FE6AN026 FEC FORM 3X Rev. 12/2004 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. 4. TYPE OF REPORT (Choose One) (a) Quarterly Reports: 12-Day Primary (12P) General (12G) Runoff (12R) PRE-Election Report for the: Convention (12C) Special (12S) 30-Day POST-Election General (30G) Runoff (30R) Special (30S) Report for the: (b) Monthly Report Due On: Feb 20 (M2) May 20 (M5) Aug 20 (M8) Mar 20 (M3) Jun 20 (M6) Sep 20 (M9) Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE) FEC FORM 3X REPORT OF RECEIPTS AND DISBURSEMENTS For Other Than An Authorized Committee 1. NAME OF COMMITTEE (in full) ADDRESS (number and street) Check if different than previously reported. (ACC) TYPE OR PRINT CITY STATE ZIP CODE 2. FEC IDENTIFICATION NUMBER s s s s 5. Covering Period through I certify that I have examined this Report and to the best of my knowledge and belief it is true, correct and complete. Type or Print Name of Treasurer Signature of Treasurer Date April 15 Quarterly Report (Q1) July 15 Quarterly Report (Q2) October 15 Quarterly Report (Q3) January 31 Year-End Report (YE) July 31 Mid-Year Report (Non-election Year Only) (MY) Termination Report (TER) in the Election on State of in the Election on State of Office Use Only C s 3. IS THIS NEW AMENDED REPORT (N) OR (A) (c) s Nov 20 (M11) (Non-Election Year Only) Dec 20 (M12) (Non-Election Year Only) Example: If typing, type over the lines. (d) M M / D D / Y Y Y Y M M / D D / Y Y Y Y M M / D D / Y Y Y Y M M / D D / Y Y Y Y M M / D D / Y Y Y Y 12FE4M5 08/31/2016 13 : 14 Image# 201608319023761492 PAGE 1 / 21 United Food and Commercial Workers Local 1776 PAC 3031A Walton Road Plymouth Meeting PA 19462 C00607804 ✘ ✘ 04 07 2016 06 30 2016 Mrs. Michele Kessler Mrs. Michele Kessler 08 31 [Electronically Filed] 2016
Transcript
FE6AN026
FEC FORM 3XRev. 12/2004
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.
4. TYPE OF REPORT
(Choose One)
(a) Quarterly Reports:
12-Day Primary (12P) General (12G) Runoff (12R)
PRE-Election
Report for the: Convention (12C) Special (12S)
30-Day
POST-Election General (30G) Runoff (30R) Special (30S)
Report for the:
(b) Monthly
Report
Due On:
Feb 20 (M2) May 20 (M5) Aug 20 (M8)
Mar 20 (M3) Jun 20 (M6) Sep 20 (M9)
Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE)
FEC
FORM 3X
REPORT OF RECEIPTS
AND DISBURSEMENTSFor Other Than An Authorized Committee
1. NAME OF COMMITTEE (in full)
ADDRESS (number and street)
Check if different than previously reported. (ACC)
TYPE OR PRINT
CITY STATE ZIP CODE2. FEC IDENTIFICATION NUMBER
5. Covering Period through
I certify that I have examined this Report and to the best of my knowledge and belief it is true, correct and complete.
Type or Print Name of Treasurer
Signature of Treasurer Date
April 15 Quarterly Report (Q1)
July 15 Quarterly Report (Q2)
October 15 Quarterly Report (Q3)
January 31 Year-End Report (YE)
July 31 Mid-Year Report (Non-election Year Only) (MY)
Committees .................................................23. Contributions to Federal Candidates/Committees and Other Political Committees .................
26. Loan Repayments Made ............................
27. Loans Made ................................................28. Refunds of Contributions To: (a) Individuals/Persons Other Than Political Committees .................
(b) Political Party Committees .................
(c) Other Political Committees
(such as PACs) ...................................
(d) Total Contribution Refunds
(add Lines 28(a), (b), and (c)) ...........
29. Other Disbursements .................................
30. Federal Election Activity (2 U.S.C. §431(20))
(a) Allocated Federal Election Activity
(from Schedule H6)
(i) Federal Share ................................
(ii) "Levin" Share.................................
(b) Federal Election Activity Paid Entirely
With Federal Funds .................
(c) Total Federal Election Activity (add ..
Lines 30(a)(i), 30(a)(ii) and 30(b)) ....
31. Total Disbursements (add Lines 21(c), 22,
23, 24, 25, 26, 27, 28(d), 29 and 30(c)) ..
32. Total Federal Disbursements
(subtract Line 21(a)(ii) and Line 30(a)(ii)
from Line 31) ..............................................
COLUMN B
Calendar Year-to-Date
COLUMN A
Total This PeriodII. Disbursements
DETAILED SUMMARY PAGEof Disbursements
FEC Form 3X (Rev. 02/2003 ) Page 4
Image# 201608319023761495
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
6000.00 22161.70
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
35989.88 82309.10
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
41989.88 104470.80
41989.88 104470.80
FE6AN026
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COLUMN B
Calendar Year-to-Date
COLUMN A
Total This Period
DETAILED SUMMARY PAGEof Disbursements
FEC Form 3X (Rev. 02/2003 ) Page 5
III. Net Contributions/Operating Ex-
penditures
33. Total Contributions (other than loans)
(from Line 11(d), page 3) ..........................
34. Total Contribution Refunds
(from Line 28(d)) ........................................
35. Net Contributions (other than loans)
(subtract Line 34 from Line 33) ................
36. Total Federal Operating Expenditures
(add Line 21(a)(i) and Line 21(b)) .........
37. Offsets to Operating Expenditures
(from Line 15, page 3)...............................
38. Net Operating Expenditures
(subtract Line 37 from Line 36) ................
Image# 201608319023761496
50684.26 99548.81
0.00 0.00
50684.26 99548.81
0.00 0.00
0.00 0.00
0.00 0.00
FE6AN026
, , .
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, , .
Aggregate Year-to-Date
, , .
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, , .
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 12/2015
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Image# 201608319023761497
6 21
✘
United Food and Commercial Workers Local 1776 PAC
Linda Bello3031A Walton Road
06 30 2016
PAPlymouth Meeting 19462Transaction ID : SA11AI.4242
UFCW Local 1776 RepresentativeTotal contributions to PAC for Q1 and Q2 exceeded$200
260.00
260.00
Ed Chew3031A Walton Road
06 30 2016
PAPlymouth Meeting 19462Transaction ID : SA11AI.4244
UFCW Local 1776 Executive Assistant to the President
299.00
Total contributions to PAC for Q1 and Q2 exceeded$200
299.00
Ervin Cofield3031A Walton Road
06 30 2016
PA 19462Plymouth MeetingTransaction ID : SA11AI.4246
UFCW Local 1776 Representative
260.00
Total contributions to PAC for Q1 and Q2 exceeded$200
260.00
819.00
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FE6AN026
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Aggregate Year-to-Date
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 12/2015
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Image# 201608319023761498
7 21
✘
United Food and Commercial Workers Local 1776 PAC
Carol Deusebio3031A Walton Road
06 30 2016
PAPlymouth Meeting 19462Transaction ID : SA11AI.4248
UFCW Local 1776 Assistant to PresidentTotal contributions to PAC for Q1 and Q2 exceeded$200
260.00
260.00
Mrs. Michele Kessler3031A Walton Road
06 30 2016
PAPlymouth Meeting 19462Transaction ID : SA11AI.4250
UFCW Local 1776 Vice President
505.00
Total contributions to PAC for Q1 and Q2 exceeded$200
505.00
Donald McGrogan3031A Walton Road
06 30 2016
PA 19462Plymouth MeetingTransaction ID : SA11AI.4251
UFCW Local 1776 Executive Vice-President
260.00
Total contributions to PAC for Q1 and Q2 exceeded$200
260.00
1025.00
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Memo Item
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FE6AN026
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Aggregate Year-to-Date
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, , .
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 12/2015
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Image# 201608319023761499
8 21
✘
United Food and Commercial Workers Local 1776 PAC
Catherine Paninski3031A Walton Road
06 30 2016
PAPlymouth Meeting 19462Transaction ID : SA11AI.4253
UFCW Local 1776 RepresentativeTotal contributions to PAC for Q1 and Q2 exceeded$200
208.00
208.00
Leonard Purnell3031A Walton Road
06 30 2016
PAPlymouth Meeting 19462Transaction ID : SA11AI.4255
UFCW Local 1776 Director of Field Operations
260.00
Total contributions to PAC for Q1 and Q2 exceeded$200
260.00
Christopher Snyder3031A Walton Road
06 30 2016
PA 19462Plymouth MeetingTransaction ID : SA11AI.4257
UFCW Local 1776 Representative
332.00
Total contributions to PAC for Q1 and Q2 exceeded$200
332.00
800.00
pbasupally
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Memo Item
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pbasupally
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FE6AN026
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Aggregate Year-to-Date
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C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 12/2015
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Image# 201608319023761500
9 21
✘
United Food and Commercial Workers Local 1776 PAC
Eric Thomas3031A Walton Road
06 30 2016
PAPlymouth Meeting 19462Transaction ID : SA11AI.4259
UFCW Local 1776 RepresentativeTotal contributions to PAC for Q1 and Q2 exceeded$200
215.86
215.86
John Werkheiser3031A Walton Road
06 30 2016
PAPlymouth Meeting 19462Transaction ID : SA11AI.4261
UFCW Local 1776 Negotiator
286.00
Total contributions to PAC for Q1 and Q2 exceeded$200
286.00
Wendell W. Young, IV3031A Walton Road
06 30 2016
PA 19462Plymouth MeetingTransaction ID : SA11AI.4263
UFCW Local 1776 President
260.00
Total contributions to PAC for Q1 and Q2 exceeded$200
260.00
761.86
3405.86
pbasupally
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Memo Item
pbasupally
Text Box
Memo Item
pbasupally
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Memo Item
FE6AN026
SCHEDULE B (FEC Form 3X)
ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3X) Rev. 12/2015
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
C. Date of Disbursement
Use separate schedule(s)
for each category of the
Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
21b 22 23 24 25 26
27 28a 28b 28c 29 30b
Image# 201608319023761501
10 21
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United Food and Commercial Workers Local 1776 PAC
BOB CASEY FOR SENATE INC
PO BOX 58746 06 23 2016
PHILADELPHIA PA Transaction ID : SB23.426519102
Campaign contribution 011
5000.00
✘
✘
2016
✘
PA 00
PARRISH FOR CONGRESS
06 06PO BOX 1722 2016
WEST CHESTER PATransaction ID : SB23.4267
19380
Campaign contribution
1000.00
✘
011
2016
PA 06
6000.00
6000.00
pbasupally
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Memo Item
pbasupally
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pbasupally
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Memo Item
FE6AN026
SCHEDULE B (FEC Form 3X)
ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3X) Rev. 12/2015
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
C. Date of Disbursement
Use separate schedule(s)
for each category of the
Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
21b 22 23 24 25 26
27 28a 28b 28c 29 30b
Image# 201608319023761502
11 21
✘
United Food and Commercial Workers Local 1776 PAC
Morgan Cephas
PO Box 28105 04 18 2016
Philadelphia PA Transaction ID : SB29.426919131
Campaign contribution 011
500.00
2016
✘
Citizens for Greenleaf
05 051555 Terwood Road 2016
Huntington Valley PATransaction ID : SB29.4271
19006
Campaign contribution
1000.00
✘
011
2016
Committee to Elect Eddie Day Pashinski
1606131 Meadowcrest Drive
✘
2016
PATransaction ID : SB29.4275
Nanticoke 18634
Campaign contribution 011
500.00
2016
2000.00
pbasupally
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Memo Item
pbasupally
Text Box
Memo Item
pbasupally
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Memo Item
FE6AN026
SCHEDULE B (FEC Form 3X)
ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3X) Rev. 12/2015
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
C. Date of Disbursement
Use separate schedule(s)
for each category of the
Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
21b 22 23 24 25 26
27 28a 28b 28c 29 30b
Image# 201608319023761503
12 21
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United Food and Commercial Workers Local 1776 PAC
Committee to Elect Gordon Marburger
1390 Mars Evans City Road 04 14 2016
Evans City PA Transaction ID : SB29.427716033
Campaign contribution 011
Committee to Elect Gordon Marburger 1000.00
2016
✘
Committee to Elect Jim Brewster
04 18455 29th Street 2016
McKeesport PATransaction ID : SB29.4279
15132
Campaign contribution
Committee to Elect Jim Brewster 500.00
✘
011
2016
Committee to Elect Leanne Krueger-Braneky
1804PO Box 22
✘
2016
PATransaction ID : SB29.4282
Swarthmore 19081
Campaign contribution 011
Committee to Elect Leanne Krueger-Braneky 500.00
2016
2000.00
pbasupally
Text Box
Memo Item
pbasupally
Text Box
Memo Item
pbasupally
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Memo Item
FE6AN026
SCHEDULE B (FEC Form 3X)
ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3X) Rev. 12/2015
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
C. Date of Disbursement
Use separate schedule(s)
for each category of the
Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
21b 22 23 24 25 26
27 28a 28b 28c 29 30b
Image# 201608319023761504
13 21
✘
United Food and Commercial Workers Local 1776 PAC
Committee to Elect Mike Stack
PO Box 292 05 06 2016
Newton PA Transaction ID : SB29.428418940
Campaign contribution 011
Committee to Elect Mike Stack 2500.00
2016
✘
Committee to Re-Elect John Sabatina
04 187718 Castor Avenue2nd Floor
2016
Philadelphia PATransaction ID : SB29.4286
19152
Campaign contribution
Committee to Re-Elect John Sabatina 3000.00
✘
011
2016
DayPac
2106PO Box 60178
✘
2016
PATransaction ID : SB29.4288
King of Prussia 19406
Campaign contribution 011
DayPac 500.00
2016
6000.00
pbasupally
Text Box
Memo Item
pbasupally
Text Box
Memo Item
pbasupally
Text Box
Memo Item
FE6AN026
SCHEDULE B (FEC Form 3X)
ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3X) Rev. 12/2015
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
C. Date of Disbursement
Use separate schedule(s)
for each category of the
Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
21b 22 23 24 25 26
27 28a 28b 28c 29 30b
Image# 201608319023761505
14 21
✘
United Food and Commercial Workers Local 1776 PAC
DePasquale for Pennsylvania
PO Box 391 04 08 2016
Harrisburg PA Transaction ID : SB29.428917108
Campaign contribution 011
DePasquale for Pennsylvania 500.00
2016
✘
Friends of Jason Salus
06 29PO Box 1214 2016
Norristown PATransaction ID : SB29.4291
19404
Campaign Contribution
Friends of Jason Salus 500.00
✘
011
2016
Friends of Joe Scarnati
0505121 State Street
✘
2016
PATransaction ID : SB29.4293
Harrisburg 17101
Campaign contribution 011
Friends of Joe Scarnati 5000.00
2016
6000.00
pbasupally
Text Box
Memo Item
pbasupally
Text Box
Memo Item
pbasupally
Text Box
Memo Item
FE6AN026
SCHEDULE B (FEC Form 3X)
ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3X) Rev. 12/2015
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
C. Date of Disbursement
Use separate schedule(s)
for each category of the
Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
21b 22 23 24 25 26
27 28a 28b 28c 29 30b
Image# 201608319023761506
15 21
✘
United Food and Commercial Workers Local 1776 PAC
Friends of Kevin Boyle
14200 Bustleton AvenueUnit 1
04 08 2016
Philadelphia PA Transaction ID : SB29.429519116
Campaign contribution 011
Friends of Kevin Boyle 2000.00
2016
✘
Friends of Margo Davidson
04 2545 Scottsdale RoadSuite 2
2016
Lansdowne PATransaction ID : SB29.4297
19050
Campaign contribution
Friends of Margo Davidson 500.00
✘
011
2016
Friends of Margo Davidson
230645 Scottsdale Road
✘
Suite 2
2016
PATransaction ID : SB29.4298
Lansdowne 19050
Campaign contribution 011
Friends of Margo Davidson 250.00
2016
2750.00
pbasupally
Text Box
Memo Item
pbasupally
Text Box
Memo Item
pbasupally
Text Box
Memo Item
FE6AN026
SCHEDULE B (FEC Form 3X)
ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3X) Rev. 12/2015
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
C. Date of Disbursement
Use separate schedule(s)
for each category of the
Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
21b 22 23 24 25 26
27 28a 28b 28c 29 30b
Image# 201608319023761507
16 21
✘
United Food and Commercial Workers Local 1776 PAC
Friends of Michael Schlossberg
944 N 19th Street 04 08 2016
Allentown PA Transaction ID : SB29.429918104
Campaign contribution 011
Friends of Michael Schlossberg 500.00
2016
✘
Friends of Nick Micarelli
04 08901 11th Avenue 2016
Prospect Park PATransaction ID : SB29.4301
19076
Campaign contribution
Friends of Nick Micarelli 250.00
✘
011
2016
Friends of Sharif Street
25041421 Susquehanna Avenue
✘
2016
PATransaction ID : SB29.4303
Philadelphia 19121
Campaign contribution 011
Friends of Sharif Street 500.00
2016
1250.00
pbasupally
Text Box
Memo Item
pbasupally
Text Box
Memo Item
pbasupally
Text Box
Memo Item
FE6AN026
SCHEDULE B (FEC Form 3X)
ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3X) Rev. 12/2015
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
C. Date of Disbursement
Use separate schedule(s)
for each category of the
Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
21b 22 23 24 25 26
27 28a 28b 28c 29 30b
Image# 201608319023761508
17 21
✘
United Food and Commercial Workers Local 1776 PAC
Friends of Steve McCarter
PO Box 467 06 06 2016
Glenside PA Transaction ID : SB29.430519038
Campaign contribution 011
Friends of Steve McCarter 250.00
2016
✘
Friends of Tonyelle Cook-Artis
04 26PO Box 27363 2016
Philadelphia PATransaction ID : SB29.4306
19118
Campaign contribution
Friends of Tonyelle Cook-Artis 500.00
✘
011
2016
Friends of Val Arkoosh
1804PO Box 1011
✘
2016
PATransaction ID : SB29.4307
Glenside 19038
Campaign contribution 011
Friends of Val Arkoosh 1000.00
2016
1750.00
pbasupally
Text Box
Memo Item
pbasupally
Text Box
Memo Item
pbasupally
Text Box
Memo Item
FE6AN026
SCHEDULE B (FEC Form 3X)
ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3X) Rev. 12/2015
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
C. Date of Disbursement
Use separate schedule(s)
for each category of the
Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
21b 22 23 24 25 26
27 28a 28b 28c 29 30b
Image# 201608319023761509
18 21
✘
United Food and Commercial Workers Local 1776 PAC
Friends of W. Curtis Thomas
PO Box 16536 04 18 2016
Philadelphia PA Transaction ID : SB29.430919122
Campaign contribution 011
Friends of W. Curtis Thomas 500.00
2016
✘
Lancaster County Democratic Committee
04 0853 North Duke Street#10
2016
Lancaster PATransaction ID : SB29.4311
17602
Donation
Lancaster County Democratic Committee 1000.00
✘
011
2016
Mike Sturla for State Rep.
0505PO Box 206
✘
2016
PATransaction ID : SB29.4313
Lancaster 17608
Campaign contribution 011
Mike Sturla for State Rep. 500.00
2016
2000.00
pbasupally
Text Box
Memo Item
pbasupally
Text Box
Memo Item
pbasupally
Text Box
Memo Item
FE6AN026
SCHEDULE B (FEC Form 3X)
ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3X) Rev. 12/2015
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
C. Date of Disbursement
Use separate schedule(s)
for each category of the
Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
21b 22 23 24 25 26
27 28a 28b 28c 29 30b
Image# 201608319023761510
19 21
✘
United Food and Commercial Workers Local 1776 PAC
Paul Costa for State Representative
526 Lucia Drive 06 06 2016
Pittsburgh PA Transaction ID : SB29.431515221
Campaign contribution 011
Paul Costa for State Representative 500.00
2016
✘
PENNSYLVANIA DEMOCRATIC PARTY
04 13229 STATE ST 2016
HARRISBURG PATransaction ID : SB29.4330
17101
Donation
250.00
✘
011
2016
Pennsylvanians for Rep. Mark Cohen
1804105 Cliffwood Road
✘
2016
PATransaction ID : SB29.4317
Philadelphia 19115
Campaign contribution 011
Pennsylvanians for Rep. Mark Cohen 3000.00
2016
3750.00
pbasupally
Text Box
Memo Item
pbasupally
Text Box
Memo Item
pbasupally
Text Box
Memo Item
FE6AN026
SCHEDULE B (FEC Form 3X)
ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3X) Rev. 12/2015
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
C. Date of Disbursement
Use separate schedule(s)
for each category of the
Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
21b 22 23 24 25 26
27 28a 28b 28c 29 30b
Image# 201608319023761511
20 21
✘
United Food and Commercial Workers Local 1776 PAC
Susan Rzucidlo
PO Box 581 04 18 2016
Landenberg PA Transaction ID : SB29.431819350
Campaign contribution 011
Susan Rzucidlo 500.00
2016
✘
Jamie Santora
04 18321 W. Front St. 2016
Media PATransaction ID : SB29.4322
19063
Campaign contribution
Jamie Santora 250.00
✘
011
2016
Josh Shapiro
1804PO Box 1238
✘
2016
PATransaction ID : SB29.4324
Norristown 19404
Campaign contribution 011
Josh Shapiro 5000.00
2016
5750.00
pbasupally
Text Box
Memo Item
pbasupally
Text Box
Memo Item
pbasupally
Text Box
Memo Item
FE6AN026
SCHEDULE B (FEC Form 3X)
ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
