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Report of Receipts and Disbursements: FEC Form 3X
Report of Receipts and Disbursements: FEC Form 3X
5124782011
SHELLY RODRIGUEZ
PAGE
02/08
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FEC FORM 3X
1. NAMEOF COMh/irrTEE (In full)
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ADDRESS (number and streel) Check if different than previously reported. (ACC)
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CITY 3. ISTHIS REPORT
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F E C IDENTIFICATION NUMBER
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4.
TYPE OF REPORT (Choose One) (a) Quarterly Reports: n (LJ! April IS Quaneriy Report (01) July 1S Quarterly Report (Q2) ^1 9
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Feb20(M2)
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July 31 Mid-Year Report (Non-election Year Only) (MY) Termlnailon Report (TER)
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General (30G)
Runoff (30R)
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Special (30S)
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Covertng Penod
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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 Prim Name of Treasurer^
Signature of Treasurer
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Date
NOTE: SubmisGion of false, erroneous, or incomplete information may subject the person signing this Report lo the penalties of 2 U.S.C, 437g,
F E C FORM 3X
Rev. 12/2004 j
I=E6AN026
SUMMARY PAGE
FEC Form 3X (Rev. 02/2003) OF RECEIPTS AND DiSBURSEMENTS Page 2
From:
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COLUMN A This Period
To:
6.
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(c) Total Receipts (from Line 19) (d) Subtotal (add Lines 6(b) and 6(c) for Column A and Lines 6(a) and 6(c) for Column B)..
7. 8.
Total Disbursements (from Line 31). Cash on Hand at Close of Reporting Period (subtract Line 7 from Line 6(d)). Debts and Obligations Owed TO the Committee (Itemize all on Schedule C and/or Schedule D).,
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9.
10. Debts and Obligations Owed BY the Committee (Itemize all on Schedule C and/or Schedule D)..
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
FE6AN026
Page 3
From:
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To:
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COLUMN B Caiendar Year-to-Date
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. 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 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)
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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).
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FE6AN026
of Disbursements
COLUMN A Totai This Period
il. Disbursements
21. Operating Expenditures: (a) Allocated Federal/Non-Federal Activity (from Schedule H4) (i) Federal Share (ii) Non-Federal Share Other Federal Operating (b) Expenditures (c) Total Operating Expenditures (add 2l(a)(i). (a)(ii), and (b)). Transfers to Affiliated/Other Party Committees Contributions to Federal Candidates/Committees and Other Poiiticai Committees Independent Expenditures (use Schedule E) Coordinated Party Expenditures (2 U.S.C. 441 a(d)) (use Schedule F)
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26. Loan Repayments Made. 27. Loans Made 28. Refunds of Contributions To: (a) Individuals/Persons Other Than Political Committees (b) Political Party Committees. (c) Other Political Committees (such as PACs) (d) Total Contribution Refunds (add Lines 28(a), (b), and (c)) 29. Other Disbursements 30. Federal Election Activity (2 U.S.C. 431(20)) (a) Allocated Federal Election Activity (from Schedule H6) (i) Federal Share (ii) "Levin" Share (b) Federal Election Activity Paid Entirely With Federal Funds (c) Total Federal Election Activity (add .. Lines 30(a)(i), 30(a)(ii) and 30(b)).... 31. Total Disbursements (add Lines 21(c), 22, 23, 24, 25, 26, 27, 28(d), 29 and 30(c)).. 32. Total Federal Disbursements (subtract Line 21(a)(ii) and Line 30(a)(ii) from Line 31)
FE6AN026
Use separate schedule(s) for each category of the Detailed Summary Page
| PAGE 11c 15
OF p_
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Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any poiiticai committee to solicit contributions from such committee. NAME OF COMMITTEE (in Full)
SWtLUES ,
Mailing Address City
DANIEU
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State Zip Code
Date of Receipt
Amount of Each Receipt this Period FEC ID number of contributing federal political committee. Name of Employer Receipt For: Primary General Other (specify) y Full Name (i^st, First, Middle Initial) |pl ' " |i.,aj^^,gun^,^A^:A;.v.A Occupation Aggregate Year-to-Date T
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Date of Receipt
B.
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state
FEC ID number of contributing federal political committee. Name of Employer Receipt For: Primary General Other (specify) y Full Name (Last, First, Middle Initiai)
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Occupation Aggregate Year-to-Date T
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Date of Receipt
Mailing Address City State Zip Code Amount of Each Receipt this Period FEC ID number of contributing federal political committee. Name of Employer Receipt For: Primary General Other (specify) ^ Occupation Aggregate Year-to-Date T
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SUBTOTAL of Receipts This Page (optional). TOTAL This Period (last page this line number only).
FE6AN026
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE 2^ OF 2>
11c 15
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Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee. NAME OF COMMITTEE (In Fuli)
Full Name (Last, First, Middle Initiai) Date of Receipt Mailing Address
2ooo\
FEC ID number of contributing federai political committee. Name of Employer Receipt For: Primary Qjj General Other (specify) Y Full Name (Last, First, Middle Initiai) B. Mailing Address City state ' Zip Code
ic!
Occupation Aggregate Year-to-Date T
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Date of Receipt
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FEC ID number of contributing federal poiiticai committee. Name of Employer Receipt For; Primary [jjj General other (specify) ^ Full Name (Last, First, Middle initial)
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Occupation Aggregate Year-to-Date T
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Date of Receipt
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131 "^^^ S T .
State
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FEC ID number of contributing federal political committee. Name of Employer Receipt For: Primary General Other (specify) ^
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E r.1 Si (pr.'!::|j!:.';r:rn!<!:/j<B!i:^xi?.i:^^
SUBTOTAL of Receipts This Page (optional). TOTAL This Period (last page this line number only).
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FEC Schedule A (Form 3X) Rev. 02/2003
FE6AN026
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE
\ OF N
1^21b 27
22 28a
23 28b
24 28c
25 29
26 30b
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any poiiticai committee to solicit contributions from such committee. NAME OF COMMiTTEE (In Full)
A.
Mailing Address City Purpose of Disbursement Candidate Name Office Sought: IHouse Senate President District: Disbursement For: Primary State Zip Code
Date of Disbursement
XL
0.0_\ Category/ Type [jjj General y Amount of Each Disbursement this Period
5 o CO r
Other (specify)
State:
B.
Mailing Address state Purpose ot Disbursement Candidate Name Office Sought: House Senate President District: Disbursement For: I I General Primary Other (specify) y Zip Code
Date of Disbursement
3X
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Amount of Each Disbursement this Period Category/ Type
State:
0.
Mailing Address City Purpose of Disbursement State Zip Code
Date of Disbursement
0.91 W
Amount of Each Disbursement this Period Candidate Name Office Sought: House Senate President District: Disbursement For: I I General Primary Other (specify) y Category/ Type
State:
SUBTOTAL of Disbursements This Page (optional). TOTAL This Period (last page this line number only).
I
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FE6AN026
Federal Election Commission ENVELOPE REPLACEMENT PAGE FOR INCOMING DOCUMENTS The FEC added this page to the end of this filing to indicate how it was received. Date of Receipt Hand Delivered Postmarked USPS First Class Mail Postmarked (R/C) USPS Registered/Certified Postmarked USPS Priority Mail Delivery Confirmation or Signature Confirmation Label | Postmarked USPS Express Mail
Postmark Illegible
No Postmark Shipping Date Overnight Delivery Service (Specify): Next Business Day Delivery Date of Receipt Received from House Records & Registration Office Date of Receipt Received from Senate Public Records Office Date of Receipt Received from Electronic Filing Office Date of Receipt or Postmarked Other (Specify):
(3/2005)