y e t t e

State Zip Code LA 70505

FEC ID number of contributing federal political committee.

' " r t f O | | . . . . . . . j:

Name of Employer CLM

Occupation

owner

I 0 3| I 0 li I 2 0

Amount of Each Receipt this Period

f . I '.' ' .' ^ 0 9 0 (|

Receipt For: P j ^ Primary j j General f~1 Other (specify) y

Aggregate Year-to-Oate •

jj 6 0 0 0 0|

SUBTOTAL of Receipts This Page (optional).

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

i . , 1,2„ 0 0. 0 oi

L',-«inissto'ra?k-.vs«iJSri oi!5&jr^^

FE6AN026 FEC Schedule A (Form 3X) Rev. 02/2003

Page 10: 0 5 n IsLi, - FEC.govdocquery.fec.gov/pdf/678/11030644678/11030644678.pdfr FEC FORIUI 3X REPORT OF RECEIPTS AND DISBURSEMENTS For Other Than An Authorized Committee 201M.UG-3 AMII:20

SCHEDULE A (FEC Form 3X) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)

PAGE OF

11a l ib 11c 12 13 14 15 16 17

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

NAME OF COMMITTEE (In Full)

Full Name (Last, First, Middle Initial) A. P h a r r G . 0 . P e t e Date of Receipt

i ^. ^ ^ I - . 1 Mailing Address

720 E v e r g r e e n D r i v e

Date of Receipt

i ^. ^ ^ I - . 1 City State Zip Code

New I b e r i a LA 70563

Date of Receipt

i ^. ^ ^ I - . 1 City State Zip Code

New I b e r i a LA 70563 Amount of Each Receipt this Period

i 2 5 0 0 0| FEC ID number of contributing ^p f i » - - ^ > ^ federal political committee. « - 1

Amount of Each Receipt this Period

i 2 5 0 0 0|

Name of Employer

P h a r r I n d u s t r i e s Occupation

p r e s i d e n t

Amount of Each Receipt this Period

i 2 5 0 0 0|

Receipt For: ^ Primary \ \ General

j Other (specify) y

Aggregate Year-to-Date T

i .. 2 5 q q 0

Amount of Each Receipt this Period

i 2 5 0 0 0|

Fuil Name (Last, First, Middle Initial) B. L a s a l l e , J o h n e t t a Date of Receipt

li q 3| i o n 1 2 0 1 l i Mailing Address

105 O u i s k i B a y o u D r i v e

Date of Receipt

li q 3| i o n 1 2 0 1 l i City State Zip Code

H o u m a L A 7 0 3 6 0

Date of Receipt

li q 3| i o n 1 2 0 1 l i City State Zip Code

H o u m a L A 7 0 3 6 0 Amount of Each Receipt this Period

1 " .... 3 o" q' 0 of FEC ID number of contributing ... ^ ^ « « . federai political committee. f^,,.^,^.^,,,..^.,,..:.^,^.,.};^^,^^^

Amount of Each Receipt this Period

1 " .... 3 o" q' 0 of

Name of Employer

homemaker Occupation

homemaker

Amount of Each Receipt this Period

1 " .... 3 o" q' 0 of

Receipt For: j yj Primary | J Generai [J ] Other (specify) y

Aggregate Year-to-Date •

1 .. . ^ 3 . 0,.. 0^0. 01

Amount of Each Receipt this Period

1 " .... 3 o" q' 0 of

Full Name (Last, First, Middle Initial) C. Romero , K e i t h Date of Receipt

1 0 • 3i 1 0 1| j 2 O" 1 l j Mailing Address 2015 B l u e H a v e n D r i v e

Date of Receipt

1 0 • 3i 1 0 1| j 2 O" 1 l j City State Zip Code

New I b e r i a L a 70563

Date of Receipt

1 0 • 3i 1 0 1| j 2 O" 1 l j City State Zip Code

New I b e r i a L a 70563 Amount of Each Receipt this Period

1 3 0 0 0 o i FEC ID number of contributing j^-^jp -if federal political committee.

Amount of Each Receipt this Period

1 3 0 0 0 o i

Name of Empioyer

Communi ty 1 s t Bank Occupation

IT T e c h n i c i a n

Amount of Each Receipt this Period

1 3 0 0 0 o i

Receipt For: Primary I | Generai

Other (specify) y

Aggregate Yeiar-to-Date T ^•:.?^y^»^.•:^•i^J^•'.^•li•?'^:^wc^.1^^>^^

3 0 0 0 0 y •,:"-feK.\r'>A::".''.- :'..:';r-::

SUBTOTAL of Receipts This Page (optionai).

TOTAL This Period (last page this line number oniy). '-'\ . . . !3

FE6AN026 FEC Schedule A (Form 3X) Rev. 02/2003

Page 11: 0 5 n IsLi, - FEC.govdocquery.fec.gov/pdf/678/11030644678/11030644678.pdfr FEC FORIUI 3X REPORT OF RECEIPTS AND DISBURSEMENTS For Other Than An Authorized Committee 201M.UG-3 AMII:20

SCHEDULE A (FEC Form 3X) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)

PAGE OF

11a l ib 11c 12 13 14 15 16 17

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

NAME OF COMMITTEE (In Full)

Full Name (Last, First, Middle Initial) A. L a n d r y Fa rms L L C

Mailing Address

P . O . D r a w e r P City State Zip Code

P a i n c o u r t v i l i e LA 70513 FEC ID number of contributing federal political committee. .. . , 1 Name of Employer Occupation

Receipt For: ^ Primary [ | General

Other (specify) y

Aggregate Year-to-Date •

I 3 0 0 O' ot

Date of Receipt

0 3^ p 1 I i 2 0 1 3|

Amount of Each Receipt this Period

f ^ 3 ' 0 0 0 Ol

Full Name (Last, First, Middle Initial)

Mailing Address 28 C a s t l e P i n e s D r i v e

City New O r l e a n s

state Zip Code L a 70513

FEC ID number of contributing federal political committee. ici ^ ^ " ; i Name of Employer

R o y a l E n i g e e r s Occupation

Owner

Date of Receipt

I 0 3j • 5 0 l i ' I 2 0 1 II

Amount of Each Receipt this Period

I _ ^ . 2 1 0 O O 0

Receipt For: X Primary | J General

Other (specify) y

Aggregate Year-to-Date T

li .•- ... 2 .,a ^ 0 0 A0 0 i

Full Name (Last, First, Middle Initial) C. L e b l a n c » Thomas, J r

Mailino Address P . O . Box 12240

City New I b e r i a

state L a

Zip Code 70562

FEC ID number of contributing federal political committee.

Name of Empioyer S e r v i c e T o o l s

Occupation V i c e p r e s i d e n t

Date of Receipt

i 0. 3| i 0 iS 12 0., 1 l i J i r . S , - A ' f . ^ \ ' S S * l i , \«->:v j ' . * : i . . : i - .~S SvSt 'Bkr i .T t .NStHSsaSS

Amount of Each Receipt this Period

.3__0 0 0 oj

Receipt For: Primary X Generai

Other (specify) y

Aggregate Year-to-Date T

3. 0_ 0 , 0 0|

SUBTOTAL of Receipts This Page (optional).

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

FE6AN026 FEC Schedule A (Form 3X) Rev. 02/2003

Page 12: 0 5 n IsLi, - FEC.govdocquery.fec.gov/pdf/678/11030644678/11030644678.pdfr FEC FORIUI 3X REPORT OF RECEIPTS AND DISBURSEMENTS For Other Than An Authorized Committee 201M.UG-3 AMII:20

SCHEDULE A (FEC Form 3X) ITEMIZED RECEIPTS

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

FOR UNE NUMBER: (check only one)

PAGE OF

11a l i b l ie 12 13 14 15 16 17

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

NAME OF COMMITTEE (In Full)

Full Name (Last, First, Middle Initial) A. N o r r i s I n t e r n a t i o n a l L L C

Mailing Address

1 4 0 6 O l d J e a n e r t t e H w y . City State Zip Code

New I b e r i a LA 70563

FEC ID number of contributing federai poiiticai committee. 'X^.^iilKKS&sr'.sa&ss'i,^ji:..™KviSi^

Name of Empioyer Occupation

Receipt For: A ^ Primary 1 j General I I Other (specify) y

Aggregate Year-to-Date T

isiii.~...9'-~^.fQK.-.~.jiih.

3 c ' 0 0 q

Date of Receipt

0 3y f! 0 II 0 2 0 1 l i •i V \ ^ '"t >i

Amount of Each Receipt this Period

fr 3 0 0 0 0'

Full Name (Last, First, Middle Initial) B. N u g e n t , P h i l

Mailing Address

1040 N. C a r r o l l t o n Ave. City

New Or l eans State

LA Zip Code

70119

Date of Receipt

FEC ID number of contributing federal political committee. .* ,'iWK«'i;:-ir:Vi:\'? ".v:* is'.'¥;.*"W»;Ks j?/."."'; ..

Amount of Each Receipt this Period

Name of Empioyer I Occupation

P h i l Nugent & Associates Owner Receipt For:

ixl Primary [ 1 General Other (specify) y

Aggregate Year-to-Date T

• ' 'ih ,3..0.,...jQt..a..0t!

Full Name (Last, First, Middie Initial)

_.,->V«.K^>JW , . . . . . . . . . ^ . . . . . . ..^

Mailing Address

City state Zip Code

New I b e r i a L a 70563

FEC ID number of contributing < ^ ... . federal political committee.

Name of Employer Occupation

S e r v i c e T o o l s M a n a g e r

Date of Receipt

fo 3 1 | o , l | |2 0 1 1

Amount of Each Receipt this Period

i , . ...3.. 0 0 ..0 o |

X Primary | ] Generai I Other (specify) y

Aggregate Year-to-Date •

I ^ [ _"3 0 0 0 'O I

SUBTOTAL of Receipts This Page (optionai).

TOTAL This Period (last page this iine number oniy).

Jp:i•:; . ' ;i .l!3fJ?K;.M: ::; ^^^

FE6AN026 FEC Schedule A (Form 3X) Rev. 02/2003

Page 13: 0 5 n IsLi, - FEC.govdocquery.fec.gov/pdf/678/11030644678/11030644678.pdfr FEC FORIUI 3X REPORT OF RECEIPTS AND DISBURSEMENTS For Other Than An Authorized Committee 201M.UG-3 AMII:20

SCHEDULE A (FEC Form 3X) ITEMIZED RECEIPTS

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

FOR LINE NUMBER: (check only one)

PAGE OF

11a l ib 11c 12 13 14 15 16 17

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

NAME OF COMMITTEE (in Fuil)

Full Name (Last, First, Middle Initial) A. B l a n c h a r d , T r a c e y

Mailing Address

112 B e a u C l o s L a n e City state Zip Code

B r o u s s a r d LA 70518

FEC ID number of contributing federal political committee.

r'-.sirA. :--:. s-:.-:: r:"..>;.:<.'N ;ik';ei-.::"!^-,ss:;-: j;5:;i,Vjji:s!s:!.-.:>;i;.»:;!

|C! ... [ , " . ' ' ' [ ] ! Name of Empioyer

homemaker Occupation

homemaker Receipt For:

^ Primary j { General Other (specify) y

Aggregate Year-to-Date T

\ ...., ^^ ,, ,... ,.. ., 2 ..5„ q ^ o , ^

Date of Receipt

i 0 31 1 0 1| 12 0„ 1, 1|

Amount of Each Receipt this Period

^ , 2 5,. 0 0 0|

Full Name (Last, First, Middle Initial)

Mailing Address

537 Ca iundome B l v d City L a f a y e t t e

State Zip Code LA 70506

FEC ID number of contributing federal political committee. |C| ,. „ f

Name of Employer Occupation

Date of Receipt

I 03 p • il 0 l | • I 2_ 0 1 li

Amount of Each Receipt this Period

S . , , 6 0 0 0 oi

Receipt For: >J Primary | j General

Other (specify) y

Aggregate Year-to-Date •

ri , 6 0 O; 0" 0^

Full Name (Last, First, Middle Initial) C. B l a n c h a r d , V i r g i l

Mailing Address 112 B e a u C l o s L a n e

City B r o u s s a r d

State LA

Zip Code 70518

FEC ID number of contributing federal political committee.

Name of Employer P r e m i e r S a l e s a n d S e r v i

Occupation c e s Owner

Date of Receipt

p 0 31 i 0 l i 12 0 1 1

Amount of Each Receipt this Period

1S!S&-f::'-\-^-:'„<r\;:,

2 5 0 0 o i ; ?;r:":!f';V.'*W .S-r::i'Ji: i' ".''--?J ,-:i-JS .l'i.'iu

Receipt For: Primary | J Generai

Other (specify) y

Aggregate Year-to-Date • f :S.\ . . ." / .V7r.:" .-^«l(W.^--^CJi-: . F-;. 7-.^i'Xfti?^W.-::>:^..;|^^!^:-:::f^

SUBTOTAL of Receipts This Page (optional).

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

I 1 10 q 0 of

1 ^ . . „ 1 3 6: 7" 5 0 C|

FE6AN026 FEC Schedule A (Form 3X) Rev. 02/2003

Page 14: 0 5 n IsLi, - FEC.govdocquery.fec.gov/pdf/678/11030644678/11030644678.pdfr FEC FORIUI 3X REPORT OF RECEIPTS AND DISBURSEMENTS For Other Than An Authorized Committee 201M.UG-3 AMII:20

SCHEDULE B (FEC Form 3X) ITEMIZED DISBURSEMENTS Use separate schedule(s)

for each category of the Detailed Summary Page

FOR UNE NUMBER: (check only one)

PAGE OF

21b 22 23 24 25 27 28a 28b 28c 29

26 SOb

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

NAME OF COMMiTTEE (In Full)

Full Name (Last, First, Middle Initial) A.

A c a d i a n Ambulance Date of Disbursement

0 3| io 3| 1 2 0 1 1 Mailing Address P.O. Box 98000

Date of Disbursement

0 3| io 3| 1 2 0 1 1

City State Zip Code r. L a f a y e t t e LA 70509

Amount of Each Disbursement this Period

i . . . . . . 2^,5. 0 0 0 of

iQf) Purpose of Disbursement

(JO Refund f o r e r roneous account Is

Category/ Type

Amount of Each Disbursement this Period

i . . . . . . 2^,5. 0 0 0 of oi^ Candidate Name

Is

Category/ Type

Amount of Each Disbursement this Period

i . . . . . . 2^,5. 0 0 0 of Office Sought:

State:

House Senate President

District:

Disbursement For: Xl Primary General

Other (specify) y

B. Full Name (Last, First, Middle Initial)

B e n d e r , B e t h

Mailing Address

1331 S . E a d s S t . #605

Date of Disbursement

'2 l i 10 31 12 l i 6 2 . 0 1 l i ^'.iistvV^oiSiHiii iSs.-..vjf:sf-*.vr .;;'rf tiica^iU!!?s&jto%^

City

A r l i n g t o n state

V a Purpose of Disbursement G i f t s f o r W a s h i n g t o n M a r d i G r a s

Candidate Name

Zip Code

22202

Office Sought:

State:

House Senate President

District:

: s : ' - ' ^ f - j H S i ; ! i : ^ ^ : ; ;

Category/ Type

Anrount of Each Disbursement this Period

I , 4 . 3 . 9 0 0 Disbursement For:

X Primary ^ ] Generai

Other (specify) y

C. Full Name (Last, First, Middle Initial)

P h a r r , Mark

Mailing Address

4021 Amassador Caffrey Pkwy. Suite 175

Date of Disbursement

fi 0 4r i 1 3s is i2 0 1 l i

City State Zip Code

Lafayet te LA 70503 Purpose of Disbursement Reimbursement f o r food f o r Washington M ^ f d i Candidate Name

Office Sought:

State:

House Senate President

District:

gra^ Category/

Type Disbursement For:

f x ] Primary | Generai i i i 1

I i other (specify) y

Amount of Each Disbursement this Period

I ' ' ' 5 0" 0 0 0 Oj

SUBTOTAL Of Disbursements This Page (optionai).

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

I . 7. 9. 3 9. 0 d a,::, .'.i.-vic* .,i!&:VK!>&.ixe.9iS:i!!^.: x^'^'S':.-ci.-s-av!^..3Sisd!S:i!:^isaaii

i .

FE6AN026 FEC Schedule B (Form 3X) Rev. 02/2003

Page 15: 0 5 n IsLi, - FEC.govdocquery.fec.gov/pdf/678/11030644678/11030644678.pdfr FEC FORIUI 3X REPORT OF RECEIPTS AND DISBURSEMENTS For Other Than An Authorized Committee 201M.UG-3 AMII:20

SCHEDULE B (FEC Form 3X) ITEMIZED DISBURSEMENTS Use separate schedule(s)

fbr each category of the Detailed Summary Page

FOR UNE NUMBER: (check oniy one)

PAGE OF

21b 22 23 24 25 27 28a 2eb 28c 29

26 SOb

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

NAME OF COMMITTEE (In Fuil)

A. Full Name (Last, First, Middie Initial)

M a r t i n ' s Wine & S p i r i t s Mailing Address

1919 F l o r i d a Ave. NW

Date of Disbursement

M H in

0 3i; If ^2 0 1 U

City

J i State

_ T ' z r u ^ ^ ^ D C Purpose of Disbursement Wine for Washington Mardi Gras

Candidate Name

Zip Code

2 Q Q 0 9

Office Sought:

State:

House Senate President

District:

1 Ib'rasffisKEffiSi&ssii-s^

Category/ Type

Amount of Each Disbursement this Period

i 1 9 2 5 0 2 Disbursement For:

x i Primary | j Generai

i Other (specify) y

B. Full Name (Last, First, Middie initiai)

C a n f i e l d , W i l l i a m

Mailing Address 1900 M. S t r e e t N.W. S t e 600

City State Zip Code

W a s h i n g t o n DC 20036 Purpose of Disbursement

L e g a l F e e s 1 „ ,. g Candidate Name Category/

Type

Date of Disbursement

I 0 3' i 0 31 1 2 0 1 1

Office Sought:

State:

House Senate President

District:

Amount of Each Disbursement this Period

I 1 9 2 0 d Disbursement For:

Primary 1 1 General Other (specify) y

Full Name (Last, First, Middle Initial)

C.

Mailing Address

City State Zip Code

Purpose of Disbursement

Candidate Name Category/ Type

Date of Disbursement

i I il n I 1

Office Sought:

State:

House Senate President

District:

Disbursement For: ' x j Primary f j General

] Other (specify) y

Amount of Each Disbursement this Period

SUBTOTAL of Disbursements This Page (optionai).

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

1 , , „ 3. 8 5 q 0 J

1 • " 1 i 7 8 9 0 2 l1iafr.'sraiBiagciiS:;M :?[!i ^

FE6AN026 FEC Schedule B (Form 3X) Rev. 02/2003

Page 16: 0 5 n IsLi, - FEC.govdocquery.fec.gov/pdf/678/11030644678/11030644678.pdfr FEC FORIUI 3X REPORT OF RECEIPTS AND DISBURSEMENTS For Other Than An Authorized Committee 201M.UG-3 AMII:20

Federal Election Commission ENVELOPE REPLACEMENT PAGE FOR INCOMING DOCUMENTS

The FEC added this page to the end of this filing to indicate how it was received.

Date of Receipt Hand Delivered

Postmarked USPS First Class Mail

USPS Registered/Certified Postmarked (R/C)

Postmarked USPS Priority Mail

Delivery Confirmation™ or Signature Confirmation™ Label |

Postmarked USPS Express Mail

Postmark Illegible

No Postmark

Overnight Delivery Service (Specify): Shipping Date

Next Business Day Delivery

Received from House Records & Registration Office Date of Receipt

Received from Senate Public Records Office Date of Receipt

Received from Electronic Filing Office Date of Receipt

I I Other (Specify): Date of Receipt or Postmarked

PREPARER (3/2005)

tl^l'l DATE PREPARED


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