Jan PAC October Quarterly 2016

10/15/2016 21 : 28
Image# 201610159032818306
PAGE 1 / 18
REPORT OF RECEIPTS
AND DISBURSEMENTS
FEC
FORM 3X
For Other Than An Authorized Committee

Office Use Only
1.

NAME OF
COMMITTEE (in full)
Example: If typing, type

over the lines.
TYPE OR PRINT
12FE4M5
JANPAC
P.O. BOX 3798
FEC IDENTIFICATION NUMBER
3. IS THIS
REPORT
(a) Quarterly Reports:

April 15
Quarterly Report (Q1)
July 15
CITY
C00503540
4. TYPE OF REPORT

(Choose One)

AZ
PHOENIX
October 15
Termination Report
(TER)
Covering Period
07
NEW
(N)
OR
AMENDED
(A)
Feb 20 (M2)
May 20 (M5)
Aug 20 (M8)
Mar 20 (M3)
Jun 20 (M6)
Sep 20 (M9)
Dec 20 (M12)
Apr 20 (M4)
Jul 20 (M7)
Oct 20 (M10)
Jan 31 (YE)
(c)

12-Day
PRE-Election
Report for the:

Election on
(d)

30-Day
POST-Election

Report for the:

Election on
Primary (12P)
General (12G)
Convention (12C)
Special (12S)
General (30G)
01
2016
Nov 20 (M11)
(Non-Election
Year Only)
(Non-Election
Year Only)
Runoff (12R)
in the
State of

M M / D D / Y Y Y Y
Runoff (30R)
Special (30S)
in the
State of

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y
5.
ZIP CODE
(b) Monthly

Report
Due On:

January 31
Year-End Report (YE)
July 31 Mid-Year
Report (Non-election
Year Only) (MY)
85030
STATE
2.
Check if different
than previously
reported. (ACC)
ADDRESS (number and street)
through
09
30
2016
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
Hockensmith, Robert, , ,
Hockensmith, Robert, , ,

M M / D D / Y Y Y Y
[Electronically Filed]
Date
10
15
2016
NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 52 U.S.C. 30109.
Office
Use
Only
FEC FORM 3X
Rev. 05/2016
Image# 201610159032818307
SUMMARY PAGE
OF RECEIPTS AND DISBURSEMENTS
FEC Form 3X (Rev. 05/2016)
Page 2
Write or Type Committee Name
JANPAC

M M / D D / Y Y Y Y
Report Covering the Period:
From:
07
01

M M / D D / Y Y Y Y
To:
2016
COLUMN A
This Period
6. (a) Cash on Hand

January 1,

(d) Subtotal (add Lines 6(b) and

6(c) for Column A and Lines

6(a) and 6(c) for Column B)................
7.
Total Disbursements (from Line 31)............
8.

Cash on Hand at Close of

Reporting Period
(subtract Line 7 from Line 6(d))..................
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).................
2016
, , .

323730.73
2016
(c) Total Receipts (from Line 19)..............
30
COLUMN B
Calendar Year-to-Date

Y Y Y Y

(b) Cash on Hand at

Beginning of Reporting Period.............
09
, , .

338696.26
, , .

20000.00
, , .

45000.00
, , .

358696.26
, , .

368730.73
, , .

13967.30
, , .

24001.77
, , .

, , .

344728.96
344728.96
, , .

0.00
, , .

0.00
This committee has qualified as a multicandidate committee. (see FEC FORM 1M)
For further information contact:

Federal Election Commission
999 E Street, NW
Washington, DC 20463
Toll Free 800-424-9530
Local 202-694-1100
Image# 201610159032818308
DETAILED SUMMARY PAGE

of Receipts
Page 3
Write or Type Committee Name
JANPAC

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y
Report Covering the Period:
From:
07
01
To:
2016
COLUMN A
Total This Period
I. Receipts
11. Contributions (other than loans) From:

(a) Individuals/Persons Other

Than Political Committees

(i) Itemized (use Schedule A).............

(ii) Unitemized......................................

(iii) TOTAL (add
Lines 11(a)(i) and (ii)..................

(b) Political Party Committees...................

(c) Other Political Committees

(such as PACs).....................................

(d) Total Contributions (add Lines

11(a)(iii), (b), and (c)) (Carry

Totals to Line 33, page 5)...............
12. Transfers From Affiliated/Other

Party Committees.........................................
13. All Loans Received......................................
30
2016
COLUMN B
, , .

5000.00
40000.00

, , .
0.00
, , .

, , .

40000.00
0.00
, , .

, , .

5000.00
, , .

20000.00
, , .

45000.00
0.00
, , .

0.00
, , .

0.00
, , .

, , .

, , .

, , .

, , .

0.00
0.00
, , .

0.00
, , .

0.00
, , .

0.00
, , .

0.00
, , .

0.00
, , .

0.00
, , .

0.00
, , .

, , .

15000.00
0.00
, , .

0.00
(b) Levin Funds (from Schedule H5)..........
0.00
, , .

0.00
, , .

(c) Total Transfers (add 18(a) and 18(b))...
0.00
, , .

0.00
, , .

0.00
0.00
, , .

20000.00
, , .

45000.00
14. Loan Repayments Received........................

15. Offsets To Operating Expenditures

(Refunds, Rebates, etc.)

(Carry Totals to Line 37, page 5)................
16. Refunds of Contributions Made

to Federal Candidates and Other

Political Committees.....................................
17. Other Federal Receipts

(Dividends, Interest, etc.).............................
18. Transfers from Non-Federal and Levin Funds

(a) Non-Federal Account

(from Schedule H3)..............................
, , .

15000.00
09
, , .

, , .

45000.00
19. Total Receipts (add Lines 11(d),

12, 13, 14, 15, 16, 17, and 18(c))..........
20. Total Federal Receipts

(subtract Line 18(c) from Line 19)..........
20000.00
Image# 201610159032818309

of Disbursements
II. Disbursements
21. Operating Expenditures:

(a) Allocated Federal/Non-Federal

Activity (from Schedule H4)

(i) Federal Share..............................

(ii) Non-Federal Share.......................

(b) Other Federal Operating

Expenditures........................................

(c) Total Operating Expenditures

(add 21(a)(i), (a)(ii), and (b))..............
22. Transfers to Affiliated/Other Party

Committees..................................................
23. Contributions to

Federal Candidates/Committees

and Other Political Committees..................
24. Independent Expenditures

(use Schedule E)........................................
25. Coordinated Party Expenditures

(52 U.S.C. 30116(d))

(use Schedule F)........................................
Page 4
COLUMN A
Total This Period
COLUMN B
0.00
, , .

0.00
, , .

0.00
, , .

0.00
, , .

, , .

13967.30
, , .

24001.77
, , .

13967.30
, , .

24001.77
0.00
, , .

0.00
, , .

0.00
, , .

, , .

, , .

, , .

, , .

0.00
0.00
, , .

26. Loan Repayments Made.............................
0.00
, , .

0.00
, , .

27. Loans Made.................................................

28. Refunds of Contributions To:

(a) Individuals/Persons Other

Than Political Committees..................
0.00
, , .

, , .

0.00
, , .

0.00
, , .

(b) Political Party Committees..................

(c) Other Political Committees

(such as PACs)....................................
0.00
, , .

0.00
, , .

, , .0.00
0.00
, , .

0.00
, , .

0.00
, , .

0.00
, , .

0.00
, , .

, , .

0.00
, , .

0.00
, , .

, , .

0.00
, , .

0.00
, , .

0.00
, , .

0.00
, , .

, , .

13967.30
, , .

24001.77
, , .

13967.30
, , .

24001.77

(d) Total Contribution Refunds

(add Lines 28(a), (b), and (c))............
0.00
29. Other Disbursements (Including

Non-Federal Donations)....................................

(b)

(c)

(ii) "Levin" Share.................................

Federal Election Activity Paid
Entirely With Federal Funds...............
Total Federal Election Activity (add
Lines 30(a)(i), 30(a)(ii) and 30(b))......
30. Federal Election Activity (52 U.S.C. 30101(20))

(a) Allocated Federal Election Activity

(from Schedule H6)

(i) Federal Share.................................
32. Total Federal Disbursements

(subtract Line 21(a)(ii) and Line 30(a)(ii)

from Line 31)...............................................
31. Total Disbursements (add Lines 21(c), 22,

23, 24, 25, 26, 27, 28(d), 29 and 30(c))...
0.00
0.00
0.00
0.00
0.00
Image# 201610159032818310

of Disbursements
III. Net Contributions/

Operating Expenditures
Total Contributions (other than loans)

(from Line 11(d), page 3)...........................
Total Contribution Refunds
(from Line 28(d)).........................................
Net Contributions (other than loans)
(subtract Line 34 from Line 33).................
Total Federal Operating Expenditures
(add Line 21(a)(i) and Line 21(b))..........
Offsets to Operating Expenditures
(from Line 15, page 3)...............................
Net Operating Expenditures
(subtract Line 37 from Line 36).................
33.

34.

35.

36.

37.

38.

COLUMN A
Total This Period
Page 5
COLUMN B
, , .

20000.00
, , .

45000.00
0.00
, , .

0.00
, , .

, , .

20000.00
, , .

45000.00
, , .

13967.30
, , .

24001.77
0.00
, , .

0.00
, , .

, , .

, , .

13967.30
24001.77
Image# 201610159032818311
SCHEDULE A (FEC Form 3X)

ITEMIZED RECEIPTS
FOR LINE NUMBER:

(check only one)
Use separate schedule(s)

for each category of the
Detailed Summary Page
11a
13
PAGE 6
11b
11c
12
14
15
16
OF
18
17
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
JANPAC

Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
A. Eastern Seaboard
Date of Receipt
Mailing Address 11 Boylston Street

M M / D D / Y Y Y Y
City
Bradford
09
State
PA
FEC ID number of contributing

federal political committee.
23
2016
Transaction ID : SA11AI.17400
Amount of Each Receipt this Period
Name of Employer (for Individual)

Receipt For:

Primary
General

Other (specify)
Zip Code
16701
, , .
7500.00
Memo Item
Occupation (for Individual)

Aggregate Year-to-Date

7500.00
, , .
B. Otis Eastern Service
Date of Receipt
Mailing Address 2971 Route 417 E

M M / D D / Y Y Y Y
City
09
State
NY
Wellsville
Memo Item


7500.00
, , .
Mailing Address
City
2016

7500.00
, , .
Date of Receipt
C.

23
Transaction ID : SA11AI.17398
14895

Receipt For:

Primary
General

Other (specify)
Zip Code

M M / D D / Y Y Y Y
State
Zip Code

Memo Item

, , .
SUBTOTAL of Receipts This Page (optional).............................................................................
General

, , .
TOTAL This Period (last page this line number only)................................................................
Receipt For:

Primary

Other (specify)
15000.00
, , .

15000.00
, , .
FEC Schedule A (Form 3X) Rev. 06/2016
Image# 201610159032818312
SCHEDULE A (FEC Form 3X)

ITEMIZED RECEIPTS
FOR LINE NUMBER:

(check only one)

11a
11b
13
14
PAGE 7
11c
15
OF
18
12
16
17
JANPAC

A. PEOPLE FOR PEARCE
Date of Receipt
Mailing Address PO BOX 2696

M M / D D / Y Y Y Y
City
HOBBS
08
State
NM


Receipt For:

Primary
General

Other (specify)

Zip Code
88241
Transaction ID : SA11C.17396
, , .
5000.00
C00463836
Memo Item


5000.00
, , .
Mailing Address
City
2016
Date of Receipt
B.

16

M M / D D / Y Y Y Y
State
Zip Code


Receipt For:

Primary
General

Other (specify)

, , .
Memo Item

, , .
Date of Receipt
C.

Mailing Address
City

M M / D D / Y Y Y Y
State
Zip Code

Memo Item

, , .
SUBTOTAL of Receipts This Page (optional).............................................................................
General

, , .
Receipt For:

Primary

Other (specify)
5000.00
, , .

5000.00
, , .
FEC Schedule A (Form 3X) Rev. 06/2016
Image# 201610159032818313
SCHEDULE B (FEC Form 3X)

ITEMIZED DISBURSEMENTS

FOR LINE NUMBER:

(check only one)
22
21b
28a
28b
PAGE 8
23
26
27
28c
29
30b
OF
18
JANPAC

Full Name (Last, First, Middle Initial)
A.
ADP
Mailing Address 7474 W Chandler Blvd
City
Chandler
Purpose of Disbursement
Payroll taxes
Date of Disbursement

M M / D D / Y Y Y Y
08
State
AZ
Zip Code
85226
Candidate Name
Office Sought:

State:

House
Senate
President
District:
Disbursement For:

Primary
General

Other (specify)
ADP
City
Chandler
Payroll taxes
2016
FEC Identification Number
C
Category/
Type
Transaction ID : SB21B.17340
Amount of Each Disbursement this Period

1088.28
, , .
Memo Item
B.
17

M M / D D / Y Y Y Y
09
State
AZ
Zip Code
85226
House
Senate
President
District:
Disbursement For:

Primary

Other (specify)
Category/
Type
ADP
City
Chandler
Payroll service fees
349.65

, , .
General
Memo Item
C.
2016
Candidate Name
Office Sought:

State:
01

M M / D D / Y Y Y Y
09
Zip Code
85226
Candidate Name
Office Sought:

State:
House
Senate
President
District:
Disbursement For:

Primary
General

Other (specify)
2016
C
Category/
Type
SUBTOTAL of Disbursements This Page (optional)...................................................................
79.95

, , .
Memo Item
State
AZ
02

1517.88
, , .

, , .
FEC Schedule B (Form 3X) Rev. 05/2016
Image# 201610159032818314


FOR LINE NUMBER:

(check only one)
22
21b
28a
28b
PAGE 9
23
26
27
28c
29
30b
OF
18
JANPAC

A.
ADP
City
Chandler

M M / D D / Y Y Y Y
09
State
AZ
Zip Code
85226
Candidate Name
Office Sought:

State:

House
Senate
President
District:
Disbursement For:

Primary
General

Other (specify)
ADP
City
Chandler
Payroll taxes
2016
C
Category/
Type
79.95

, , .
Memo Item
B.
09

M M / D D / Y Y Y Y
09
State
AZ
Zip Code
85226
House
Senate
President
District:
Disbursement For:

Primary

Other (specify)
Category/
Type
ADP
City
Chandler
349.65

, , .
General
Memo Item
C.
2016
Candidate Name
Office Sought:

State:
15

M M / D D / Y Y Y Y
09
Zip Code
85226
Candidate Name
Office Sought:

State:
House
Senate
President
District:
Disbursement For:

Primary
General

Other (specify)
2016
C
Category/
Type
79.95

, , .
Memo Item
State
AZ
23
509.55

, , .

, , .
Image# 201610159032818315


FOR LINE NUMBER:

(check only one)
22
21b
28a
28b
PAGE 10 OF
23
26
27
28c
29
30b
18
JANPAC

A.
Brewer, Michael, , ,
Mailing Address PO Box 3976
City
Phoenix
Payroll

M M / D D / Y Y Y Y
08
State
AZ
Zip Code
85030
Candidate Name
Office Sought:

State:

House
Senate
President
District:
Disbursement For:

Primary
General

Other (specify)
City
Phoenix
Payroll
2016
C
Category/
Type

2176.80
, , .
Memo Item
B.
19

M M / D D / Y Y Y Y
09
State
AZ
Zip Code
85030
House
Senate
President
District:
Disbursement For:

Primary

Other (specify)
Category/
Type
City
Phoenix
Payroll
973.35

, , .
General
Memo Item
C.
2016
Candidate Name
Office Sought:

State:
02

M M / D D / Y Y Y Y
09
Zip Code
85030
Candidate Name
Office Sought:

State:
House
Senate
President
District:
Disbursement For:

Primary
General

Other (specify)
2016
C
Category/
Type
973.35

, , .
Memo Item
State
AZ
16

4123.50
, , .

, , .
Image# 201610159032818316


FOR LINE NUMBER:

(check only one)
22
21b
28a
28b
PAGE 11 OF
23
26
27
28c
29
30b
18
JANPAC

A.
Charlie Palmer Steak
Mailing Address 101 Constitution Ave NW
City
Washington
Meal Expense

M M / D D / Y Y Y Y
09
State
DC
Zip Code
20001
Candidate Name
Office Sought:

State:

House
Senate
President
District:
Disbursement For:

Primary
General

Other (specify)
Guerin, Inc.
City
Alexandria
Fundraising Fees
2016
C
Category/
Type
181.25

, , .
Memo Item
B.
19

M M / D D / Y Y Y Y
07
State
VA
Zip Code
22301
House
Senate
President
District:
Disbursement For:

Primary

Other (specify)
Category/
Type
Hilton Cleveland
Mailing Address 6200 Quarry Lane
City
Independence
Travel Expense

3904.70
, , .
General
Memo Item
C.
2016
Candidate Name
Office Sought:

State:
02

M M / D D / Y Y Y Y
07
Zip Code
44131
Candidate Name
Office Sought:

State:
House
Senate
President
District:
Disbursement For:

Primary
General

Other (specify)
2016
C
Category/
Type
200.00

, , .
Memo Item
State
OH
11

4285.95
, , .

, , .
Image# 201610159032818317


FOR LINE NUMBER:

(check only one)
22
21b
28a
28b
PAGE 12 OF
23
26
27
28c
29
30b
18
JANPAC

A.
Hilton Cleveland
City
Independence
Travel Expense

M M / D D / Y Y Y Y
07
State
OH
Zip Code
44131
Candidate Name
Office Sought:

State:

House
Senate
President
District:
Disbursement For:

Primary
General

Other (specify)
Hilton Cleveland
City
Independence
Travel Expense
2016
C
Category/
Type

1191.04
, , .
Memo Item
B.
20

M M / D D / Y Y Y Y
07
State
OH
Zip Code
44131
House
Senate
President
District:
2016
Candidate Name
Office Sought:

State:
25
Disbursement For:

Primary

Other (specify)
Category/
Type
73.71

, , .
General
Memo Item
C.
Hyatt Regency
Mailing Address 400 New Jersey Ave NW
City
Washington
Meal Expense

M M / D D / Y Y Y Y
08
Zip Code
20001
Candidate Name
Office Sought:

State:
House
Senate
President
District:
Disbursement For:

Primary
General

Other (specify)
2016
C
Category/
Type
50.08

, , .
Memo Item
State
DC
16

1314.83
, , .

, , .
Image# 201610159032818318


FOR LINE NUMBER:

(check only one)
22
21b
28a
28b
PAGE 13 OF
23
26
27
28c
29
30b
18
JANPAC

A.
Sky Harbor Parking
Mailing Address 3400 E Sky Harbor Blvd
City
Phoenix
Travel Expense

M M / D D / Y Y Y Y
07
State
AZ
Zip Code
85034
Candidate Name
Office Sought:

State:

House
Senate
President
District:
Disbursement For:

Primary
General

Other (specify)
Sky Harbor Parking
City
Phoenix
Travel Expense
2016
C
Category/
Type
175.00

, , .
Memo Item
B.
25

M M / D D / Y Y Y Y
08
State
AZ
Zip Code
85034
House
Senate
President
District:
Disbursement For:

Primary

Other (specify)
Category/
Type
Sky Harbor Parking
City
Phoenix
Travel Expense
56.00

, , .
General
Memo Item
C.
2016
Candidate Name
Office Sought:

State:
16

M M / D D / Y Y Y Y
08
Zip Code
85034
Candidate Name
Office Sought:

State:
House
Senate
President
District:
Disbursement For:

Primary
General

Other (specify)
2016
C
Category/
Type
25.00

, , .
Memo Item
State
AZ
29
256.00

, , .

, , .
Image# 201610159032818319


FOR LINE NUMBER:

(check only one)
22
21b
28a
28b
PAGE 14 OF
23
26
27
28c
29
30b
18
JANPAC

A.
Sky Harbor Parking
City
Phoenix
Travel Expense

M M / D D / Y Y Y Y
09
State
AZ
Zip Code
85034
Candidate Name
Office Sought:

State:

House
Senate
President
District:
Disbursement For:

Primary
General

Other (specify)
Sky Harbor Parking
City
Phoenix
Travel Expense
2016
C
Category/
Type
50.00

, , .
Memo Item
B.
19

M M / D D / Y Y Y Y
09
State
AZ
Zip Code
85034
House
Senate
President
District:
2016
Candidate Name
Office Sought:

State:
28
Disbursement For:

Primary

Other (specify)
Category/
Type
87.00

, , .
General
Memo Item
C.
The UPS Store
Mailing Address 7000 N. 16th St Suite 200
City
Phoenix
Mailbox Rental Fee

M M / D D / Y Y Y Y
07
Zip Code
85020
Candidate Name
Office Sought:

State:
House
Senate
President
District:
Disbursement For:

Primary
General

Other (specify)
2016
C
Category/
Type
239.77

, , .
Memo Item
State
AZ
02
376.77

, , .

, , .
Image# 201610159032818320


FOR LINE NUMBER:

(check only one)
22
21b
28a
28b
PAGE 15 OF
23
26
27
28c
29
30b
18
JANPAC

A.
Uber
Mailing Address 1455 Market St #400
City
San Francisco
Travel Expense

M M / D D / Y Y Y Y
07
State
CA
Zip Code
94103
Candidate Name
Office Sought:

State:

House
Senate
President
District:
Disbursement For:

Primary
General

Other (specify)
Uber
City
San Francisco
Travel Expense
2016
C
Category/
Type
30.29

, , .
Memo Item
B.
21

M M / D D / Y Y Y Y
07
State
CA
Zip Code
94103
House
Senate
President
District:
Disbursement For:

Primary

Other (specify)
Category/
Type
Uber
City
San Francisco
Travel Expense
29.80

, , .
General
Memo Item
C.
2016
Candidate Name
Office Sought:

State:
21

M M / D D / Y Y Y Y
07
Zip Code
94103
Candidate Name
Office Sought:

State:
House
Senate
President
District:
Disbursement For:

Primary
General

Other (specify)
2016
C
Category/
Type
30.82

, , .
Memo Item
State
CA
22
90.91

, , .

, , .
Image# 201610159032818321


FOR LINE NUMBER:

(check only one)
22
21b
28a
28b
PAGE 16 OF
23
26
27
28c
29
30b
18
JANPAC

A.
Uber
City
San Francisco
Travel Expense

M M / D D / Y Y Y Y
07
State
CA
Zip Code
94103
Candidate Name
Office Sought:

State:

House
Senate
President
District:
Disbursement For:

Primary
General

Other (specify)
Uber
City
San Francisco
Travel Expense
2016
C
Category/
Type
29.92

, , .
Memo Item
B.
22

M M / D D / Y Y Y Y
07
State
CA
Zip Code
94103
House
Senate
President
District:
Disbursement For:

Primary

Other (specify)
Category/
Type
Uber
City
San Francisco
Travel Expense
30.45

, , .
General
Memo Item
C.
2016
Candidate Name
Office Sought:

State:
25

M M / D D / Y Y Y Y
07
Zip Code
94103
Candidate Name
Office Sought:

State:
House
Senate
President
District:
Disbursement For:

Primary
General

Other (specify)
2016
C
Category/
Type
14.26

, , .
Memo Item
State
CA
25
74.63

, , .

, , .
Image# 201610159032818322


FOR LINE NUMBER:

(check only one)
22
21b
28a
28b
PAGE 17 OF
23
26
27
28c
29
30b
18
JANPAC

A.
Uber
City
San Francisco
Travel Expense

M M / D D / Y Y Y Y
07
State
CA
Zip Code
94103
Candidate Name
Office Sought:

State:

House
Senate
President
District:
Disbursement For:

Primary
General

Other (specify)
Uber
City
San Francisco
Travel Expense
2016
C
Category/
Type
15.60

, , .
Memo Item
B.
25

M M / D D / Y Y Y Y
07
State
CA
Zip Code
94103
House
Senate
President
District:
Disbursement For:

Primary

Other (specify)
Category/
Type
Uber
City
San Francisco
Travel Expense
35.83

, , .
General
Memo Item
C.
2016
Candidate Name
Office Sought:

State:
25

M M / D D / Y Y Y Y
08
Zip Code
94103
Candidate Name
Office Sought:

State:
House
Senate
President
District:
Disbursement For:

Primary
General

Other (specify)
2016
C
Category/
Type
2.42

, , .
Memo Item
State
CA
15
53.85

, , .

, , .
Image# 201610159032818323


FOR LINE NUMBER:

(check only one)
22
21b
28a
28b
PAGE 18 OF
23
26
27
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29
30b
18
JANPAC

A.
Uber
City
San Francisco
Travel Expense

M M / D D / Y Y Y Y
08
State
CA
Zip Code
94103
Candidate Name
Office Sought:

State:

House
Senate
President
District:
Disbursement For:

Primary
General

Other (specify)
United Airlines
City
Chicago
Travel Expense
2016
C
Category/
Type
7.42

, , .
Memo Item
B.
15

M M / D D / Y Y Y Y
07
State
IL
Zip Code
60606
House
Senate
President
District:
2016
Candidate Name
Office Sought:

State:
18
Disbursement For:

Primary

Other (specify)
Category/
Type
9.99

, , .
General
Memo Item
C.

M M / D D / Y Y Y Y
Mailing Address
City
State
Zip Code
Office Sought:

State:
House
Senate
President
District:
Disbursement For:

Primary
General

Other (specify)
Category/
Type
, , .
Memo Item
Candidate Name
17.41

, , .
12621.28

, , .

Jan PAC October Quarterly 2016

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10/15/2016 21 : 28

For Other Than An Authorized Committee

Example: If typing, type

P.O. BOX 3798

FEC IDENTIFICATION NUMBER

(a) Quarterly Reports:

ADDRESS (number and street)

OF RECEIPTS AND DISBURSEMENTS

FEC Form 3X (Rev. 05/2016)

Write or Type Committee Name

Report Covering the Period:

Total Disbursements (from Line 31)............

Cash on Hand at Close of

Debts and Obligations Owed TO

10. Debts and Obligations Owed BY

(c) Total Receipts (from Line 19)..............

For further information contact:

DETAILED SUMMARY PAGE

FEC Form 3X (Rev. 05/2016)

Write or Type Committee Name

Report Covering the Period:

11. Contributions (other than loans) From:

(b) Levin Funds (from Schedule H5)..........

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

14. Loan Repayments Received........................

19. Total Receipts (add Lines 11(d),

DETAILED SUMMARY PAGE

FEC Form 3X (Rev. 05/2016)

21. Operating Expenditures:

26. Loan Repayments Made.............................

27. Loans Made.................................................

29. Other Disbursements (Including

(ii) "Levin" Share.................................

30. Federal Election Activity (52 U.S.C. 30101(20))

32. Total Federal Disbursements

31. Total Disbursements (add Lines 21(c), 22,

DETAILED SUMMARY PAGE

FEC Form 3X (Rev. 05/2016)

III. Net Contributions/

Total Contributions (other than loans)

SCHEDULE A (FEC Form 3X)

FOR LINE NUMBER:

Use separate schedule(s)

Mailing Address 11 Boylston Street

FEC ID number of contributing

Name of Employer (for Individual)

Occupation (for Individual)

B. Otis Eastern Service

Mailing Address 2971 Route 417 E

Occupation (for Individual)

Name of Employer (for Individual)

FEC ID number of contributing

Occupation (for Individual)

SUBTOTAL of Receipts This Page (optional).............................................................................

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

FEC Schedule A (Form 3X) Rev. 06/2016

SCHEDULE A (FEC Form 3X)

FOR LINE NUMBER:

Use separate schedule(s)

A. PEOPLE FOR PEARCE

Mailing Address PO BOX 2696

FEC ID number of contributing

Name of Employer (for Individual)