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Report of Receipts and Disbursements: FEC Form 3
Report of Receipts and Disbursements: FEC Form 3
Report of Receipts and Disbursements: FEC Form 3
Image# 202110159467743942
PAGE 1 / 48
REPORT OF RECEIPTS
FEC
FORM 3
AND DISBURSEMENTS
For An Authorized Committee Office Use Only
PO BOX 250
ADDRESS (number and street)
Check if different
than previously PIERRE SD 57501-0250
reported. (ACC)
CITY STATE ZIP CODE
January 31 Year-End Report (YE) (c) 30-Day POST-Election Report for the:
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
5. Covering Period 07 01 2021 through 09 30 2021
I certify that I have examined this Report and to the best of my knowledge and belief it is true, correct and complete.
EVERIST, BARBARA, , ,
Type or Print Name of Treasurer
M M / D D / Y Y Y Y
EVERIST, BARBARA, , ,
10 15 2021
Signature of Treasurer [Electronically Filed] Date
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 FEC FORM 3
Only (Revised 05/2016)
Image# 202110159467743943
SUMMARY PAGE
FEC Form 3 (Revised 05/2016)
of Receipts and Disbursements 2 2 / 48
PAGE
Page
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
Report Covering the Period: From: 07 01 2021 To: 09 30 2021
COLUMN A COLUMN B
This Period Election Cycle-to-Date
6. Net Contributions (other than loans)
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
COLUMN A COLUMN B
I. RECEIPTS Total This Period Election Cycle-to-Date
08 19 2021
City State Zip Code
Transaction ID : AE179AFB459DE40AAB65
GLEN ALLEN VA 23059-5339
08 19 2021
City State Zip Code
Transaction ID : A8EE415C073E948718E2
ARLINGTON VA 22219-1891
08 22 2021
City State Zip Code
Transaction ID : A18A41E2E9F0F4DA2841
GLEN ALLEN VA 23059-5339
09 01 2021
City State Zip Code
Transaction ID : AE34174CE9C5E4A6EA5C
ARLINGTON VA 22219-1891
09 19 2021
City State Zip Code
Transaction ID : AC7AB6E662ACF4DD9A4A
SIOUX FALLS SD 57108-8215
07 08 2021
City State Zip Code
Transaction ID : A92574CE2316445AEA0B
PALM BEACH FL 33480-5216
08 29 2021
City State Zip Code
Transaction ID : ACC0952C47CED4946AF3
BETHESDA MD 20817-2227
09 15 2021
City State Zip Code
Transaction ID : AC8AD473E3DC641DFBC3
WASHINGTON DC 20006-1231
07 15 2021
City State Zip Code
Transaction ID : AC5901D36CF3343D8BAE
WASHINGTON DC 20004-1217
09 25 2021
City State Zip Code
Transaction ID : AEF46C6BE3D484C7083A
CHICAGO IL 60603-1008
FL 8 09 25 2021
City State Zip Code
Transaction ID : AF237FC2FEDD049759A1
WASHINGTON DC 20005-4279
# TPN-11-1 09 15 2021
City State Zip Code
Transaction ID : AA4A6C924E6144DEA860
MINNEAPOLIS MN 55403-2542
07 15 2021
City State Zip Code
Transaction ID : A17EFED1E91814E689C3
WASHINGTON DC 20005-1410
4167.43
TOTAL This Period (last page this line number only).....................................................................
, , .
0.00
TOTAL This Period (last page this line number only).....................................................................
, , .
0.00
TOTAL This Period (last page this line number only).....................................................................
, , .
0.00
TOTAL This Period (last page this line number only).....................................................................
, , .
4133.94
TOTAL This Period (last page this line number only).....................................................................
, , .
0.00
TOTAL This Period (last page this line number only).....................................................................
, , .
0.00
TOTAL This Period (last page this line number only).....................................................................
, , .
0.00
TOTAL This Period (last page this line number only).....................................................................
, , .
0.00
TOTAL This Period (last page this line number only).....................................................................
, , .
0.00
TOTAL This Period (last page this line number only).....................................................................
, , .
10399.52
TOTAL This Period (last page this line number only).....................................................................
, , .
0.00
TOTAL This Period (last page this line number only).....................................................................
, , .
0.00
TOTAL This Period (last page this line number only).....................................................................
, , .
0.00
TOTAL This Period (last page this line number only).....................................................................
, , .
0.00
TOTAL This Period (last page this line number only).....................................................................
, , .
147.87
TOTAL This Period (last page this line number only).....................................................................
, , .
205.50
TOTAL This Period (last page this line number only).....................................................................
, , .
6603.00
TOTAL This Period (last page this line number only).....................................................................
, , .
9719.38
TOTAL This Period (last page this line number only).....................................................................
, , .
11360.00
TOTAL This Period (last page this line number only).....................................................................
, , .
8677.54
TOTAL This Period (last page this line number only).....................................................................
, , .
2039.24
TOTAL This Period (last page this line number only).....................................................................
, , .
31.95
TOTAL This Period (last page this line number only).....................................................................
, , .
50.40
TOTAL This Period (last page this line number only).....................................................................
, , .
56.61
TOTAL This Period (last page this line number only).....................................................................
, , .
Purpose of Disbursement
C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For:
, , .
▲ ▲ ▲
Senate Primary General
President Other (specify)
Memo Item
State: District:
54.69
TOTAL This Period (last page this line number only).....................................................................
, , .
57647.07
Purpose of Disbursement
C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For:
, , .
▲ ▲ ▲
Senate Primary General
President Other (specify)
Memo Item
State: District:
Full Name (Last, First, Middle Initial)
Date of Disbursement
C.
M M / D D / Y Y Y Y
Mailing Address
Purpose of Disbursement
C
Candidate Name Category/ Amount of Each Disbursement this Period
Type
Office Sought: House Disbursement For:
, , .
▲ ▲ ▲
Senate Primary General
President Other (specify)
Memo Item
State: District:
486.00
TOTAL This Period (last page this line number only).....................................................................
, , .
486.00
,
,
.
0.00
Amount Incurred This Period Payment This Period Outstanding Balance at Close of This Period
,
,
.
1720.00
,
,
.
0.00
,
,
.
1720.00
B. Full Name (Last, First, Middle Initial) of Debtor or Creditor Nature of Debt (Purpose):
KOCH & HOOS, LLC COMPLIANCE SERVICES
,
,
.
13773.80
Amount Incurred This Period Payment This Period Outstanding Balance at Close of This Period
,
,
.
0.00
,
,
.
13773.80
,
,
.
0.00
C. Full Name (Last, First, Middle Initial) of Debtor or Creditor Nature of Debt (Purpose):
KOCH & HOOS, LLC COMPLIANCE SERVICES
,
,
.
0.00
Amount Incurred This Period Payment This Period Outstanding Balance at Close of This Period
,
,
.
3982.50
,
,
.
0.00
,
,
.
3982.50
5702.50
2) TOTALS This Period (last page this line number only).......................................................
, , .
5702.50
3) TOTAL OUTSTANDING LOANS from Schedule C (last page only)...................................
, , .
0.00
4) ADD 2) and 3) and carry forward to appropriate line of Summary Page (last page only)
, , .
5702.50
FEC Schedule D (Form 3) (Revised 05/2016)