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r REPORt OF RECEIPTS RECEIVED -1

FEC
FORM 3X
AND DISBURSEMENTS 20|iiJAN2i» PM 3:tt
For Othier Tlian An Authorized Committee

.1.; NAMEOF TYPE OR PRINT T Example: If typing, type


; COMMITTEE (in full) over the lines. 12FE4M5
m&aasAmgsBnm&amdi:,

I l l l l I I I I I I I I I I I I I
I I I I I 'I I I I I I I I I I
AODRESS (number and street) l l l l l l l l

Check if different I I I I I I I I I I I I I I I I I I I I
than previously
10570 2547
reported. (ACC) I l l l l J \m I
2. F E C IDENTIFICATION N U M B E R T CITYA STATE A ZIP CODE A

3. IS THIS NEW AMENDED


IIflnI iB fll n t>i».i.iiw«uJh»»ug..iiiii.J REPORT (N) OR (A)

TYPE OF REPORT (b) Monthly Feb 20 (M2) Q May 20 (M5) Q Aug 20 (M8) Nov 20 (Mil)
(Non-Election
(Choose One) Report Year Only)
Due On:
Mar 20 (M3) Q Jun 20 (M6) Q Sep 20 (M9) Dec 20 (M12)
(Non-Election
(a) Quarteriy Reports: Year Only).:

Apr 20 (M4) f l Jul 20 (M7) f l Oct 20 (MIO) Jan 31 (YE)


April 15
Quarterly Report (Ql) (c) 12rDay Primary (12P) Runoff (12R)
July 15 PRE-Election
Quarteriy Report (Q2) Report for the: Convention (12C)
October 15
Quarterly Report (03)
in the
January 31
Year-End Report (YE) Election on State of

July 31 Mid-Year (d) 30-Day


Report (Non-election
Year Only) (MY) POST-Election General (30G) Runoff (30R) Special (30S)
Report for the:
Termination Report
(TER) in the
Election on a f i m i iHwiii iBi
State of

5.. Covering Period through


WBBKSxCMRttaH ttUTJtlfifcliMBlllmil. UHaflHBNBBSSUMnMWKnranl

i.certify that I have examined this Report andlto the best of my l<nowiedge and belief it is true, correct and complete.

Type or Print Name of Treasurer

Signature of Treasurer Date

NOTE: Submission of false, erroneous, or incomplete Information may subject the person signing this Report to the penalties of 2 U.S.C. §437g.

Office FEC FORM 3X


Use
Rev. 12/2004 I
Oniy
SUMMARY PAGE
OF RECEIPTS AND DISBURSEMENTS
FEC Form 3X (Rev 02/2003) Page 2
Write or Type Committee Name
WESTMED MEDICAL GROUP, P.C. PAC PAC (WESTMED PAC)

Report Covering the Period: From: To: l i i j [TTj [YTi?


COLUMN A COLUMN B
This Period Calendar Year-to-Date

6.! (a) Cash on Hand P?^!?^^^'?^


January 1, 7^ 2 3 3 6^

. -i (b) Cash on Hand at


Beginning of Reporting Period..

li"""il if U lil"

"'['. (c) Total Receipts (from Line ig)...

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


ii 6(c) fpr Column A and Lines fc'• "y H llll il'a*«>mi'tim m^n ,^^i
6(a) and 6(c) for Column B) I U / D \ C. 7 2 3 3 6 3
«lbm«Vllrii»^'VrTj>-.rx-^rr-#^ii»fliiii ff

l^MrMU.|,ililiiiii)jmi»ii^ill.lil!||l •lyi.iiiinii

.7. Totai Disbursements (from Line 31). 1 5 2 5


e ^ S a r j i f l iiiniJuiiidtTfeaadniin'iiiiiftuiKrfSB

8. Cash on. Hand at Ciose of


Reporting Period
(subtract Line 7 from Line 6(d)) 6 9 2 3 5 9
^ — ^ . - 1 • •^•iiiflV.iiwiii'BiIJiFii llll II

9. Debts and Obligations Owed TO


the Committee (Itemize ail on
Schedule C and/or Schedule D)

. TO. Debts and Obligations Owed BY


the Committee (Itemize all on
Schedule C and/or Schedule D) ...... Q
i'i flf)I » lJ-

This committee has qualified as a muiticandidate 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

L
FE6AN026
J
DETAILED SUMMARY PAGE
r FEC Form 3X (Rev 06/2004)
•• Write or Type Committee Name
of Receipts
Page 3

WESTMED MEDICAL GROUP,, P.C. PAC (WESTMED PAC)

"Report Covering the Period: From: To:

COLUMN A COLUMN B
I. Receipts
Total This Period Calendar Year-to-Date
11. Contributions (other than ioans) 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)
1.2. Transfers From Affiiiated/Other
Party Committees

13. Ail Loans Received,

14. Loan Repayments Received


15. Offsets To Operating Expenditures
(Refunds, Rebates, etc.) g'""iy""""ti""""'tf"
(Carry Totals to Line 37, page 5)
Ji..,..B. ., Villi r.! " ? i i i 7 i i i "7 i'l —<s»—^
16. Refunds of Contributions Made
to Federal Candidates and Other
Poiiticai Committees
17. Other Federal Receipts
(Dividends. Interest, etc.)
18. Transfers from Non-Federal and Levin Funds
(a) Non-Federal Account
(from Schedule H3)

(b) Levin Funds (from Schedule H5)

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

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


12, 13, 14. 15, 16, 17, and 18(c)).

20. Total Federai Receipts


(subtract Line 18(c) from Line 19).

FE6AN026
J
F DETAILED SUMMARY PAGE
of Disbursements
FEC Form 3X (Rev. 02/2003) Page 4
If. Disbursements COLUMN A COLUMN B
Total This Period Calendar Year-to-Date
21. Operating Expenditures:
(a) . Allocated Federai/Non-Federai
Activity (from Schedule H4)
(i) Federal Share

(ii) Non-Federai 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
CO arid Other Political Committees
24. Independent Expenditures
(use Schedule E)
25. Coordinated Party Expenditures ^iiMi^f;i,iB»jp»mia"'''-<i™"*^l!^-**^^
(2 U.S.C. §441 a(d))
(use Scheaule F)

26. Loan Repayments Made.

27. Loans Made


28. Refunds of Contributions To:
(a) Individuais/Persons Other
Than Poiiticai Committees
I r; M ^••..1 ^ Mmmes
(b) Political Party Committees.
(c) Other Poiiticai Committees
(such as PACs) i.i"i I " i 11 i " ^ nil " III i f l l i i i i / n H i II- II f i f r l i i iiiiSiii

(d) Total Contribution Refunds


(add Lines 28(a), (b), and (c)) ..... .

29. Other Disbursements

30. Federal Election Activity (2 U.S.C. §431(20))


(a) Allocated Federal Election Activity
(from Schedule H6)
. (i) Federal Share

(ii) "Levin" Share


(b) Federal Election Activity Paid Entirely
With Federal Funds
(c) Total Federal Election Activity (add ..
Lines 30(a)(i). 30(a)(ii) and 30(b))...; •

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


23, 24, 25, 26, 27. 28(d), 29 and 30(c)).. ^TTT^ 5 3" 3 1 0, 0 4
Bs5a3sa3^Bgl£^bTsj^M•^llMfl*l^TwC^^^•1lT^^^^ iiiiiiBii um

32. Total Federal Disbursements


(subtract Line 21(a)(ii) and Line 30(a)(ii) u»m^r..»,',3.....i ..,,1 l . , ^ ^ • . . , • ^ y „ ^ . l • ^ w ^ l . • l J . , • , l v • • ^ L i l ^ l J , ^ , L t j a c a

from Line 31) ^ 1 5 2 ; 5 3^ 3 10 0 4

FE6AN026
J
DETAILED SUMMARY PAGE
r ill. Net FEC
Contributions/Operating
Form 3X (Rev 02/2003) Ex-
of Disbursements

COLUMN A
, Page 5
COLUMN B
n
penditures Total This Period Calendar Year-to-Date

33. Total Contributions (other than loans)


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

J
P.O. Box 15284
Wilmington, DE 19850 Customer sen/ice infonnation

® Customer sen/ice: 1.888.400.9009


||ill|iii>|ii>|||i|>l>i||i>i 'I'lllilii ••|i>iiiiii»i||
O bankofamerlca.com

^ Bank of America, N.A.


THE WESTCHESTER MEDICAL GROUP PC PAC ^ P.O. 8 0 x 2 5 1 1 8
PAC CHECKING Tampa, FL 33622-5118
2700 WESTCHESTER AVE
PURCHASE, NY 10577-2547

Your Full Analysis Business Checking


for July 1, 2 0 1 3 to July 3 1 , 2 0 1 3

Account summary
Beginning balance on July 1, 2013 $7,076.12
# of deposits/credits: 0
Deposits and other credits 0.00
# of withdrawals/debits: 1
Withdrawals and other debits -0.00
# of days in cycle: 31
Checks -0.00
Average ledger balance: $7,062.62
Sen/Ice fees -24.60

Ending balance on July 31, 2013 $7,051.52

PULLE CYCLE: 60 SPEC: 0 DELIVERY: P TYPE: IMAGE: A BC: NY


» .. . <^ Your checking account
Merrill Lynch
THE WESTCHESTER MEDICAL 6R( July 01, 2013 to July 31, 2013

Service fees
Date Transaction description Amount
07/15/13 06/13 ACCT ANALYSIS FEE -24.60

Total sen/Ice fees -$24.60


Note your Ending Balance already reflects the subtraction of Service Fees.

Daily ledger balances


Date Balance ($) Date Balance($)

07/01 7,076.12 07/15 7,051.52


P.O. Box 15284
Wilmington, DE 10850 Customer sen/Ice Infomiation

Customer service: 1.888.400.9009


•I |||>|>|>|l>il"ll"h'i|l|lll'|l'il>l»lllDlllilgl"li>l>
bankofamerica .com
Bank of America, N.A.
THE WESTCHESTER MEDICAL GROUP PC PAC P.O. Box 25118
PAC CHECKING Tampa, FL 33622-5118
2700 WESTCHESTER AVE
PURCHASE, NY 10577-2547

Your Full Analysis Business Checking


for August 1, 2 0 1 3 to August 3 1 , 2 0 1 3

Account summary
Beginning balance on August 1, 2013 $7,051.52
# of deposits/credits: 0
Deposits and other credits 0.00
# of withdrawals/debits: 1
Withdrawals and other debits -0.00
# of days in cycle: 31
Checks -0.00 Average ledger balance: $7,038.04
Service fees -24.57
Ending balance on August 31, 2013 $7,026.95

CAAJ
A
m mmm
mo.

PULLE CYCLE: 60 SPEC: 0 DELIVERY: P TYPE: IIVIAGE: A BC: NY


B . Your checking account
Merrill Lynch
THE WESTCHESTER IV" ; August 01, 2013 to August 31, 2013

Date Transaction description Amount


08/15/13 07/13 ACCT ANALYSIS FEE -24.57

Total sen/Ice fees -$24.57


Not&your Ending Balance already, reflects .ttie subtraction of Service Fees.

Date Balance ($) Date Balance($)

08/01 7,051.52 08/15 7,026.95


Bankof America HH
BANK OF AMERICA* N.A. ANALYSIS STATEMENT
P.O. BOX 830175 ACCT ANALYSIS .
DALLAS,TO75283^0175 Member FDIC

•I... i..iiiiii....i......i..i.„i,ii„iiiii„ii,

THE WESTCHESTER MEDICAL GROUP PC PAC DATE PREPARED 10-03-13


PAC CHECKING
2700 WESTCHESTER AVE MONTH ENDING 09-30-13
PURCHASE NY 10577-2547 MONTHLY SEHLEMENT 09-30-13
SETTLEMENT S ACCOUNT TYPE DEBIT 501
OFFICER NUreER DVB4P
PAGE 1 OF 1
CUSTOMER SERVICE: 1.888.400.9009

BALANCE SUMMARY EARNINGS CREDIT SUftlARY

AVG POSITIVE LEDGER BALANCE $ 7»014.66 AVAIL BAL FOR EARNINGS CREDIT $ 7,014^66
EARNINGS ON AVAILABLE BALANCE 1.15
LESS TOTAL SERVICE CHARGES 25;76
AVG LEDGER BALANCE 7,014.66
LESS AVG FLOAT .00
DEFICIT 24.61.
AVG COLLECTED BALANCE . 7,014.66
AVG NEGATIVE COLL BALANCE ...00
PERIOD TO DATE DEFICIT 24.61
AVG POSITIVE COLL BAIANCE 7,014:66
LESS RESERVES 00^ .00
CURRENT PERIOD SERVICE CHARGE $ 24.61
AVAIL BAL FDR EARNINGS CREDIT 7,014.66
AVAILABLE BALANCE REQUIRED 156,706.66
NET AVAILABLE BALANCE 149,692.OO-
REQ RESERVES ON NET AVAIL BAL .OO PDR SERVICE CHARGES.

DEFICIT COLLECTED BALANCE 149,692.00

CURRENT MONTH'S EARNINGS CREDIT RATE = 0.20;C CURRENT MONTH'S MULTIPLE = $6,(63.35
NUMBER OF UNIT SERVICE BALANCE
SERVICE UNITS PRICE CHARGE REQUIRED

BALANCE RELATED SERVICES


DEP INSURANCE-BANK ASSESSMENT : : 7,014 .76 4,623.33

DEPOSITORY SERVICES
ACCOUNT MAINTENANCE 1 25.0000 25.00 152,083.33
DEPOSIT ACCOUNT STATEMENTS 1 .0000 .00 0.00

TOTAL SERVICE CHARGES 25.76 156>706.66


Bankof Anierica
Merrill Lynch
P.O. Box 15284
Wilmington, DE 19850 Customer service infonnation

O Customer service: 1.888.400.9009


•l|ii||l'i'iliil|i|il>l"i"Mi<>'|i'llii|i| l>Mi>ii|i>iii
6 bankofamerlca.com
A Bank of America, N.A.
THE WESTCHESTER MEDICAL GROUP PC PAG ^ P.O. 60x25118
PAC CHECKING Tampa, FL 33622-5118
2700 WESTCHESTER AVE
PURCHASE, NY 10577-2547
RECEIVED N0V 04 7np

Your Full Analysis Business Checking


for October 1, 2013 to October 31, 2013

Account sunrimary
Beginning balance on October 1, 2013 $7,002.38
# of deposits/credits: 0
Deposits and other credits 0.00
# of withdrawals/debits: 1
Withdrawals and otfier debits -0.00
# of days In cycle: 31.
Checks -0.00
Average ledger balance: $6,988.88
Service fees -24.61
Ending balance on October 31, 2013 $6,977.77

Access your statements faster, speed reconciliation, Bankof America


Merrill Lynch
and more with CashPro Solutions.

Gietypurste
CashPi'6* information ReportihgiErihanre
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PULLE CYCLE: 60 SPEC: 0 DELIVERY: P TYPE: IMAGE: A BC: NY


BankofAmeric^ Your checking account
Merrill Lynch
THE WESTCHE'*''"'* '* . October 01, 2013 to October 31, 2013

Service fees
Date Transaction description Amount
10/15/13 09/13 ACCT ANALYSIS FEE -24.61

Total senrice fees -$24.61


Note your Ending Balance already reflects the subtraction of Service Fees.

Daily ledger balances


J> Date Balance ($) Date Balance($)
Ji"
10/01 7,002.38 10/15 6,977.77
D.-
Hl

P.

Page 3 of 4
Bankof America
Merrill Lynch
P.O. Box 15284
Wilmington, DE 19850 Customer service information

.iii.iiii...ijii.iii.il.ll,l„ll,l„l [JO Customeir seryice: 1.888.400.9009


•• • l.l
bankofamerica.com
THE WESTCHESTER MEDICAL GROUP PC PAC
& f Bank of America, N.A.
PAC CHECKING
P.O. 80x25118
2700 WESTCHESTER AVE
Tampa. FL 33622-5118
PURCHASE. NY T0577-2547

Your Full Ahalysis Busiiness Checking


for November 1, 2 0 1 3 to iSlOvember 3 0 , 2 0 1 3

Account summary
EieginnIng balance on November 1,2013 $6,977.77
Deposits and other credits 0.00 # of withdrawals/debits: 1
Withdrawals and other debits -0.00 # of days in cycle: 30
Checks -0.00 Average ledger balarice: $6.961.99
Service fees -29.57

Ending balance on November 30,2013 $6,948.20

A printable statement reconciliatidn page Is available. You can print a copy of the "How to Balance Your Bank of
America Merrill Lynch Account" page by visiting CashPro® University at cashproonline.bankofamerica.com. To have a copy
mailed to you, call the client services number listed at the top of your statement.

Access yoLir stateme nts faster, speed reconcilic"ition. Bankof America " ^ ^ ^
Merrill Lynch
and more vA/ith Cash ?ro Solutions,

Get your staterheiits online;with imany availablie: the day. thrbugh :


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your businesimore efficient It^j^likea^^^

Find put rnore

PULL: E CYCLE: 60 SPEC: 0 DELIVERY: P TYPE: IMAGE: A BC: NY


Your checking account
Merrill Lynch
THE WESTCHESTER MEDICAI Ronim B/- I November 1,2013 to November 30.2013

Service fees
Date Transaction description Amount
11 /15/13 10/13 ACCT ANALYSIS FEE -29.57
Total service fees $29.57
Note ybur Eriding Botance olreody reflects the subtroction of Service Fees.

Dally ledger balances


Date Balance ($) Date Balance($)

11/01 6,977.77 11/15 6,948.20

Greater efficiency starts with an easy shift Bankof America


Merrill Lynch
to web-based checl< deposits.

ijyourdesktpprwIthRernote^^;^;-^^^^: : ;
Deposit Service Online; Sirhply stan your checks using a banK-pr^^
scanner to transmit the lrTiag;es a^
^ riiay'iriciude faster access to

bankofanierica^^^

Page 3 Of 4
H
BankofAmerilia
BANK OF AMERICAf N.A. ANALYSIS STATEMENT
P.O. BOX 830175 ACCT ANALYSIS
DALLAS, TX 75283-0175 Member FDIC

i||llMl|llilllllllillliliilil»il»lilll'lilii II .11,

inc nc^iltllliSTER MEDICAL GROUP PC PAC DATE PREPARED 12-0<^-13


PAC CHECKING
2700 NESTCHESTER AVE MONTH ENDING. 11-30-13
PURCHASE NY 10577-25<^7 MONTHLY SETTLEMENT . 11-30-13
SETTLEMENT S ACCOUNT TYPE DEBIT 501
OFFICER NUMBER DVB^P
PAGE 1 OF 1
CUSTOMER SERVICE: 1.868.400.9009

BALANCE SUMMARY EARNINGS CREDIT SUmARY

AVG POSITIVE LEDGER BALANCE $ 6,961.99 AVAIL BAL PDR EARNINGS CREDIT $ 6,961.99
EARNINGS ON AVAILABLE BALANCE 1.14
LESS TOTAL SERVICE CHARGES 25.75
AVG LEDGER BALANCE 6,961.99
LESS AVG FLOAT .00
DEFICIT 24.61
AVG COLLECTED BALANCE 6,961.99
AVG NEGATIVE COLL BALANCE .00
PERIOD TO DATE DEFICIT 24.61
AVG POSITIVE COLL BALANCE 6,961.99
LESS RESERVES Otfi .00
CURRENT PERIOD SERVICE CHARGE $ 24.61
AVAIL BAL FDR EARNINGS CREDIT 6,961.99
AVAILABLE BALANCE REQUIRED 156,645.83
NET AVAILABLE BALANCE 149,683.84-
REQ RESERVES ON NET AVAIL BAL .00 lARGES.

DEFICIT COLLECTED BALANCE 149,683.84

CURRENT MONTH'S EARNINGS CREDIT RATE = 0.20Z CURREhfT MONTH'S MULTIPLE = $6,083.35
NUMBER OF UNIT SERVICE BALANCE
SERVICE UNITS PRICE CHARGE REQUIRED

BALANCE RELATED SERVICES


DEP INSURANCE-BANK ASSESSMENT 6,961 .75 4,562.50
DEPOSITORY SERVICES
ACCOUNT MAINTENANCE 1 25.0000 25.00 152,083.33
DEPOSIT ACCOUNT STATEMENTS 1 .0000 .00 0.00

TOTAL SERVICE CHARGES 25.75 156,645.83


P.O. Box 15284
Wilmington, DE 19850 Customer service information

Q) Customer service: 1.888.400.9009


|lll.llliililll.i.illliillillililill|li|l|ll||l|i||li|||||illl||i
foi^i bankofamerica.com
THE WESTCHESTER MEDICAL GROUP PC PAC
^ Bank of Anierica, N.A.
PAC CHECKING
P.O. 80x25118
2700 WESTCHESTER AVE Tampa. FL 33622-5118
PURCHASE, NY 10577-2547

RECEIVED JAN 13 2013


0
75

Your Full Analysis Business Checking


for December 1, 2013 to December 31, 2013
THE WEStCHEStER MEDICAL GROUP PC PAC PAC CHECKING

Accoont summary
Beginning balance on December 1. 2013 $6,948.20 # of deposits/credits: 0
Deposits and other credits 0.00 # of withdrawals/debits: 1
Withdrawals and other debits -0.00 # of days in cycle: 31
Checks -0.00 Average ledger balance: $6,935.49
Service fees -24.61

Endiing balance on December 3 1 , 2 0 1 3 $6,923.59

Beginning January 1, 2014, we will assess a new daily overdraft fee for each calendar day your account's end-of-day balance is negative,
regardless of the type of debit item that created the overdraft. We will no longer charge the per-item fee for each item that overdraws
your account; however, a per-item fee will continue to be assessed for each non-sufficient funds Item that is returned without payment.

Access your statements faster, speed reconciliation,


and more with CashPro Solutions.

Get ypur sfaterneiiitS ;bniiri^


CashPro* ihfprmadpn Reporting. Enhan(:e visibility into your vyorking capitai^ w^
quicker access to end-of-cycle information, giving you a more complete picture Of
your accounts. Our full suite of CashPro Solutions work across the globe to make
your business more efficient. It's like adding more time and resources to your day

Find out more at baml.com/explorecashpro

PULL: E CYCLE: 60 SPEC: 0 DELIVERY: P TYPE: IMAGE: A BC: NY


J
Page 1 of 4
Y®yir checkorDg accoymilt
Merrill Lyncln
THE WESTCHESTER MEDICAL GROUP PC F December 1, 2013 to December 31, 2013

Date Transaction description Amount


12/16/13 11/13 ACCT ANALYSIS FEE -2461

Total service fees -$24.61


Note your Ending Balance olreody reflects the subtroction of Service Fees.

ger
Date Balance (S) Date Balance($)

12/01 6.948.20 12/16 6.923.59

^ To help you BALANCE YOUR CHECKING ACCOUNT, print a copy of the "How to Balance Your Bank of America Merrill Lynch Account"
page kiy visiting CashPro® University at cashproonline.bankofamerica.com.

Greater efficiency starts with an easy shift BankToTO^^^^^^^^^B


to web-based check deposits.

Depbsit ch^ik^fe^^
Dejjosit Service Online. Simply scan:youn checks usinga bank-proyided.^^ •
scanner to transmit the images and data^to us online. Potential benefits •; .:
may include faster access to cash with fewer trips to the bank.. •

bankofa.merlca.com/remotedepositservlee

Page 3 of 4
I
hi
Bankof America
I
0040011

IMPORTANT INFORMATION FOR ANALYZED ACCOUNT HOLDERS:


BEGINNING WITH YOUR NOVEMBER 2013 ACCOUNT ANALYSIS isTATEMENT, YOU MAY BEGIN SEEING ADDITIONAL VOLUME IN THE
FOLLOWING SERVICE LINE HEM, DEPOSIT CORRECTIGN-NON-CASH. THIS FEE IS. FOR DISCREPANCIES IDENTIFIED IN YOUR
CHECK DEPOSITS PROCESSED IN OUR^CASH VAULTS. DURING THE LAST YEAR, WE BEGAN IMPLEMENTING IMAGE CAPTURE OF ALL
CHECK DEPOSITS PROCESSED IN OUR VAULTS AND DURING THAT TIME MAY NOT HAVE SENT. VOLUME FDR CHECK DEPOSIT
CORRECTION TRANSACTIONS TO YOUR ACCOUNT ANALYSIS STATEMENT. WE HAVE COMPLETED OUR IMAGE CONVERSION AND ARE NQW
RESTORING THE VOLUME FEED FOR ANY DEPOSIT CORRECTION-NON-CASH ITEMS.
IF YDU HAVE ANY QUESTIONS ABOUT THIS C0^f1UNICATI0Nj PLEASE CONTACT YOUR BANKING REPRESENTATIVE.

INfl
CO.
o
Bank of America
BANK OF AMERICA, N.A. ANALYSIS STATEMENT
P.O. BOX 830175 ACCT ANALYSIS
DALLAS, TX 75283-0175 Member FDIC

||iiiiiiliiiiiiiiiiiiiii..i.ii.iiiiiiiiiiii.i.iii i.i.ii

•nc HEaitnLSIEK MEDICAL GROUP PC PAC DATE PREPARED 09-06-13


PAC CHECKING.
2700 WESTCHESTER AVE -. . . . MONTH ENDING 08-31rl3
PURCHASE NY 10577-2547 MONTHLY SETTLEMENT 08^31-13
SETTLEMENT S ACCOUNT TYPE DEBIT 501
OFFICER NUMBER DVB4P
PAGE 1 OF 1

CUSTOMER SERVICE: 1.888.400.9009

BALANCE SUMMARY EARNINGS CREDIT SUMIARY

AVG POSITIVE LEDGER BALANCE $ 7,038.04 AVAIL BAL FDR EARNINGS CREDIT $ 7,038.04
EARNINGS ON AVAILABLE BALANCE 1.19
LESS TOTAL SERVICE CHARGES 25.76
AVG LEDGER BALANCE 7,038.04
LESS AVG FLOAT .00
DEFICIT 24.57

AVG COLLECTED BALANCE 7,038.04


AVG NEGATIVE COLL BALANCE .00
PERIOD TO DATE DEFICIT 24.57
AVG POSITIVE COLL BALANCE 7,038.04
LESS RESERVES 00^ .00
OURRENT PERIOD SERVICE CHARGE $ 24.57
AVAIL BAL FDR EARNINGS CREDIT 7,038. W
AVAILABLE BALANCE REQUIRED 151,651.61
NET AVAILABLE BALANCE 144,613.57-
REQ RESERVES ON NET AVAIL BAL .00 I vit Wbi^f A V E «>nMI\<JC9.

DEFICIT COLLECTED BALANCE 144,613.57

CURRENT MONTH'S EARNINGS CREDIT RATE = b.20X CURRENT MONTH'S MULTIPLE = $5,887.09
NUMBEROF UNIT SERVICE BAUtNCE
SERVICE UNITS PRICE CHARGE REQUIRED

BALANCE RELATED SERVICES


DEP INSURANCE-BANK ASSESSMENT 7,038 .76 4,474.20
DEPOSITORY SERVICES
ACCOUNT MAINTENANCE 1 25.0000 25.00 147,177.41
DEPOSIT ACCOUNT STATEMENTS 1 .0000 .00 0.00

TDTAL SERVICE CHARGES 25.76 151,651.61


Bank RecGncHiation

r
FPE 12/31/2013 RECEIVED
7,076.12
Beginning Balance
i-EC MAIL CENTER
. Contributions

Total

Disbursements
1/15/2013 Acct Analysis Fee 34.55
2/15/2013 Acct Analysis Fee 24.56
3/15/2013 Acct Analysis Fee 25.03
4/15/2013 Acct Analysis Fee 24.20
5/15/2013 Acct Analysis Fee 24.60
.6/17/2013 Acct Analysis Fee 24.57
7/15/2013 Acct Analysis Fee 24.60
8/15/2013 Acct Analysis Fee 24.57
9/15/2013 Acct Analysis Fee 24.57
10/15/2013 Acct Analysis Fee 24.61
11/15/2013 Acct Analysis Fee 29.57
12/16/2013 Acct Analysis Fiee 24.61
Total 152.53

Ending Book Balance 6,923.59

Reconciling Items

Deposit in Transit

Outstanding Checks

Adjusted Book Balance 6,923.59

Bank Balance -12/31/13 6,923.59

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Reference #1: Finance


a> at 3 Reference # 2: Michael Viceroy WXPIESD 48.0A O l / Z O l ^
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Federal Election Commission
ENVELOPE REPLACEMENT PAGE FOR INCOMING DOCUMENTS
The FEC added this page to the end ofthis filing to indicate how it was received.

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id
PREPARER DATE PREPARED
(8/2013)

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