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 FEC FORM 3 1. NAME OF COMMITTEE (in full) ADDRESS (number and street) Check if different than previously reported. (ACC) FEC FORM 3 (Revised 05/2016) Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 52 U.S.C. §30109. 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 CODE 2. 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 DISBURSEMENTS For 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 04/15/2017 12 : 02 Image# 201704159052256037 PAGE 1 / 257 Tiberi for Congress 2931 E Dublin Granville Road Suite 190 Columbus OH 43231-2098 ✘ ✘ C00347492 OH 12 01 01 2017 03 31 2017 Frissora, Kristen, , , Frissora, Kristen, , , [Electronically Filed] 04 15 2017
Transcript
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
FEC FORM 3
1. NAME OF COMMITTEE (in full)
ADDRESS (number and street)
Check if different than previously reported. (ACC)
FEC FORM 3(Revised 05/2016)
Office Use Only
NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 52 U.S.C. §30109.
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 DISBURSEMENTS
For 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
04/15/2017 12 : 02Image# 201704159052256037
PAGE 1 / 257
Tiberi for Congress
2931 E Dublin Granville Road
Suite 190
Columbus OH 43231-2098
✘
✘C00347492OH 12
01 01 2017 03 31 2017
Frissora, Kristen, , ,
Frissora, Kristen, , ,
[Electronically Filed]04 15 2017
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M M / D D / Y Y Y Y M M / D D / Y Y Y Y
COLUMN BElection Cycle-to-Date
COLUMN AThis 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 Commission999 E Street, NW
Washington, DC 20463
Toll Free 800-424-9530Local 202-694-1100
FEC Form 3 (Revised 05/2016) Page 2
SUMMARY PAGEof Receipts and Disbursements
Report Covering the Period: From: To:
Write or Type Committee NameTiberi for Congress
01 01 2017 03 31 2017
Image# 201704159052256038
PAGE 2 / 257
1370520.00 1419406.43
0.00 2300.00
1370520.00 1417106.43
235281.80 336438.84
0.00 0.00
235281.80 336438.84
6300018.74
0.00
0.00
, , . , , .
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M M / D D / Y Y Y Y M M / D D / Y Y Y Y
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COLUMN BElection Cycle-to-Date
COLUMN ATotal This Period
11. CONTRIBUTIONS (other than loans) FROM:
(a) Individuals/Persons Other Than Political Committees (i) Itemized (use Schedule A) ........... (ii) Unitemized .................................... (iii) TOTAL of contributions from individuals .......................
(b) Political Party Committees ................. (c) Other Political Committees (such as PACs) ...................................
(d) The Candidate .................................... (e) TOTAL CONTRIBUTIONS (other than loans) (add Lines 11(a)(iii), (b), (c), and (d)) ..
12. TRANSFERS FROM OTHER AUTHORIZED COMMITTEES ....................
13. LOANS: (a) Made or Guaranteed by the Candidate ............................................
(b) All Other Loans ................................... (c) TOTAL LOANS (add Lines 13(a) and (b)) ....................
14. OFFSETS TO OPERATING EXPENDITURES (Refunds, Rebates, etc.) ............................
15. OTHER RECEIPTS (Dividends, Interest, etc.) ...........................
16. TOTAL RECEIPTS (add Lines 11(e), 12, 13(c), 14, and 15) (Carry Total to Line 24, page 4) ............
DETAILED SUMMARY PAGEof Receipts
I. RECEIPTS
FEC Form 3 (Revised 05/2016) Page 3
Report Covering the Period: From: To:
Write or Type Committee Name
Tiberi for Congress
01 01 2017 03 31 2017
Image# 201704159052256039
PAGE 3 / 257
303750.00 315700.00
2320.00 2565.00
306070.00 318265.00
0.00 0.00
1064450.00 1101141.43
0.00 0.00
1370520.00 1419406.43
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
5721.85 8668.20
1376241.85 1428074.63
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COLUMN BElection Cycle-to-Date
COLUMN ATotal This Period
17. OPERATING EXPENDITURES .....................
18. TRANSFERS TO OTHER AUTHORIZED COMMITTEES .....................
19. LOAN REPAYMENTS: (a) Of Loans Made or Guaranteed by the Candidate .................................
(b) Of All Other Loans .............................. (c) TOTAL LOAN REPAYMENTS (add Lines 19(a) and (b)) .....................
20. REFUNDS OF CONTRIBUTIONS TO: (a) Individuals/Persons Other Than Political Committees ..................
(b) Political Party Committees .................. (c) Other Political Committees (such as PACs) ....................................
(d) TOTAL CONTRIBUTION REFUNDS (add Lines 20(a), (b), and (c)) ..............
21. OTHER DISBURSEMENTS .........................
22. TOTAL DISBURSEMENTS (add Lines 17, 18, 19(c), 20(d), and 21)
II. DISBURSEMENTS
DETAILED SUMMARY PAGEof DisbursementsFEC Form 3 (Revised 05/2016) 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)..............................................................................................
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Image# 201704159052256040
PAGE 4 / 257
235281.80 336438.84
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 2300.00
0.00 2300.00
8495.00 9095.00
243776.80 347833.84
5167553.69
1376241.85
6543795.54
243776.80
6300018.74
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256041
5 257
✘
Tiberi for Congress
Alexander, Anthony, , ,4931 Bonita Bay Blvd
Unit 2503 03 20 2017
Bonita Springs FLTransaction ID : A26FD0E8DEF8A44A09E0
34134-1713
2700.00
Retired Retired
2018
✘2700.00
Anderson, Rebecca, , ,3525 17th St S
02 01 2017
Arlington VA 22204Transaction ID : AC805ECB47A244A8EA28
2500.00
Align Strategies Gov't Affairs
2018
✘2500.00
Andrews, Richard, , ,33475 Cockleshell Dr
03 06 2017
Dana Point CA 92629-4448Transaction ID : AB154C083BD9F482E87B
1000.00
Red Capital Group Senior Managing Director
2018
✘
1000.00
6200.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256042
6 257
✘
Tiberi for Congress
Baas, Gary, , ,137 N Remington Road
02 16 2017
Bexley OHTransaction ID : A8883FFFD1D674AFAA31
43209-1442
1200.00
Inland Products President
2018
✘1200.00
Bachman, Barbara, , ,13292 Hogan Road
03 04 2017
Linden MI 48451Transaction ID : A0D8663E048AB478AB98
250.00
Self CPA
2018
✘250.00
Baker, Caleb, , ,9305 Jesup Lane
02 10 2017
Bethesda MD 20814-2876Transaction ID : A49A79819269F44BCA67
500.00
C. Baker Consulting President
2018
✘
500.00
1950.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256043
7 257
✘
Tiberi for Congress
Barnhart, Richard, , ,1301 N 31st Street
03 28 2017
Philadelphia PATransaction ID : A651D05ABC5904E7B9DC
19121-4403
500.00
Pennrose Properties Chariman and CEO
2018
✘500.00
Bartlett, Doyle, , ,439 New Jersey Ave SE
03 29 2017
Washington DC 20003-4034Transaction ID : A7928337E112D4F5EB8C
2700.00
Eris Group Lawyer
2018
✘2700.00
Becker, Josh, , ,1 Gallows Road
01 30 2017
Brookfield CT 06804Transaction ID : A80CF87ED52A44CEAAA3
1000.00
Guardian Life Ins. General Agent
2018
✘
1000.00
4200.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256044
8 257
✘
Tiberi for Congress
Belcher, Leslie, , ,8323 Woodacre ST
03 30 2017
Alexandria VATransaction ID : AE949899415DE4BA0B01
22308
250.00
Steptoe and Johnson, LLP Government Relations
2018
✘250.00
Bennett, Michael, , ,1434 Colburn Drive
03 03 2017
Zanesville OH 43701-7053Transaction ID : ABA09E9AA31824453A05
1250.00
Self Lobbyist
2018
✘1250.00
Beran, Robin, , ,8183 Manitou Drive
02 10 2017
Westerville OH 43081-9525Transaction ID : A0EE3B4120213463D987
1200.00
Columbus Laser and Cataract Doctor
2018
✘
1200.00
2700.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256045
9 257
✘
Tiberi for Congress
BGR Government Affairs LLCPO Box 14416
01 31 2017
Washington DCTransaction ID : A597E50AE2941407096D
20044-4416
1000.00
2018
✘1000.00
Long, Ryan, , ,16 S. Lexington Street
01 31 2017
Arlington VA 22204Transaction ID : A222B992005BF41A3990
500.00
BGR Group consultant✘
2018
✘500.00 Partnership: BGR Government Affairs LLC
Eardensohn, Todd, , ,601 Thirteenth Street NW11th Floor S 01 31 2017
Washington DC 20005-3807Transaction ID : AEA46EA3E03804B76A45
500.00
BGR Government Affairs LLC CFO
2018 ✘
✘
500.00 Partnership: BGR Government Affairs LLC
1000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256046
10 257
✘
Tiberi for Congress
Blazar, James, , ,69 Orchard Road
03 31 2017
West Hartford CTTransaction ID : AFFF5991E0C874A96816
06117-2911
250.00
Meridian Health Executive Vice President
2018
✘250.00
Boesch, Doyce, A, ,4515 W Street NW
01 04 2017
Washington DC 20007-1513Transaction ID : ACE8A8F4C8CC9462FAE1
250.00
Self Govt Relations
2018
✘250.00
Boesch, Doyce, A, ,4515 W Street NW
01 05 2017
Washington DC 20007-1513Transaction ID : A143C1F37F84340A4B50
2450.00
Self Govt Relations
2018
✘
2700.00
2950.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256047
11 257
✘
Tiberi for Congress
Boesch, Doyce, A, ,4515 W Street NW
02 01 2017
Washington DCTransaction ID : A277CFE56DC7E4AA69CC
20007-1513
250.00
Self Govt Relations
2018✘
2950.00
Boesch, Doyce, A, ,4515 W Street NW
02 02 2017
Washington DC 20007-1513Transaction ID : A494593BCECE04EBC944
500.00
Self Govt Relations
2018✘
3450.00
Boyle, Connor, , ,3419 N. Emerson St
02 14 2017
Arlington VA 22207-1834Transaction ID : ABADD83D6284C49FDBCC
250.00
Barbaricum LLC Financial Assistant
2018
✘
250.00
1000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256048
12 257
✘
Tiberi for Congress
Brachman, Armand, , ,6924 Jubert Lane
03 31 2017
Hamel MNTransaction ID : A466AB7AC3D034D65970
55340-3700
500.00
Dominium Managing Partner
2018
✘500.00
Brincefield, Andrew, , ,8904 Magnolia Heights Ct
01 27 2017
Charlotte NC 28270Transaction ID : A9D555C87AA4D43D0A55
1000.00
Guardian Financial Planning & Insurance
2018
✘1000.00
Brook, Christopher, , ,3301 Countyline Tpk Rd
03 10 2017
West Farmington OH 44491Transaction ID : A8D0E52E96B8F4918AA3
250.00
Community Care Ambulance Consultant
2018
✘
250.00
1750.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256049
13 257
✘
Tiberi for Congress
Browning, Stephen, , ,3914 Woodhead Street
03 27 2017
Houston TXTransaction ID : A3DF4D12EE0AF4490BCA
77098-2816
300.00
Vorys LLP Attorney
2018
✘300.00
Burgett, Brian, , ,3680 Nicoya Court
03 27 2017
Lewis Center OH 43035-9353Transaction ID : A38EBDA3B4FCC4AC2A80
5400.00
Kokosing Inc. Contractor
2018
✘2700.00
Burgett, Brian, , ,3680 Nicoya Court
03 27 2017
Lewis Center OH 43035-9353Transaction ID : AC3D97F365B23439CAE6
-2700.00
Kokosing Inc. Contractor
2018
✘ Reattribution to Spouse
2700.00
3000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256050
14 257
✘
Tiberi for Congress
Burgett, Sherri, , ,3680 Nicoya Court
03 27 2017
Lewis Center OHTransaction ID : A6E586C7FA32B441CB78
43035-9353
2700.00
Homemaker Homemaker
2018Reattribution from Spouse
✘2700.00
Cade, Erskine, E., ,701 W. Lakeside AveSte 910 03 31 2017
Cleveland OH 44113-5518Transaction ID : A4264BBBAE0644D69A81
2000.00
Strategic Government Iniatives Partner
2018
✘2000.00
Camper, Jennifer, , ,90 W Hubbard Avenue
03 23 2017
Columbus OH 43215-6415Transaction ID : A82DAA07D98D74B7480D
500.00
Lesic and Camper Public Relations
2018
✘
500.00
5200.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256051
15 257
✘
Tiberi for Congress
Cave, J. Patrick, , ,3215 45th Street NW
03 08 2017
Washington DCTransaction ID : A779FF972EB2D4D0395F
20016-2747
1000.00
Cypress Group Partner
2018
✘1000.00
Chadwick, Kirsten, , ,601 President Ford Lane
03 31 2017
Alexandria VA 22302-3033Transaction ID : A87D009E5F96E4467971
-2700.00
Fierce Government Relations consultant
2018
✘Redesignated to General
5400.00
Chadwick, Kirsten, , ,601 President Ford Lane
03 31 2017
Alexandria VA 22302-3033Transaction ID : AB37EDFB3DD8045EAB24
5400.00
Fierce Government Relations consultant
2018
✘
5400.00
3700.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256052
16 257
✘
Tiberi for Congress
Chadwick, Kirsten, , ,601 President Ford Lane
03 31 2017
Alexandria VATransaction ID : A2CC21ACBF1694CA08B2
22302-3033
2700.00
Fierce Government Relations consultant
2018Redesignated from Primary
✘
5400.00
Choate, Brian, , ,8756 Lariat Circle
03 05 2017
Fort Worth TX 76244Transaction ID : A53296ECC529747EE934
250.00
Solutions Group CEO
2018
✘250.00
Clark, John, D, , Sr.12230 Saylor Road NW
03 27 2017
Baltimore OH 43105-9413Transaction ID : A29D356A25146479BABF
1200.00
The Whitestone Group Inc. President/CEO
2018
✘
1200.00
4150.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256053
17 257
✘
Tiberi for Congress
Clark, Stephen, , ,9273 Lerwick Drive
03 24 2017
Dublin OHTransaction ID : AC12C8DD14BD84087954
43017-9492
1000.00
Clark Geduldig Cranford & Ni President
2018
✘1000.00
Coffee, Roy, , ,3000 Blackburn St
01 30 2017
Dallas TX 75204-2200Transaction ID : ACE5A7BED48774A4E870
2700.00
Coffee & Associates Principal
2018
✘2700.00
Crane, Jay, , ,500 S Parkview Avenue
02 20 2017
Bexley OH 43209-1693Transaction ID : AD5ED13EC298C419AB54
2700.00
Crane Group Business Owner
2018
✘
2700.00
6400.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
Boston MA 02110-1131Transaction ID : A38D11302960B4019BD6
2000.00
Boston Financial Executive
2018
✘2000.00
Dambly, Mark, , ,354 Darlington Road
03 28 2017
Media PA 19063-5504Transaction ID : AAC52E2C329B746D0841
500.00
Pennrose Properties LLC President
2018
✘
500.00
5000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256055
19 257
✘
Tiberi for Congress
Dehm, Scott, , ,7 New Albany Farms Road
03 20 2017
New Albany OHTransaction ID : ACEEE60EF71274F36BD0
43054-9000
1200.00
Self Professional Poker Player
2018
✘1200.00
Delaveris, Leonidas, , ,6973 Raymond Dr
03 06 2017
Dublin OH 43017-2892Transaction ID : A7A9784270FF8404089E
1000.00
Red Capital Group Director
2018
✘1000.00
Dew, Brian, , ,7353 Dean Farm Road
03 31 2017
New Albany OH 43054-7140Transaction ID : A5D8D94951FD44FA7A48
1200.00
Mid City Electric Electrical Contractor
2018
✘
1200.00
3400.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256056
20 257
✘
Tiberi for Congress
Dimarob, Michelle, , ,26 West Del Ray Ave
02 13 2017
Alexandria VATransaction ID : A658D42F6D7C743EEB86
22301-1524
500.00
Altria Director, Federal Government Affairs
2018
✘500.00
Dion, Mark, , ,238 12th Street SE
01 31 2017
Washington DC 20003-1428Transaction ID : A96F7C9600ACD421D852
2300.00
Revolution Agency Owner
2018
✘Reattribution from Spouse
2300.00
Dion, Stacey, , ,238 12th Street SE
01 31 2017
Washington DC 20003-1428Transaction ID : AF9C26601A24C4A629D2
5000.00
The Boeing Company Vice President, Corporate Public Polic
2018
✘
2700.00
7800.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256057
21 257
✘
Tiberi for Congress
Dion, Stacey, , ,238 12th Street SE
01 31 2017
Washington DCTransaction ID : A4D5A216F56634D3C818
20003-1428
-2300.00
The Boeing Company Vice President, Corporate Public Polic
2018Reattributed to Spouse
✘2700.00
Domino, Anthony, , ,83 Long Lots Road
01 27 2017
New Canaan CT 06840-5041Transaction ID : A19FC2808142D4C01AF6
Washington DC 20005Transaction ID : AEF8BDF37D66D4EFDA9D
500.00
National Assn. of Accountable Care Org Lobbyist
2018
✘
500.00
200.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256058
22 257
✘
Tiberi for Congress
Duling, Ryan, , ,10 W. Broad Street
8th Floor 03 06 2017
Columbus OHTransaction ID : A22D893897C574ECFAB9
43215-3418
1000.00
Red Capital Group Managing Director
2018
✘1000.00
Duncan, John, , ,1207 Independence Avenue SE
03 20 2017
Washington DC 20003-1445Transaction ID : AA9C95FDBA3244149906
500.00
The Livingston Group consultant
2018
✘500.00
Dyrhaug, Chris, , ,519 Laurel Rd
01 27 2017
Ridgewood NJ 07450Transaction ID : ADF6A818156C1462FB3C
1000.00
Guardian Manager
2018
✘
1000.00
2500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256059
23 257
✘
Tiberi for Congress
Dziak, Douglas, , ,2828 S. 21st Road
02 13 2017
Arlington VATransaction ID : A981A1444E84E48CB99A
22204
500.00
Nixon Peabody Attorney
2018
✘500.00
Eastman, Sage, , ,205 Moncure Drive
03 21 2017
Alexandria VA 22314Transaction ID : AD6DD4C91B9FC455BB65
1000.00
Mehlman Castagnetti Rosen & Thomas Lobbyist
2018
✘1000.00
Ekstein, Rafael, , ,134 Broadway suite 601
01 31 2017
Brooklyn NY 11249Transaction ID : A95014F0F3A814750993
1000.00
Self Life Insurance Agent
2018
✘
1000.00
2500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256060
24 257
✘
Tiberi for Congress
Elling, Dan, , ,8412 Riverside Road
01 05 2017
Alexandria VATransaction ID : A2752B343A9E34CB4B15
Columbus OH 43219-8033Transaction ID : A673CC8BF5DAB4A3FA91
1200.00
Emens & Wolper Attorney
2018
✘1200.00
Fashano, Robert, , ,178 Summer Hill Lane
02 13 2017
Buffalo NY 14221-5983Transaction ID : A085B2E0886204B059D2
1000.00
Alliance Advisory Group Chairman & CEO
2018✘
1000.00
4900.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256061
25 257
✘
Tiberi for Congress
Ferik, Michael, , ,135 E 74th Street
Apt. 9A 01 27 2017
New York NYTransaction ID : A867877B760224E8BAD9
10021-3272
1000.00
Guardian Actuary
2018
✘1000.00
Finley, Catherine, , ,205 Summers Drive
01 30 2017
Alexandria VA 22301-2444Transaction ID : A63085BEE38194AA7BD8
2700.00
Thorn Run Partners Consultant
2018
✘2700.00
Flaherty, Marcia, , ,4433 Smothers Road
02 10 2017
Westerville OH 43081-9652Transaction ID : A0EE200C95533476AB23
1200.00
Premier Imaging Ventures CEO
2018
✘
1200.00
4900.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256062
26 257
✘
Tiberi for Congress
Foster, Behrends, , ,1722 N Nelson St
01 30 2017
Arlington VATransaction ID : A54871365CF5D44128CF
22207
2700.00
Bluestone Strategies Government Afffairs Rep
2018
✘2700.00
Franasiak, David, E., ,873 Coachway
02 20 2017
Annapolis MD 21401-6481Transaction ID : A670E6328763540C0B6E
Washington DC 20004-2543Transaction ID : A3DD2E152CA5747FBAB7
2700.00
Ernst & Young Consultant
2018
✘
2700.00
8100.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256063
27 257
✘
Tiberi for Congress
Frauenberg, James, H, ,7099 Calabria Pl
03 31 2017
Dublin OHTransaction ID : A0EA0AA35466B478FB3A
43016-6110
2700.00
Retired Retired
2018
✘2700.00
Fuiten, JD, , ,9240 NW Groveland Road
03 03 2017
Hillsboro OR 97124Transaction ID : A44DC5063C31C48BA866
2500.00
Metrowest Ambulance Business Owner
2018
✘2500.00
Fultz, Michael, , ,452 S Otterbein Avenue
03 24 2017
Westerville OH 43081-2904Transaction ID : ACB138CA317424397BAB
300.00
Metz, Bailey & McLoughlin Attorney
2018
✘
300.00
5500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256064
28 257
✘
Tiberi for Congress
Gallagher, Everett, , ,7568 S Goodrich Square
02 10 2017
New Albany OHTransaction ID : AC374978775A147D8ACE
43054-8932
1200.00
Abercrombie & Fitch Co. Sr. VP & Treasurer
2018
✘1200.00
Garver, Douglas, , ,5098 Breckenhurst Drive
03 31 2017
Hilliard OH 43026-8659Transaction ID : A9A722136D62D4D33B36
Portland ME 04101-4679Transaction ID : A6C1E615A74624BB2B8F
2500.00
Low Income Housing Corp Executive
2018
✘
2500.00
4000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256065
29 257
✘
Tiberi for Congress
Giblin, Chris, , ,1304 Chancel Place
01 23 2017
Alexandria VATransaction ID : AACDAE097173046A7B51
22314-4707
1000.00
Ogilvy Government Relations Government Relations
2018
✘1000.00
Ginise, Russell, , ,3738 Granview Road
02 20 2017
Granville OH 43023-9352Transaction ID : AF060EC47DA9E4F268B2
2700.00
Southern Sky Partners LLC Real Estate
2018
✘2700.00
Good, Eileen, , ,399 SW Lebanon Road
03 31 2017
Dalton OH 44618-9614Transaction ID : A1D3345FA4D094A2E83F
1000.00
Aultman College Sr Vice President
2018
✘
1000.00
4700.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256066
30 257
✘
Tiberi for Congress
Gorman, Gary, , ,200 N Main Street
02 10 2017
Oregon WITransaction ID : AD4060A35411C4B1FB64
53575-1447
500.00
Gorman & Company Real Estate Developer
2018
✘500.00
Gorman, James, , ,PO Box 2599
02 10 2017
Mansfield OH 44906-0599Transaction ID : A0104562123034D30A1B
1200.00
Gorman Rupp Chairman
2018
✘1200.00
Gorsuch, Leonard, , ,PO Box 190
02 10 2017
Lancaster OH 43130-0190Transaction ID : A4AB6EDD357B249608FC
2700.00
Fairfield Homes CEO
2018
✘
2700.00
4400.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256067
31 257
✘
Tiberi for Congress
Graefe, Frederick, H, ,319 Constitution Avenue NE
01 31 2017
Washington DCTransaction ID : A711869BE10B04C7EBB9
20002-5913
2700.00
Self Attorney/ Lobbyist
2018
✘2700.00
Griffin, Scott, , ,2146 Elgin Road
03 02 2017
Columbus OH 43221Transaction ID : ACB13F256D225476AB6C
1000.00
Red Capital Group Corporate Manager
2018
✘1000.00
Hamilton, Nicholas, , ,13047 Caminito Del Rocio
03 06 2017
Del Mar CA 92014-3623Transaction ID : A641B96C9AD9D433BBB6
1000.00
Red Capital Group Banker
2018
✘
1000.00
4700.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256068
32 257
✘
Tiberi for Congress
Hamrock, Joseph, , ,290 W. Nationwide Blvd.
03 23 2017
Columbus OHTransaction ID : AF44B6E3E8CEC4A78AA4
43215-2561
2700.00
NiSource President & CEO
2018
✘2700.00
Hatcher, Christopher, W, ,5024 35th Street N
02 10 2017
Arlington VA 22207-2816Transaction ID : AE3AB0C657F364781989
2700.00
Williams and Jensen Attorney
2018
✘2700.00
Hauck, Megan, , ,601 13th Street NW11th Floor North 03 27 2017
Washington DC 20005Transaction ID : A81EB9065CCF94BC1956
1000.00
Nathanson+Hauck Consultant
2018
✘
1000.00
6400.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
Schaumburg IL 60173-3853Transaction ID : AA01ADC106E5E4794902
1000.00
Assoc Equipment Distributors Executive VP & COO
2018
✘1000.00
Henson, James, , ,2155 Elgin Road
03 06 2017
Columbus OH 43221-4136Transaction ID : A47EBC7DF008349AFB4E
2500.00
Red Capital Group General Counsel
2018
✘
2500.00
3800.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256070
34 257
✘
Tiberi for Congress
Hill, David, , , III395 W. Lake Street
03 06 2017
Elmhurst ILTransaction ID : A577FE50EA18A41A694B
60126-1508
1000.00
Superior Ambulance Service President & CEO
2018
✘1000.00
Hinderer, John, , ,1515 Hebron Road
03 28 2017
Heath OH 43056-1037Transaction ID : A2F769C9E0DF94D51842
500.00
Self Auto Dealer
2018
✘500.00
Hinson, Charleen, , ,4520 Kitzmiller Road
03 14 2017
New Albany OH 43054-9565Transaction ID : A57B846CC2AED4AA18E2
2500.00
Retired Retired
2018
✘
2500.00
4000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256071
35 257
✘
Tiberi for Congress
Hoaglin, Thomas, E., ,43 Preston Road
02 16 2017
Columbus OHTransaction ID : A36A16E54976F4FED96B
43209-1652
1200.00
Retired Retired
2018
✘1200.00
Hobbs, David, , ,300 New Jersey Ave NWSuite 601 03 01 2017
Washington DC 20001-2080Transaction ID : A50962E3AAB384C37A4E
1000.00
The Hobbs Group President
2018
✘1000.00
Hochheiser, Jay, E, ,250 Crossways Park Drive
01 30 2017
Woodbury NY 11797-2015Transaction ID : A6BA6C2132CA9430CB43
1000.00
Self Certified Financial Planner
2018
✘
1000.00
3200.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256072
36 257
✘
Tiberi for Congress
Hrabcak, Greg, , ,1183 Three Forks Drive S
03 23 2017
Westerville OHTransaction ID : AD4E76D04FA8D4A2081E
43081-3255
500.00
Group One Realty Realtor
2018
✘500.00
Hughes, Stacey, , ,314 N Garfield Street
03 08 2017
Arlington VA 22201-1231Transaction ID : AA366F443C83C47898C9
2700.00
The Nickles Group Partner
2018✘
Redesignation from Primary
5400.00
Hughes, Stacey, , ,314 N Garfield Street
03 08 2017
Arlington VA 22201-1231Transaction ID : A4DB24C0A415C4383B5E
5400.00
The Nickles Group Partner
2018
✘
5400.00
8600.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256073
37 257
✘
Tiberi for Congress
Hughes, Stacey, , ,314 N Garfield Street
03 08 2017
Arlington VATransaction ID : A83C97E1EB6224312A12
22201-1231
-2700.00
The Nickles Group Partner
2018Redesignation to General
✘5400.00
Hunton & Williams LLP1900 K Street NW
02 08 2017
Washington DC 20006-1110Transaction ID : A6D7E1A0E6B674DFBA48
-2300.00
2018
✘Redesignation to General
5000.00
Hunton & Williams LLP1900 K Street NW
02 08 2017
Washington DC 20006-1110Transaction ID : AECA352F0E3E249639A1
2300.00
2018✘ Redesignation from Primary, Partnership attributions
below reporting threshold5000.00
-2700.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256074
38 257
✘
Tiberi for Congress
Hunton & Williams LLP1900 K Street NW
02 08 2017
Washington DCTransaction ID : AEC3BD33919CC4FCE882
Arlington VA 22207Transaction ID : A44212ACDDF734E36ACD
2700.00
Roberti Global consultant
2018
✘2700.00
Ivancic, Charlotte, , ,1212 New York AvenueSuite 1050 01 27 2017
Washington DC 20005Transaction ID : A674B60BA5A40477F88C
2700.00
Tarplin Downs and Young Partner
2018
✘
2700.00
10400.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256075
39 257
✘
Tiberi for Congress
Jenkusky, Eric, , ,4197 McNamara Pl
03 02 2017
Lewis Center OHTransaction ID : A8FD58CFAECEB4D2BBBF
43035-6910
2600.00
T.J. Clark International, LLC Executive
2018
✘2600.00
Johnson, C. Lee, , ,7501 E Thompson Peak ParkwayUnit 430 02 17 2017
Scottsdale AZ 85255-4544Transaction ID : AEE6F7EE5B59B404CA1F
1200.00
Retired Retired
2018
✘1200.00
Johnson, Gregory, , ,1 Franklin Pkwy
02 22 2017
San Mateo CA 94403Transaction ID : AC96BC701698B4880928
1000.00
Franklin Resources Inc Finance Executive
2018
✘
1000.00
4800.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256076
40 257
✘
Tiberi for Congress
Jonas, John, , ,5840 Colfax Ave
03 24 2017
Alexandria VATransaction ID : AEDD7120B1DFC46FAA58
22311-1014
1000.00
Akin, Gump, Strauss, Hauer Partner
2018
✘1000.00
Jory, David, C, ,4528 Macomb Street NW
01 30 2017
Washington DC 20016-2753Transaction ID : A2A2DF2F9944C4244B49
2500.00
Capitol Hill Consulting consultant
2018
✘2500.00
Joseph, Kenneth, , ,197 Wayne Ave NE
03 06 2017
Carrollton OH 44615Transaction ID : AE06C26FF0CAD4FC48E7
500.00
Samaritan Care, Inc Managing Member
2018
✘
500.00
4000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256077
41 257
✘
Tiberi for Congress
Jurecki, Wayne, , ,1111 N. Marshall St
1002 03 06 2017
Milwaukee WITransaction ID : A0F587B81710F45DB9D1
53202-3376
1000.00
Bell Ambulance VP & COO
2018
✘1000.00
Kaplan, Jeff, , ,2220 South 3 Bs and K Road
02 09 2017
Galena OH 43021-9757Transaction ID : AE0558ECC211C43A2B3D
500.00
OSU Education Administrator
2018
✘500.00
Keast, John, , ,12594 Spiller Lane
02 14 2017
Manassas VA 20112-8831Transaction ID : AB52CCA2BAD254E4284A
500.00
Cornerstone Government Affairs Partner
2018
✘
500.00
2000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256078
42 257
✘
Tiberi for Congress
Kemelgor, Troy, , ,800 Yard Street
Ste 300 02 24 2017
Columbus OHTransaction ID : A7842C884DE5E45C6ACC
43212-3882
1200.00
Kemelgor Financial Group President, Owner
2018
✘1200.00
Kennedy, James, M, ,PO Box 1187
03 31 2017
Newark OH 43058-1187Transaction ID : A4188D56B56DD4DF59DA
300.00
Retired Retired
2018
✘300.00
Kessler, Rodger, , ,170 Pinehurst Drive
02 10 2017
Granville OH 43023-9339Transaction ID : AF2543A682ABF4E9AABA
250.00
Kessler Sign Co. VP Sales
2018
✘
250.00
1750.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256079
43 257
✘
Tiberi for Congress
Kessler, Rodger, , ,170 Pinehurst Drive
03 28 2017
Granville OHTransaction ID : AEC13631B13EC4F519E2
43023-9339
300.00
Kessler Sign Co. VP Sales
2018
✘550.00
Kies, Kathleen, , ,6109 Franklin Park Road
02 13 2017
McLean VA 22101-4214Transaction ID : AA31BBFF924D748CCA39
2700.00
Homemaker homemaker
2018✘
5400.00
Kies, Kathleen, , ,6109 Franklin Park Road
02 13 2017
McLean VA 22101-4214Transaction ID : A8B9523D3E91C467C83E
2700.00
Homemaker homemaker
2018
✘
5400.00
5700.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256080
44 257
✘
Tiberi for Congress
Kies, Kenneth, , ,6109 Franklin Park Road
02 13 2017
McLean VATransaction ID : A787AA66F13974502B17
22101-4214
2700.00
Federal Policy Group Managing Director
2018✘
5400.00
Kies, Kenneth, , ,6109 Franklin Park Road
02 13 2017
McLean VA 22101-4214Transaction ID : A585F148702644B64813
2700.00
Federal Policy Group Managing Director
2018
✘5400.00
Kimbell, Jeffrey, , ,601 13th St. NWSuite 650 North 01 30 2017
Washington DC 20005-3807Transaction ID : AE8ECBB572FBC46E68E2
2700.00
Jeffrey J. Kimbell & Associates President
2018
✘
2700.00
8100.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256081
45 257
✘
Tiberi for Congress
Kimbell, Jessica, , ,2601 Foxhall Rd. NW
03 21 2017
Washington DCTransaction ID : A11B05499BBE5494FB9E
20007-1126
1000.00
Homemaker Homemaker
2018
✘1000.00
Kolego, Trevor, , ,1401 K Street NWSuite 200 01 30 2017
Washington DC 20005-3497Transaction ID : ADA1FFC55CA0D43B2942
2700.00
The Smith-Free Group Senior Vice President
2018
✘2700.00
Kutler, Edward, , ,6405 Tree Top Circle
01 24 2017
Columbia MD 21045-2895Transaction ID : A3FA7D563E4C1464FA33
2700.00
The Kutler Group Lobbyist/Consultant
2018
✘
2700.00
6400.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256082
46 257
✘
Tiberi for Congress
Landry, Donna, , ,263 Rue De Fourche
03 14 2017
Napoleonville LATransaction ID : ABCAE1C9E86A84FAA91A
70390-2325
750.00
Louisiana Ambulance Alliance CEO
2018
✘750.00
Lane, Erin, , ,1703 Black Oak Lane
03 29 2017
Silver Spring MD 20910Transaction ID : AA278FDC3A569409787A
500.00
Cascade Associates Principal
2018
✘500.00
Larsen, Max, , ,483 Retreat Lane
03 31 2017
Powell OH 43065-9771Transaction ID : AEB783437CB874428910
1200.00
Future Finances, Inc. CPA
2018
✘
1200.00
2450.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
Washington DC 20001Transaction ID : A65ADF7D494574EDDB7F
1500.00
Penn Quarter Partners Principal
2018
✘1500.00
Ledet, Gregory, , ,8960 Francine Ln
03 01 2017
Powell OH 43065Transaction ID : AF4C914AE352C463B91A
250.00
Self Network Security Consultant
2018
✘
250.00
2950.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256084
48 257
✘
Tiberi for Congress
Lemaire, Joseph, , ,112 5th Ave
03 31 2017
Belmar NJTransaction ID : ABE22C4ED320E45F681D
07719-2019
250.00
Meridian Health President, Health Ventures
2018
✘250.00
Litterst, Nelson, , ,1655 N. Greenbrier
01 30 2017
Arlington VA 22205Transaction ID : ADB87E0D5A6764445B48
Washington DC 20009-7591Transaction ID : A4507E909DB9C43BA9E1
250.00
Policy Integration Partners LLC Government Affairs
2018
✘
250.00
3200.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256085
49 257
✘
Tiberi for Congress
Lombardo, James, , ,549 E Wilson St
03 06 2017
Milwaukee WITransaction ID : A4F9C34C6FA1E4ABF90A
53207-1635
1000.00
Bell Ambulance Partner
2018
✘1000.00
Long, Ryan, , ,16 S. Lexington Street
03 27 2017
Arlington VA 22204Transaction ID : A40E7647B64C24421B34
1000.00
BGR Group consultant
2018
✘1500.00
Loper, Virginia, , ,4551 32nd Rd N
03 29 2017
Arlington VA 22207-4466Transaction ID : A5878BF565B5B4EC2BD5
500.00
Loper Consulting consultant
2018
✘
500.00
2500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256086
50 257
✘
Tiberi for Congress
Lukawski, Jennifer, , ,PO Box 14416
01 25 2017
Washington DCTransaction ID : A9DBE2E1F36724807A44
20044-4416
500.00
BGR Gov't Affairs, LLC Principal
2018
✘500.00
Madden, Kevin, , ,3604 Cardiff Road
03 13 2017
Chevy Chase MD 20815-5946Transaction ID : A12BA774EDD2948A793B
1000.00
Hamilton Place Strategies Partner
2018
✘1000.00
Major, Diane, , ,2232 Westwood Place
02 20 2017
Falls Church VA 22043-1619Transaction ID : A3FA06F37F8374AFAAB8
500.00
The D Major Group CEO
2018
✘
500.00
2000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256087
51 257
✘
Tiberi for Congress
Mangano, Vesna, , ,56 N Parkview Avenue
03 31 2017
Bexley OHTransaction ID : A943868AB5A6B475FBDE
43209-1433
300.00
Giuseppe's Ritrovo Owner
2018
✘300.00
Martens, Dean, , ,30158 Greenview Pkwy
03 06 2017
Westlake OH 44145Transaction ID : AA615D618E262414E8BA
500.00
Donald Martens & Sons Ambulance Servic Owner
2018
✘500.00
Matesich, James, , ,1020 Grand Isle Dr
03 31 2017
Naples FL 34108-3323Transaction ID : AA5334FDFD5A2405DB8B
1200.00
Matesich Distributing Co. President and CEO
2018
✘
1200.00
2000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256088
52 257
✘
Tiberi for Congress
Maurer, Danielle, M, ,5040 36th St N
03 30 2017
Arlington VATransaction ID : A9BE9D7F200574877A43
22207-2947
500.00
Fierce Gov't Relations Gov't Affairs
2018
✘500.00
McCloud, Brad, , ,912 Rosehill Road
03 30 2017
Reynoldsburg OH 43068-1766Transaction ID : A99B8891C140F44AA876
600.00
City of Reynoldsburg Mayor
2018
✘600.00
McGee, Susan, , ,7900 Callaghan
03 23 2017
San Antonio TX 78229Transaction ID : A1AB64B58E4584DBAA28
1000.00
US Global Investors Attorney
2018
✘
1000.00
2100.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
Washington DC 20036-3333Transaction ID : AF9E096056AEF4822ACA
1000.00
Ogilvy Government Relations Lobbyist
2018
✘1000.00
McHugh, William, , ,5261 Bridwell Ln
03 31 2017
Westerville OH 43081-7920Transaction ID : A5A81259218094B48A3E
2000.00
Strategic Health Care Sr. Director, Government Affairs
2018
✘
2000.00
3500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256090
54 257
✘
Tiberi for Congress
McKeon, Howard, , ,713 Bracey Lane
01 30 2017
Alexandria VATransaction ID : A9107E4BB3798488AA22
22314-6246
700.00
The McKeon Group consultant
2018
✘700.00
McMillen, Jeff, , ,1333 New Hampshire Avenue NW
02 14 2017
Washington DC 20036-1500Transaction ID : AF47F0BCE939C4D16AA9
Saratoga Springs NY 12866Transaction ID : A7D31C51C8C8945C699B
1000.00
Mohawk Ambulance President
2018
✘
1000.00
4400.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256091
55 257
✘
Tiberi for Congress
Meltsner, James, , ,1808 Lamont Street NW
02 13 2017
Washington DCTransaction ID : AFA41694B031340E6B1F
20010-2604
500.00
Meltsner Strategies, LLC President
2018
✘500.00
Metheny, Wes, , ,1601 Rabbit Foot Clover Ct
03 08 2017
Annapolis MD 21401Transaction ID : AEBC0C16B82D048D58E1
Columbus OH 43215-2569Transaction ID : A27B2D1E5266F404E896
2700.00
Stonehenge Financial Investment Banking
2018
✘
2700.00
4200.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256092
56 257
✘
Tiberi for Congress
Meylor, Edward, , ,411 Birch Ave
03 06 2017
Westfield NJTransaction ID : AE52C1EE19CBA4AEA962
07090-3064
2500.00
Red Capital Group Chairman & CEO
2018
✘2500.00
Molloy, James, R, ,158 N. Main Street
03 31 2017
Manasquan NJ 08736-2818Transaction ID : A40795FEEA45C471AA80
250.00
Meridian Health Sr. VP, Government Relations
2018
✘250.00
Moorhouse, Mark, , ,505 S. Willow Dr
03 31 2017
Long Lake MN 55356-9373Transaction ID : A2BBD63BBF14A49BC98D
500.00
Dominium Sr. Vice President
2018
✘
500.00
3250.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256093
57 257
✘
Tiberi for Congress
Morris, Kristen, , ,33700 Woodleigh Road
03 08 2017
Cleveland OHTransaction ID : AE3F43226856C46CDA80
44124-5259
1000.00
Cleveland Clinic Chief Gov't and Community Relations Of
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256094
58 257
✘
Tiberi for Congress
Napoleon, Matthew, , ,6990 Macgregor Ct
03 06 2017
Columbus OHTransaction ID : A137887E91331457A9E2
43085-2935
1000.00
Red Capital Group Director
2018
✘1000.00
Nicklaus, Barbara, , ,11397 Old Harbour Road
03 29 2017
North Palm Beach FL 33408Transaction ID : A063697FBA48D4165B93
1200.00
Retired Retired
2018
✘1200.00
O'Brien, Michael, , ,3700 Woodbine St.
01 27 2017
Chevy Chase MD 20815-4955Transaction ID : A5A01710D07B840ADBCE
500.00
Pricewaterhouse Coopers LLP Government Affairs
2018
✘
500.00
2700.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256095
59 257
✘
Tiberi for Congress
Olander, David, , ,2944 Bridgehampton Ct
03 22 2017
Falls Church VATransaction ID : A6B67D1FD689042C495D
22042
1000.00
Capitol Counsel LLC Attorney
2018
✘1000.00
O'Neill, John, J, ,620 6th St NE
03 28 2017
Washington DC 20002-5208Transaction ID : A48D32B66B65C4050A27
1000.00
Harbinger Strategies Attorney
2018
✘1000.00
Overmyer, Gregory, , ,2667 Sandover Road
03 29 2017
Columbus OH 43220-2868Transaction ID : A670CD36D12684DC5867
300.00
Overmyer Associates CEO
2018
✘
300.00
2300.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
Arlington VA 22209-1568Transaction ID : AC46733044D714736B9B
1000.00
Davis and Harman Attorney
2018
✘1000.00
Pearson, Rachel, , ,2354 N. Lincoln St
03 31 2017
Arlington VA 22207-3862Transaction ID : AA842AC5140524BE7A13
500.00
Self consultant
2018
✘
500.00
2500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256097
61 257
✘
Tiberi for Congress
Pederson, Paul, , ,1201 E. Placita Del Cervato
03 03 2017
Tucson AZTransaction ID : A63CB6C2E8221443FA6A
85718-2946
250.00
Arizona Ambulance Transport Board Secretary
2018
✘250.00
Penzone, Charles, , ,1994 Wingate Drive
02 22 2017
Delaware OH 43015-9116Transaction ID : A7D592736F6BE4C26883
New York NY 10168-2298Transaction ID : A37DF4CF794EC47FBB84
1000.00
Guardian Life General Agent
2018
✘
1000.00
3950.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256098
62 257
✘
Tiberi for Congress
Perry, Matthew, , ,1771 Longhill Drive
03 03 2017
Zanesville OHTransaction ID : AFAC10D09976F4546BA9
43701-7239
1250.00
Genesis Health Care System President & CEO
2018
✘1250.00
Perry, Vicki, , ,6458 Brokenhurst Rd
03 30 2017
Indianapolis IN 46220Transaction ID : AD3A745C57C8842EDA4E
2000.00
APM Plus Executive Management
2018
✘2000.00
Peters, Tracy, , ,2039 Collingswood Road
03 06 2017
Columbus OH 43221-3741Transaction ID : A1B59B7637B2547178CE
2500.00
Red Capital Group Sr. Managing Director
2018
✘
2500.00
5750.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256099
63 257
✘
Tiberi for Congress
Phipps, Candice, , ,2621 S Arlington Ridge Rd
01 24 2017
Arlington VATransaction ID : AFF84A6FC6F5244009E3
22202
1000.00
Novartis Government Affairs
2018
✘1000.00
Porter, Emily, , ,217 Virginia Ave.
01 18 2017
Alexandria VA 22302-2906Transaction ID : A7B9D8DB56E294089905
2700.00
The Nickles Group consultant
2018
✘2700.00
Raffaniello, Patrick, , ,1161 Old Gate Court
01 22 2017
McLean DC 22102Transaction ID : AD3C77443E06042BFBEA
2700.00
Self Attorney
2018
✘
2700.00
6400.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256100
64 257
✘
Tiberi for Congress
Rand, Andrew, , ,1230 West Moss Avenue
03 14 2017
Peoria ILTransaction ID : A25D84A48F2B94929825
61606-1736
500.00
Advanced Medical Transport Executive
2018
✘500.00
Rangel, Marguerite, , ,2439 Glencoe Avenue
02 17 2017
Venice CA 90291-5002Transaction ID : A27D99DFA1DDE4128B81
1000.00
Self Financial Advisor
2018
✘1000.00
Reese, J. Gilbert, , ,PO Box 1410
03 31 2017
Islamorada FL 33036-1410Transaction ID : A9BD6F766E5E34E2D855
1000.00
Retired Retired
2018
✘
1000.00
2500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
Crofton MD 21114-2498Transaction ID : A44899AE77AA54461B7C
2700.00
Goodyear Government Relations
2018
✘2700.00
Roda, Anthony, , ,3416 Old Dominion Boulevard
03 31 2017
Alexandria VA 22305-1320Transaction ID : A551DE0DFC69C403F98E
500.00
Williams & Jensen PLLC Attorney
2018
✘
500.00
4200.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256102
66 257
✘
Tiberi for Congress
Rodenberg, Todd, , ,15 Verruca Court
03 10 2017
Henderson NVTransaction ID : A8D69A182492F4094807
89011-3155
1000.00
Red Capital Group Chief Credit Officer
2018
✘1000.00
Rose, Julie, , ,1123 Chestnut Drive
03 09 2017
Ashtabula OH 44004Transaction ID : ACCC0F8E8AC1147FE8A1
500.00
Community Care Ambulance Executive Director/CEO
2018
✘500.00
Saad, Michael, D., ,2511 Danvers Court
03 06 2017
Columbus OH 43220-2822Transaction ID : A2D93AB5C09B743988CB
500.00
Squire Patton Boggs (US) LLP Lawyer
2018
✘
500.00
2000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
New York NY 10271-0014Transaction ID : A369A9ABDD20D4A14A71
1000.00
Guardian Life Life Insurance
2018
✘1000.00
Scofield, John, , ,227 C Street SE
02 13 2017
Washington DC 20003-1910Transaction ID : A223C4DF609FD4CEA9D8
500.00
S-3 Group Consultant
2018
✘
500.00
4200.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256104
68 257
✘
Tiberi for Congress
Scully, Thomas, , ,1801 Edgehill Dr
02 07 2017
Alexandria VATransaction ID : AD9973ADF63614B39B2E
22307-1122
2700.00
Alston & Bird LLP Senior Counsel
2018
✘2700.00
Seibert-Bailey, Devon, , ,2710 South Adams St#204 03 29 2017
Arlington VA 22206-2853Transaction ID : A6BE924235F2A43D1A14
2000.00
Strategic Health Care Vice President, Policy
2018
✘2000.00
Sergakis, Michael, , ,4942 Reed Rd
03 13 2017
Columbus OH 43220-6105Transaction ID : A992658FBEBDE4156A13
300.00
Self Sales
2018
✘
300.00
5000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
Columbus OH 43215-3602Transaction ID : A84B57250AC7A45EB987
1200.00
Showe Mangagement President
2018
✘1200.00
Shumack, Tucker, , ,2346 S Nash Street
02 07 2017
Arlington VA 22202-1548Transaction ID : AFD29C568F2154677897
500.00
Ogilvy Government Relations Principal
2018
✘
500.00
2000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256106
70 257
✘
Tiberi for Congress
Silverwood, James, , ,PO Box 3291
03 31 2017
Rancho Santa Fe CATransaction ID : A0094F3D29992489DA50
92067-3291
1000.00
Affirmed Housing President & CEO
2018
✘1000.00
Simkowitz, David, , ,268 Willoughby Avenue
01 27 2017
Brooklyn NY 11205-1415Transaction ID : A11B66513D4EC403190E
Cleveland OH 44125-6135Transaction ID : A1C1C273DB7DE4137B6D
1000.00
Millennia Housing Project President
2018
✘
1000.00
3000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256107
71 257
✘
Tiberi for Congress
Sirak, Gary, D, ,4700 Dressler Road NW
02 06 2017
Canton OHTransaction ID : A7F6CADDEBDD54B0298F
44718-2511
1000.00
Guardian Life Insurance Financial Planner
2018
✘1000.00
Smeck, Jason, , ,1863 Chateaugay Way
03 03 2017
Blacklick OH 43004-8002Transaction ID : A6600EDACBFEA400C997
1000.00
Red Capital Group Managing Director
2018
✘1000.00
Smith, Trever, , ,639 Kingfisher Court
03 06 2017
Westerville OH 43082Transaction ID : AA898A6EB6C3B433A9F7
250.00
Red Capital Group Mortgage Lender, Red Capital Group
2018
✘
250.00
2250.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
Washington DC 20008Transaction ID : A0B5163BEFAE84061B7B
2700.00
West Front Strategies, LLC Lobbyist
2018
✘2700.00
Stombres, Steve, , ,10092 Daniels Run Way
02 18 2017
Fairfax VA 22030-2448Transaction ID : AF9CD6D15456B43DDAEA
1000.00
Harbinger Strategies Partner
2018
✘
1000.00
6400.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256109
73 257
✘
Tiberi for Congress
Strait, Judith, A., ,2573 Swisher Creek Drive
02 13 2017
Blacklick OHTransaction ID : A2165EC7D62894311849
43004-8507
2700.00
Retired Retired
2018
✘2700.00
Strait, Wilbur, C., ,2573 Swisher Creek Drive
02 13 2017
Blacklick OH 43004-8507Transaction ID : A915856C3CEA84657941
Washington DC 20001-3723Transaction ID : A1F0CDBE558C34C21826
2700.00
Forbes Tate Partners Lobbyist
2018
✘
2700.00
8100.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256110
74 257
✘
Tiberi for Congress
Sutter, Brian, , ,151 Hilton Street
01 31 2017
Alexandria VATransaction ID : A60A59A24D61A4B78946
Columbus OH 43215-5086Transaction ID : A86E4C96F9C0641BF8C3
300.00
Allen and Taneff Attorney
2018
✘
300.00
3500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256111
75 257
✘
Tiberi for Congress
Taylor, Anne, , ,1880 Abbotsford Green Drive
02 17 2017
Powell OHTransaction ID : A2A38D64F9E324C22997
43065-8939
1200.00
OSU MC Department of Plastic Physician, Director of Aesthetic Surge
2018
✘1200.00
Teynor, Tim, , ,6932 Salerno Street NW
03 27 2017
Canton OH 44718-3733Transaction ID : A6DD6B8E067A44350A34
1000.00
Aultman Health Foundation Executive
2018
✘1000.00
Thornhill, Barrett, , ,1920 Rhode Island Ave
02 14 2017
McLean VA 22101-4918Transaction ID : A841A642ADCFC4DEDB4B
500.00
McManus Group Consultant
2018
✘
500.00
2700.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256112
76 257
✘
Tiberi for Congress
Timmons, John, W., ,2408 Davis Avenue
02 01 2017
Alexandria VATransaction ID : A34606B44BD0C45CB827
22302-3208
2700.00
The Cormac Group Consultant/Lobbyist
2018
✘2700.00
Tompkins, Elena, , ,3042 Dent Place NW
03 23 2017
Washington DC 20007-2915Transaction ID : A4BB63FFFD018419999B
500.00
Tompkins Strategies Principal
2018
✘500.00
Trucco, Mark, , ,4629 S Section Line Road
02 07 2017
Delaware OH 43015-9322Transaction ID : ACB1D52661D8C4BA3BD0
1000.00
Trucco Construction Owner
2018
✘
1000.00
4200.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256113
77 257
✘
Tiberi for Congress
Tryon, Warren, , ,216 9th St. SE
03 13 2017
Washington DCTransaction ID : AEC2391D9D0D9454C964
20003-2111
500.00
Capitol Counsel LLC Partner
2018
✘500.00
Trysla, Timothy, , ,208 W Walnut Street
03 22 2017
Alexandria VA 22301-2534Transaction ID : A252ED1851F5146B78E3
1000.00
Alston & Bird Attorney
2018
✘1000.00
Turpin, Diane, , ,2545 South Kenmore Court
03 28 2017
Arlington VA 22206-2372Transaction ID : A9DBF520E580D403F959
2000.00
Strategic Health Care consultant
2018
✘
2000.00
3500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256114
78 257
✘
Tiberi for Congress
Van Scoyoc, H. Stewart, , ,131 Yarnick Road
02 01 2017
Great Falls VATransaction ID : AE66F53327D744120A73
22066-3525
2700.00
Van Scoyoc Associations President
2018
✘2700.00
Vandenberg, Christopher, , ,630 N. State StApt 1702 03 27 2017
Chicago IL 60654-5552Transaction ID : AEDEA6C196DA54E3696E
500.00
Vandenberg Ambulance President
2018
✘500.00
Wamberg, Tom, , ,102 S Wynstone Park DriveSuite 200 01 09 2017
North Barrington IL 60010-6977Transaction ID : ACF5E16C56CFF4FCCB7E
2500.00
Wamberg Asset Management CEO
2018
✘
2500.00
5700.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256115
79 257
✘
Tiberi for Congress
Watson, Pete, , ,4884 Aberdeen Ave
03 06 2017
Dublin OHTransaction ID : A062A8ACA8FA94EB6B51
43016-9410
2700.00
Greif CEO
2018
✘2700.00
Weiland, Richard, , ,2444 Madison Road#1406 02 13 2017
Cincinnati OH 45208-1277Transaction ID : A575E116886DE41DE8E4
250.00
Richard Consulting Consultant
2018
✘250.00
Wermuth, Steven, , ,107 Mulberry Street
03 31 2017
Pickerington OH 43147-7939Transaction ID : A5358709928ED48DC82C
2000.00
Strategic Health Care Managing Partner
2018
✘
2000.00
4950.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256116
80 257
✘
Tiberi for Congress
White, Joel, , ,1707 Valley Ave
02 02 2017
McLean VATransaction ID : A1A06BA69629345F083E
22101
2700.00
Horizon Government Affairs consultant
2018
✘2700.00
White, Richard, , ,101 Primrose Street
01 31 2017
Chevy Chase MD 20815Transaction ID : A947986C5475845B99BC
2700.00
Thorn Run Partners consultant
2018
✘2700.00
Wilson, Darrell, , ,500 Richards Lane
03 01 2017
Alexandria VA 22302-3720Transaction ID : A12E23B64F1554EACBC1
500.00
Norfolk Southern Asst. VP
2018
✘
500.00
5900.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256117
81 257
✘
Tiberi for Congress
Wolbers, Rachel, , ,70 I Street SE
Apt 403 02 13 2017
Washington DCTransaction ID : AEE9A2D5C91B146F19B7
20003-4813
250.00
TwinLogic Strategies Legislative Director
2018
✘250.00
Zehetner, Rick, , ,212 E. Ravine Dr
03 06 2017
Mequon WI 53092-5888Transaction ID : A4BB190EC80D447DEB94
1000.00
Bell Ambulance President
2018
✘1000.00
1250.00
303750.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256118
82 257
✘
Tiberi for Congress
Abbott Laboratories Employee PAC100 Abbott Park Road
01 18 2017
North Chicago ILTransaction ID : A1168A891FD354CB1933
60064-3502
C00040279
5000.00
2018
✘5000.00
Acadian Ambulance Service Employee Federal PAC, Inc.PO Box 98000
03 06 2017
Lafayette LA 70509-8000Transaction ID : A0746DDC717B64BF2A34
Washington DC 20006-2716Transaction ID : ADADDDED3881443D096D
C00300707
1000.00
2018
✘
1000.00
8500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256119
83 257
✘
Tiberi for Congress
Action Committee for Rural Electrification PAC4301 Wilson Blvd
01 30 2017
Arlington VATransaction ID : ADF3A5AB2B5C244DA922
22203-1867
C00002972
5000.00
2018
✘5000.00
Aegon USA LLC/ Transamerica Corp. PAC600 13th St NWSte 400B 03 01 2017
Washington DC 20005-3008Transaction ID : A9F88D752C4024B5786A
C00236414
2500.00
2018
✘2500.00
Aegon USA LLC/ Transamerica Corp. PAC600 13th St NWSte 400B 03 31 2017
Washington DC 20005-3008Transaction ID : AAA3D2674314B4FA08DB
C00236414
1500.00
2018
✘
5000.00
9000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256120
84 257
✘
Tiberi for Congress
Aegon USA LLC/ Transamerica Corp. PAC600 13th St NW
Ste 400B 03 31 2017
Washington DCTransaction ID : A2B674AC8916940518F2
20005-3008
C00236414
1000.00
2018
✘5000.00
Aetna Inc. PAC151 Farmington Ave
02 01 2017
Hartford CT 06156-0001Transaction ID : A041F0169F3614C40BF8
Washington DC 20004-3039Transaction ID : A02E790BFF5E34F8CA05
C00034157
5000.00
2018
✘
5000.00
11000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256121
85 257
✘
Tiberi for Congress
Air Line Pilots Assoc. International PAC1625 Massachusetts Ave NW
02 27 2017
Washington DCTransaction ID : AB9C05E0DE3B0484EBA2
20036-2212
C00035451
5000.00
2018
✘5000.00
Air Line Pilots Assoc. International PAC1625 Massachusetts Ave NW
02 28 2017
Washington DC 20036-2212Transaction ID : A6CFFE7656D404B3691E
C00035451
5000.00
2018✘
10000.00
AK Steel PAC9227 Centre Pointe Dr
03 31 2017
West Chester OH 45069-4822Transaction ID : A6A8712EBF0DB4BE5B49
C00290973
2500.00
2018
✘
2500.00
12500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
Washington DC 20036-1500Transaction ID : A44559E4320BD41F3A96
C00104901
2000.00
2018
✘3500.00
Allianz of America PAC1101 Connecticut Ave NWSte 950 03 31 2017
Washington DC 20036-4377Transaction ID : A92BF7C3CDF014852B2F
C00095109
1000.00
2018
✘
1000.00
4500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256123
87 257
✘
Tiberi for Congress
Allstate Insurance Company PAC2775 Sanders Road
Suite A5 02 27 2017
Northbrook ILTransaction ID : A37A767A674944BB5882
60062-6110
C00040253
2500.00
2018
✘2500.00
Ambulatory Surgery Center Association PAC1012 Cameron St
01 30 2017
Alexandria VA 22314-2427Transaction ID : AD917D48E95B04237A6D
Washington DC 20004-1776Transaction ID : A7DE1E7AE5CFF45EC80F
C00206136
1000.00
2018
✘
1000.00
8500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256124
88 257
✘
Tiberi for Congress
American Academy Of Dermatology Association PAC1445 New York Ave NW
Ste 800 03 06 2017
Washington DCTransaction ID : A3315F6C40D4640D2B6D
20005-2125
C00359539
5000.00
2018
✘5000.00
American Academy of Family Physicians PAC1133 Connecticut Ave NW
03 31 2017
Washington DC 20036-4305Transaction ID : A04B225DD2E1444E9A09
C00411553
2500.00
2018
✘2500.00
American Academy of Ophthalmology PAC20 F St NW
02 03 2017
Washington DC 20001-6700Transaction ID : AE9A7E0E4E6914F7480C
C00196246
5000.00
2018
✘
5000.00
12500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256125
89 257
✘
Tiberi for Congress
American Academy of Otolaryngology PAC1 Prince St
# C 03 31 2017
Alexandria VATransaction ID : AFDD6F605E0584FB5802
22314-3354
C00306449
2500.00
2018
✘2500.00
American Ambulance Association Federal PAC8400 Westpark DrSte 2 03 13 2017
McLean VA 22102-3522Transaction ID : AB1FCA18BEF5D40BB931
C00168070
2500.00
2018
✘2500.00
American Apparel And Footwear Association PAC1601 N Kent StSte 1200 03 20 2017
Arlington VA 22209-2105Transaction ID : ADF0282B83ED640468B5
C00338442
1500.00
2018
✘
1500.00
6500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256126
90 257
✘
Tiberi for Congress
American Association Of Neurological Surgeons PAC725 Fiftheenth St, NW Suite 500
03 28 2017
Washington DCTransaction ID : A7FE7272DB51648729DA
20005
C00413955
2500.00
2018
✘2500.00
American Association of Orthopaedic Surgeons PAC317 Massachusetts Ave NE
02 28 2017
Washington DC 20002-5769Transaction ID : A9F8CFDD88E624650966
C00343137
5000.00
2018
✘5000.00
American Bankers Association PAC1120 Connecticut Ave NW
03 31 2017
Washington DC 20036-3902Transaction ID : ADB8D60B68B204AEC89E
C00016386
2500.00
2018
✘
2500.00
10000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256127
91 257
✘
Tiberi for Congress
American Benefits Council PAC1501 M St NW
Ste 600 03 28 2017
Washington DCTransaction ID : A9654252A7DC04DB18B3
20005-1775
C00153171
1500.00
2018
✘1500.00
American Bus Association PAC111 K St NEFl 9 03 13 2017
Washington DC 20002-8110Transaction ID : A0A689A1687174010904
C00004879
1500.00
2018
✘1500.00
American Chemistry Council PAC700 2nd Street NE
03 24 2017
Washington DC 20002-8100Transaction ID : A3751E6001F6E404CA32
C00252338
5000.00
2018
✘
5000.00
8000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256128
92 257
✘
Tiberi for Congress
American Chiropractic Assoc. PAC1701 Clarendon Blvd
# C 01 27 2017
Arlington VATransaction ID : A13712CAD86064B1388D
22209-2799
C00102764
5000.00
2018
✘5000.00
American College of Physicians Services25 Massachusetts Ave NWSte 700 03 02 2017
Washington DC 20001-7401Transaction ID : ABC4818AA10B940CB8CE
C00403881
5000.00
2018
✘5000.00
American College Of Cardiology PAC2400 N St NW
03 14 2017
Washington DC 20037-1153Transaction ID : A4806B84994AF418D8AE
C00375360
5000.00
2018
✘
5000.00
15000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256129
93 257
✘
Tiberi for Congress
American College of Radiology Association PAC1891 Preston White Dr
03 24 2017
Reston VATransaction ID : AA1A5061D7EC34B7F9B9
20191-4326
C00343459
5000.00
2018
✘5000.00
American College Of Rheumatology PAC2200 Lake Blvd NE
03 14 2017
Brookhaven GA 30319-5310Transaction ID : A01CF82C83C8F4FF9A1B
C00432823
1500.00
2018
✘1500.00
American College Of Surgeons Professional Assn PAC20 F St NWSte 1000 03 01 2017
Washington DC 20001-6701Transaction ID : AF34751E456004491B85
C00382424
2500.00
2018
✘
2500.00
9000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256130
94 257
✘
Tiberi for Congress
American Council Of Engineering Companies PAC1015 15th St NW
Ste 802 03 13 2017
Washington DCTransaction ID : A5705B36C41C04889B57
20005-2605
C00010868
1000.00
2018
✘1000.00
American Council of Life Insurers PAC101 Constitution Ave NWSte 700 03 10 2017
Washington DC 20001-2133Transaction ID : AB6CE29DCD2A8498D983
C00147066
5000.00
2018
✘5000.00
American Council of Life Insurers PAC101 Constitution Ave NWSte 700 03 31 2017
Washington DC 20001-2133Transaction ID : AD6D890175EE7425BAC6
C00147066
5000.00
2018✘
10000.00
11000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256131
95 257
✘
Tiberi for Congress
American Dental PAC1111 14th St NW
Ste 1100 01 31 2017
Washington DCTransaction ID : A8E35A1E8B0A145008EE
20005-5627
C00000729
5000.00
2018
✘5000.00
American Electric Power PAC801 Pennsylvania Ave NWSte 320 02 10 2017
Washington DC 20004-2684Transaction ID : ABCCB2A5FF9E445B0B82
C00096842
5000.00
2018
✘5000.00
American Electric Power PAC801 Pennsylvania Ave NWSte 320 03 31 2017
Washington DC 20004-2684Transaction ID : A17A3667DD45545C99AE
C00096842
2000.00
2018✘
7000.00
12000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256132
96 257
✘
Tiberi for Congress
American Express PAC801 Pennsylvania Ave NW
Ste 650 01 25 2017
Washington DCTransaction ID : AB84FDE8CA68742708FC
20004-2673
C00040535
5000.00
2018
✘5000.00
American Family Mutual Insurance Co. PAC600 American Parkway
02 02 2017
Madison WI 53783-0001Transaction ID : A5F199C65C5BB4AD6987
C00354290
1000.00
2018
✘1000.00
American Federation Of Government Employees PAC80 F St NW
02 13 2017
Washington DC 20001-1528Transaction ID : A7F67ADF132A847FB943
C00512293
1500.00
2018
✘
1500.00
7500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256133
97 257
✘
Tiberi for Congress
American Forest & Paper Association PAC1101 K St NW
Ste 700 03 02 2017
Washington DCTransaction ID : AA205F6B12FF848BFBD5
20005-7033
C00029348
1000.00
2018
✘1000.00
American Forest & Paper Association PAC1101 K St NWSte 700 03 31 2017
Washington DC 20005-7033Transaction ID : A441786EA4AC2439B840
C00029348
1000.00
2018
✘2000.00
American Gas Association PAC400 N Capitol St NWSte 450 03 29 2017
Washington DC 20001-6506Transaction ID : AC3F6BCEA19E640A1970
C00007450
2500.00
2018
✘
2500.00
4500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256134
98 257
✘
Tiberi for Congress
American Health Care Assoc. PAC1201 L St NW
02 27 2017
Washington DCTransaction ID : A4D55E775830E4C1B865
20005-4024
C00006080
5000.00
2018
✘5000.00
American Hospital Association PAC800 10th St NWSte 400 03 06 2017
Washington DC 20001-5189Transaction ID : A050581E0D87843E79E5
C00106146
5000.00
2018✘
10000.00
American Hospital Association PAC800 10th St NWSte 400 03 06 2017
Washington DC 20001-5189Transaction ID : A842BC2DF0B824DA8B42
C00106146
5000.00
2018
✘
10000.00
15000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256135
99 257
✘
Tiberi for Congress
American Institute of Certified Public Accountants PAC220 Leigh Farm Rd
02 10 2017
Durham NCTransaction ID : A77328D93245D43FA9EF
27707-8110
C00077321
5000.00
2018
✘5000.00
American Iron & Steel Institute PAC1140 Connecticut Ave NWSte 705 03 31 2017
Washington DC 20036-4011Transaction ID : A198DAFAF5E20454A95F
C00295097
2000.00
2018
✘2000.00
American Medical Response PAC6363 S Fiddlers Green CirFl 14 03 06 2017
Greenwood Village CO 80111-5011Transaction ID : A4E591D7132A34ABAA06
C00389585
2500.00
2018
✘
2500.00
9500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256136
100 257
✘
Tiberi for Congress
American Osteopathic Information Assn PAC1090 Vermont Ave NW
01 27 2017
Washington DCTransaction ID : A8C89AF8A95FD45DE831
20005-4905
C00113803
1000.00
2018
✘1000.00
American Osteopathic Information Assn PAC1090 Vermont Ave NW
02 22 2017
Washington DC 20005-4905Transaction ID : A79CCC6CC34774A209EF
C00113803
1500.00
2018
✘2500.00
American Osteopathic Information Assn PAC1090 Vermont Ave NW
03 24 2017
Washington DC 20005-4905Transaction ID : AC66068619A0345AA850
C00113803
1000.00
2018
✘
3500.00
3500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256137
101 257
✘
Tiberi for Congress
American Petroleum Institute PAC1220 L St NW
03 31 2017
Washington DCTransaction ID : A9E0711D9232D488BB0A
20005-4018
C00483677
1000.00
2018
✘1000.00
American Physical Therapy Assn PAC1111 N Fairfax St
01 27 2017
Alexandria VA 22314-1484Transaction ID : A8ECDD89D70384D79B4E
C00012880
5000.00
2018
✘5000.00
American Postal Workers Union Committee On Political Action1300 L St NW
02 20 2017
Washington DC 20005-4107Transaction ID : A44E05FC3FF464EF3930
C00010322
1000.00
2018
✘
1000.00
7000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256138
102 257
✘
Tiberi for Congress
American Psychiatric Association PAC1000 Wilson Blvd
Ste 1825 03 01 2017
Arlington VATransaction ID : AEED45E81B5144EE58D0
22209-3924
C00373696
1000.00
2018
✘1000.00
American Public Power Association PAC2451 Crystal DrSte 1000 03 31 2017
Arlington VA 22202-4804Transaction ID : A7F9B0EF287B744EEBB1
C00161570
3000.00
2018
✘4000.00
American Public Power Association PAC2451 Crystal DrSte 1000 03 31 2017
Arlington VA 22202-4804Transaction ID : AB659AD2742B74B10BD0
C00161570
1000.00
2018
✘
4000.00
5000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256139
103 257
✘
Tiberi for Congress
American Rental Association PAC1900 19th St
03 24 2017
Moline ILTransaction ID : AB3F5C2E1A4654966A68
61265-4179
C00107615
2500.00
2018
✘2500.00
American Resort Development PAC1201 15th St NWSte 400 02 03 2017
Washington DC 20005-2899Transaction ID : ADC6FE3F7831047EA9A4
C00129932
2500.00
2018
✘2500.00
American Road & Transportation Builders Assn PAC1219 28th St NW
03 29 2017
Washington DC 20007-3362Transaction ID : A599EA06AB0414C28BA5
C00118208
1000.00
2018
✘
1000.00
6000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256140
104 257
✘
Tiberi for Congress
American Society of Anesthesiologists PAC1061 American Lane
03 03 2017
Schaumburg ILTransaction ID : A8F50FCEE16E449AA852
60173-4973
C00255752
5000.00
2018
✘5000.00
American Society Of Association Executives PAC1575 I St NW
02 03 2017
Washington DC 20005-1105Transaction ID : A877FB058D6CC4F6993F
Washington DC 20004-2601Transaction ID : ADF60561763F74502B15
C00106740
5000.00
2018
✘
5000.00
15000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256141
105 257
✘
Tiberi for Congress
Ameriprise Financial PAC101 Constitution Ave NW
Ste 912 02 27 2017
Washington DCTransaction ID : AED788E7E1DDF436DB1E
Chicago IL 60601-6808Transaction ID : A3E0E7241AB4E4FC0B82
C00438358
2000.00
2018
✘2000.00
Anheuser Busch PAC1401 I St NWSte 200 03 06 2017
Washington DC 20005-6549Transaction ID : A80E426C802F34BB5A17
C00034488
5000.00
2018
✘
10000.00
12000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256142
106 257
✘
Tiberi for Congress
Anheuser Busch PAC1401 I St NW
Ste 200 03 06 2017
Washington DCTransaction ID : AA7320ACFB6B24BF9B51
20005-6549
C00034488
5000.00
2018✘
10000.00
Anthem, Inc. PAC120 Monument Cir
01 27 2017
Indianapolis IN 46204-4906Transaction ID : A1F60A2C66A5A4398901
C00197228
5000.00
2018
✘5000.00
Applied Materials Inc.PAC20 Park RdSte E 03 20 2017
Burlingame CA 94010-4443Transaction ID : AADFDC13F1DD8459B822
C00406892
2500.00
2018
✘
2500.00
12500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256143
107 257
✘
Tiberi for Congress
ArcelorMittal USA Good Government PAC1808 I St NW
Fl 5 03 28 2017
Washington DCTransaction ID : A6615D9D3E61E49BAB45
20006-5416
C00104109
2000.00
2018
✘2000.00
Assn of American Railroads PAC425 3rd St SWSte 1000 03 14 2017
Washington DC 20024-3228Transaction ID : AF08F733B952049EF9F2
C00280743
1000.00
2018
✘1000.00
Associated General Contractors of America PAC2300 Wilson BlvdSte 300 03 24 2017
Arlington VA 22201-5426Transaction ID : A94F3C941A4C64E5B84C
C00082917
1000.00
2018
✘
1000.00
4000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256144
108 257
✘
Tiberi for Congress
Association for Advanced Life Underwriting PAC11921 Freedom Dr
Ste 1100 01 27 2017
Reston VATransaction ID : A10B6F2E2C5414AF3984
20190-5634
C00447565
5000.00
2018
✘5000.00
Association of Administrative Law Judges PAC277 Parker Ave
02 27 2017
Buffalo NY 14214-1659Transaction ID : A86306B1EF3D04D2A8C9
C00575738
1000.00
2018
✘1000.00
Astellas US LLC PAC1 Astellas Way
03 10 2017
Northbrook IL 60062-6111Transaction ID : ABB3609D9A569417D91A
C00444885
5000.00
2018
✘
5000.00
11000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256145
109 257
✘
Tiberi for Congress
AT&T PAC208 S Akard St
Ste 2701 02 03 2017
Dallas TXTransaction ID : A519945C55480461C894
75202-4206
C00109017
5000.00
2018
✘5000.00
Bank of America PAC600 Peachtree St NEFl 3 01 27 2017
Atlanta GA 30308-2219Transaction ID : A02B813F906344AC8B4A
C00364778
5000.00
2018
✘5000.00
BASF Corporation Employees PAC100 Campus Dr
03 31 2017
Florham Park NJ 07932-1020Transaction ID : A98D3CB801311420887A
C00340075
2500.00
2018
✘
2500.00
12500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256146
110 257
✘
Tiberi for Congress
Bayer Corporation PAC100 Bayer Rd
03 31 2017
Pittsburgh PATransaction ID : AF2F90DB4861445D98DC
Washington DC 20024-6129Transaction ID : A2CCCE6A594564B2DA9F
C00355677
1000.00
2018
✘1000.00
Blackrock Capital Management Inc PAC40 E 52nd St
03 20 2017
New York NY 10022-5911Transaction ID : A54D3105A777646E6A5F
C00479246
1500.00
2018
✘
1500.00
3500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256147
111 257
✘
Tiberi for Congress
Blue Cross Blue Shield Assoc. PAC1310 G St NW
Frnt 12 01 23 2017
Washington DCTransaction ID : AD4FF7662566E470A897
20005-3007
C00194746
5000.00
2018
✘5000.00
BNSF Rail PACPO Box 961039
03 24 2017
Fort Worth TX 76161-0039Transaction ID : A6A153682EAEB453A8A3
C00235739
1300.00
2018
✘2000.00
BNSF Rail PACPO Box 961039
03 24 2017
Fort Worth TX 76161-0039Transaction ID : A1621B91DF26A4F078A1
C00235739
700.00
2018✘
2000.00
7000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256148
112 257
✘
Tiberi for Congress
Boehringer Ingelheim Corp. PAC1120 G St NW
Ste 1050 03 31 2017
Washington DCTransaction ID : AF703ABFD8A7F48C98A3
20005-3829
C00420398
2500.00
2018
✘2500.00
Boston Scientific Corp PAC1 Boston Scientific Pl
01 30 2017
Natick MA 01760-1536Transaction ID : AFC57494B27154537BEA
C00357863
5000.00
2018
✘5000.00
BP North America Employee PAC501 Westlake Park Blvd
03 31 2017
Houston TX 77079-2604Transaction ID : ADF7CAC81E83348D68B7
C00060103
2000.00
2018
✘
2000.00
9500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256149
113 257
✘
Tiberi for Congress
Bridgepoint Education Inc. PAC13500 Evening Creek Drive N
Suite 600 03 14 2017
San Diego CATransaction ID : A8FA7D260E41A46EF802
92128-8125
C00478404
5000.00
2018
✘5000.00
Brooke Holdings Inc & Jackson Nat'l Life PAC1 Corporate Way
02 08 2017
Lansing MI 48951-1001Transaction ID : A66F25500B3E74B77807
C00254953
2500.00
2018
✘2500.00
Building Owners & Managers Assn International PAC1101 15th Street NWSuite 800 03 31 2017
Washington DC 20005-5021Transaction ID : A5D56E28A598F4D6ABED
C00106435
1000.00
2018
✘
1000.00
8500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256150
114 257
✘
Tiberi for Congress
California Dairies PAC1333 H Street NW
Suite 500 W 03 13 2017
Washington DCTransaction ID : A635CF4F8A6F24A8EA2B
20005-4707
C00349746
5000.00
2018
✘5000.00
Capital One Financial Corp. Associates PAC1680 Capital One DrFl 12 01 23 2017
McLean VA 22102-3407Transaction ID : AA70D68CA4AC644C4B0D
C00326595
5000.00
2018
✘5000.00
Cardinal Health Companies PAC7000 Cardinal Place
02 27 2017
Dublin OH 43017-1091Transaction ID : A4869A5784EA841FFB03
C00332833
5000.00
2018
✘
10000.00
15000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256151
115 257
✘
Tiberi for Congress
Cardinal Health Companies PAC7000 Cardinal Place
02 27 2017
Dublin OHTransaction ID : A3031964844864B2B9B6
43017-1091
C00332833
5000.00
2018✘
10000.00
Caterpillar Inc. Employee PAC100 NE Adams St
03 23 2017
Peoria IL 61629-0001Transaction ID : ACD787FB4785C4D28BAA
C00148031
5000.00
2018
✘5000.00
Centene Corporation PAC7700 Forsyth Blvd
03 13 2017
Saint Louis MO 63105-1807Transaction ID : A187836C17FCD4388B0E
C00397851
1000.00
2018
✘
1000.00
11000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256152
116 257
✘
Tiberi for Congress
Charles Schwab Corporation PAC211 Main Street
03 13 2017
San Francisco CATransaction ID : A548E44D7421641B1A3A
94105-1905
C00370114
1500.00
2018
✘1500.00
Chesapeake Energy Federal PACPO Box 18576
03 23 2017
Oklahoma City OK 73154-0576Transaction ID : A1C2CEE73E6B846E59B0
Washington DC 20004-2601Transaction ID : A7C259560B55C4514B3D
C00085316
5000.00
2018
✘
5000.00
7500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256153
117 257
✘
Tiberi for Congress
Citigroup Inc. PAC1101 Pennsylvania Ave NW
01 27 2017
Washington DCTransaction ID : AC1E62AF1688E473C8A5
Bethesda MD 20814-6583Transaction ID : A4E35E2EFB1FB4AD9951
C00547216
1000.00
2018
✘
1000.00
7000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256154
118 257
✘
Tiberi for Congress
College of American Pathologists PAC1350 I St NW
Ste 590 03 01 2017
Washington DCTransaction ID : A21465CAE0A0F4E12800
20005-3305
C00274944
1000.00
2018
✘1000.00
College of American Pathologists PAC1350 I St NWSte 590 03 31 2017
Washington DC 20005-3305Transaction ID : A5760A2741D754D128FA
C00274944
1000.00
2018
✘2000.00
Comcast Corp. PAC1701 John F Kennedy Blvd
03 28 2017
Philadelphia PA 19103-2833Transaction ID : A5E56FD314DC944A3817
C00248716
5000.00
2018
✘
5000.00
7000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256155
119 257
✘
Tiberi for Congress
Council of Insurance Agents & Brokers PAC701 Pennsylvania Ave NW
02 22 2017
Washington DCTransaction ID : A344EF4ADF8D74BD2A83
20004-2608
C00039578
5000.00
2018
✘5000.00
Credit Suisse PAC1201 F St NWSte 450 03 29 2017
Washington DC 20004-1214Transaction ID : A395A5D6763EA4778A83
C00111559
5000.00
2018
✘5000.00
Cruise Lines International Association PAC1201 F St NWSte 250 01 19 2017
Washington DC 20004-1220Transaction ID : AC2699BB213AE4994919
C00432393
2000.00
2018
✘
2000.00
12000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256156
120 257
✘
Tiberi for Congress
CSX Corp. Good Govt Fund1331 Pennsylvania Ave NW
Ste 560 01 30 2017
Washington DCTransaction ID : A024A711FDD054268B37
20004-1745
C00163832
5000.00
2018
✘5000.00
CVS Health PAC1275 Pennsylvania Ave NWSte 700 02 27 2017
Washington DC 20004-2448Transaction ID : A479E354B386E4F04A6A
C00384818
5000.00
2018
✘5000.00
Davita Healthcare Partners Inc. PAC500 N Capitol St NWSte 300 03 28 2017
Washington DC 20001-7407Transaction ID : A07208BDF02BD44AF979
C00340943
1000.00
2018
✘
1000.00
11000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256157
121 257
✘
Tiberi for Congress
Deloitte and Touche Federal PACPO Box 365
01 10 2017
Washington DCTransaction ID : AAB2A0B5E07AE4B88B2F
Washington DC 20004-1036Transaction ID : AF6E7E22A12C44437A4D
C00497917
7500.00
2018
✘
10000.00
15000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256158
122 257
✘
Tiberi for Congress
Depository Trust And Clearing Corporation PAC1455 Pennsylvania Ave NW
Ste 725 03 13 2017
Washington DCTransaction ID : AFF5643D1845A4B25924
Washington DC 20004-2131Transaction ID : A4CA312FB3FDC4FFDAED
C00438051
5000.00
2018
✘
5000.00
5000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256159
123 257
✘
Tiberi for Congress
Dominion PACPO Box 26666
02 08 2017
Richmond VATransaction ID : A5B32DF939E3A4541AEF
23261-6666
C00108209
1000.00
2018
✘1000.00
Duke Energy Corporation PAC422 S Church St
01 27 2017
Charlotte NC 28242-0900Transaction ID : A5F1BB3D452EC4FF68CC
C00083535
3000.00
2018
✘3000.00
Duke Energy Corporation PAC422 S Church St
01 30 2017
Charlotte NC 28242-0900Transaction ID : A7A5016D6CFE3414C84F
C00083535
2000.00
2018
✘
5000.00
6000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256160
124 257
✘
Tiberi for Congress
Eaton Corp. Public Policy Association PAC1000 Eaton Blvd
03 24 2017
Cleveland OHTransaction ID : AFDB16EDE9C264740965
44122-6058
C00034827
1000.00
2018
✘1000.00
Edward Jones PAC12555 Manchester Rd
03 31 2017
Saint Louis MO 63131-3710Transaction ID : AEC6483A42A704AFEBFF
C00410407
1000.00
2018
✘1000.00
Eli Lilly and Company PACLilly Corporate Center
03 17 2017
Indianapolis IN 46285-0001Transaction ID : A8B66901BF6924B2485C
C70003629
5000.00
2018
✘
5000.00
7000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256161
125 257
✘
Tiberi for Congress
EMD Serono, Inc. PAC1 Technology Place
01 30 2017
Rockland MATransaction ID : AA8898E608F724525BE2
02370-1071
C00258236
5000.00
2018
✘5000.00
Emerson Electric Company Responsible Government Fund8000 W Florissant Avenue
01 27 2017
Saint Louis MO 63136-1414Transaction ID : AE5E87872BCE2426C866
C00080515
5000.00
2018
✘5000.00
Employees Of Northrop Grumman Corporation PAC2980 Fairview Park Dr
01 30 2017
Falls Church VA 22042-4511Transaction ID : A495C9B0DBF774887BEB
C00088591
2000.00
2018
✘
2000.00
12000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256162
126 257
✘
Tiberi for Congress
Engineers Political Education Committee1125 17th St NW
03 27 2017
Washington DCTransaction ID : A54C09DBCAD9E4EAE863
20036-4709
C00029504
2500.00
2018
✘2500.00
Equipment Leasing And Finance Assn PAC1825 K St NWSte 900 01 27 2017
Washington DC 20006-1231Transaction ID : A409E0964E98E451BA79
C00132282
5000.00
2018
✘5000.00
Ernst & Young PAC1101 New York Ave NW
01 30 2017
Washington DC 20005-4269Transaction ID : A6992967A864B471285D
C00227744
5000.00
2018
✘
5000.00
12500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256163
127 257
✘
Tiberi for Congress
ESOP Association PAC1726 M St NW
Ste 501 01 30 2017
Washington DCTransaction ID : ADBB790EC066C4553BA7
20036-4522
C00196089
2000.00
2018
✘2000.00
ESOP Association PAC1726 M St NWSte 501 03 23 2017
Washington DC 20036-4522Transaction ID : A23D26E3BAB96499D824
Washington DC 20001-2133Transaction ID : A67E4FCBBA87C4231985
C00141218
5000.00
2018
✘
5000.00
8000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256164
128 257
✘
Tiberi for Congress
Express Scripts Inc., PAC1 Express Way
02 03 2017
Saint Louis MOTransaction ID : AE4ECD0FF240E46528F5
63121-1824
C00365072
5000.00
2018
✘5000.00
Exxon Mobil Corp PAC5959 Las Colinas Blvd# C 03 22 2017
Irving TX 75039-4202Transaction ID : A9150BF2737C748ABAA2
C00095406
1500.00
2018
✘1500.00
Federation Of American Hospitals PAC750 9th St NWSte 600 03 17 2017
Washington DC 20001-4595Transaction ID : AA2C6D160B9684B59AC0
C00002261
5000.00
2018
✘
5000.00
11500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256165
129 257
✘
Tiberi for Congress
Federation Of Exchange Accomodators 1031 PAC701 8th St NW
02 08 2017
Washington DCTransaction ID : A5270DA1D87814AE5A33
20001-3854
C00426874
2000.00
2018
✘2000.00
Federation Of Exchange Accomodators 1031 PAC701 8th St NW
03 31 2017
Washington DC 20001-3854Transaction ID : AAC714C63B3894F2BB3E
C00426874
1000.00
2018
✘3000.00
FedEx PAC942 Shady Grove Rd SFl 1 03 03 2017
Memphis TN 38120-4117Transaction ID : AC66EBCCF9CD24D44BFC
C00068692
5000.00
2018
✘
5000.00
8000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
Washington DC 20005-3008Transaction ID : A7D1776D5FF89402D821
C00193177
2000.00
2018
✘2000.00
First Energy PAC76 S Main St
01 27 2017
Akron OH 44308-1812Transaction ID : A0A794D912D3B416792F
C00140855
5000.00
2018✘
10000.00
12000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256167
131 257
✘
Tiberi for Congress
First Energy PAC76 S Main St
01 27 2017
Akron OHTransaction ID : A9373BB27D15240BDB31
44308-1812
C00140855
5000.00
2018
✘10000.00
FMC Good Government Program PAC1600 Wilson BlvdSte 700 01 27 2017
Arlington VA 22209-2510Transaction ID : A0B68D65BCA6747689D7
C00033704
1500.00
2018
✘1500.00
FMR Corp. Federal PAC82 Devonshire St
03 14 2017
Boston MA 02109-3605Transaction ID : A48B186F598C04BE6B91
C00380550
5000.00
2018
✘
5000.00
11500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256168
132 257
✘
Tiberi for Congress
FMR Corp. Federal PAC82 Devonshire St
03 31 2017
Boston MATransaction ID : A28B5C3C311E949CD995
02109-3605
C00380550
5000.00
2018✘
10000.00
Ford Motor Company Civic Action Fundthe American Road
01 30 2017
Dearborn MI 48121-Transaction ID : A2461C818E70D4ABDA31
C00046474
5000.00
2018
✘5000.00
Fresenius Medical Care North America PAC801 Pennsylvania Ave NWSte 255 01 30 2017
Washington DC 20004-3637Transaction ID : AAB0A3BB3EE26414396A
C00401299
5000.00
2018
✘
5000.00
15000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256169
133 257
✘
Tiberi for Congress
Friends Of Buck Mckeon713 Bracey Ln
01 30 2017
Alexandria VATransaction ID : A972B3C48911A4EAAA37
22314-6246
C00258244
2000.00
2018
✘2000.00
Genentech Inc. PAC1 Dna Way
03 14 2017
South San Francisc CA 94080-4918Transaction ID : A546FBBC73932478A950
C00199257
2500.00
2018
✘2500.00
General Dynamics Corporation PAC2941 Fairview Park Dr
02 07 2017
Falls Church VA 22042-4522Transaction ID : A82E403C7F6D7457D950
C00078451
5000.00
2018
✘
5000.00
9500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256170
134 257
✘
Tiberi for Congress
General Dynamics Corporation PAC2941 Fairview Park Dr
02 28 2017
Falls Church VATransaction ID : A86228AC2CAFB45D0BA0
22042-4522
C00078451
2500.00
2018✘
7500.00
General Electric Company PAC1299 Pennsylvania Ave NWSte 900 01 20 2017
Washington DC 20004-2414Transaction ID : A5D16BF90DAF44A52B11
C00024869
1000.00
2018
✘1000.00
General Electric Company PAC1299 Pennsylvania Ave NWSte 900 03 20 2017
Washington DC 20004-2414Transaction ID : ACC82339E19B8465982E
C00024869
4000.00
2018
✘
5000.00
7500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256171
135 257
✘
Tiberi for Congress
General Electric Company PAC1299 Pennsylvania Ave NW
Ste 900 03 31 2017
Washington DCTransaction ID : A842AFD2DE8574076B03
20004-2414
C00024869
5000.00
2018✘
10000.00
General Motors Company PAC25 Massachusetts Ave NWSte 400 02 20 2017
Washington DC 20001-1427Transaction ID : A1A75BB4F58784A19899
C00076810
5000.00
2018✘
10000.00
General Motors Company PAC25 Massachusetts Ave NWSte 400 02 20 2017
Washington DC 20001-1427Transaction ID : A9693CCB712E14C22904
C00076810
5000.00
2018
✘
10000.00
15000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256172
136 257
✘
Tiberi for Congress
Genworth Financial Inc. PAC6620 W Broad St
03 29 2017
Richmond VATransaction ID : AF0B5D4EE5DC841F29B6
23230-1716
C00404194
3000.00
2018
✘5000.00
Genworth Financial Inc. PAC6620 W Broad St
03 29 2017
Richmond VA 23230-1716Transaction ID : A346CFB61555D42708CF
Washington DC 20001-2171Transaction ID : A3F5C39F9650F4CC885D
C00350744
1000.00
2018
✘
1000.00
6000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256173
137 257
✘
Tiberi for Congress
Goldman Sachs Group PAC101 Constitution Ave NW
Ste 1000E 03 28 2017
Washington DCTransaction ID : A1D647B8C3CFC4F4EA86
20001-2171
C00350744
1000.00
2018
✘2000.00
Goodyear Good Government Fund1144 E Market St
03 20 2017
Akron OH 44316-1001Transaction ID : AE864FA39C19246E88F0
C00100131
2500.00
2018
✘2500.00
Grant Thornton PAC171 N Clark StSte 200 02 13 2017
Chicago IL 60601-3370Transaction ID : ABDC4C772728241E5A57
C00408260
650.00
2018
✘ In-kind:Fundraising Event Expenses
2500.00
4150.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256174
138 257
✘
Tiberi for Congress
Grant Thornton PAC171 N Clark St
Ste 200 02 13 2017
Chicago ILTransaction ID : AB4D717EE5B38415F82A
60601-3370
C00408260
1850.00
2018
✘2500.00
Guardian Life Insurance Company PAC7 Hanover Sq# C 02 10 2017
New York NY 10004-2616Transaction ID : A1E13B98D253E43A1814
C00173393
5000.00
2018
✘5000.00
H&R Block Inc. PAC (BLOCK PAC)1 H and R Block Way
02 03 2017
Kansas City MO 64105-1905Transaction ID : AA64A78C017054EDB86D
C00188177
1000.00
2018
✘
1000.00
7850.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256175
139 257
✘
Tiberi for Congress
Halliburton PAC801 17th St NW
Fl 10 03 28 2017
Washington DCTransaction ID : AA3E544A7031849B0B31
20006-3912
C00035691
5000.00
2018
✘5000.00
Hartford Advocates Fund PAC690 Asylum Avenue
03 31 2017
Hartford CT 06115Transaction ID : A5FB7F5F6037E4D29ADF
C00168864
1000.00
2018
✘1000.00
Hartford Financial Services Group Inc Federal PAC1 Hartford Plaza# HO-1-11 02 22 2017
Hartford CT 06155-0001Transaction ID : AFFF95A5EC1FA4532B57
C00511444
1000.00
2018
✘
1000.00
7000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256176
140 257
✘
Tiberi for Congress
HCA Inc. Good Government Fund1 Park Plz
01 18 2017
Nashville TNTransaction ID : A9E0ED7CCE0E24B0C802
37203-6527
C00067231
5000.00
2018
✘5000.00
Honeywell International PAC101 Constitution Ave NW
01 27 2017
Washington DC 20001-2133Transaction ID : A786D200B706B4F4F9A6
C00096156
5000.00
2018
✘5000.00
Honeywell International PAC101 Constitution Ave NW
03 01 2017
Washington DC 20001-2133Transaction ID : AA0D36B4A10A3418F8E3
C00096156
5000.00
2018✘
10000.00
15000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256177
141 257
✘
Tiberi for Congress
Humana PAC975 F St NW
Ste 550 02 13 2017
Washington DCTransaction ID : AF79CCA6BE2814F658A1
20004-1458
C00271007
5000.00
2018
✘5000.00
Independence Blue Cross PAC1901 Market St
03 28 2017
Philadelphia PA 19103-1480Transaction ID : AEC120B8EF8AB4480A18
C00450056
1000.00
2018✘
1000.00
Independent Community Bankers PAC1615 L St NWSte 900 03 01 2017
Washington DC 20036-5623Transaction ID : AD519D7542E374DBEA07
C00032698
5000.00
2018
✘
5000.00
11000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256178
142 257
✘
Tiberi for Congress
Independent Insurance Agents & Brokers of America Inc. PAC20 F St NW
Ste 610 01 23 2017
Washington DCTransaction ID : A77E3B424504A4D8AA8B
20001-6707
C00022343
5000.00
2018
✘5000.00
Independent Insurance Agents & Brokers of America Inc. PAC20 F St NWSte 610 02 28 2017
Washington DC 20001-6707Transaction ID : AF25444AEE3D54929B55
Washington DC 20005-4903Transaction ID : AA5432CB1FADE4C898F5
C00490474
5000.00
2018✘
5000.00
15000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256179
143 257
✘
Tiberi for Congress
Intel Corporation PAC1155 F St NW
Ste 1025 03 31 2017
Washington DCTransaction ID : A73B59E1DAD684CDF96C
20004-1342
C00125641
1500.00
2018
✘1500.00
International Association Of Fire Fighters PAC1750 New York Ave NW
03 23 2017
Washington DC 20006-5305Transaction ID : ABA22A88EC83549A195D
C70003108
2500.00
2018
✘2500.00
International Association Of Fire Fighters PAC1750 New York Ave NW
03 31 2017
Washington DC 20006-5305Transaction ID : ACF5F576A00B64934A72
C70003108
2500.00
2018
✘
5000.00
6500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256180
144 257
✘
Tiberi for Congress
International Council of Shopping Centers PAC555 12th St NW
Ste 660 03 13 2017
Washington DCTransaction ID : A61BE03F1317F411D8CF
20004-1241
C00217638
2500.00
2018
✘2500.00
International Paper PAC1101 Pennsylvania Ave NWSte 200 03 14 2017
Washington DC 20004-2514Transaction ID : AB65289BA21CA4897890
C00034405
5000.00
2018
✘5000.00
INVAPAC1 Invacare Way
03 13 2017
Elyria OH 44035-4190Transaction ID : AF286C9B59712446180A
C00249896
5000.00
2018
✘
5000.00
12500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256181
145 257
✘
Tiberi for Congress
Invesco PLC PAC1360 Peachtree Street NE
03 06 2017
Atlanta GATransaction ID : AE9DE755E9AA04FB6A52
30309-3283
C00253369
2500.00
2018
✘2500.00
Investment Company Institute PAC1401 H St NW# 1200 01 30 2017
Washington DC 20005-2110Transaction ID : AB4563F27B73C4058A85
C00105981
2000.00
2018
✘2000.00
Investment Company Institute PAC1401 H St NW# 1200 03 16 2017
Washington DC 20005-2110Transaction ID : AA5646F7BB00D40FD98A
C00105981
500.00
2018
✘
10000.00
5000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256182
146 257
✘
Tiberi for Congress
Investment Company Institute PAC1401 H St NW
# 1200 03 16 2017
Washington DCTransaction ID : A51D3D036B995456ABDB
20005-2110
C00105981
2500.00
2018
✘10000.00
Investment Company Institute PAC1401 H St NW# 1200 03 16 2017
Washington DC 20005-2110Transaction ID : A19CE8164F90D4D07972
C00105981
5000.00
2018✘
10000.00
John Hancock Life Insurance Co. Federal PAC601 Congress StFl 13 03 06 2017
Boston MA 02210-2805Transaction ID : A7B60ECC152B74333BE8
C00137265
1000.00
2018
✘
1000.00
8500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256183
147 257
✘
Tiberi for Congress
Johnson & Johnson PAC1 Johnson and Johnson Plz
03 24 2017
New Brunswick NJTransaction ID : ACF277379DDD94F508EA
08933-0001
C00010983
5000.00
2018
✘5000.00
Johnson Controls Inc. PAC607 14th St NWSte 550 03 28 2017
Washington DC 20005-2014Transaction ID : AE9080A69CF6B4AB2950
C00113753
1000.00
2018
✘1000.00
JP Morgan Chase PAC10 S Dearborn St
02 02 2017
Chicago IL 60603-2300Transaction ID : A62F895747B3E41D884A
C00104299
5000.00
2018
✘
5000.00
11000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256184
148 257
✘
Tiberi for Congress
K&L Gates LLP PAC1601 K St NW
Ste 500 02 08 2017
Washington DCTransaction ID : AB2D8168950D344E6B3C
20006-1682
C00213173
1000.00
2018
✘1000.00
K&L Gates LLP PAC1601 K St NWSte 500 03 13 2017
Washington DC 20006-1682Transaction ID : A3926B01B87D34E9BB6F
C00213173
1000.00
2018
✘2000.00
Kelley Drye & Warren PAC3050 K St NWSte 400 03 28 2017
Washington DC 20007-5100Transaction ID : A932E75EC2E65421FA14
C00301929
1000.00
2018
✘
1000.00
3000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256185
149 257
✘
Tiberi for Congress
Kellogg Company Better Government Committee1 Kellogg Sq
02 13 2017
Battle Creek MITransaction ID : AA9B25F5B00BA43598AC
49017-3534
C00039552
5000.00
2018
✘5000.00
Kindred Healthcare Inc. PAC680 S 4th St
02 06 2017
Louisville KY 40202-2407Transaction ID : AD291465AFE4C450BB7E
C00242271
5000.00
2018
✘5000.00
Koch Industries PAC600 14th St NW
03 23 2017
Washington DC 20005-2008Transaction ID : ADCD68331A533403AAC6
C00236489
2500.00
2018
✘
2500.00
12500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256186
150 257
✘
Tiberi for Congress
KPMG Partners Employees PACPO Box 18254
01 30 2017
Washington DCTransaction ID : A7FCF69990BC344C7A9A
20036-8254
C00280222
5000.00
2018
✘5000.00
KPMG Partners Employees PACPO Box 18254
03 31 2017
Washington DC 20036-8254Transaction ID : A20176FE6461E429B82F
C00280222
5000.00
2018✘
10000.00
Laborers' International Union Of North America PAC905 16th St NWFl 2 03 31 2017
Washington DC 20006-1703Transaction ID : A291592D55B5C4BA5966
C00007922
1000.00
2018
✘
1000.00
11000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256187
151 257
✘
Tiberi for Congress
Latourette for Congress320 Kenarden Drive
02 20 2017
Highland Hts OHTransaction ID : A4802C5ACBBD24E3C90E
44143-3710
C00284174
700.00
2018Redesignated from Primary
✘
2700.00
Latourette for Congress320 Kenarden Drive
02 20 2017
Highland Hts OH 44143-3710Transaction ID : AFA362AA1A4ED4E32988
C00284174
2700.00
2018
✘2700.00
Latourette for Congress320 Kenarden Drive
02 20 2017
Highland Hts OH 44143-3710Transaction ID : ABEDC3458BD924E8BA6F
C00284174
-700.00
2018
✘ Redesignated to General
2700.00
2700.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256188
152 257
✘
Tiberi for Congress
Letter Carrier Political Fund100 Indiana Ave NW
03 28 2017
Washington DCTransaction ID : A84DA57FBEF3A44978F8
20001-2143
C00023580
1500.00
2018
✘1500.00
Liberty Mutual Insurance Co. PAC175 Berkeley St
02 13 2017
Boston MA 02116-5066Transaction ID : A78765D6E2BBC4CAAB96
Eden Prairie MN 55344-7217Transaction ID : A75E771143CAA47DDB13
C00405241
1000.00
2018
✘
1000.00
7500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256189
153 257
✘
Tiberi for Congress
Lockheed Martin PAC2121 Crystal Dr
Ste 100 03 20 2017
Arlington VATransaction ID : A45CECCD9C913492FB9B
22202-3706
C00303024
5000.00
2018
✘5000.00
Loews Corporation PAC655 Madison Ave
03 27 2017
New York NY 10065-8043Transaction ID : A80756D00F6E5432886A
C00416495
2500.00
2018
✘2500.00
Lowe's Companies Inc. PAC1000 Lowes Blvd
03 14 2017
Mooresville NC 28117-8520Transaction ID : A2517212AED154EF0BD0
C00251751
5000.00
2018
✘
5000.00
12500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256190
154 257
✘
Tiberi for Congress
LPL Financial LLC Political Action Committee75 State St
Fl 24 02 03 2017
Boston MATransaction ID : A52AB3C7A6D9B4827BD2
02109-1827
C00486217
5000.00
2018
✘5000.00
M/I Homes PAC3 Easton Oval
03 31 2017
Columbus OH 43219-6011Transaction ID : A056E8421406D45FE882
C00418830
2700.00
2018
✘2700.00
Magazine Publishers Of America PAC1211 Connecticut Ave NWSte 610 02 07 2017
Washington DC 20036-2705Transaction ID : A9EF21285997C4789997
C00035774
1000.00
2018
✘
1000.00
8700.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256191
155 257
✘
Tiberi for Congress
Marathon Petroleum Corporation Employees PAC539 S Main St
02 10 2017
Findlay OHTransaction ID : A921961417C164B6BB4D
45840-3229
C00496307
5000.00
2018
✘5000.00
Marsh & McLennan Companies, Inc. PAC1166 Avenue of the Americas
02 13 2017
New York NY 10036-2708Transaction ID : A282C4ED731FB4DC9AC1
C00457234
2000.00
2018
✘2000.00
Massachusetts Financial Services Co. PAC500 Boylston St
03 13 2017
Boston MA 02116-3740Transaction ID : AC2387414E7CA4F1999E
C00229534
1500.00
2018
✘
1500.00
8500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256192
156 257
✘
Tiberi for Congress
Massachusetts Mutual Life Insurance Co. PAC601 Pennsylvania Ave NW
Ste 420S 02 03 2017
Washington DCTransaction ID : A647AC66BB1444650AB5
20004-3622
C00118943
5000.00
2018
✘5000.00
Medical Device Manufacturers Association PACPO Box 34591
03 28 2017
Washington DC 20043-4591Transaction ID : A3A348E5F725B4DC7987
C00484162
1000.00
2018
✘1000.00
Medtronic Inc. PAC950 F St NWSte 500 02 27 2017
Washington DC 20004-1478Transaction ID : A64F5D044C6954DEA8CD
C00311878
5000.00
2018
✘
5000.00
11000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256193
157 257
✘
Tiberi for Congress
Messer Construction PAC5158 Fishwick Dr
03 31 2017
Cincinnati OHTransaction ID : ADB7369FC30DB4194918
45216-2216
C00435990
2000.00
2018
✘2000.00
MetLife, Inc Employees' Poltical Participation Fund1095 Avenue of the Americas
03 02 2017
New York NY 10036-6797Transaction ID : A71BB609DB7A94B4586C
C00040923
5000.00
2018
✘5000.00
Morgan Stanley PAC401 9th St NWSte 650 03 14 2017
Washington DC 20004-2151Transaction ID : A5581B5C4FD074ADD800
C00337626
2500.00
2018
✘
2500.00
9500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256194
158 257
✘
Tiberi for Congress
Morgan Stanley PAC401 9th St NW
Ste 650 03 31 2017
Washington DCTransaction ID : A06E931A9876A42548E5
20004-2151
C00337626
2000.00
2018
✘4500.00
Mortgage Bankers Association PAC1919 M St NWFl 5 01 30 2017
Washington DC 20036-3572Transaction ID : A501940C2E23F4BC0924
C00004812
2500.00
2018
✘2500.00
Mortgage Bankers Association PAC1919 M St NWFl 5 02 13 2017
Washington DC 20036-3572Transaction ID : A17D02ECB3A6D4064921
C00004812
2500.00
2018
✘
5000.00
7000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256195
159 257
✘
Tiberi for Congress
National Active and Retired Federal Employees606 N Washington St
03 06 2017
Alexandria VATransaction ID : A3543546040844FC0835
22314-1914
C00091561
1000.00
2018
✘1000.00
National Air Traffic Controllers PAC1325 Massachusetts Ave NW
02 03 2017
Washington DC 20005-4171Transaction ID : A1D5F9D5E878A4A65850
C00238725
1500.00
2018
✘1500.00
National Air Traffic Controllers PAC1325 Massachusetts Ave NW
02 13 2017
Washington DC 20005-4171Transaction ID : A4F09BCA063844679AB9
C00238725
1000.00
2018✘
4000.00
3500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256196
160 257
✘
Tiberi for Congress
National Air Traffic Controllers PAC1325 Massachusetts Ave NW
02 13 2017
Washington DCTransaction ID : AE457FE267B3049B4B37
20005-4171
C00238725
1500.00
2018
✘4000.00
National Apartment Association PAC4300 Wilson BoulevardSuite 400 01 31 2017
Arlington VA 22203-4168Transaction ID : AC3C2BE3370CE46578EE
C00113241
2500.00
2018
✘2500.00
National Apartment Association PAC4300 Wilson BoulevardSuite 400 03 31 2017
Arlington VA 22203-4168Transaction ID : A370089C279D5468D88C
C00113241
5000.00
2018✘
10000.00
9000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256197
161 257
✘
Tiberi for Congress
National Apartment Association PAC4300 Wilson Boulevard
Suite 400 03 31 2017
Arlington VATransaction ID : AC5A5D34BA81D440FA3E
22203-4168
C00113241
2500.00
2018
✘10000.00
National Asphalt Pavement Association PAC101 Constitution Ave NWSte 600 03 10 2017
Washington DC 20001-2133Transaction ID : A402E2C017924402E9BB
C00444539
1000.00
2018
✘1000.00
National Association of Insurance & Financial Advisors PAC2901 Telestar Ct
01 27 2017
Falls Church VA 22042-1260Transaction ID : AC4B20325C27347EDAE2
C00005249
5000.00
2018
✘
5000.00
8500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256198
162 257
✘
Tiberi for Congress
National Association of Mutual Insurance Co. PAC3601 Vincennes Rd
03 16 2017
Indianapolis INTransaction ID : A052D708F1F2A48FB8FF
46268-1154
C00170258
2500.00
2018
✘2500.00
National Association Of Postal Supervisors PAC1727 King StSte 400 03 17 2017
Alexandria VA 22314-2700Transaction ID : A877130881BED486AA06
C00092957
1000.00
2018
✘1000.00
National Association Of Real Estate Investment Trusts, Inc. PAC1875 I St NWSte 600 02 03 2017
Washington DC 20006-5413Transaction ID : A2CDFEAC37B0C4A31916
C00303339
5000.00
2018✘
10000.00
8500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256199
163 257
✘
Tiberi for Congress
National Association Of Real Estate Investment Trusts, Inc. PAC1875 I St NW
Ste 600 02 03 2017
Washington DCTransaction ID : A5AFC788309434BD49F4
20006-5413
C00303339
5000.00
2018
✘10000.00
National Beer Wholesalers Assn PAC1100 King StSte 600 01 27 2017
Alexandria VA 22314-2925Transaction ID : A93C3F03E4DCA44BB86D
C00144766
1500.00
2018
✘1500.00
National Beer Wholesalers Assn PAC1100 King StSte 600 03 02 2017
Alexandria VA 22314-2925Transaction ID : A98F70B30E28D4576B27
C00144766
3500.00
2018
✘
5000.00
10000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256200
164 257
✘
Tiberi for Congress
National Business Aviation Association Inc PAC1200 G St NW
Ste 1100 03 17 2017
Washington DCTransaction ID : A0391163645F74E5592D
20005-3830
C00319723
1000.00
2018
✘1000.00
National Confectioners Association PAC1101 30th St NWSte 200 01 27 2017
Washington DC 20007-3769Transaction ID : A1652F45E82C54B928C5
C00003855
1500.00
2018
✘1500.00
National Council Of Textile Organizations PACPO Box 1090
03 17 2017
Cherryville NC 28021-1090Transaction ID : A6D5B148E9AB544F0984
C00405555
1000.00
2018
✘
1000.00
3500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256201
165 257
✘
Tiberi for Congress
National Electrical Contractors Assn PAC3 Bethesda Metro Ctr
03 28 2017
Bethesda MDTransaction ID : A6F0CD5E291154738B23
20814-5330
C00113811
2500.00
2018
✘2500.00
National Emergency Medicine PAC2121 K St NW
02 13 2017
Washington DC 20037-1801Transaction ID : A08E55E4296F144F5B6A
C00140061
5000.00
2018
✘5000.00
National Roofing Contractors PAC10255 W Higgins Rd
03 20 2017
Rosemont IL 60018-5606Transaction ID : A6AE6687DA9C9411EB38
C00244863
1000.00
2018
✘
1000.00
8500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256202
166 257
✘
Tiberi for Congress
National Telecommunications Cooperative Assn Rural Broadband PAC4121 Wilson Blvd
Fl 10 03 23 2017
Arlington VATransaction ID : AB11F3F429F464D30AE2
22203-1839
C00004473
1500.00
2018
✘1500.00
National Telecommunications Cooperative Assn Rural Broadband PAC
4121 Wilson BlvdFl 10 03 31 2017
Arlington VA 22203-1839Transaction ID : A40C84A1704A740379D8
C00004473
1000.00
2018
✘2500.00
National Thoroughbred Racing Assn PAC2525 Harrodsburg Rd
03 20 2017
Lexington KY 40504-3355Transaction ID : AD3BDA9DA1543485FB12
C00360008
2500.00
2018
✘
2500.00
5000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256203
167 257
✘
Tiberi for Congress
National Venture Capital Assn. PAC1655 Fort Myer Dr
Columbus OH 43215-2752Transaction ID : AC5AE97B7622944E7BEC
C00076174
5000.00
2018
✘5000.00
Navistar Inc. Good Government Committee2701 Navistar Drive
02 13 2017
Lisle IL 60532-3637Transaction ID : A8D66CC60BD8544F493A
C00040840
1000.00
2018
✘
1000.00
8500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256204
168 257
✘
Tiberi for Congress
Netjets Association Of Shared Aircraft Pilots PAC2740 Airport Dr
03 08 2017
Columbus OHTransaction ID : AD6E552BE2EBA4151A99
43219-2286
C00488262
5000.00
2018
✘5000.00
Netjets Inc PAC4111 Bridgeway Ave
02 27 2017
Columbus OH 43219-1882Transaction ID : AAC70270EFC10480FB47
C00481309
1000.00
2018
✘1000.00
New Albany PAC101 N 3rd St
03 14 2017
Columbus OH 43215-3121Transaction ID : AA7D6A4711D9F48BC822
C00382432
2300.00
2018
✘
0.00
8300.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256205
169 257
✘
Tiberi for Congress
New York Life Insurance PAC51 Madison Ave
Rm 1109 02 22 2017
New York NYTransaction ID : AFC752ED47F7C4D65AA6
10010-1603
C00158881
5000.00
2018
✘10000.00
New York Life Insurance PAC51 Madison AveRm 1109 02 22 2017
New York NY 10010-1603Transaction ID : AB790274F660D4083940
C00158881
5000.00
2018✘
10000.00
NextEra Energy Inc. PAC700 Universe Blvd
01 27 2017
Juno Beach FL 33408-2657Transaction ID : A68F220927A3D4A27B6F
C00064774
5000.00
2018
✘
5000.00
15000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256206
170 257
✘
Tiberi for Congress
NFIB Safe Trust PAC1201 F St NW
02 13 2017
Washington DCTransaction ID : AE5A4E005B9BB429AB7F
20004-1217
C70002969
5000.00
2018
✘5000.00
NiSource Inc. PAC290 W Nationwide Blvd
01 31 2017
Columbus OH 43215-2561Transaction ID : A4A45D268DEB94BF58E3
C00051979
5000.00
2018
✘5000.00
Nixon Peabody Federal PAC1100 Clinton Sq
03 28 2017
Rochester NY 14604-1730Transaction ID : AF82615D975F346AAA21
C00404178
1000.00
2018
✘
1000.00
11000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256207
171 257
✘
Tiberi for Congress
Norfolk Southern Corporation Good Government PAC3 Commercial Pl
03 13 2017
Norfolk VATransaction ID : A6ACA021FFA3E41AAB12
23510-2108
C00009282
5000.00
2018
✘5000.00
Northern Trust Corporation Federal PAC50 S La Salle St# M-9 03 20 2017
Chicago IL 60603-1008Transaction ID : AD22C482B8C8A47E18E6
C00515148
1500.00
2018
✘1500.00
Northwestern Mutual Life Federal PAC720 E Wisconsin Ave
01 27 2017
Milwaukee WI 53202-4703Transaction ID : AD39B7E5FC27747F9A29
C00197095
5000.00
2018
✘
5000.00
11500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256208
172 257
✘
Tiberi for Congress
Northwestern Mutual Life Federal PAC720 E Wisconsin Ave
03 27 2017
Milwaukee WITransaction ID : AAFBD1836EC894149978
53202-4703
C00197095
2000.00
2018✘
7000.00
Nuclear Energy Institute Federal PAC1201 F St NWFl 11 02 28 2017
Washington DC 20004-1217Transaction ID : A3063566B28BD413594D
C00239848
1000.00
2018
✘1000.00
Nucor Corporation PAC1915 Rexford Rd
02 28 2017
Charlotte NC 28211-3465Transaction ID : A9E1FBB9D51094634BE4
C00379628
2000.00
2018
✘
2000.00
5000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
Washington DC 20001-2133Transaction ID : A1E2A4584D5BA4C67963
C00346353
5000.00
2018
✘
5000.00
8000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256210
174 257
✘
Tiberi for Congress
Owens - Illinois Good Citizenship Fund1 Michael Owens Way
03 28 2017
Perrysburg OHTransaction ID : A04D3B8B3A82140CEB2F
43551-2999
C00034330
2500.00
2018
✘2500.00
Pacific Life Insurance PAC700 Newport Center Dr
03 06 2017
Newport Beach CA 92660-6307Transaction ID : AA0EC9EB22B1A4613A39
C00068528
1000.00
2018
✘5000.00
Pacific Life Insurance PAC700 Newport Center Dr
03 06 2017
Newport Beach CA 92660-6307Transaction ID : A25DC60D5BEF14950B92
C00068528
4000.00
2018
✘
5000.00
7500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256211
175 257
✘
Tiberi for Congress
Patheon Pharmaceuticals Services Inc. PAC4815 Emperor Blvd
03 24 2017
Durham NCTransaction ID : AA974CF6A88954F2B955
27703-0090
C00619361
1000.00
2018
✘1000.00
Pfizer PAC235 E 42nd St
03 28 2017
New York NY 10017-5703Transaction ID : A75E7E9BAA24648FAB92
C00016683
2500.00
2018
✘2500.00
PG&E Corporation Energy PAC900 7th St NWSte 950 02 13 2017
Washington DC 20001-3888Transaction ID : A47FDD452528349CA957
C00177469
1000.00
2018
✘
1000.00
4500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256212
176 257
✘
Tiberi for Congress
Phillips 66 PAC260 M Plaza Office
Bldg. 03 28 2017
Bartlesville OKTransaction ID : A3835B6F09A124D0AAB0
74004-0001
C00513549
1000.00
2018
✘1000.00
PNC Bank PAC249 5th AveFl 21 02 03 2017
Pittsburgh PA 15222-2707Transaction ID : ADB9BD7179B1C4DB1BB5
C00186064
5000.00
2018
✘5000.00
PNC Bank PAC249 5th AveFl 21 03 23 2017
Pittsburgh PA 15222-2707Transaction ID : AD2951AADA85C4206BF4
C00186064
1000.00
2018✘
6000.00
7000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256213
177 257
✘
Tiberi for Congress
Polsinelli PAC900 W 48th Pl
Ste 900 02 13 2017
Kansas City MOTransaction ID : AD3A91135E4224BCB90E
64112-1899
C00445981
1000.00
2018
✘1000.00
Pork PAC122 C St NWSte 875 02 13 2017
Washington DC 20001-2124Transaction ID : A06736E5B9A5F4F5B92A
C00201871
2500.00
2018
✘2500.00
Power PAC - Edison Electric Institute701 Pennsylvania Ave NW
03 31 2017
Washington DC 20004-2608Transaction ID : AA3EA9E43AB104F2FBC0
C00095869
2500.00
2018
✘
2500.00
6000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256214
178 257
✘
Tiberi for Congress
PPL People for Good Government2 N 9th St
02 27 2017
Allentown PATransaction ID : AD7C3D12C55E44CC789A
18101-1139
C00228106
5000.00
2018
✘5000.00
Precision Metal Forming Assoc. PAC6363 Oak Tree Blvd# C 03 28 2017
Independence OH 44131-2556Transaction ID : A4B3C1A27D79C4B07A1A
C00082271
1000.00
2018
✘1000.00
PricewaterhouseCoopers PAC600 13th St NWSte 1000 03 28 2017
Washington DC 20005-3005Transaction ID : ACCDF69C46F5C492CB0A
C00107235
5000.00
2018✘
10000.00
11000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256215
179 257
✘
Tiberi for Congress
Principal Life Insurance Company PAC711 High St
02 08 2017
Des Moines IATransaction ID : AE685906655E0429098A
50392-0001
C00128918
1000.00
2018
✘1000.00
Principal Life Insurance Company PAC711 High St
03 08 2017
Des Moines IA 50392-0001Transaction ID : AD255422F117D4BB18DF
C00128918
2000.00
2018
✘3000.00
Print PAC1001 G St NWSte 800 03 31 2017
Washington DC 20001-4545Transaction ID : A3651354C44B94E41852
C00018028
1000.00
2018
✘
1000.00
4000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256216
180 257
✘
Tiberi for Congress
Professional Aviation Safety Specialists PAC1150 17th St NW
03 13 2017
Washington DCTransaction ID : A6EBD7D20A71B4EC19DF
20036-4603
C00286807
1000.00
2018
✘1000.00
Property Casualty Insurers Association of America PAC2600 S River Road
03 31 2017
Des Plaines IL 60018-3203Transaction ID : AC37CAF1613A44B2C9FE
C00066472
5000.00
2018
✘5000.00
Prosperity Action Inc. PAC320 1st St SE
03 31 2017
Washington DC 20003-1838Transaction ID : AAFDD2A54494543719A3
C00377689
5000.00
2018
✘
5000.00
11000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256217
181 257
✘
Tiberi for Congress
Prudential Financial Inc. PAC1140 Connecticut Avenue NW
Suite 510 03 31 2017
Washington DCTransaction ID : A032D72D9EF684BB1B5F
20036-4013
C00127779
5000.00
2018
✘5000.00
Putnam Investments, INC PAC1 Post Office Sq
03 13 2017
Boston MA 02109-2106Transaction ID : A2A83153D85A14563AA2
C00289595
1500.00
2018
✘1500.00
Quicken Loans Inc PAC101 S Washington SquareSuite 620 02 28 2017
Lansing MI 48933-1708Transaction ID : A24259C8E0B68408E9C5
C00388827
5000.00
2018
✘
5000.00
11500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256218
182 257
✘
Tiberi for Congress
Raytheon PAC1100 Wilson Blvd
Ste 1500 03 16 2017
Arlington VATransaction ID : AC62FE333CADE4C39A5B
22209-3900
C00097568
5000.00
2018
✘7000.00
Raytheon PAC1100 Wilson BlvdSte 1500 03 16 2017
Arlington VA 22209-3900Transaction ID : AE4C29036F6D34205B56
Washington DC 20004-2686Transaction ID : AF8E96064553A44D28F1
C00033779
1000.00
2018
✘
1000.00
8000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256219
183 257
✘
Tiberi for Congress
Realtors PAC430 N Michigan Ave
02 28 2017
Chicago ILTransaction ID : A05FD22CB8CCE4E549F2
60611-4011
C00030718
5000.00
2018
✘5000.00
Republican Main Street PAC325 7th St NW
02 20 2017
Washington DC 20004-2818Transaction ID : A1D0B749DC67E46FDA44
C30000038
1000.00
2018
✘2000.00
RetailPAC1101 New York Ave NW
01 30 2017
Washington DC 20005-4269Transaction ID : AF20A9A739E1F46C592C
C00040329
5000.00
2018
✘
5000.00
11000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256220
184 257
✘
Tiberi for Congress
Rite Aid Corp. PACPO Box 3165
02 28 2017
Harrisburg PATransaction ID : AACAB9C628A2145E593B
17105-3165
C00104083
2500.00
2018
✘2500.00
Ryan For Congress, Inc.PO Box 1488
03 31 2017
Janesville WI 53547-1488Transaction ID : ABC49EE8EA876416CBB6
C00330894
2000.00
2018✘
4000.00
Ryan For Congress, Inc.PO Box 1488
03 31 2017
Janesville WI 53547-1488Transaction ID : A22010D47975C47038E4
C00330894
2000.00
2018
✘
4000.00
6500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256221
185 257
✘
Tiberi for Congress
S Corporation Association PAC1341 G St NW
Ste 600 01 31 2017
Washington DCTransaction ID : A1D286A79BCA5402C9C2
20005-3135
C00493312
2120.00
2018
✘5000.00
S Corporation Association PAC1341 G St NWSte 600 01 31 2017
Washington DC 20005-3135Transaction ID : A533034433BB54404972
C00493312
2880.00
2018
✘5000.00
Sanofi US Services Inc. Employees' PAC55 Corporate Dr
03 28 2017
Bridgewater NJ 08807-1265Transaction ID : A9BD9DE648B954AF2B93
C00144345
1000.00
2018
✘
1000.00
6000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256222
186 257
✘
Tiberi for Congress
Seafarers Political Activity Donation5201 Auth Way
Washington DC 20015-2034Transaction ID : AFA6D62E3F6574CF4914
C00325332
5000.00
2018
✘5000.00
Sheet Metal Workers' Political Action League1750 New York Ave NWSte 600 02 06 2017
Washington DC 20006-5301Transaction ID : A75DE241BBEDC4F0F93B
C00007542
2500.00
2018
✘
2500.00
8500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256223
187 257
✘
Tiberi for Congress
Shire Holdings US Ag PAC901 15th St NW
Ste 510 03 20 2017
Washington DCTransaction ID : AF9DC99FA4A4E454693A
20005-2319
C00578336
1000.00
2018
✘1000.00
Smiths Group Services Corporation PAC425 3rd St SWSte 875 01 27 2017
Washington DC 20024-3237Transaction ID : A24251937975041489EC
C00448324
1500.00
2018
✘1500.00
Society Of Independent Gasoline Marketers Of America PAC3930 Pender DrSte 340 03 31 2017
Fairfax VA 22030-0986Transaction ID : A3A3E2657CD7C49CF930
C00120030
750.00
2018
✘
750.00
3250.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256224
188 257
✘
Tiberi for Congress
Solar Energy Industries Association PAC600 14th St NW
Ste 400 02 08 2017
Washington DCTransaction ID : A4358F5F183564816BC3
Washington DC 20004-2710Transaction ID : AD6C1868996FA4C01A76
C00144774
1000.00
2018✘
1000.00
State Street Bank And Trust Co. Voluntary PACPO Box 5351
02 06 2017
Boston MA 02206-5351Transaction ID : A74A6B17AA3AA43F5BE6
C00072751
2500.00
2018
✘
2500.00
5500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256225
189 257
✘
Tiberi for Congress
Superior Ambulance Service Employees PAC395 W Lake St
03 06 2017
Elmhurst ILTransaction ID : A9D219335FF4B4842B31
60126-1508
C00545558
1500.00
2018
✘1500.00
Tesoro Corp PAC19100 Ridgewood Pkwy
03 31 2017
San Antonio TX 78259-1834Transaction ID : A3F6FE6FD600A4D4E975
C00358366
1000.00
2018
✘1000.00
Texas Instruments Incorporated PACPO Box 742496
03 28 2017
Dallas TX 75374-2496Transaction ID : AD7C40DF7F13041B28DE
C00007070
1000.00
2018
✘
1000.00
3500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256226
190 257
✘
Tiberi for Congress
The Capital Group Companies PAC333 S Hope St
02 20 2017
Los Angeles CATransaction ID : AA60FD553276540209E9
90071-1406
C00540518
2000.00
2018
✘5000.00
The Capital Group Companies PAC333 S Hope St
02 20 2017
Los Angeles CA 90071-1406Transaction ID : A7629BD11100549B9804
C00540518
3000.00
2018
✘5000.00
The Dow Chemical Company Employees PAC2030 Dow Ctr
03 31 2017
Midland MI 48674-1500Transaction ID : AC379D87DBD034A3580F
C00074096
1000.00
2018
✘
1000.00
6000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256227
191 257
✘
Tiberi for Congress
The GlaxoSmithKline PAC5 Moore Dr
03 31 2017
Durham NCTransaction ID : AB5E68C9B1DAE42E2A2B
27709-0143
C00199703
2000.00
2018
✘2000.00
The Home Depot Inc. PAC101 Constitution Ave NWSte 800W 02 10 2017
Washington DC 20001-2127Transaction ID : A8D6E09C7518C4DF3B69
C00284885
5000.00
2018
✘5000.00
The Home Depot Inc. PAC101 Constitution Ave NWSte 800W 03 31 2017
Washington DC 20001-2127Transaction ID : A210D047480DB4DCFA1D
C00284885
2500.00
2018✘
7500.00
9500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256228
192 257
✘
Tiberi for Congress
The Procter & Gamble Co. PAC701 Pennsylvania Ave NW
Ste 520 03 17 2017
Washington DCTransaction ID : AE89AC3D9F7004C0F95B
20004-2624
C00257329
5000.00
2018✘
5000.00
The Wendy's Company PAC4288 W Dublin Granville Rd
01 30 2017
Dublin OH 43017-1442Transaction ID : AF17165E92E75499C81D
C00369090
5000.00
2018
✘5000.00
Thrivent Financial For Lutherans Employee PACPO Box 1892
03 08 2017
Appleton WI 54912-1892Transaction ID : A11F6E92C581947AAB1A
C00121319
5000.00
2018
✘
5000.00
15000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256229
193 257
✘
Tiberi for Congress
TIAA-CREF PAC601 13th St NW
Ste 700 03 31 2017
Washington DCTransaction ID : A12ED778844B44266998
20005-3807
C00431361
2500.00
2018
✘2500.00
Title Industry PAC1828 L St NWSte 705 03 24 2017
Washington DC 20036-5107Transaction ID : AF1F518E623FA479DA9C
Washington DC 20004-2665Transaction ID : A3D48868A79D141ED824
C00361758
1500.00
2018
✘
1500.00
5000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256230
194 257
✘
Tiberi for Congress
Toyota Motor North America, Inc PAC601 13th St NW
Ste 910 03 13 2017
Washington DCTransaction ID : A9ED8251D08714E769ED
20005-3807
C00542365
1000.00
2018
✘1000.00
Tuesday Group PAC209 Pennsylvania Ave SE
03 29 2017
Washington DC 20003-1107Transaction ID : AC2D01728352D40CAB5C
C00433060
2500.00
2018
✘2500.00
U.S. Steel PAC600 Grant StSte 1874 03 24 2017
Pittsburgh PA 15219-2785Transaction ID : AC0FAA6132D9B4754986
C00030676
1000.00
2018
✘
1000.00
4500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256231
195 257
✘
Tiberi for Congress
U.S. Steel PAC600 Grant St
Ste 1874 03 28 2017
Pittsburgh PATransaction ID : A33FDDD2F990F4015AFF
15219-2785
C00030676
2000.00
2018
✘3000.00
UBS Americas Fund For Better Government1501 K St NWSte 1100 03 14 2017
Washington DC 20005-1410Transaction ID : AD33C5DDC23F2494AB3C
C00012245
5000.00
2018✘
10000.00
UBS Americas Fund For Better Government1501 K St NWSte 1100 03 14 2017
Washington DC 20005-1410Transaction ID : A75481EC4011E4A80A9E
C00012245
5000.00
2018
✘
10000.00
12000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256232
196 257
✘
Tiberi for Congress
Union Pacific Corp Fund for Effective Gov't PAC600 13th St NW
Ste 340 02 20 2017
Washington DCTransaction ID : A57F71C5F4EC747398A3
Washington DC 20004-2566Transaction ID : A891C1E2E3DF24F868E1
C00035683
5000.00
2018
✘5000.00
UnitedHealth Group PAC701 Pennsylvania Ave NWSte 650 03 31 2017
Washington DC 20004-2608Transaction ID : ABF7D399A16CA44D4B05
C00274431
4000.00
2018
✘
4000.00
11500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
San Antonio TX 78288-0001Transaction ID : AA720695327B949F2A87
C00164145
5000.00
2018
✘5000.00
Vanguard Committee for Responsible Government400 Devon Park Dr
02 28 2017
Wayne PA 19087-1816Transaction ID : AADBB30213D184B038E3
C00410266
5000.00
2018
✘
5000.00
15000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256234
198 257
✘
Tiberi for Congress
Verizon Communications PAC1300 I St NW
Ste 400 02 03 2017
Washington DCTransaction ID : A52606F2C7F8A476896C
20005-3314
C00186288
5000.00
2018
✘5000.00
Visa, Inc. Political Action Committee325 7th St NW
01 27 2017
Washington DC 20004-2801Transaction ID : A30729E50A7B4463491B
C00365122
5000.00
2018
✘5000.00
Voya Financial, Inc PAC230 Park Ave
02 13 2017
New York NY 10169-0005Transaction ID : A6B4F72CBF96A4E4EA2A
C00184028
1500.00
2018
✘
1500.00
11500.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256235
199 257
✘
Tiberi for Congress
WAL PAC702 SW 8th St
02 10 2017
Bentonville ARTransaction ID : AC1141CCB433249DABE0
72716-6209
C00093054
5000.00
2018
✘5000.00
WAL PAC702 SW 8th St
03 31 2017
Bentonville AR 72716-6209Transaction ID : A26BBC2EABA1440ACA51
C00093054
1000.00
2018✘
6000.00
Wawa, Inc. PAC2 W Baltimore AveC/o Wipfli, Llp 03 31 2017
Media PA 19063-3740Transaction ID : A40CAC78E93D144F8940
C00148510
2000.00
2018
✘
2000.00
8000.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256236
200 257
✘
Tiberi for Congress
Whirlpool Corporation PAC701 Pennsylvania Ave NW
Ste 750 03 31 2017
Washington DCTransaction ID : A7D2FF5AE6D774B1A807
20004-2661
C00039040
1000.00
2018
✘1000.00
Wine and Spirits Wholesalers of America PAC805 15th St NWSte 430 01 27 2017
Washington DC 20005-2273Transaction ID : A8F01D11C748D43B293A
C00147173
5000.00
2018
✘5000.00
Xcel Energy Employee PAC1800 Larimer StFl 1600 03 10 2017
Denver CO 80202-1408Transaction ID : AF86218C8782C4776AFF
C00107771
1000.00
2018
✘
1000.00
7000.00
1064450.00
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256237
201 257
✘
Tiberi for Congress
Delaware County Bank and Trust110 Riverbend Avenue
01 31 2017
Powell OHTransaction ID : A7220489667634D4AB44
43065-8344
297.35
2018Interest Payment
✘584.23
Delaware County Bank and Trust110 Riverbend Avenue
02 28 2017
Powell OH 43065-8344Transaction ID : AFF5FF04E106D4B1C8D9
268.65
2018
✘Interest Payment
852.88
Delaware County Bank and Trust110 Riverbend Avenue
03 31 2017
Powell OH 43065-8344Transaction ID : A7C454DCB327E4EAE90A
297.51
2018
✘ Interest Payment
1150.39
863.51
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256238
202 257
✘
Tiberi for Congress
First Financial Bank150 W Wilson Bridge Road
01 31 2017
Worthington OHTransaction ID : A6B76768DF7EE47A2BC9
43085-2226
1014.79
2018Interest Payment
✘2787.87
First Financial Bank150 W Wilson Bridge Road
02 28 2017
Worthington OH 43085-2226Transaction ID : AA1BDEFB9ECB04E05B1D
1095.17
2018
✘Interest Payment
3883.04
First Financial Bank150 W Wilson Bridge Road
03 31 2017
Worthington OH 43085-2226Transaction ID : AA04D9EAB48534F98BDD
1761.60
2018
✘ Interest Payment
5644.64
3871.56
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256239
203 257
✘
Tiberi for Congress
Nationwide BankOne Nationwide Plaza
01 31 2017
Columbus OHTransaction ID : A2E9CF890BF4E47D393E
43215-2226
254.87
2018Interest Payment
✘452.15
Nationwide BankOne Nationwide Plaza
02 28 2017
Columbus OH 43215-2226Transaction ID : A3ED7B4910AB144C1865
230.26
2018
✘Interest Payment
682.41
Nationwide BankOne Nationwide Plaza
03 31 2017
Columbus OH 43215-2226Transaction ID : A71A8AAB78C6F440EA56
255.00
2018
✘ Interest Payment
937.41
740.13
pbasupally
Typewritten Text
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 contributingfederal 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 contributingfederal 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 contributingfederal political committee. C
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
11a 11b 11c 11d
12 13b 13a 14 15
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
Amount of Each Receipt this Period
, , .
FEC Schedule A (Form 3) (Revised 05/2016)
Memo Item
Memo Item
Memo Item
Image# 201704159052256240
204 257
✘
Tiberi for Congress
The Huntington National Bank41 S High Street
01 31 2017
Columbus OHTransaction ID : AD2926382AE154C8F8A8
43215-6170
84.95
2018Interest Payment
✘337.01
The Huntington National Bank41 S High Street
02 28 2017
Columbus OH 43215-6170Transaction ID : AF381408FCE4D4D13B3E
76.74
2018
✘Interest Payment
413.75
The Huntington National Bank41 S High Street
03 31 2017
Columbus OH 43215-6170Transaction ID : A7E91643F2BC34C94981
84.96
2018
✘ Interest Payment
498.71
246.65
5721.85
pbasupally
Typewritten Text
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256241
205 257
✘
Tiberi for Congress
A&S Italian Food Store
1107 Valley Road 02 15 2017
Stirling NJ 07980-1546
Catering for Fundraiser 003
2018 3725.00
✘ Transaction ID : B6E1C2468CA194A0281B
American Legion
224 D St. SE 02 06 2017
Washington DC 20003-1991
Rental Space for Event 003
2018 2500.00
Transaction ID : B6752EECA24EF4A1BA3C✘
Aristotle
205 Pennsylvania Avenue SE 01 03 2017
Washington DC 20003-1164
Credit Card Processing Fee 003
2018 50.00
✘ Transaction ID : BD57779B20C254974A6B
6275.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256242
206 257
✘
Tiberi for Congress
Aristotle
205 Pennsylvania Avenue SE 01 09 2017
Washington DC 20003-1164
Credit Card Processing Fee 003
2018 405.00
✘ Transaction ID : B2DC8A5C249F64C79A45
Aristotle
205 Pennsylvania Avenue SE 01 23 2017
Washington DC 20003-1164
Credit Card Processing Fee 003
2018 135.00
Transaction ID : B4947AD6EBAC144D3B2E✘
Aristotle
205 Pennsylvania Avenue SE 01 26 2017
Washington DC 20003-1164
Credit Card Processing Fee 003
2018 370.00
✘ Transaction ID : B08A838F2A36D4D018C2
910.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256243
207 257
✘
Tiberi for Congress
Aristotle
205 Pennsylvania Avenue SE 01 30 2017
Washington DC 20003-1164
Credit Card Processing Fee 003
2018 460.00
✘ Transaction ID : BE13E919C06454DD082C
Aristotle
205 Pennsylvania Avenue SE 02 02 2017
Washington DC 20003-1164
Credit Card Procesing Fee 003
2018 1335.00
Transaction ID : B31E4BC0B90F8454D878✘
Aristotle
205 Pennsylvania Avenue SE 02 06 2017
Washington DC 20003-1164
Credit Card Processing Fee 003
2018 900.00
✘ Transaction ID : BFA868CBE072846E5A76
2695.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256244
208 257
✘
Tiberi for Congress
Aristotle
205 Pennsylvania Avenue SE 02 09 2017
Washington DC 20003-1164
Credit Card Processing Fee 003
2018 150.00
✘ Transaction ID : B0D1A4C11CFA2420C9BF
Aristotle
205 Pennsylvania Avenue SE 02 13 2017
Washington DC 20003-1164
Credit Card Processing Fee 003
2018 50.00
Transaction ID : B84455E39C69643C6887✘
Aristotle
205 Pennsylvania Avenue SE 02 16 2017
Washington DC 20003-1164
Credit Card Processing Fee 003
2018 247.50
✘ Transaction ID : B1B1110453F3F4DEC9FC
447.50
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256245
209 257
✘
Tiberi for Congress
Aristotle
205 Pennsylvania Avenue SE 02 21 2017
Washington DC 20003-1164
Credit Card Processing Fee 003
2018 150.00
✘ Transaction ID : B2219E347C5084C6688C
Aristotle
205 Pennsylvania Avenue SE 02 23 2017
Washington DC 20003-1164
Credit Card Processing Fee 003
2018 135.00
Transaction ID : BF377F9A70B3D4AB0A4D✘
Aristotle
205 Pennsylvania Avenue SE 02 27 2017
Washington DC 20003-1164
Credit Card Processing Fee 003
2018 295.00
✘ Transaction ID : B53999F13FB5641528C4
580.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256246
210 257
✘
Tiberi for Congress
Aristotle
205 Pennsylvania Avenue SE 03 06 2017
Washington DC 20003-1164
Credit Card Procesing Fee 003
2018 337.50
✘ Transaction ID : B40F6138D3A6A4DA1940
Aristotle
205 Pennsylvania Avenue SE 03 09 2017
Washington DC 20003-1164
Credit Card Processing Fee 003
2018 340.00
Transaction ID : B55FD2254E58C4151AF3✘
Aristotle
205 Pennsylvania Avenue SE 03 13 2017
Washington DC 20003-1164
Crtedit Card Processing Fee 003
2018 87.50
✘ Transaction ID : BC5A8F796619B41FD992
765.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256247
211 257
✘
Tiberi for Congress
Aristotle
205 Pennsylvania Avenue SE 03 16 2017
Washington DC 20003-1164
Credit Card Processing Fee 003
2018 25.00
✘ Transaction ID : B6FC94C66B55A4044A1D
Aristotle
205 Pennsylvania Avenue SE 03 23 2017
Washington DC 20003-1164
Credit Card Processing Fee 003
2018 100.00
Transaction ID : BDC7AF135AD1D4BC08AB✘
Aristotle
205 Pennsylvania Avenue SE 03 27 2017
Washington DC 20003-1164
Credit Card Processing Fee 003
2018 150.00
✘ Transaction ID : BADEE230FCB9540E48CF
275.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256248
212 257
✘
Tiberi for Congress
Aristotle
205 Pennsylvania Avenue SE 03 30 2017
Washington DC 20003-1164
Credit Card Processing Fee 003
2018 570.00
✘ Transaction ID : BDEEA1F06F14B4AC19F9
Aristotle
205 Pennsylvania Avenue SE 03 31 2017
Washington DC 20003-1164
Credit Card Processing Fee 003
2018 877.50
Transaction ID : B8377B2A39A63401CACC✘
Baker and Hostetler LLP
PO Box 37515 02 28 2017
Washington DC 20013-7515
Legal Fees 001
2018 1215.00
✘ Transaction ID : B2EA0D96A32C7415E9A5
2662.50
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256249
213 257
✘
Tiberi for Congress
Beltway Catering
1251 Pine Hill Road 03 13 2017
Mc Lean VA 22101-2906
Catering for Fundraiser 003
2018 594.00
✘ Transaction ID : B976F75356D9B46A0BE1
Blue Cross Blue Shield Association
1310 G Street NW 03 13 2017
Washington DC 20005-3000
Tickets for Fundraising Event 003
2018 4000.00
Transaction ID : B37238BDB4CBD42E9990✘
Bogart Associates Inc.
1200 Trinity Drive 01 26 2017
Alexandria VA 22314-4724
Fundraising Consulting 003
2018 4239.14
✘ Transaction ID : BDA27AA2D4CAF42AD88B
8833.14
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256250
214 257
✘
Tiberi for Congress
Bogart Associates Inc.
1200 Trinity Drive 02 13 2017
Alexandria VA 22314-4724
Catering and Shipping Reimbursement 003
2018 833.13
✘ Transaction ID : BFF8EA2C16786491BB43
Verizon Center
601 F Street NW 01 05 2017
Washington DC 20004-1605
Catering for Fundraising 003
2018 550.38
Transaction ID : B772C6A4D44EB488C870✘
✘
Bogart Associates Inc.
1200 Trinity Drive 02 15 2017
Alexandria VA 22314-4724
Fundraising Consulting 003
2018 28715.00
✘ Transaction ID : B07028B2CDECB4D4097E
29548.13
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256251
215 257
✘
Tiberi for Congress
Bogart Associates Inc.
1200 Trinity Drive 03 07 2017
Alexandria VA 22314-4724
Fundraising Consulting 003
2018 33505.00
✘ Transaction ID : BDABD9AD0984446359B0
Bogart Associates Inc.
1200 Trinity Drive 03 08 2017
Alexandria VA 22314-4724
Expense Reimbursement 003
2018 360.58
Transaction ID : BCFA9374B3C994658AB6✘
Uber Technologies
800 Market Street 02 14 2017
San Francisco CA 94102-3033
Car Service 003
2018 96.51
✘ Transaction ID : B2DA251BDE43D43C381B
✘
33865.58
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256252
216 257
✘
Tiberi for Congress
Bogart Associates Inc.
1200 Trinity Drive 03 20 2017
Alexandria VA 22314-4724
Shipping and Travel Reimbursement 003
2018 648.15
✘ Transaction ID : B176A905D42D943D0AC5
Staples
PO Box 9020 02 03 2017
Des Moines IA 50368-9020
Office Supplies 003
2018 63.58
Transaction ID : B5F6FF04FDADF4719A53✘
✘
FedEx
3875 Airways 02 18 2017
Memphis TN 38116-5070
Shipping 003
2018 336.82
✘ Transaction ID : BA2AF5F24D9A047299AA
✘
648.15
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256253
217 257
✘
Tiberi for Congress
Uber Technologies
800 Market Street 03 15 2017
San Francisco CA 94102-3033
Car Service 003
2018 158.40
✘ Transaction ID : B26E31E1962854366859
✘
Bogart Associates Inc.
1200 Trinity Drive 03 30 2017
Alexandria VA 22314-4724
Shipping and Travel Reimbursement 003
2018 368.80
Transaction ID : B3DC984E3AD7E4469A9F✘
Uber Technologies
800 Market Street 03 22 2017
San Francisco CA 94102-3033
Car Service 003
2018 24.57
✘ Transaction ID : BA603B9FABD084C8B8D7
✘
368.80
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256254
218 257
✘
Tiberi for Congress
FedEx
3875 Airways 03 22 2017
Memphis TN 38116-5070
Shipping 003
2018 249.95
✘ Transaction ID : BECED5905D492450A9DA
✘
Briggs, Kelli, , ,
1044B N Daniel Street 01 17 2017
Arlington VA 22201-2838
General Political Consulting 001
2018 500.00
Transaction ID : BBA69F7B4B9BC4C06AF7✘
Briggs, Kelli, , ,
1044B N Daniel Street 02 16 2017
Arlington VA 22201-2838
General Political Consulting 001
2018 500.00
✘ Transaction ID : BF925E890666246EB983
1000.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256255
219 257
✘
Tiberi for Congress
Briggs, Kelli, , ,
1044B N Daniel Street 03 13 2017
Arlington VA 22201-2838
General Political Consulting 001
2018 500.00
✘ Transaction ID : BEFF440CE43544AB981D
Capitol Hill Club
300 1st Street SE 01 17 2017
Washington DC 20003-1801
Catering 003
2018 132.87
Transaction ID : BB821FD616ABE48BDB1E✘
Capitol Hill Club
300 1st Street SE 02 06 2017
Washington DC 20003-1801
Catering 003
2018 3518.82
✘ Transaction ID : BB81136D13F3E46E68E8
4151.69
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256256
220 257
✘
Tiberi for Congress
Capitol Hill Club
300 1st Street SE 03 21 2017
Washington DC 20003-1801
Catering 003
2018 133.75
✘ Transaction ID : B12CD3CE764A4474E984
Capitol Management Solutions
3057 Nutley St 01 17 2017
Suite 202
Fairfax VA 22031-1931
Fundraising Software 003
2018 150.00
Transaction ID : B6E0E8053ADF14E8C887✘
Capitol Management Solutions
3057 Nutley St 02 13 2017
Suite 202
Fairfax VA 22031-1931
Fundraising Software 003
2018 150.00
✘ Transaction ID : BDC37EA4B8B5C42EBB0E
433.75
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256257
221 257
✘
Tiberi for Congress
Capitol Management Solutions
3057 Nutley St 03 30 2017
Suite 202
Fairfax VA 22031-1931
Fundraising Software 003
2018 150.00
✘ Transaction ID : B2AA0F1A812614E7DA00
Chick-fil-A Mobile Kitchen
9121 Alaking Court 02 09 2017
Capitol Heights MD 20743-5041
Catering for Fundraiser 003
2018 1100.00
Transaction ID : BDCEC1FC61835417C96F✘
City of Columbus
90 W Broad Street 01 31 2017
Columbus OH 43215-9000
Payroll Tax Withholding 001
2018 262.50
✘ Transaction ID : B44D673B9615241F3887
1512.50
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256258
222 257
✘
Tiberi for Congress
City of Columbus
90 W Broad Street 02 28 2017
Columbus OH 43215-9000
Payroll Tax Withholding 001
2018 237.50
✘ Transaction ID : B58AECCD8D4A646A7AD9
City of Columbus
90 W Broad Street 03 31 2017
Columbus OH 43215-9000
Payroll Tax Withholding 001
2018 187.50
Transaction ID : B85062D92C1B94510811✘
Davis and Harman LLP
1455 Pennsylvania Avenue NW 03 30 2017
Suite 1200
Washington DC 20004-1034
Room Rental for Event 003
2018 250.00
✘ Transaction ID : BFCDB6932651D4D0AB71
675.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256259
223 257
✘
Tiberi for Congress
dcTaste Boutique Catering
1600 Fitzgerald Lane 02 06 2017
Alexandria VA 22302-2004
Catering for Fundraiser 003
2018 2299.14
✘ Transaction ID : B0F8E41AC5F70473DBB5
Dent, Charlie, , ,
116 Chob 01 17 2017
Washington DC 20515-0001
Lunch Fund Dues 001
2018 300.00
Transaction ID : BC08CC630E35B4AA7BF3✘
Dubois, Marcel, , ,
8308 Riverton Lane 01 26 2017
Alexandria VA 22308-1564
Catering Reimbursement 003
2018 378.80
✘ Transaction ID : B7B59872BDCFB420EADE
2977.94
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256260
224 257
✘
Tiberi for Congress
Dynotec
2931 E Dub Granvl Road 02 09 2017
Suite 200
Columbus OH 43231-2098
Rent 001
2018 1017.17
✘ Transaction ID : BA6598973AC9A4973904
Dynotec
2931 E Dub Granvl Road 03 01 2017
Suite 200
Columbus OH 43231-2098
Rent 001
2018 1017.17
Transaction ID : B5DDDF1D9BD3F42A1A83✘
Dynotec
2931 E Dub Granvl Road 03 30 2017
Suite 200
Columbus OH 43231-2098
Rent 001
2018 1017.17
✘ Transaction ID : BC60BE5AFD6554915A6D
3051.51
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256261
225 257
✘
Tiberi for Congress
Elicson Photography
103 Otis Street 01 04 2017
Sunbury OH 43074-9793
Photography 001
2018 300.00
✘ Transaction ID : BA14C5C8147FB4035A22
First Financial Bank Visa
P.O. Box 42070 01 17 2017
Middletown OH 45042
Credit Card Payment 001
2018 2429.22
Transaction ID : B7393D7E266354CE7B79✘
Aristotle
205 Pennsylvania Avenue SE 12 01 2016
Washington DC 20003-1164
Campaign Management Software 001
2018 575.00
✘ Transaction ID : BBBCFDEBADD9C4A6EA39
✘
2729.22
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256262
226 257
✘
Tiberi for Congress
Nextiva
8800 E Chaparral Road 12 02 2016
#300
Scottsdale AZ 85250-2609
Phone Service 001
2018 202.78
✘ Transaction ID : BD367DAEDC8B849E1947
✘
Staples
PO Box 9020 12 08 2016
Des Moines IA 50368-9020
Office Supplies 001
2018 135.40
Transaction ID : BD2A7AFC2FC4D4690AE4✘
✘
United States Postal Service
770 Twin Rivers Drive 12 10 2016
Columbus OH 43215-1127
Postage 001
2018 648.60
✘ Transaction ID : BB506F04B03CC46AE802
✘
0.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256263
227 257
✘
Tiberi for Congress
Aristotle
205 Pennsylvania Avenue SE 12 13 2016
Washington DC 20003-1164
Email Distribution 001
2018 24.29
✘ Transaction ID : BF9097C6A6F7B4346BF1
✘
United States Postal Service
770 Twin Rivers Drive 12 20 2016
Columbus OH 43215-1127
Postage 001
2018 75.20
Transaction ID : B7120CAF136504F8CB0C✘
✘
Buca di Beppo
60 E Wilson Bridge Road 12 20 2016
Worthington OH 43085-2302
Volunteer Luncheon 003
2018 520.51
✘ Transaction ID : B5E0A95B0FCCE441EB49
✘
0.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256264
228 257
✘
Tiberi for Congress
Rackspace
1 Fanatical Place 12 26 2016
San Antonio TX 78218
Email Hosting 001
Rackspace2018 144.00
✘ Transaction ID : B62CFBDD7C4DD4FBDB29
✘
First Financial Bank Visa
P.O. Box 42070 01 02 2017
Middletown OH 45042
Credit Card Fee 001
2018 83.47
Transaction ID : BBDFCFFBC5DE54417B30✘
✘
First Financial Bank Visa
P.O. Box 42070 02 13 2017
Middletown OH 45042
Credit Card Payment 001
2018 10280.38
✘ Transaction ID : B731A36FAD9F142509BB
10280.38
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256265
229 257
✘
Tiberi for Congress
Nextiva
8800 E Chaparral Road 01 01 2017
#300
Scottsdale AZ 85250-2609
Phone Service 001
2018 201.92
✘ Transaction ID : B67264C03100A4B8C958
✘
Aristotle
205 Pennsylvania Avenue SE 01 01 2017
Washington DC 20003-1164
Campaign Management Software 001
2018 575.00
Transaction ID : B3FB7437D2A3448709EA✘
✘
The Congressional Institute
401 Wythe Street 01 04 2017
# 103
Alexandria VA 22314-1915
Retreat Dues 001
2018 489.00
✘ Transaction ID : B350365481C7C4CC2B83
✘
0.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256266
230 257
✘
Tiberi for Congress
Verizon Center
601 F Street NW 01 05 2017
Washington DC 20004-1605
Catering for Fundraising 003
2018 1056.53
✘ Transaction ID : B4210A8E234654684888
✘
Sinplicity Catering
6402 Arlington Boulevard 01 11 2017
Suite B150
Falls Church VA 22042-2333
Catering for Fundraiser 003
2018 487.58
Transaction ID : B2B26D76EE2814F649B2✘
✘
United States Postal Service
770 Twin Rivers Drive 01 18 2017
Columbus OH 43215-1127
Postage 001
2018 22.95
✘ Transaction ID : B1226A5AF21A34128B3E
✘
0.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256267
231 257
✘
Tiberi for Congress
Landini Brothers
115 King Street 01 23 2017
Alexandria VA 22314-3207
Catering for Fundraiser 003
2018 1747.78
✘ Transaction ID : B74B42D2940AC482595D
✘
United States Postal Service
770 Twin Rivers Drive 01 23 2017
Columbus OH 43215-1127
Postage 001
2018 2450.00
Transaction ID : B0CA371DF212A4DCAAC5✘
✘
American Airlines
4333 Amon Carter Boulevard 01 24 2017
Fort Worth TX 76155-2605
Airline Fee 002
2018 574.20
✘ Transaction ID : B7A0F5487800F4272BF0
✘
0.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256268
232 257
✘
Tiberi for Congress
Central Michel Richard
1001 Pennsylvania Avenue NW 01 24 2017
Washington DC 20004-2502
Catering for Fundraiser 001
2018 1890.00
✘ Transaction ID : B945E874E2BD748A6BC5
✘
Rackspace
1 Fanatical Place 01 26 2017
San Antonio TX 78218
Email Hosting 001
Rackspace2018 144.00
Transaction ID : B49337534870A44FD896✘
✘
Staples
PO Box 9020 01 28 2017
Des Moines IA 50368-9020
Office Supplies 001
2018 78.01
✘ Transaction ID : B1AF1ABE9A18D423FAD2
✘
0.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256269
233 257
✘
Tiberi for Congress
First Financial Bank Visa
P.O. Box 42070 03 08 2017
Middletown OH 45042
Credit Card Payment 001
2018 14329.85
✘ Transaction ID : BB1370623E79C432F868
Acqua Al 2 DC
212 7th Street SE 01 31 2017
Washington DC 20003-4311
Catering for Fundraiser 003
2018 1255.30
Transaction ID : B2619CD2161414E5EAB1✘
✘
Aristotle
205 Pennsylvania Avenue SE 02 01 2017
Washington DC 20003-1164
Campaign Management Software 001
2018 575.00
✘ Transaction ID : B51619F5317D94619986
✘
14329.85
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256270
234 257
✘
Tiberi for Congress
Charlie Palmer Steak
101 Constitution Avenue NW 02 01 2017
Washington DC 20001-2133
Food and Drink 003
2018 645.00
✘ Transaction ID : BB9B43722677D483E8F1
✘
Nextiva
8800 E Chaparral Road 02 01 2017
#300
Scottsdale AZ 85250-2609
Phone Service 001
2018 201.92
Transaction ID : BDD909D818E814D9F948✘
✘
Staples
PO Box 9020 02 04 2017
Des Moines IA 50368-9020
Office Supplies 001
2018 12.89
✘ Transaction ID : BDB0D44A720A84E0AA32
✘
0.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256271
235 257
✘
Tiberi for Congress
Ristorante Tosca
1112 F Street NW 02 06 2017
Washington DC 20004-1308
Catering for Fundraiser 003
2018 1711.45
✘ Transaction ID : B9365C2639B78452CB20
✘
American Council of Life Insurers
101 Constitution Avenue NW 02 06 2017
Washington DC 20001-2133
Room Rental for Event 003
2018 675.00
Transaction ID : B6C58039DE99544C78C6✘
✘
Root & Stem Catering & Events
2941 Fairview Park Dr 02 06 2017
Falls Church VA 22042-4522
Catering for Fundraiser 003
2018 430.45
✘ Transaction ID : BD79F198436344CC982D
✘
0.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256272
236 257
✘
Tiberi for Congress
Charlie Palmer Steak
101 Constitution Avenue NW 02 07 2017
Washington DC 20001-2133
Catering for Fundraiser 003
2018 4369.65
✘ Transaction ID : BE8FCF565781D463FAB1
✘
Taylor Gourmet
1116 H Street NE 02 07 2017
Washington DC 20002-4443
Catering for Event 003
2018 344.02
Transaction ID : BB2DA213418274567899✘
✘
DC Slices
3533 Columbia Pike 02 09 2017
Arlington VA 22204-4213
Catering for Fundraiser 003
2018 1125.00
✘ Transaction ID : B00B61CA9E57C452EB69
✘
0.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256273
237 257
✘
Tiberi for Congress
Perfect Settings
1851 S Club Dr 02 13 2017
#2
Hyattsville MD 20785-3218
Catering for Fundraiser 003
2018 261.52
✘ Transaction ID : BA9F484B535A140BAAFA
✘
United States Postal Service
770 Twin Rivers Drive 02 13 2017
Columbus OH 43215-1127
Postage 001
2018 13.60
Transaction ID : B5FF1533C3BB843B0B0F✘
✘
Sinplicity Catering
6402 Arlington Boulevard 02 14 2017
Suite B150
Falls Church VA 22042-2333
Catering for Fundraiser 003
2018 392.70
✘ Transaction ID : B5E4DE60C6E6A462EB1E
✘
0.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256274
238 257
✘
Tiberi for Congress
Aristotle
205 Pennsylvania Avenue SE 02 14 2017
Washington DC 20003-1164
Email Distribution 001
2018 0.20
✘ Transaction ID : BE1EE0DFB3B30454FA49
✘
Congressional Liquor Store
404 1st Street SE 02 15 2017
Washington DC 20003-1826
Beverages for Event 003
2018 981.84
Transaction ID : BF1162CC6F3464D6C9D2✘
✘
Staples
PO Box 9020 02 21 2017
Des Moines IA 50368-9020
Office Supplies 001
2018 244.30
✘ Transaction ID : BE92973220FE146EE860
✘
0.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256275
239 257
✘
Tiberi for Congress
Rackspace
1 Fanatical Place 02 26 2017
San Antonio TX 78218
Email Hosting 001
Rackspace2018 144.00
✘ Transaction ID : B637FD47B95554885AF3
✘
Frissora, Kristen, , ,
2931 E Dub Granvl Road 01 31 2017
Suite 190
Columbus OH 43231-2098
Salary 001
2018 6302.40
Transaction ID : B18BBD28C0584489491C✘
Frissora, Kristen, , ,
2931 E Dub Granvl Road 02 28 2017
Suite 190
Columbus OH 43231-2098
Salary 001
2018 5705.82
✘ Transaction ID : BFEA4B3863E7F4DE59E2
12008.22
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256276
240 257
✘
Tiberi for Congress
Frissora, Kristen, , ,
2931 E Dub Granvl Road 03 31 2017
Suite 190
Columbus OH 43231-2098
Salary 001
2018 4389.54
✘ Transaction ID : B768AD9159E12400994D
Grant Thornton PAC
171 N Clark St 02 13 2017
Ste 200
Chicago IL 60601-3370
In-kind:Fundraising Event Expenses
2018 650.00
Transaction ID : BBDC4C772728241E5A57✘
Grayson Graphics
910 Villas Drive 02 13 2017
Pataskala OH 43062-8043
Invitation Printing 003
2018 209.14
✘ Transaction ID : B3296033E063B4F0ABEC
5248.68
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256277
241 257
✘
Tiberi for Congress
HR Butler LLC
63 Corbins Mill Drive 01 26 2017
Dublin OH 43017-8300
Payroll Processing Fee 001
2018 120.37
✘ Transaction ID : B7A33C56D07FE4975BEA
HR Butler LLC
63 Corbins Mill Drive 02 24 2017
Dublin OH 43017-8300
Payroll Processing Fee 001
2018 169.20
Transaction ID : B41A5C409A44C47898BB✘
HR Butler LLC
63 Corbins Mill Drive 03 24 2017
Dublin OH 43017-8300
Payroll Processing Fee 001
2018 73.52
✘ Transaction ID : B6B5450DB23B4400086C
363.09
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256278
242 257
✘
Tiberi for Congress
Kies, Kenneth, , ,
6109 Franklin Park Road 03 14 2017
McLean VA 22101-4214
Reimbursement for Beverages and Flowers 003
2018 455.95
✘ Transaction ID : B7A4E344088F5445E82D
Schneider's of Capitol Hill
300 Massachusetts Avenue NE 01 30 2017
Washington DC 20002-5702
Beverages for Event 003
2018 280.82
Transaction ID : B8FED4F830BA0431E8D1✘
✘
McNulty, Melissa, , ,
5738 McNeven Court 01 31 2017
Dublin OH 43017-2627
Salary 001
2018 1281.91
✘ Transaction ID : B72066C77DEF14381A1D
1737.86
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256279
243 257
✘
Tiberi for Congress
McNulty, Melissa, , ,
5738 McNeven Court 02 28 2017
Dublin OH 43017-2627
Salary 001
2018 1281.91
✘ Transaction ID : B1B665DEE0590476F8B8
McNulty, Melissa, , ,
5738 McNeven Court 03 07 2017
Dublin OH 43017-2627
Catering Reimbursement 003
2018 824.92
Transaction ID : BC258411F975145AF9BB✘
Brio Tuscan Grille
3993 Easton Station 03 06 2017
Columbus OH 43219-6068
Food and Drink for Fundraiser 003
2018 824.92
✘ Transaction ID : BD6589755DC40446885B
✘
2106.83
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256280
244 257
✘
Tiberi for Congress
McNulty, Melissa, , ,
5738 McNeven Court 03 31 2017
Dublin OH 43017-2627
Salary 001
2018 1281.91
✘ Transaction ID : BD4EB0A711A6D40B99A5
Motorists Insurance Group
471 E Broad Street 02 28 2017
Columbus OH 43215-3852
Insurance Premium 001
2018 525.00
Transaction ID : BDA6195C1F7E04CD1A8A✘
Murphy Consultants
42882 Spring Morning Ct 03 08 2017
Leesburg VA 20178
Event Speaker Expenses 003
2018 3400.00
✘ Transaction ID : BBEBFD590C57C493E8F5
5206.91
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256281
245 257
✘
Tiberi for Congress
New Century Solutions
5466 Cedarbush Road 01 25 2017
Columbus OH 43229-3806
Fundraising Consulting 003
2018 6000.00
✘ Transaction ID : B4245D5A9B4EC4513A89
New Century Solutions
5466 Cedarbush Road 02 16 2017
Columbus OH 43229-3806
Fundraising Consulting 003
2018 6000.00
Transaction ID : BEA4477D8A37E44E4BC3✘
New Century Solutions
5466 Cedarbush Road 03 13 2017
Columbus OH 43229-3806
Fundraising Consulting 003
2018 6000.00
✘ Transaction ID : B0617A914BA114BBCA39
18000.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256282
246 257
✘
Tiberi for Congress
PhRMA
950 F Street NW 03 07 2017
Suite 300
Washington DC 20004-1440
Tickets for Fundraiser 003
2018 540.00
✘ Transaction ID : B307881F026D44CB0923
Public Opinion Strategies
214 N Fayette Street 01 17 2017
Alexandria VA 22314-2433
Polling 005
2018 42250.00
Transaction ID : B2340DE5582BE4F349B1✘
Reminiscence Production
1702 W. Virginia Ave NE 03 08 2017
201
Washington DC 20002-2334
AV Equipment Rental 003
2018 340.00
✘ Transaction ID : B30329D4747FA4D918ED
43130.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256283
247 257
✘
Tiberi for Congress
Ricoh USA, Inc.
PO Box 740541 01 17 2017
Atlanta GA 30374-0541
Copier Lease Payment 001
2018 294.34
✘ Transaction ID : BD45CF91105BD457180F
Ricoh USA, Inc.
PO Box 740541 01 26 2017
Atlanta GA 30374-0541
Copier Lease Payment 001
2018 121.57
Transaction ID : BB25D70DF87AA4944B0A✘
Ricoh USA, Inc.
PO Box 740541 02 13 2017
Atlanta GA 30374-0541
Copier Lease Payment 001
2018 294.34
✘ Transaction ID : B2C672BBD741047469CE
710.25
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256284
248 257
✘
Tiberi for Congress
Spartan IT
274 S 3rd Street 02 13 2017
Columbus OH 43215-5112
IT Consulting 001
2018 120.00
✘ Transaction ID : BBEB0AFC9EE474E368E7
State Of Ohio
30 E Broad Street 01 31 2017
Columbus OH 43215-3414
Payroll Tax Withholding 001
2018 461.69
Transaction ID : B13F3E59BE48242F3820✘
State Of Ohio
30 E Broad Street 02 28 2017
Columbus OH 43215-3414
Payroll Tax Withholding 001
2018 310.77
✘ Transaction ID : B06383412EB9E483B950
892.46
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256285
249 257
✘
Tiberi for Congress
State Of Ohio
30 E Broad Street 03 31 2017
Columbus OH 43215-3414
Payroll Tax and SUI Withholding 001
2018 225.46
✘ Transaction ID : B5CF134C5908040429BE
Susan Gage Caterers
7100 Old Landover Road 03 20 2017
Landover MD 20785-1500
Catering for Fundraiser 003
2018 1589.33
Transaction ID : B947CF57917364ECF9C6✘
The Ink Well
1939 E Dublin Granville Road 02 28 2017
Columbus OH 43229-3508
Envelope Printing 001
2018 423.77
✘ Transaction ID : B8FBA7995B79A4DCE917
2238.56
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256286
250 257
✘
Tiberi for Congress
Time Warner Cable
PO Box 916 01 26 2017
Carol Stream IL 60132-0916
Cable and Internet Service 001
2018 222.29
✘ Transaction ID : B2A3F1531864F4F2690A
Time Warner Cable
PO Box 916 02 28 2017
Carol Stream IL 60132-0916
Cable and Internet Service 001
2018 222.29
Transaction ID : B55C5617B77244AC5964✘
Time Warner Cable
PO Box 916 03 21 2017
Carol Stream IL 60132-0916
Cable and Internet Service 001
2018 222.29
✘ Transaction ID : B129C8404E978422797B
666.87
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256287
251 257
✘
Tiberi for Congress
United States Treasury
1500 Pennsylvania Avenue NW 01 31 2017
Washington DC 20220-0001
Payroll Tax Withholding 001
2018 3161.25
✘ Transaction ID : BFB53088948184AD9AA6
United States Treasury
1500 Pennsylvania Avenue NW 02 22 2017
Washington DC 20220-0001
Tax Payment 001
2018 1254.00
Transaction ID : BC83DC292980544C9BBC✘
United States Treasury
1500 Pennsylvania Avenue NW 02 28 2017
Washington DC 20220-0001
Payroll Tax Withholding 001
2018 2716.25
✘ Transaction ID : B39C5940F11644B45996
7131.50
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256288
252 257
✘
Tiberi for Congress
United States Treasury
1500 Pennsylvania Avenue NW 03 31 2017
Washington DC 20220-0001
Payroll Tax Withholding 001
2018 2014.84
✘ Transaction ID : B1C83298540484A33AFB
Verizon Wireless
PO Box 790292 01 26 2017
Saint Louis MO 63179-0292
Mobile Phone and Internet Service 001
2018 217.94
Transaction ID : B1D15ED2BC1AD4A568E1✘
Verizon Wireless
PO Box 790292 03 08 2017
Saint Louis MO 63179-0292
Mobile Phone and Internet Service 001
2018 272.66
✘ Transaction ID : BEF189C048B994F1390A
2505.44
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256289
253 257
✘
Tiberi for Congress
Verizon Wireless
PO Box 790292 03 27 2017
Saint Louis MO 63179-0292
Phone and Internet Service 001
2018 514.14
✘ Transaction ID : BB863D5FBD4314D09B1F
Washington Tax & Public Policy Group
300 New Jersey Avenue NW 02 06 2017
Suite 601
Washington DC 20001-2080
Room Rental for Event 003
2018 250.00
Transaction ID : BB6BD6A8A87F74687807✘
Ways and Means Member Lunch Fund
House Ways & Means Committee 02 15 2017
Washington DC 20515-0001
Committee Lunch Fund 001
2018 900.00
✘ Transaction ID : BD0A14755FFE543E38E6
1664.14
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256290
254 257
✘
Tiberi for Congress
Westbrook Country Club
1098 Springmill Road 01 26 2017
Mansfield OH 44906-1523
Catering for Fundraiser 003
2018 1288.61
✘ Transaction ID : BD9C2CB688EB34F5EB8C
1288.61
233915.06
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256291
255 257
✘
Tiberi for Congress
Auglaize County Republican Party
96 W 4th St 03 21 2017
Minster OH 45865-1090
Contribution for Event 011
2018 250.00
✘ Transaction ID : B3A5B39AF30F04669B6D
Delaware County Republican Party
PO Box 752 01 30 2017
Delaware OH 43015-0752
Contribution 011
2018 5000.00
Transaction ID : B8DAEF141C5374C0D895✘
Honor Flight Columbus
PO Box 12036 01 26 2017
Columbus OH 43212-0036
Program Advertising 012
2018 250.00
✘ Transaction ID : B03B8265D6B59413F950
5500.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page
Category/Type
17 18 19a 19b
20a 20b 20c 21
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
Category/Type
Disbursement For:
Primary General
Other (specify)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201704159052256292
256 257
✘
Tiberi for Congress
Licking County Republican Party
48 N 4th Street 02 28 2017
Newark OH 43055-5025
Contribution 011
2018 925.00
✘ Transaction ID : B1B57CE254C5542F696C
MILVETS
PO Box 311 03 08 2017
Worthington OH 43085-0311
Luncheon Tickets 012
2018 400.00
Transaction ID : B2EF0859EF5FC43E69C5✘
Ralph And Mary Regula Center at Mount Union
1972 Clark Ave 01 30 2017
Alliance OH 44601-3929
Sponsorship 012
2018 1000.00
✘ Transaction ID : B3F7CA2D580784C22B71
2325.00
SCHEDULE B (FEC Form 3)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . , , .SUBTOTAL of Disbursements This Page (optional) .......................................................................
TOTAL This Period (last page this line number only) ....................................................................
FEC Schedule B (Form 3) (Revised 05/2016)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
President
State: District:
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
