FE6AN026

FEC FORM 3XRev. 12/2004

Office Use Only

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

4. TYPE OF REPORT (Choose One)

(a) Quarterly Reports:

12-Day Primary (12P) General (12G) Runoff (12R) PRE-Election Report for the: Convention (12C) Special (12S)

30-Day POST-Election General (30G) Runoff (30R) Special (30S) Report for the:

(b) Monthly Report Due On:

Feb 20 (M2) May 20 (M5) Aug 20 (M8)

Mar 20 (M3) Jun 20 (M6) Sep 20 (M9)

Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE)

FEC FORM 3X

REPORT OF RECEIPTS AND DISBURSEMENTSFor Other Than An Authorized Committee

1. NAME OF COMMITTEE (in full)

ADDRESS (number and street)

Check if different than previously reported. (ACC)

TYPE OR PRINT

CITY STATE ZIP CODE2. FEC IDENTIFICATION NUMBER T T T T

5. Covering Period through

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

April 15 Quarterly Report (Q1)July 15 Quarterly Report (Q2)October 15 Quarterly Report (Q3)January 31 Year-End Report (YE)July 31 Mid-Year Report (Non-election Year Only) (MY)Termination Report (TER) in the

Election on State of

in the Election on State of

Office Use Only

C

T

3. IS THIS NEW AMENDED REPORT (N) OR (A)

(c)

T

Nov 20 (M11)(Non-Election Year Only)Dec 20 (M12)(Non-Election Year Only)

Example: If typing, type over the lines.

(d)

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

12FE4M5

26

57501

01

Robert Skjonsberg

Robert Skjonsberg

2015

[Electronically Filed]

C00571976

PAGE 1 / 40

201507

Pierre SD

The Peter Norbeck Leadership PAC

PO Box 477

01/28/2016 22 : 04

Image# 201601289004701498

2016

01 3112

FE6AN026

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M M / D D / Y Y Y Y M M / D D / Y Y Y Y

Y Y Y Y

COLUMN BCalendar Year-to-Date

COLUMN AThis Period

6. (a) Cash on Hand January 1,

(b) Cash on Hand at Beginning of Reporting Period ............

(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. 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) ................

For further information contact:

Federal Election Commission999 E Street, NW

Washington, DC 20463

Toll Free 800-424-9530Local 202-694-1100

FEC Form 3X (Rev. 02/2003 ) Page 2

SUMMARY PAGEOF RECEIPTS AND DISBURSEMENTS

This committee has qualified as a multicandidate committee. (see FEC FORM 1M)

Report Covering the Period: From: To:

Write or Type Committee Name

158285.50

2015 0.00

109382.56

94750.00

0.00

2015

86617.44

201507

63535.50

196000.00

The Peter Norbeck Leadership PAC

Image# 201601289004701499

196000.00

109382.56

01 31

48902.94

12

0.00

FE6AN026

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M M / D D / Y Y Y Y M M / D D / Y Y Y Y

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Report Covering the Period: From: To:

COLUMN BCalendar Year-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 (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 Political 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 Federal Receipts (subtract Line 18(c) from Line 19) .........

DETAILED SUMMARY PAGEof Receipts

Write or Type Committee Name

I. Receipts

FEC Form 3X (Rev. 06/2004 ) Page 3

TT

TT

94750.00

94750.00

0.00

0.00

0.00

0.00

0.00

0.00

196000.00

2015

0.00

94750.00

0.00

78500.00

0.00

0.00

2015

16250.00

0.00

07

26000.00

0.00

0.00

0.00

0.00

0.00

26000.00

The Peter Norbeck Leadership PAC

196000.00

0.00

16250.00

196000.00

Image# 201601289004701500

0.00

0.00

0.00

01 31

170000.00

12

0.00

0.00

FE6AN026

S S S , , . S S S , , .

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S S S , , . S S S , , .

S S S , , . S S S , , .

S S S , , . S S S , , .

S S S , , . S S S , , .

S S S , , . S S S , , .

S S S , , . S S S , , .

S S S , , . S S S , , .

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 (2 U.S.C. 441a(d)) (use Schedule F)........................................

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) ..............................................

COLUMN BCalendar Year-to-Date

COLUMN ATotal This Period

II. Disbursements

DETAILED SUMMARY PAGEof Disbursements

FEC Form 3X (Rev. 02/2003 ) Page 4

TT

TT

0.00

0.00

0.00

0.00

34000.00

0.00

0.00

48902.94

52617.44

0.00

0.00

0.00

0.00

0.00

0.00

48902.94

0.00

0.00

0.00

0.00

0.00

0.00

86617.44

0.00

0.00

0.00

16000.00

0.00

0.00

86617.44

32902.94

32902.94

0.00

52617.44

0.00

0.00

Image# 201601289004701501

0.00

0.00

0.00

0.00

0.00

0.00

FE6AN026

S S S , , . S S S , , .

S S S , , . S S S , , .

S S S , , . S S S , , .

S S S , , . S S S , , .

S S S , , . S S S , , .

S S S , , . S S S , , .

COLUMN BCalendar Year-to-Date

COLUMN ATotal This Period

DETAILED SUMMARY PAGEof Disbursements

FEC Form 3X (Rev. 02/2003 ) Page 5III. Net Contributions/Operating Ex-

penditures

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 Federal 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) ................

TT

196000.0094750.00

0.00

196000.00

32902.94

94750.00

32902.94

52617.44

0.00

52617.44

Image# 201601289004701502

0.00 0.00

FE6AN026

S S S , , .

S S S , , .

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Aggregate Year-to-Date T

S S S , , .

C

S S S , , .C

S S S , , .

S S S

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

S S S , , .

, , .

SCHEDULE A (FEC Form 3X)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) ............................................................... TT

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 02/2003

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date T

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date T

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

500.00

1250.00

500.00

500.00

5000.00

TN

VA

448 Stable View Circle

One Mid Rivers Mall Drive - Ste 21

6793 Father John Court

5000.00

The Peter Norbeck Leadership PAC

22101-2156Transaction ID : A5B4C9D2661E34B9680C

37405-1238

MOSaint Peters

Mc Lean

Chattanooga

Retired

Cassidy & Associates

Transaction ID : A73159D398E90446F9B063376-4322

Transaction ID : A5458A3CAE2D64AF1B3D

Bridgeforth Capital

28

28

29

6000.00

6

Image# 201601289004701503

09

09

09

40

Jeffrey D. Carmichael

2015

Barry Rhoads

2015

2015

August A Busch III

retired

Managing Partner

Co-Chairman

FE6AN026

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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

S S S , , .

, , .

SCHEDULE A (FEC Form 3X)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) ............................................................... TT

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 02/2003

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date T

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date T

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

5000.00

1500.00

5000.00

1000.00

250.00

SD

CT

3101 S. Bishop Jones Place

5012 Scarsdale Road

795 Hulls Farm Road

250.00

The Peter Norbeck Leadership PAC

06890-1029Transaction ID : AEA23663749FC4D1FB8A

57103-4669

MDBethesda

Southport

Sioux Falls

Williams & Jensen

1st Financial Bank USA

Transaction ID : A2E7A52A76B90411996A20816-2438

Transaction ID : A25FBD39655F34BD582B

Bockorny Group

30

16

17

6250.00

7

Image# 201601289004701504

11

11

09

40

David Bockorny

2015

Mr. Albert Hegyi

2015

2015

George Baker

Principal

Chairman

Banker

FE6AN026

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Aggregate Year-to-Date T

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C

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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

S S S , , .

, , .

SCHEDULE A (FEC Form 3X)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) ............................................................... TT

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 02/2003

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date T

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date T

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

2500.00

750.00

3500.00

500.00

500.00

DC

TX

1348 Constitution Avenue NE

3101 S. Bishop Jones Place

4203 Yoakum Blvd. Suite 200

2000.00

The Peter Norbeck Leadership PAC

77006-5455Transaction ID : AC7FB81E6337841FE9A5

20002-6467

SDSioux Falls

Houston

Washington

Bockorny Group

Capital Technologies, Inc.

Transaction ID : A02594CA3035640B4A9857103-4669

Transaction ID : AD6DD1A7E2C82416EB5B

CGCN Group

23

03

18

3500.00

8

Image# 201601289004701505

12

12

11

40

Douglas H. Schwartz

2015

W. Ed Bosarge

2015

2015

David Bockorny

Chairman

partner

Businessman

FE6AN026

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S S S , , .

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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

S S S , , .

, , .

SCHEDULE A (FEC Form 3X)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) ............................................................... TT

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 02/2003

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date T

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date T

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

250.00

250.00

250.00

VA

13286 Barkstone Ct.

116 Queen St

250.00

The Peter Norbeck Leadership PAC

16250.00

23238-6443

VAAlexandria

Richmond

Ervin Hill Strategies

Transaction ID : AE1133A857CD9444E9A522314-2611

Transaction ID : AF50793BDDC634C8BABA

Virginia Council on Economic Education

18

18

500.00

9

Image# 201601289004701506

12

12

40

Daniel Mortensen

2015

2015

James L. Ervin

consultant

Executive

FE6AN026

S S S , , .

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Aggregate Year-to-Date T

S S S , , .

C

S S S , , .C

S S S , , .

S S S

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

S S S , , .

, , .

SCHEDULE A (FEC Form 3X)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) ............................................................... TT

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 02/2003

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date T

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date T

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

1000.00

2000.00

3000.00

1000.00

5000.00

DC

VA

1615 L Street NW - Ste 900

One Comcast Center

2980 Fairview Park Drive

5000.00

The Peter Norbeck Leadership PAC

22042-4511Transaction ID : A5F61682D6A184A64B2D

20036-5623

PAPhiladelphia

Falls Church

Washington

C00032698

C00248716

C00088591

Transaction ID : ABF7C86F5B8B34C2D95D19103-2838

Transaction ID : ABBCA4EF06EDA4D69846

03

31

31

7000.00

10

Image# 201601289004701507

08

08

08

40

1701 JFK Boulevard

Independent Community Bankers PAC

2015

Employees of Northrop Grumman Corp PAC

2015

2015

Comcast Corporation & NBC Universal PAC

FE6AN026

S S S , , .

S S S , , .

S S S , , .

Aggregate Year-to-Date T

S S S , , .

C

S S S , , .C

S S S , , .

S S S

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

S S S , , .

, , .

SCHEDULE A (FEC Form 3X)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) ............................................................... TT

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 02/2003

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date T

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date T

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

5000.00

2000.00

5000.00

1000.00

3000.00

TN

DC

942 S Shady Grove Road, 1st Floor

600 Corporate Park Drive

901 K Street NW - 11th Floor

3000.00

The Peter Norbeck Leadership PAC

20001-6441Transaction ID : A2BB010CD7C9846CB8B4

38120-4117

MOSaint Louis

Washington

Memphis

C00068692

C00219642

C00227546

Transaction ID : AB68ED35BD4F14D4FA6E63105-4204

Transaction ID : A72FA89761ECC44EA8FE

24

28

28

9000.00

11

Image# 201601289004701508

09

09

09

40

Federal Express Political Action Committee

2015

Microsoft Corporation Political Action Committee

2015

2015

Enterprise Holdings, Inc. PAC

FE6AN026

S S S , , .

S S S , , .

S S S , , .

Aggregate Year-to-Date T

S S S , , .

C

S S S , , .C

S S S , , .

S S S

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

S S S , , .

, , .

SCHEDULE A (FEC Form 3X)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) ............................................................... TT

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 02/2003

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date T

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date T

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

1500.00

2500.00

1500.00

2500.00

1000.00

MD

DC

421 Aviation Way

101 Constitution Avenue NW

1200 G Street NW - Suite 1100

2000.00

The Peter Norbeck Leadership PAC

20005-3830Transaction ID : ACBE8CDDA3AC546D6A04

21701-4756

DCWashington

Washington

Frederick

C00131185

C00096156

C00319723

Transaction ID : A3A8B065F15B94749B3620001-2133

Transaction ID : A2AD70285C31F45B7B4F

29

29

30

5000.00

12

Image# 201601289004701509

09

09

09

40

Suite 500 W

Aircraft Owners and Pilots Association PAC

2015

National Business Aviation Association Inc PAC

2015

2015

Honeywell International PAC

FE6AN026

S S S , , .

S S S , , .

S S S , , .

Aggregate Year-to-Date T

S S S , , .

C

S S S , , .C

S S S , , .

S S S

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

S S S , , .

, , .

SCHEDULE A (FEC Form 3X)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) ............................................................... TT

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 02/2003

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date T

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date T

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

1000.00

3000.00

1000.00

3000.00

3000.00

DC

CT

PO Box 18254

One PNC Plaza - 249 Fifth Avenue

One Tower Square - 8MS

3000.00

The Peter Norbeck Leadership PAC

06183-0001Transaction ID : AC0B173EDBB7248CF886

20036-8254

PAPittsburgh

Hartford

Washington

C00280222

C00035519

C00376376

Transaction ID : A077723A78E5C420C83A15222

Transaction ID : A3CD5B5315B004660AFB

09

09

30

7000.00

13

Image# 201601289004701510

10

10

10

40

KPMG PAC

2015

The Travelers Companies, Inc. Political Action Committee

2015

2015

PNC PAC

FE6AN026

S S S , , .

S S S , , .

S S S , , .

Aggregate Year-to-Date T

S S S , , .

C

S S S , , .C

S S S , , .

S S S

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

S S S , , .

, , .

SCHEDULE A (FEC Form 3X)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) ............................................................... TT

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 02/2003

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date T

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date T

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

2500.00

3000.00

2500.00

3000.00

2500.00

MA

GA

1295 State Street

3601 Vincennes Road

55 Glenlake Pkwy NE

2500.00

The Peter Norbeck Leadership PAC

30328-3474Transaction ID : AEEEA8A891639422B82A

01111-0001

INIndianapolis

Atlanta

Springfield

C00118943

C00170258

C00064766

Transaction ID : A73D34A045DC94CE884C46268-1154

Transaction ID : AA9F124DA41F84B4B83F

03

03

03

8000.00

14

Image# 201601289004701511

12

12

12

40

Massachusetts Mutual Life Insurance Co. PAC

2015

UPSPAC

2015

2015

National Association of Mutual Insurance Companies PAC

FE6AN026

S S S , , .

S S S , , .

S S S , , .

Aggregate Year-to-Date T

S S S , , .

C

S S S , , .C

S S S , , .

S S S

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

S S S , , .

, , .

SCHEDULE A (FEC Form 3X)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) ............................................................... TT

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 02/2003

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date T

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date T

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

2500.00

3000.00

2500.00

2000.00

2500.00

CO

DC

1800 Larimer Street - Ste 1200

1101 King Street, Suite 600

1111 14th Street NW, Suite 1100

2500.00

The Peter Norbeck Leadership PAC

20005-5627Transaction ID : AD518BF08F798464FBB4

80202-1402

VAAlexandria

Washington

Denver

C00107771

C00144766

C00000729

Transaction ID : A49BAB49097BD4D908C322314-2965

Transaction ID : A9974D047D0294D619C6

03

03

03

7000.00

15

Image# 201601289004701512

12

12

12

40

Xcel Energy Employee PAC

2015

American Dental Political Action Committee

2015

2015

National Beer Wholesalers Association PAC

FE6AN026

S S S , , .

S S S , , .

S S S , , .

Aggregate Year-to-Date T

S S S , , .

C

S S S , , .C

S S S , , .

S S S

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

S S S , , .

, , .

SCHEDULE A (FEC Form 3X)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) ............................................................... TT

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 02/2003

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date T

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date T

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

5000.00

5000.00

5000.00

5000.00

3000.00

NY

DC

51 Madison Avenue - Room 1109

101 Constitution Avenue NW

1101 Pennsylvania Ave NW - Ste 100

5000.00

The Peter Norbeck Leadership PAC

20004-2524Transaction ID : AF0F5B766CBAF4359A90

10010-1603

DCWashington

Washington

New York

C00158881

C00096156

C00008474

Transaction ID : AF8359203FED3490C93320001-2133

Transaction ID : AE0EA2305D6B6456F865

15

18

18

13000.00

16

Image# 201601289004701513

12

12

12

40

Suite 500 W

New York Life Insurance PAC

2015

Citigroup Inc PAC

2015

2015

Honeywell International PAC

FE6AN026

S S S , , .

S S S , , .

S S S , , .

Aggregate Year-to-Date T

S S S , , .

C

S S S , , .C

S S S , , .

S S S

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

S S S , , .

, , .

SCHEDULE A (FEC Form 3X)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) ............................................................... TT

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 02/2003

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date T

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date T

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

1000.00

5000.00

1000.00

5000.00

5000.00

DC

VA

1919 M Street NW - 5th Floor

1501 K Street NW - Suite 1100

3138 10th Street North

5000.00

The Peter Norbeck Leadership PAC

22201-2160Transaction ID : ADD82934EEC074B23AE0

20036-3572

DCWashington

Arlington

Washington

C00004812

C00012245

C00040659

Transaction ID : A38C3846945C24D1DAB620005-1410

Transaction ID : A06A325BB452549E6AE0

18

18

18

11000.00

17

Image# 201601289004701514

12

12

12

40

Mortgage Bankers Association PAC

2015

National Association of Federal Credit Unions PAC

2015

2015

UBS Americas Inc. Political Action Committee

FE6AN026

S S S , , .

S S S , , .

S S S , , .

Aggregate Year-to-Date T

S S S , , .

C

S S S , , .C

S S S , , .

S S S

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

S S S , , .

, , .

SCHEDULE A (FEC Form 3X)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) ............................................................... TT

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 02/2003

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date T

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date T

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

2500.00

2000.00

2500.00

1000.00

2500.00

DC

DC

325 Seventh Street NW - Suite 700

751 Broad Street, 14th Floor

500 New Jersey Avenue NW

5000.00

The Peter Norbeck Leadership PAC

20001-2069Transaction ID : A8F63B5145B8C4D1BA60

20004-2801

NJNewark

Washington

Washington

C00106146

C00493304

C00235739

Transaction ID : A9FAE931091884B5980407102-3714

Transaction ID : A659AC0766BF5462C8DF

28

28

28

6000.00

18

Image# 201601289004701515

12

12

12

40

Suite 550

American Hospital Association PAC

2015

BNSF RAILPAC

2015

2015

Prudential Financial, Inc., State & Federal PAC

FE6AN026

S S S , , .

S S S , , .

S S S , , .

Aggregate Year-to-Date T

S S S , , .

C

S S S , , .C

S S S , , .

S S S

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

S S S , , .

, , .

SCHEDULE A (FEC Form 3X)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) ............................................................... TT

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 02/2003

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date T

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date T

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

1000.00

1000.00

1000.00

1000.00

2500.00

DC

DC

1800 M Street NW, Suite 300 South

2121 Crystal Drive - Suite 100

1875 I Street, NW - Suite 600

5000.00

The Peter Norbeck Leadership PAC

20006-5413Transaction ID : AFA038E2194B04F3BA8A

20036-5802

VAArlington

Washington

Washington

C00012914

C00303024

C00303339

Transaction ID : AF225ECF01A494C91A1A22202-3706

Transaction ID : AB197BEBFF3F646DB9AD

28

28

28

4500.00

19

Image# 201601289004701516

12

12

12

40

Title Industry Political Action Committee of the American Land Title Association

2015

National Association of Real Estate Investment Trusts, Inc., PAC

2015

2015

Lockheed Martin Employees' PAC

FE6AN026

S S S , , .

S S S , , .

S S S , , .

Aggregate Year-to-Date T

S S S , , .

C

S S S , , .C

S S S , , .

S S S

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

S S S , , .

, , .

SCHEDULE A (FEC Form 3X)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) ............................................................... TT

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

A.

FEC Schedule A (Form 3X) Rev. 02/2003

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

B.

Aggregate Year-to-Date T

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For: Primary General Other (specify)

Amount of Each Receipt this Period

C.

Aggregate Year-to-Date T

Date of Receipt

Name of Employer Occupation

T

FEC ID number of contributingfederal political committee.

PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)

for each category of the Detailed Summary Page 11a 11b 11c 12

13 15 14 16 17

1000.00

1615 L Street NW - Ste 900

3000.00

The Peter Norbeck Leadership PAC

78500.00

DCWashington

C00032698

Transaction ID : A9AF29AE300FB441693B20036-5623

31

1000.00

20

Image# 201601289004701517

12

40

2015

Independent Community Bankers PAC

FE6AN026

SCHEDULE B (FEC Form 3X)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)

S S S , , .

S S S , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

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

FEC Schedule B (Form 3X) Rev. 02/2003

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

21b 22 23 24 25 26 27 28a 28b 28c 29 30b

PAC Airfare - Jul15

PO Box 20706

PAC Fundraising Catering - Jul15

5th Avenue

PO Box 2496

4137.75

2391.04

993.70

The Peter Norbeck Leadership PAC

Transaction ID : BDFD51ED8069A4F74825GA

CA

NE

30320-6001

68103-2496

93923

Transaction ID : BDE717E1B2B754F83808

Transaction ID : B4FA2F2011105445DAAE

07

07

PAC Airfare - Jul15

07

PAC Fundraising Catering - Jul15

Credit Card Payment - PN LPAC

2015

4137.75

First National Credit Card

Casanova Restaurant

2015

Delta Airlines

21

2015

Image# 201601289004701518

07

40

07

07

Carmel By The Sea

Omaha

Atlanta

[MEMO ITEM]

[MEMO ITEM]

FE6AN026

SCHEDULE B (FEC Form 3X)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)

S S S , , .

S S S , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

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

FEC Schedule B (Form 3X) Rev. 02/2003

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

21b 22 23 24 25 26 27 28a 28b 28c 29 30b

1617 N Harrison Ave

22 Rio Vista Lane

4333 Amon Carter Blvd

PAC Airfare - Jul15

1053.60

52.99

185.50

The Peter Norbeck Leadership PAC

Transaction ID : B3BEC431BF5DE490AB15SD

VA

TX

57501-2312

76155-2605

23226-2315

Transaction ID : B0817282EB5894D768CC

Transaction ID : B491A9AF637C945D0B2D

07

07

PAC Accounting Services

07

Reimbursable Expenses - Meals

PAC Airfare - Jul15

2015

238.49

American Airlines

Paula Dukes

2015

Anderson, Nill & Associates

22

2015

Image# 201601289004701519

07

40

16

16

Richmond

Fort Worth

Pierre

[MEMO ITEM]

FE6AN026

SCHEDULE B (FEC Form 3X)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)

S S S , , .

S S S , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

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

FEC Schedule B (Form 3X) Rev. 02/2003

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

21b 22 23 24 25 26 27 28a 28b 28c 29 30b

PO Box 1838

205 Pennsylvania Ave SE

211 N Jackson Ave

318.00

25.00

123.17

The Peter Norbeck Leadership PAC

Transaction ID : B140B7A7BA2FA4DDD9A8SD

DC

SD

57101-1838

57501-3453

20003-1164

Transaction ID : B2E92BD5C5C164EB8844

Transaction ID : B3FCDC9D590CA49A2A0D

07

07

Office Equipment

07

Credit Card Processing Fee

PAC Administrative Consulting

2015

466.17

Melissa Hull

Aristotle, Inc.

2015

Century Business Products

23

2015

Image# 201601289004701520

16

40

16

16

Washington

Pierre

Sioux Falls

FE6AN026

SCHEDULE B (FEC Form 3X)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)

S S S , , .

S S S , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

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

FEC Schedule B (Form 3X) Rev. 02/2003

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

21b 22 23 24 25 26 27 28a 28b 28c 29 30b

PAC Meeting Meals - Aug15

Dirksen Office Building

PAC Meeting Meals - Refund - Aug15

Dirksen Office Building

PO Box 2496

8073.47

-29.90

249.00

The Peter Norbeck Leadership PAC

Transaction ID : B20EF5B58DDBF47A0B42DC

DC

NE

20510-0001

68103-2496

20510-0001

Transaction ID : BA7ADB953E4324262A1E

Transaction ID : B23792D401388462BADA

08

08

PAC Meeting Meals - Aug15

08

PAC Meeting Meals - Refund - Aug15

PAC Credit Card Payment - Aug15 : See Memos

2015

8073.47

First National Credit Card

Senate Catering

2015

Senate Catering

24

2015

Image# 201601289004701521

10

40

10

10

Washington

Omaha

Washington

[MEMO ITEM]

[MEMO ITEM]

FE6AN026

SCHEDULE B (FEC Form 3X)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)

S S S , , .

S S S , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

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

FEC Schedule B (Form 3X) Rev. 02/2003

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

21b 22 23 24 25 26 27 28a 28b 28c 29 30b

PAC Fundraisising Catering - Aug15

575 Pennsylvania Ave. N.W.

PAC Campaign Software - Aug15

205 Pennsylvania Ave SE

Dirksen Office Building

PAC Meeting Meals - Aug15

15.50

2472.00

750.00

The Peter Norbeck Leadership PAC

Transaction ID : BCB5BED6CE7844087BD5DC

DC

DC

20001-2114

20510-0001

20003-1164

Transaction ID : B4256C37165024EB9806

Transaction ID : BDC6A3D7E32224E40966

08

08

PAC Fundraisising Catering - Aug15

08

PAC Campaign Software - Aug15

PAC Meeting Meals - Aug15

2015

0.00

Senate Catering

Aristotle, Inc.

2015

The Source

25

2015

Image# 201601289004701522

10

40

10

10

Washington

Washington

Washington

[MEMO ITEM]

[MEMO ITEM]

[MEMO ITEM]

FE6AN026

SCHEDULE B (FEC Form 3X)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)

S S S , , .

S S S , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

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

FEC Schedule B (Form 3X) Rev. 02/2003

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

21b 22 23 24 25 26 27 28a 28b 28c 29 30b

PAC Fundraising Catering - PAC Aug15

410 7th Street NW

PAC Meeting Meals - Aug15

Dirksen Office Building

620 S. Cleveland

PAC Meeting Meals - Aug15

205.00

283.00

446.97

The Peter Norbeck Leadership PAC

Transaction ID : B2BE1D389085848F3992DC

DC

SD

20004-2217

57501-5465

20510-0001

Transaction ID : B4ED6975AA43D4090943

Transaction ID : B8727034D7DAC4BA2B4C

08

08

PAC Fundraising Catering - PAC Aug15

08

PAC Meeting Meals - Aug15

PAC Meeting Meals - Aug15

2015

0.00

Jakes Place

Senate Catering

2015

Hill Country Barbecue

26

2015

Image# 201601289004701523

10

40

10

10

Washington

Pierre

Washington

[MEMO ITEM]

[MEMO ITEM]

[MEMO ITEM]

FE6AN026

SCHEDULE B (FEC Form 3X)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)

S S S , , .

S S S , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

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

FEC Schedule B (Form 3X) Rev. 02/2003

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

21b 22 23 24 25 26 27 28a 28b 28c 29 30b

PAC Facility/Room Rental - Aug15

2700 17 Mile Drive

PAC Fundraising Catering - Aug15

15 E St NW

Dirksen Office Building

PAC Meeting Meals - Aug15

259.00

868.11

2380.43

The Peter Norbeck Leadership PAC

Transaction ID : BDBB5806B1EE04C278D6CA

DC

DC

93953-2668

20510-0001

20001-1706

Transaction ID : BEC5EC3C12F584F01AE2

Transaction ID : BF7241A1D55FB4F049D3

08

08

PAC Facility/Room Rental - Aug15

08

PAC Fundraising Catering - Aug15

PAC Meeting Meals - Aug15

2015

0.00

Senate Catering

Bistro Bis

2015

The Inn at Spanish Bay

27

2015

Image# 201601289004701524

10

40

10

10

Washington

Washington

Pebble Beach

[MEMO ITEM]

[MEMO ITEM]

[MEMO ITEM]

FE6AN026

SCHEDULE B (FEC Form 3X)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)

S S S , , .

S S S , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

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

FEC Schedule B (Form 3X) Rev. 02/2003

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

21b 22 23 24 25 26 27 28a 28b 28c 29 30b

22 Rio Vista Lane

PO Box 1838

1617 N Harrison Ave

376.33

61.58

7925.00

The Peter Norbeck Leadership PAC

Transaction ID : B2D8DE81BB88B4233B59VA

SD

SD

23226-2315

57501-2312

57101-1838

Transaction ID : B864069D3323B4A0582D

Transaction ID : BB233F67171B641ECAEB

08

08

PAC Fundraising Consulting

08

Office Equipment

Accounting Services

2015

8362.91

Anderson, Nill & Associates

Century Business Products

2015

The Rizzo Dukes Group

28

2015

Image# 201601289004701525

14

40

14

21

Sioux Falls

Pierre

Richmond

FE6AN026

SCHEDULE B (FEC Form 3X)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)

S S S , , .

S S S , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

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

FEC Schedule B (Form 3X) Rev. 02/2003

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

21b 22 23 24 25 26 27 28a 28b 28c 29 30b

211 N Jackson Ave

901 N. Washington St. Suite 700

22 Rio Vista Lane

209.75

795.00

530.00

The Peter Norbeck Leadership PAC

Transaction ID : B82AD9A45C7084E86A9FSD

VA

VA

57501-3453

23226-2315

22314-1535

Transaction ID : B6D2F3743336E424D9B2

Transaction ID : BFF7B8A87FE9848468E4

09

09

PAC Administrative Consulting

08

PAC Compliance Consulting

PAC Reimbursable Expenses - Room Rental and Postage

2015

1534.75

Paula Dukes

Koch & Hoos, LLC

2015

Melissa Hull

29

2015

Image# 201601289004701526

21

40

22

22

Alexandria

Richmond

Pierre

FE6AN026

SCHEDULE B (FEC Form 3X)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)

S S S , , .

S S S , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

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

FEC Schedule B (Form 3X) Rev. 02/2003

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

21b 22 23 24 25 26 27 28a 28b 28c 29 30b

PO Box 2496

1617 N Harrison Ave

PO Box 7272

500.00

185.50

246.49

The Peter Norbeck Leadership PAC

Transaction ID : BA1ED54C276CF4A649B2NE

SD

VA

68103-2496

22307-0272

57501-2312

Transaction ID : BD49DB4B69CE94322B1F

Transaction ID : BD17D86D7395B4F34BD1

10

10

PAC Credit Card Payment - Oct15

09

PAC Accounting Services

PAC Fundraising Consulting

2015

931.99

LVH Consulting

Anderson, Nill & Associates

2015

First National Credit Card

30

2015

Image# 201601289004701527

22

40

07

07

Pierre

Alexandria

Omaha

FE6AN026

SCHEDULE B (FEC Form 3X)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)

S S S , , .

S S S , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

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

FEC Schedule B (Form 3X) Rev. 02/2003

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

21b 22 23 24 25 26 27 28a 28b 28c 29 30b

PAC Airfare - Oct15

4333 Amon Carter Blvd

PAC Airfare - Oct15

111 W. Rio Salado Parkway

Dirksen Office Building

PAC Meeting Meals - Oct15

100.00

-665.01

805.55

The Peter Norbeck Leadership PAC

Transaction ID : B02141C2417B24384B14TX

AZ

DC

76155-2605

20510-0001

85281-2880

Transaction ID : B48B6CFBF0E5D4FF7B57

Transaction ID : BA448960FB57E4F7C830

10

10

PAC Airfare - Oct15

10

PAC Airfare - Oct15

PAC Meeting Meals - Oct15

2015

0.00

Senate Catering

US Airways

2015

American Airlines

31

2015

Image# 201601289004701528

07

40

07

27

Tempe

Washington

Fort Worth

[MEMO ITEM]

[MEMO ITEM]

[MEMO ITEM]

FE6AN026

SCHEDULE B (FEC Form 3X)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)

S S S , , .

S S S , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................

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

FEC Schedule B (Form 3X) Rev. 02/2003

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Amount of Each Disbursement this Period

S S S , , .

C. Date of Disbursement

Use separate schedule(s) for each category of the Detailed Summary Page

PAGE OFFOR LINE NUMBER: (check only one)

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement For: Primary General Other (specify) T

Purpose of Disbursement

Candidate Name

Office Sought: House Senate PresidentState: District:

Category/Type

Disbursement