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7/31/2019 Campaign for Conyers FEC Report of Receipts and Disbursements, June 30, 2012
1/153
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 OFCOMMITTEE (in full)
ADDRESS (number and street)
Check if differentthan previouslyreported. (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
20024
13
07
Michael Remington
Michael Remington
2012
[Electronically Filed]
C00409797
PAGE 1 / 153
201204
Washington DC
Conyers for Congress
PO Box 70980
07/15/2012 11 : 18
Image# 12952458049
2012
01 3006
MI
7/31/2019 Campaign for Conyers FEC Report of Receipts and Disbursements, June 30, 2012
2/153
, , . , , .
, , . , , .
, , . , , .
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, , . , , .
, , . , , .
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M M / D D / Y Y Y Y M M / D D / Y Y Y Y
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
131883.37
122993.79
141899.87
703211.33
PAGE 2 / 153
2012
704211.33
201204
645322.94
503.69
250.00 -1000.00
50832.46
132133.37
Conyers for Congress
5234.64
Image# 12952458050
0.00
650557.58
01 3006
122490.10
7/31/2019 Campaign for Conyers FEC Report of Receipts and Disbursements, June 30, 2012
3/153
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, , . , , .
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M M / D D / Y Y Y Y M M / D D / Y Y Y Y
, , .
, , .
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 Lines11(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
10.67
462519.43
0.00
0.00
0.00
708482.03
48613.94
5234.64
198240.04
0.00
503.69
PAGE 3 / 153
2012
20815.12
132133.37
2012
0.00
0.00
04
0.00
0.00
132647.73
0.00
0.00
0.00
Conyers for Congress
240691.90
0.00
36.06
Image# 12952458051
703211.33
01
83519.43
3006
27798.82
42451.86
7/31/2019 Campaign for Conyers FEC Report of Receipts and Disbursements, June 30, 2012
4/153
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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 OtherThan 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)..............................................................................................
, , ., , .
141899.87
123243.79
0.00
0.00
123243.79
0.00
0.00
-1000.00
0.00
0.00
250.00
PAGE 4 / 153
650557.58
-1000.00
132495.93
0.00
13186.69
0.00
0.00
265143.66
0.00
0.00
132647.73
0.00
0.00
Image# 12952458052
122993.79
250.00
662744.27
7/31/2019 Campaign for Conyers FEC Report of Receipts and Disbursements, June 30, 2012
5/153
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 Page11a 11b 11c 11d
12 13b13a 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
50.00
500.00
300.00
500.00
250.00
VA
MI
2415 Andorra Place
2975 Lexington Rd.
300.00
109 Rivergate Ln.
Conyers for Congress
48820Transaction ID : C8630461
20191
KYLouisville
DeWitt
REston
N/A
QoEConsulting.com
Transaction ID : C866717240206
Transaction ID : C8642280
N/A
26
19
11
800.00
2012
5
2012
2012
Image# 12952458053
06
06
06
153
David Elliott Bell
2012
2012
Michael Borta
2012
Garrett Adams
Retired
Not Employed
Engineer
7/31/2019 Campaign for Conyers FEC Report of Receipts and Disbursements, June 30, 2012
6/153
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 Page11a 11b 11c 11d
12 13b13a 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
200.00
300.00
300.00
100.00
250.00
MD
MD
PO Box 188
2269 Calkins Avenue
250.00
PO Box 188
Conyers for Congress
20896Transaction ID : C8649471
20896
IDIdaho Falls
Garrett Park
Garrett Park
N/A
Self-Employed
Transaction ID : C867012683402
Transaction ID : C8623016
Self-Employed
29
05
22
550.00
2012
6
2012
2012
Image# 12952458054
06
06
06
153
Barry Castleman
2012
2012
Barry Castleman
2012
Sandra Brow
Retired
Environmental Consultant
Environmental Consultant
7/31/2019 Campaign for Conyers FEC Report of Receipts and Disbursements, June 30, 2012
7/153
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 Page11a 11b 11c 11d
12 13b13a 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
500.00
1000.00
500.00
1000.00
500.00
NY
NY
340 Riverside Drive
70 E 77th St
500.00
245 E 72nd St
Conyers for Congress
10021Transaction ID : C8667140
10025
NYNew York
New York
New York
The Harry Fox Agency
ABKCO Music & Records, Inc.
Transaction ID : C863681410021
Transaction ID : C8626603
New York University
07
07
20
2000.00
2012
7
2012
2012
Image# 12952458055
06
06
05
153
Rm 500
Apt 6G
Stephen Cohen
2012
2012
Alisa B. Coleman
2012
Gary L. Churgin
President & CEO
Professor
Senior Vice President
7/31/2019 Campaign for Conyers FEC Report of Receipts and Disbursements, June 30, 2012
8/153
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 Page11a 11b 11c 11d
12 13b13a 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
50.00
450.00
300.00
200.00
250.00
TN
MI
55 Music Sq E
55 Music Sq E
450.00
9 Haverhill Ct
Conyers for Congress
48105Transaction ID : C8618348
37203
TNNashville
Ann Arbor
Nashville
SESAC
N/A
Transaction ID : C866676237203
Transaction ID : C8676604
SESAC
11
29
30
500.00
2012
8
2012
2012
Image# 12952458056
05
06
06
153
Patrick T. Collins
2012
2012
Jean M. Converse
2012
Patrick T. Collins
President & COO
President & COO
Retired
7/31/2019 Campaign for Conyers FEC Report of Receipts and Disbursements, June 30, 2012
9/153
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 Page11a 11b 11c 11d
12 13b13a 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
500.00
300.00
500.00
50.00
200.00
MI
TN
9 Haverhill Ct
9 Haverhill Ct
300.00
1300 Graybar Ln
Conyers for Congress
37215-1622Transaction ID : C8665440
48105
MIAnn Arbor
Nashville
Ann Arbor
N/A
Self-Employed
Transaction ID : C862724848105
Transaction ID : C8649481
N/A
07
22
28
750.00
2012
9
2012
2012
Image# 12952458057
05
06
06
153
Jean M. Converse
2012
2012
Robert W. Doyle
2012
Jean M. Converse
Retired
Retired
Music Publisher
7/31/2019 Campaign for Conyers FEC Report of Receipts and Disbursements, June 30, 2012
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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 Page11a 11b 11c 11d
12 13b13a 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
200.00
410.00
410.00
150.00
60.00
MD
MD
8600 Split Oak Circle
8600 Split Oak Circle
410.00
8600 Split Oak Circle
Conyers for Congress
20817Transaction ID : C8670318
20817
MDBethesda
Bethesda
Bethesda
Self-Employed
Self-Employed
Transaction ID : C861844520817
Transaction ID : C8627667
Self-Employed
30
08
29
410.00
2012
10
2012
2012
Image# 12952458058
06
06
05
153
Harvey Fernbach
2012
2012
Harvey Fernbach
2012
Harvey Fernbach
Physician
Physician
Physician
7/31/2019 Campaign for Conyers FEC Report of Receipts and Disbursements, June 30, 2012
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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 Page11a 11b 11c 11d
12 13b13a 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
250.00
2000.00
250.00
2000.00
500.00
MD
VA
7508 Glendale Rd
818 Connecticut Ave NW
500.00
44157 Tippecanoe Ter
Conyers for Congress
20147Transaction ID : C8665744
20815
DCWashington
Ashburn
Chevy Chase
Forscey & Stinson
Recording Academy
Transaction ID : C863690920006-2702
Transaction ID : C8667143
N/A
18
18
27
2750.00
2012
11
2012
2012
Image# 12952458059
06
06
05
153
Ste 1004
Stacy French
2012
2012
Daryl Friedman
2012
Michael A. Forscey
Managing Partner
Homemaker
Chief Advocacy Ofcr
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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 Page11a 11b 11c 11d
12 13b13a 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: Catering & Room Rental for Event
* In-Kind: Postage
434.38
1394.42
1394.42
67.50
500.00
MI
MI
28292 Harwich Dr
7313 Durbin Terrace
500.00
28292 Harwich Dr
Conyers for Congress
48334-3204Transaction ID : C8686003
48334-3204
MDBethesda
Farmington Hills
Farmington Hills
Self-Employed
MI Instit. for Neurological Disorders
Transaction ID : C813390120817
Transaction ID : C8686002
MI Instit. for Neurological Disorders
11
05
27
1001.88
2012
12
2012
2012
Image# 12952458060
05
05
04
153
David Green
2012
2012
David Green
2012
Carly Glazier
Photographer
Physician
Physician
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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 Page11a 11b 11c 11d
12 13b13a 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: Printing
* In-Kind: Lodging
* In-Kind: Travel
125.09
1394.42
1394.42
88.65
178.80
MI
MI
28292 Harwich Dr
28292 Harwich Dr
1394.42
28292 Harwich Dr
Conyers for Congress
48334-3204Transaction ID : C8686008
48334-3204
MIFarmington Hills
Farmington Hills
Farmington Hills
MI Instit. for Neurological Disorders
MI Instit. for Neurological Disorders
Transaction ID : C868600548334-3204
Transaction ID : C8686007
MI Instit. for Neurological Disorders
28
28
05
392.54
2012
13
2012
2012
Image# 12952458061
06
05
05
153
David Green
2012
2012
David Green
2012
David Green
Physician
Physician
Physician
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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 Page11a 11b 11c 11d
12 13b13a 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: Travel
* In-Kind: Catering & Room Rental for Event
* In-Kind: Postage
178.80
1394.40
1394.40
434.37
67.50
MI
MI
28292 Harwich Dr
28292 Harwich Dr
1394.40
28292 Harwich Dr
Conyers for Congress
48334Transaction ID : C8686015
48334
MIFarmington
Farmington
Farmington
William Beaumont Hosp.l Surgery Center
William Beaumont Hosp.l Surgery Center
Transaction ID : C868601148334
Transaction ID : C8686013
William Beaumont Hosp.l Surgery Center
05
27
28
680.67
2012
14
2012
2012
Image# 12952458062
05
05
05
153
Teena Green
2012
2012
Teena Green
2012
Teena Green
Nurse
Nurse
Nurse
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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 Page11a 11b 11c 11d
12 13b13a 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: Printing
* In-Kind: Lodging
200.00
1394.40
700.00
125.08
88.65
MI
MI
28292 Harwich Dr
28292 Harwich Dr
1394.40
1930 Balmoral Dr
Conyers for Congress
48203Transaction ID : C8674210
48334
MIFarmington
Detroit
Farmington
William Beaumont Hosp.l Surgery Center
Goodman & Hurwitz PC
Transaction ID : C868601648334
Transaction ID : C8686017
William Beaumont Hosp.l Surgery Center
28
05
24
413.73
2012
15
2012
2012
Image# 12952458063
06
06
05
153
Teena Green
2012
2012
Julie Hurwitz
2012
Teena Green
Nurse
Nurse
Attorney
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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 Page11a 11b 11c 11d
12 13b13a 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
250.00
500.00
250.00
500.00
500.00
MI
VA
1880 Wellesley
1880 Wellesley
500.00
3167 19th St N
Conyers for Congress
22201-5103Transaction ID : C8636914
48203
MIHighland Park
Arlington
Detroit
The Impact Network
Podesta Group
Transaction ID : C867464148203
Transaction ID : C8667144
The Impact Network
20
20
18
1250.00
2012
16
2012
2012
Image# 12952458064
05
06
06
153
Wayne T. Jackson
2012
2012
Claudia M. James
2012
Beverly Y. Jackson
Vice President
President
Government Relations
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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 Page11a 11b 11c 11d
12 13b13a 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
1600.00
500.00
1600.00
500.00
1000.00
NY
MI
5447 Palisade Ave
1333 New Hampshire Ave NW
1000.00
1848 Long Lake Shore Dr
Conyers for Congress
48302Transaction ID : C8636821
10471
DCWashington
Bloomfield Hills
Riverdale
N/A
RC Communications Inc.
Transaction ID : C867464520036
Transaction ID : C8665443
ABKCO Music & Records, Inc.
28
30
07
3100.00
2012
17
2012
2012
Image# 12952458065
05
05
06
153
Jody Klein
2012
2012
Richard D Leebove
2012
Carol Jankowsky
Homemaker
President
Consultant
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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 Page11a 11b 11c 11d
12 13b13a 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
1000.00
500.00
1000.00
500.00
250.00
MN
NV
1223 Thomas Avenue N.
6701 Parkwood Ln
250.00
2920 Carmelo Dr
Conyers for Congress
89052Transaction ID : C8665465
55411
MNMinneapolis
Henderson
Minneapolis
Fredrikson & Byron PA
Better Homes and Gardens Real Estate
Transaction ID : C863682355436
Transaction ID : C8580021
McFarlane Media
07
03
08
1750.00
2012
18
2012
2012
Image# 12952458066
06
05
05
153
Al McFarlane
2012
2012
Vicky Palivos
2012
David L. Lillehaug
Attorney
President
Realtor
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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 Page11a 11b 11c 11d
12 13b13a 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
250.00
1000.00
500.00
1000.00
1000.00
CA
DC
95 Harbor Dr
5900 Cromwell Dr
1000.00
1500 K St NW
Conyers for Congress
20005-1209Transaction ID : C8636915
94945-3529
MDBethesda
Washington
Novato
Johnson Madigan Peck Boland Stewart
Drinker Biddle & Reath, LLP
Transaction ID : C866714520816-3406
Transaction ID : C8667148
Peer Music
18
18
18
2250.00
2012
19
2012
2012
Image# 12952458067
05
06
06
153
Ste 1100
Ralph Peer II
2012
2012
Michael J. Remington
2012
Jeffrey J. Peck
Chairman
Music Publisher
Attorney
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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 Page11a 11b 11c 11d
12 13b13a 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
500.00
250.00
1000.00
250.00
250.00
MI
MI
15 Cambridge Blvd
310 W 86th St Apt 6B
350.00
8162 E Jefferson
Conyers for Congress
48214Transaction ID : C8674241
48069
NYNew York
Detroit
Pleasant Ridge
CUNY
N/A
Transaction ID : C862724510024
Transaction ID : C8667173
Self-Employed
07
26
24
1000.00
2012
20
2012
2012
Image# 12952458068
06
06
06
153
Apt 17A
Felix Rogers
2012
2012
O'Hare Rolland
2012
Leonard S Rodberg
Professor
Physician
Retired
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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 Page11a 11b 11c 11d
12 13b13a 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
200.00
500.00
600.00
500.00
500.00
TN
GA
1213 Temple Ridge Dr
1313 W. Pratt Blvd., #3
500.00
5425 Brooke Ridge Cir
Conyers for Congress
30338Transaction ID : C8667149
37221
ILChicago
Dunwoody
Nashville
Comcast
N/A
Transaction ID : C797872260626
Transaction ID : C8666769
Far Further LLC
04
11
20
1200.00
2012
21
2012
2012
Image# 12952458069
06
06
04
153
John W. Styll
2012
2012
Milton Tambor
2012
Jack Segal
Public Relations
President & COO
Retired
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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 Page11a 11b 11c 11d
12 13b13a 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
150.00
275.00
250.00
200.00
250.00
MI
MI
1966 Wentworth
PO Box 270637
250.00
165 Baldwin Rd
Conyers for Congress
48009Transaction ID : C8676608
48188
TXFlower Mound
Birmingham
Canton
Milestone Growth Fund
N/A
Transaction ID : C858016375027
Transaction ID : C8636826
N/A
03
14
29
600.00
2012
22
2012
2012
Image# 12952458070
06
05
05
153
Muriel Watson
2012
2012
Gail Whitty
2012
Richard Venegar
Private Equity
Retired
Retired
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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 Page11a 11b 11c 11d
12 13b13a 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
*
LLC - Members below if itemized. Permissible fu
PARTNERSHIP--partners below if itemized
500.00
500.00
500.00
500.00
250.00
DC
DC
503 C St NE
PO Box 120838
250.00
530 C St NE
Conyers for Congress
20002Transaction ID : C8705222
20002
TNNashville
Washington
Washington
Anderson Indian Law
Transaction ID : C867464037212
Transaction ID : C8676603
11
28
28
750.00
2012
23
2012
2012
Image# 12952458071
06
06
06
153
Anderson Indian Law
2012
2012
Michael J. Anderson
2012
Tom & Jerry Properties, MMIA
Attorney
[MEMO ITEM]
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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 Page11a 11b 11c 11d
12 13b13a 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
* Earmarked Contribution: See Below05559B
Note: Above Contribution earmarked through thorganization.
* Earmarked Contribution: See Below00539B
500.00
7870.00
650.00
150.00
150.00
NY
MI
75 MAIDEN LANE SUITE 505
1200 Crestview Ave
650.00
1200 Crestview Ave
Conyers for Congress
48302Transaction ID : C8623697
10038
MIBloomfield Hills
Bloomfield Hills
NEW YORK
C00419572
ENT Surgical Asc.
ENT Surgical Asc.
Transaction ID : C862295048302
Transaction ID : C8622950B
27
05
27
650.00
2012
24
2012
2012
Image# 12952458072
05
06
05
153
DEMOCRATIC SOCIALISTS OF AMERICA, INC. PAC
2012
2012
Georgean Balay
2012
Georgean Balay
Audiologist
Conduit total listed in Agg. field
Audiologist
[MEMO ITEM]
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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 Page11a 11b 11c 11d
12 13b13a 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
Note: Above Contribution earmarked through thorganization.
* Earmarked Contribution: See Below
Note: Above Contribution earmarked through th
organization.
1000.00
1000.00
7870.00
1000.00
500.00
MI
NY
3377 W Shore Dr
75 MAIDEN LANE SUITE 505
7870.00
75 MAIDEN LANE SUITE 505
Conyers for Congress
10038Transaction ID : C8666003AB
48324
NYNEW YORK
NEW YORK
Orchard Lake
C00419572
C00419572
Transaction ID : C8623697B10038
Transaction ID : C8666003A
Self-Employed
06
27
31
1000.00
2012
25
2012
2012
Image# 12952458073
05
05
06
153
William H Dwight
2012
2012
DEMOCRATIC SOCIALISTS OF AMERICA, INC. PAC
2012
DEMOCRATIC SOCIALISTS OF AMERICA, INC. PAC
Conduit total listed in Agg. field
Physical Therapist
Conduit total listed in Agg. field
[MEMO ITEM]
[MEMO ITEM]
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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 Page11a 11b 11c 11d
12 13b13a 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
* Earmarked Contribution: See Below
Note: Above Contribution earmarked through thorganization.
* Earmarked Contribution: See Below
500.00
7870.00
1394.42
1000.00
1000.00
NY
MI
75 MAIDEN LANE SUITE 505
4495 Calkins Rd
1000.00
28292 Harwich Dr
Conyers for Congress
48334-3204Transaction ID : C8666032A
10038
MIFlint
Farmington Hills
NEW YORK
C00419572
N/A
MI Instit. for Neurological Disorders
Transaction ID : C8666037A48532
Transaction ID : C8666037AB
27
31
27
1500.00
2012
26
2012
2012
Image# 12952458074
05
05
05
153
Apt 109
DEMOCRATIC SOCIALISTS OF AMERICA, INC. PAC
2012
2012
David Green
2012
Bernard Green
Retired
Conduit total listed in Agg. field
Physician
[MEMO ITEM]
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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 Page11a 11b 11c 11d
12 13b13a 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
Note: Above Contribution earmarked through thorganization.
* Earmarked Contribution: See Below
Note: Above Contribution earmarked through th
organization.
500.00
1394.40
7870.00
500.00
500.00
MI
NY
28292 Harwich Dr
75 MAIDEN LANE SUITE 505
7870.00
75 MAIDEN LANE SUITE 505
Conyers for Congress
10038Transaction ID : C8666499AB
48334
NYNEW YORK
NEW YORK
Farmington
C00419572
C00419572
Transaction ID : C8666032AB10038
Transaction ID : C8666499A
William Beaumont Hosp.l Surgery Center
31
27
31
500.00
2012
27
2012
2012
Image# 12952458075
05
05
05
153
Teena Green
2012
2012
DEMOCRATIC SOCIALISTS OF AMERICA, INC. PAC
2012
DEMOCRATIC SOCIALISTS OF AMERICA, INC. PAC
Conduit total listed in Agg. field
Nurse
Conduit total listed in Agg. field
[MEMO ITEM]
[MEMO ITEM]
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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 Page11a 11b 11c 11d
12 13b13a 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
* Earmarked Contribution: See Below
Note: Above Contribution earmarked through thorganization.
* Earmarked Contribution: See Below70509G
250.00
7870.00
250.00
250.00
250.00
NY
MI
75 MAIDEN LANE SUITE 505
22740 Englehardt
250.00
6936 Carrington Circle W
Conyers for Congress
48322Transaction ID : C8666294A
10038
MISt. Clair Shores
West Bloomfield
NEW YORK
C00419572
N/A
Self-Employed
Transaction ID : C862295148080
Transaction ID : C8622951B
27
05
27
500.00
2012
28
2012
2012
Image# 12952458076
05
06
05
153
DEMOCRATIC SOCIALISTS OF AMERICA, INC. PAC
2012
2012
Jeet N. Pillay
2012
David Ivers
Retired
Conduit total listed in Agg. field
Physician
[MEMO ITEM]
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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 Page11a 11b 11c 11d
12 13b13a 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
Note: Above Contribution earmarked through thorganization.
* Earmarked Contribution: See Below
Note: Above Contribution earmarked through th
organization.
250.00
250.00
7870.00
250.00
250.00
MI
NY
16551 Warwick
75 MAIDEN LANE SUITE 505
7870.00
75 MAIDEN LANE SUITE 505
Conyers for Congress
10038Transaction ID : C8666538AB
48219
NYNEW YORK
NEW YORK
Detroit
C00419572
C00419572
Transaction ID : C8666294AB10038
Transaction ID : C8666538A
Self-Employed
31
05
06
250.00
2012
29
2012
2012
Image# 12952458077
06
06
05
153
Susan P. Steigerwalt
2012
2012
DEMOCRATIC SOCIALISTS OF AMERICA, INC. PAC
2012
DEMOCRATIC SOCIALISTS OF AMERICA, INC. PAC
Conduit total listed in Agg. field
Physician
Conduit total listed in Agg. field
[MEMO ITEM]
[MEMO ITEM]
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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 Page11a 11b 11c 11d
12 13b13a 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
* Earmarked Contribution: See Below
Note: Above Contribution earmarked through thorganization.
* Earmarked Contribution: See Below
1000.00
4160.00
1000.00
250.00
250.00
MN
MN
PO BOX 6072
7236 Lewis Ridge Pkwy
250.00
225 S Sixth St
Conyers for Congress
55402Transaction ID : C8636879
55406
MNMinneapolis
Minneapolis
MINNEAPOLIS
C00422410
Dorsey & Whitney
Key Investment
Transaction ID : C863687455439
Transaction ID : C8636874B
03
09
03
1250.00
2012
30
2012
2012
Image# 12952458078
05
05
05
153
Ste 5200
ELLISON FOR CONGRESS
2012
2012
Vance Opperman
2012
Cornell Leverette Moore
Attorney
Conduit total listed in Agg. field
Attorney/Executive
[MEMO ITEM]
7/31/2019 Campaign for Conyers FEC Report of Receipts and Disbursements, June 30, 2012
31/153
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
