131
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 M M / D D / Y Y Y Y M M / D D / Y Y Y Y FEC FORM 3 1. NAME OF COMMITTEE (in full) ADDRESS (number and street) Check if different than previously reported. (ACC) FEC FORM 3 (Revised 05/2016) Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 52 U.S.C. §30109. 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 4. TYPE OF REPORT (Choose One) (a) Quarterly Reports: 12-Day PRE-Election Report for the: Primary (12P) General (12G) Runoff (12R) Convention (12C) Special (12S) 30-Day POST-Election Report for the: General (30G) Runoff (30R) Special (30S) CITY STATE ZIP CODE 2. FEC IDENTIFICATION NUMBER 3. IS THIS NEW AMENDED REPORT (N) OR (A) in the Election on State of TYPE OR PRINT REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5. Covering Period through in the Election on State of STATE DISTRICT Office Use Only April 15 Quarterly Report (Q1) July 15 Quarterly Report (Q2) October 15 Quarterly Report (Q3) January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type over the lines. (c) 12FE4M5 04/13/2018 17 : 44 Image# 201804139108059633 PAGE 1 / 131 POLIQUIN FOR CONGRESS PO BOX 50 OAKLAND ME 04963 C00518654 ME 02 01 01 2018 03 31 2018 DATWYLER, THOMAS, CHARLES, MR., DATWYLER, THOMAS, CHARLES, MR., [Electronically Filed] 04 13 2018

REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

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Page 1: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

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 M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

FEC FORM 3

1. NAME OF COMMITTEE (in full)

ADDRESS (number and street)

Check if different than previously reported. (ACC)

FEC FORM 3(Revised 05/2016)

Office Use Only

NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 52 U.S.C. §30109.

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

4. TYPE OF REPORT (Choose One)

(a) Quarterly Reports:12-Day PRE-Election Report for the:

Primary (12P) General (12G) Runoff (12R) Convention (12C) Special (12S)

30-Day POST-Election Report for the:

General (30G) Runoff (30R) Special (30S)

CITY STATE ZIP CODE2. FEC IDENTIFICATION NUMBER

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

in the Election on State of

TYPE OR PRINT

REPORT OF RECEIPTS AND DISBURSEMENTS

For An Authorized Committee

5. Covering Period through

in the Election on State of

STATE DISTRICT

Office Use Only

April 15 Quarterly Report (Q1)

July 15 Quarterly Report (Q2)

October 15 Quarterly Report (Q3)

January 31 Year-End Report (YE)

Termination Report (TER)

(b)

Example: If typing, type over the lines.

(c)

12FE4M5

04/13/2018 17 : 44Image# 201804139108059633

PAGE 1 / 131

POLIQUIN FOR CONGRESS

PO BOX 50

OAKLAND ME 04963

✘C00518654ME 02

01 01 2018 03 31 2018

DATWYLER, THOMAS, CHARLES, MR.,

DATWYLER, THOMAS, CHARLES, MR.,

[Electronically Filed]04 13 2018

Page 2: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , .

, , .

, , .

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

COLUMN BElection Cycle-to-Date

COLUMN AThis Period

6. Net Contributions (other than loans)

(a) Total Contributions (other than loans) (from Line 11(e)) ....

(b) Total Contribution Refunds (from Line 20(d)) ..................................

(c) Net Contributions (other than loans) (subtract Line 6(b) from Line 6(a)) ...... 7. Net Operating Expenditures

(a) Total Operating Expenditures (from Line 17) ......................................

(b) Total Offsets to Operating Expenditures (from Line 14) ................

(c) Net Operating Expenditures (subtract Line 7(b) from Line 7(a)) ...... 8. Cash on Hand at Close of Reporting Period (from Line 27) .................

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 3 (Revised 05/2016) Page 2

SUMMARY PAGEof Receipts and Disbursements

Report Covering the Period: From: To:

Write or Type Committee NamePOLIQUIN FOR CONGRESS

01 01 2018 03 31 2018

Image# 201804139108059634

PAGE 2 / 131

433556.10 2529123.39

3850.00 9900.00

429706.10 2519223.39

82525.36 393294.66

0.00 114019.21

82525.36 279275.45

2219618.05

0.00

136400.00

Page 3: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , .

, , .

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

, , .

, , .

COLUMN BElection Cycle-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 of contributions from individuals .......................

(b) Political Party Committees ................. (c) Other Political Committees (such as PACs) ...................................

(d) The Candidate .................................... (e) TOTAL CONTRIBUTIONS (other than loans) (add Lines 11(a)(iii), (b), (c), and (d)) ..

12. TRANSFERS FROM OTHER AUTHORIZED COMMITTEES ....................

13. LOANS: (a) Made or Guaranteed by the Candidate ............................................

(b) All Other Loans ................................... (c) TOTAL LOANS (add Lines 13(a) and (b)) ....................

14. OFFSETS TO OPERATING EXPENDITURES (Refunds, Rebates, etc.) ............................

15. OTHER RECEIPTS (Dividends, Interest, etc.) ...........................

16. TOTAL RECEIPTS (add Lines 11(e), 12, 13(c), 14, and 15) (Carry Total to Line 24, page 4) ............

DETAILED SUMMARY PAGEof Receipts

I. RECEIPTS

FEC Form 3 (Revised 05/2016) Page 3

Report Covering the Period: From: To:

Write or Type Committee Name

POLIQUIN FOR CONGRESS

01 01 2018 03 31 2018

Image# 201804139108059635

PAGE 3 / 131

196900.00 1246465.37

5595.00 27376.55

202495.00 1273841.92

0.00 0.00

228151.88 1249756.06

2909.22 5525.41

433556.10 2529123.39

0.00 5505.57

0.00 0.00

0.00 0.00

0.00 0.00

0.00 114019.21

0.00 278.00

433556.10 2648926.17

Page 4: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

, , . , , .

, , . , , .

, , . , , .

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, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , .

, , .

, , .

, , .

, , .

COLUMN BElection Cycle-to-Date

COLUMN ATotal This Period

17. OPERATING EXPENDITURES .....................

18. TRANSFERS TO OTHER AUTHORIZED COMMITTEES .....................

19. LOAN REPAYMENTS: (a) Of Loans Made or Guaranteed by the Candidate .................................

(b) Of All Other Loans .............................. (c) TOTAL LOAN REPAYMENTS (add Lines 19(a) and (b)) .....................

20. 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 20(a), (b), and (c)) ..............

21. OTHER DISBURSEMENTS .........................

22. TOTAL DISBURSEMENTS (add Lines 17, 18, 19(c), 20(d), and 21)

II. DISBURSEMENTS

DETAILED SUMMARY PAGEof DisbursementsFEC Form 3 (Revised 05/2016) Page 4

III. CASH SUMMARY

23. CASH ON HAND AT BEGINNING OF REPORTING PERIOD ...............................................

24 TOTAL RECEIPTS THIS PERIOD (from Line 16, page 3) .....................................................

25. SUBTOTAL (add Line 23 and Line 24) ..................................................................................

26. TOTAL DISBURSEMENTS THIS PERIOD (from Line 22) ......................................................

27. CASH ON HAND AT CLOSE OF REPORTING PERIOD (subtract Line 26 from Line 25)..............................................................................................

, , . , , .

Image# 201804139108059636

PAGE 4 / 131

82525.36 393294.66

0.00 0.00

50000.00 63600.00

0.00 0.00

50000.00 63600.00

1850.00 1900.00

0.00 0.00

2000.00 8000.00

3850.00 9900.00

8000.00 8033.47

144375.36 474828.13

1930437.31

433556.10

2363993.41

144375.36

2219618.05

Page 5: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059637

5 131

POLIQUIN FOR CONGRESS

SOLMAN, SCOTT, NELSON, ,2159 ESSEX ST

03 19 2018

BANGOR METransaction ID : A187CCC593D374C0999C

04401-2114

1000.00

MAINE DISTRIBUTORS BEVERAGE DISTRIBUTOR

2018

✘1000.00

BRADY, JAMES, , ,118 CONGRESS ST., APT 202

03 26 2018

PORTLAND ME 04101Transaction ID : AAE9A8910073241A58A4

250.00

BRADY ENTERPRISES, INC REAL ESTATE MANAGER

2018

✘1250.00

WINTERS, MARK, , ,43 BAY ST

03 27 2018

WINSLOW ME 04901-7045Transaction ID : ACFA65A1CB54343B2A67

1000.00

RETIRED RETIRED

2018

1000.00

2250.00

pbasupally
Typewritten Text
Page 6: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059638

6 131

POLIQUIN FOR CONGRESS

BAHRE, GARY, G, ,PO BOX 198

OXFORD 03 26 2018

OXFORD METransaction ID : A66B05D541A584D1BA07

04270

2700.00

OXFORD PLAINS SPEEDWAY MANAGEMENT

2018✘

5400.00

ROONEY, STEVE, , ,991 HIGHLAND AVENUE, PELHAM, NY

03 31 2018

PELHAM NY 10803Transaction ID : AC4B5D7E0726E487EAC6

250.00

SELF EMPLOYED ATTORNEY

2018

✘250.00

TRACY, PAUL, , ,P.O. BOX 100 GOULDSBORO

03 22 2018

GOULDSBORO ME 04607Transaction ID : AC7B2E9D239CD41E5A88

250.00

WINTER HARBOR AGENCY INSURANCE & RE

2018

850.00

3200.00

pbasupally
Typewritten Text
Page 7: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059639

7 131

POLIQUIN FOR CONGRESS

MITCHELL, PAUL, , ,4068 HOUGH ROAD

03 16 2018

DRYDEN MITransaction ID : AB7B3BA6B1E5F4BA9874

48428

1000.00

RETIRED RETIRED

2018✘

4500.00

CAREY, MARK, , ,6650 SPARROW HAK DRIVE

03 29 2018

WEST PALM BEACH FL 33412Transaction ID : ABD592DE6344D43C5A76

1300.00

SELF-EMPLOYED BUSINESS OWNER

2018✘

4000.00

JOHNSON, PETER, , ,PO BOX 697

03 08 2018

GREENVILLE ME 04441-0697Transaction ID : AFDF8D5264C7140FDB2E

100.00

RETIRED RETIRED

2018

300.00

2400.00

pbasupally
Typewritten Text
Page 8: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059640

8 131

POLIQUIN FOR CONGRESS

MAGINN, ROBERT, , ,101 HUNTINGTON AVENUE

SUITE 2205 03 30 2018

BOSTON MATransaction ID : A157A7CF5958A4731819

02199

1000.00

JENZABAR CEO

2018

✘1000.00

GREER, PHILLIP, , ,PO BOX 54465

02 19 2018

LEXINGTON KY 40555Transaction ID : AF0E08339085C4DEA981

500.00

GREER COMPANIES PRESIDENT

2018

✘500.00

MCKEAN, NATHAN, , ,2833 BRECKENRIDGE INDUSTRIAL COURT

03 11 2018

ST. LOUIS MO 63144Transaction ID : AAAEF18231C774D3FAF3

1000.00

BMC ENTERPRISES, INC CEO

2018

1000.00

2500.00

pbasupally
Typewritten Text
Page 9: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059641

9 131

POLIQUIN FOR CONGRESS

GILES, RONALD, , ,22 CHANNEL COVE LANE

03 22 2018

BIDDEFORD METransaction ID : A62C4B3CD4B864AE8A45

04005

500.00

SANWECO INC CEO

2018

✘500.00

SULLIVAN, JOHN, , , JR2000 BRUSH ST STE 440

03 26 2018

DETROIT MI 48226Transaction ID : ACE5DED2BE4AB4763A05

2700.00

RETIRED RETIRED

2018

✘2700.00

LOCKE, NORMAN, , ,14 CANDLEBROOK LN

03 27 2018

SO. PORTLAND ME 04106Transaction ID : AFB667C4EB8114021978

2700.00

NE TECH AIR OWNER

2018

2700.00

5900.00

pbasupally
Typewritten Text
Page 10: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059642

10 131

POLIQUIN FOR CONGRESS

PRATT, IAN, , ,46 GRANITE CLIFF LANE

03 27 2018

ROBBINSTON METransaction ID : A877C0848AC9F40408B3

04671

1000.00

PRATT CHEVROLET BUICK GMC CAR DEALER

2018

✘1000.00

DUNBAR, HELGA, , ,PO BOX 1183

01 29 2018

WELLS ME 04090Transaction ID : AA1E1CDE50EF341E39D9

1500.00

RETIRED RETIRED

2018

✘1500.00

SEVEE, JOHN, , ,106 WEST ELM ST

03 21 2018

YARMOUTH ME 04096Transaction ID : A06FD031B265C4614B8E

250.00

RETIRED RETIRED

2018

250.00

2750.00

pbasupally
Typewritten Text
Page 11: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059643

11 131

POLIQUIN FOR CONGRESS

BURGESS, CRAIG, , ,87 WHISKEAG ROAD

02 07 2018

BATH METransaction ID : AFFB2647023BC4EB5970

04530

500.00

ANCHOR RENTALS INC OWNER

2018

✘500.00

RATLEDGE, RYAN, C, ,1 WINTERHAVEN DR

03 06 2018

ORONO ME 04473-3679Transaction ID : AB7B84A0A9F1644B7BE3

1000.00

CENTRAL MAINE & QUEBEC RAILWAY CEO

2018

✘1000.00

TORGERSON, JIM, , ,14 JUNIPER POINT RD.

03 27 2018

BRANFORD CT 06405Transaction ID : A4B06D28C043A4A61976

1000.00

AVANGRID, INC. EXECUTIVE

2018

1000.00

2500.00

pbasupally
Typewritten Text
Page 12: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059644

12 131

POLIQUIN FOR CONGRESS

MILLER, ROBERT, , ,440 DANEHURST

03 16 2018

COVINA CATransaction ID : A5A1888E1957E4C48BE7

91724-2703

500.00

CASTLE PRESS PRINTER

2018

✘500.00

SULLIVAN, ELEANOR, , ,2000 BRUSH ST STE 440

03 26 2018

DETROIT MI 48226Transaction ID : AD2F1042F01FB4262A17

1700.00

HOMEMAKER HOMEMAKER

2018✘

4400.00

HANCOCK, KEVIN, , ,29 BEACH ROAD

03 19 2018

CASCO ME 04015Transaction ID : AF22E9BEF12504AA6AD5

1000.00

HANCOCK LUMBER CEO

2018

1000.00

3200.00

pbasupally
Typewritten Text
Page 13: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059645

13 131

POLIQUIN FOR CONGRESS

BAHRE, SANDRA, , ,PO BOX 900

03 26 2018

ALTON NHTransaction ID : AD1366A170F7941F3AFD

03809

2700.00

NOT EMPLOYED NOT EMPLOYED

2018

✘2700.00

MCCRUM, JAY, , ,PO BOX 660

03 22 2018

MARS HILL ME 04758-0660Transaction ID : ADA13799108784BF381D

2000.00

PENOBSCOT MCCRUM OWNER

2018

✘2000.00

HUNGERFORD, DAVID, E, , II940 GROSS NECK RD, PO BOX 605

03 26 2018

WALDOBORO ME 04572Transaction ID : AD63C895BD2BC41E1859

200.00

RETIRED RETIRED

2018

400.00

4900.00

pbasupally
Typewritten Text
Page 14: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059646

14 131

POLIQUIN FOR CONGRESS

FILLER, JOSHUA, , ,34 FARM GATE RD.

01 08 2018

FALMOUTH METransaction ID : A985A014219924B45941

04105

1000.00

FILLER SECURITY STRATEGIES CONSULTANT

2018

✘1000.00

SAVERCOOL, JOHN, , ,13301 BANBURY PLACE

03 26 2018

SILVER SPRING MD 20904Transaction ID : AED70DD605E5C42A0948

1000.00

UBS AMERICAS MANAGING DIRECTOR

2018

✘1000.00

LEVY, ANNE, , ,700 BILTMORE WAY

01 29 2018

CORAL GABLES FL 33134Transaction ID : A2E8785542534452CA87

1000.00

RETIRED RETIRED

2018

1000.00

3000.00

pbasupally
Typewritten Text
Page 15: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059647

15 131

POLIQUIN FOR CONGRESS

PRAY, STEPHEN, , MR.,372 FINSON ROAD

01 11 2018

BANGOR METransaction ID : AA8128FE5F58C4412932

04401

1000.00

RETIRED RETIRED

2018

✘2000.00

GOLDSTEIN, LON, , ,1445 CHURCH STREET NW

03 30 2018

WASHINGTON DC 20005Transaction ID : A3BBE23C81C1C4F08AB3

500.00

GOLDSTEINCOPE POLICY SOLUTIONS GOVERNMENT RELATIONS

2018

✘2000.00

TWOMBLY, DANA, , ,15 MUSSEL COVE LANE

03 24 2018

FALMOUTH ME 04105Transaction ID : AF6F6EF6C5F8F42A4A82

1000.00

RETIRED RETIRED

2018

1000.00

2500.00

pbasupally
Typewritten Text
Page 16: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059648

16 131

POLIQUIN FOR CONGRESS

WILLCOX, DARREN, , ,9696 MILL RIDGE LANE

03 27 2018

GREAT FALLS VATransaction ID : AE7736E1933214D07AA2

22066

1000.00

W STRATEGIES CONSULTANT

2018

✘1000.00

KURTZ, VIRGINIA, , ,1 WINDWARD WAY

03 19 2018

CAPE ELIZABETH ME 04107Transaction ID : AE742A70FC866435CB77

1000.00

RETIRED RETIRED

2018

✘1000.00

DEGEN, GARY, , ,60 WESTERN AVE, SUITE 3 PMB201

03 08 2018

AUGUSTA ME 04330Transaction ID : AECABCC0A334F4DD9ADD

100.00

MAINEGENERAL HEALTH PODIATRIST

2018

300.00

2100.00

pbasupally
Typewritten Text
Page 17: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059649

17 131

POLIQUIN FOR CONGRESS

REED, JOHN, C, ,70 WINTERGREEN WAY

01 24 2018

BREWER METransaction ID : A2F4B0352E15E463E9DD

04412-9603

1000.00

MAINE SAVINGS FCU BANKER

2018

✘1000.00

SILBEY, ALEXANDER, , ,906 3RD PLACE, SE

02 26 2018

WASHINGTON DC 20003Transaction ID : AB177AD5AAE954FB68F4

500.00

ATS COMMUNICATIONS, INC. CONSULTANT

2018

✘500.00

KEAN, CHARLES, , ,1 ASHWOOD LANE

03 22 2018

FALMOUTH ME 04105Transaction ID : A3F5814C48E714131A6E

1500.00

VILLAS AT WOODLANDS CPA

2018

1500.00

3000.00

pbasupally
Typewritten Text
Page 18: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059650

18 131

POLIQUIN FOR CONGRESS

THIBODEAU, BRENDA, , ,PO BOX 175

03 28 2018

FRYEBURG METransaction ID : AF5FFAF03B4A846168FB

04037

500.00

SELF EMPLOYED AGRIBUSINESS

2018

✘500.00

BARBOUR, HALEY, , ,648 DOGWOOD DR

02 20 2018

YAZOO CITY MS 39194Transaction ID : ACB706523461147E997E

1000.00

SELF EMPLOYED FOUNDING PARTNER

2018

✘1000.00

NANOVIC, ROBERT, , ,81 WESTCUSTOGO LN

02 14 2018

NO. YARMOUTH ME 04097Transaction ID : A31DF5FCE95B646CA964

1300.00

RETIRED RETIRED

2018✘

4000.00

2800.00

pbasupally
Typewritten Text
Page 19: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059651

19 131

POLIQUIN FOR CONGRESS

O'MEALIA, HARRY, , ,1304 BAY AVE

03 12 2018

MANTOLOKING NJTransaction ID : A8AF133082F1E49DD9AD

08738

2000.00

1919 INVESTMENT COUNSEL BUSINESSMAN

2018

✘2000.00

BOESCHENSTEIN, WILLIAM, , ,2 MANOR WAY

03 31 2018

CAPE ELIZABETH ME 04107Transaction ID : AE0B031E913DE4EA196E

250.00

RETIRED RETIRED

2018

✘2105.00

CAREY, MARK, , ,6650 SPARROW HAK DRIVE

03 29 2018

WEST PALM BEACH FL 33412Transaction ID : A137BEA867AFD41B5970

700.00

SELF-EMPLOYED BUSINESS OWNER

2018

4000.00

2950.00

pbasupally
Typewritten Text
Page 20: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059652

20 131

POLIQUIN FOR CONGRESS

DORKEY, CHARLES, E, , III205 E 69TH STREET, APT 6C

03 12 2018

NEW YORK NYTransaction ID : A6AD7A1D7CCD7418AA61

10021-5437

1000.00

DENTONS PARTNER

2018

✘1000.00

PALOMO, OSWALDO, , ,446 STURGES ROAD

03 31 2018

FAIRFIELD CT 06824Transaction ID : A32390BB303194881820

1000.00

CHARTWELL STRATEGY GROUP MANAGING DIRECTOR

2018

✘1000.00

BURNS, JEREMIAH, , ,157 FORESIDE RD

01 18 2018

FALMOUTH ME 04105Transaction ID : A6807E6E48B794E2DA10

1000.00

MORGAN STANLEY SENIOR VICE PRESIDENT

2018

1000.00

3000.00

pbasupally
Typewritten Text
Page 21: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059653

21 131

POLIQUIN FOR CONGRESS

NOYES, CHERYL, GRANT, ,40 PERUVIAN WAY

01 18 2018

BANGOR METransaction ID : A9D143FDE240F44B19EA

04401-2593

1300.00

RETIRED RETIRED

2018✘

4000.00

ANDERSEN, PAUL, , ,106 ROSSMORE LN PVT

03 24 2018

NEW GLOUCESTER ME 04260Transaction ID : A5C744EC5091B4A80854

1000.00

ANDROSCOGGIN BANK BANKER

2018

✘1000.00

BOPP, MICHAEL, DEE, ,1409 BISHOP LN

03 16 2018

ALEXANDRIA VA 22302Transaction ID : ACFC4D88404924A0EA57

50.00

GIBSON DUNN ATTORNEY

2018✘

2750.00

2350.00

pbasupally
Typewritten Text
Page 22: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059654

22 131

POLIQUIN FOR CONGRESS

GILBERT, STUART, , ,1 SPRUCE LANE

03 29 2018

FALMOUTH METransaction ID : A5CC2EACC61CE4463A6A

04105

50.00

RETIRED RETIRED

2018

✘250.00

PARSELL, THOMAS, , ,13 TOP PASTURE ROAD

01 24 2018

WASHINGTON DEPOT CT 06794Transaction ID : A221532F1D954471296C

1000.00

ZWEIG-DIMENNA ASSOCIATES RISK MANAGER

2018

✘1000.00

ALDEROTY, STUART, , ,4 ALYCE LANE

03 27 2018

RUMSON NY 07760Transaction ID : A538CBB6FBB6948B2B88

500.00

CIT ATTORNEY

2018

500.00

1550.00

pbasupally
Typewritten Text
Page 23: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059655

23 131

POLIQUIN FOR CONGRESS

ALEY, RAY, , ,222 LOST COVE

03 16 2018

COLCHESTER VTTransaction ID : A814EE46591BC408ABCD

05446

250.00

ALEY RESTAURANT MANAGEMENT, LLC RESTAURANTEUR

2018

✘250.00

RUIZ, STEPHANIE, , ,200 RIVERSIDE BOULEVARDAPT. 4J 03 05 2018

NEW YORK NY 10069Transaction ID : A3B42E32A24794BB6B45

2000.00

CREDIT SUISSE BANKER

2018

✘2000.00

HAMM-MORRIS, TERRY, , ,P.O. BOX 6164

01 21 2018

BANGOR ME 04402Transaction ID : A3B0288EF3BFC471C923

500.00

RETIRED RETIRED

2018

500.00

2750.00

pbasupally
Typewritten Text
Page 24: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059656

24 131

POLIQUIN FOR CONGRESS

COHEN, MARK, L, ,125 CHESTNUT STREET

03 29 2018

CONCORD MATransaction ID : A57DA1DB5D59C42A6809

01742-2646

1700.00

OPR SYSTEMS, INC. PRESIDENT

2018

✘3500.00

THIBODEAU, DON, R, ,PO BOX 175

03 28 2018

FRYEBURG ME 04037-0175Transaction ID : A0F7F7FD263384D3792F

500.00

RETIRED RETIRED

2018

✘500.00

ARNOLD, PAUL, , ,619 10TH AVE

02 20 2018

COVINGTON LA 70433Transaction ID : A1CA485EEA9584C99810

2000.00

CORT FURNITURE RENTAL CEO

2018

2000.00

4200.00

pbasupally
Typewritten Text
Page 25: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059657

25 131

POLIQUIN FOR CONGRESS

BOYD, BRADLEY, W, ,318 LUDWIG RD

01 12 2018

HOPE METransaction ID : A16847609E5904A4697B

04847-3028

250.00

INFORMATION REQUESTED INFORMATION REQUESTED

2018

✘250.00

SCHELLHAS, ROBERT, , ,2639 N. ROOSEVELT ST

03 29 2018

ARLINGTON VA 22207Transaction ID : A97B55BC86D4441D1BE9

1000.00

ERNST & YOUNG PRINCIPAL

2018

✘1000.00

RAND, C. BRADFORD, , ,52 JOHNS WAY

01 09 2018

HAMPDEN ME 04444Transaction ID : A9C3E5B45F19F40228D5

100.00

SELF DENTIST

2018

900.00

1350.00

pbasupally
Typewritten Text
Page 26: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059658

26 131

POLIQUIN FOR CONGRESS

MADDEN, SCOTT, M, ,92 BIRCHWOOD AVE

03 31 2018

GLENBURN METransaction ID : A46F85E0ACE4740CDAEC

04401-2735

500.00

MADDEN TIMBERLANDS, INC LOGGING CONTRACTOR

2018

✘500.00

BERMONT, PETER, L, ,3427 N MOORINGS WAY

01 18 2018

COCONUT GROVE FL 33133Transaction ID : A7549A18AE5A34CFC828

500.00

BERMONT ADVISORY GROUP MANAGING DIRECTOR

2018

✘500.00

GERRITY, PETER, , MR.,98 TUTTLE RD

03 28 2018

CUMBERLAND CENTER ME 04021Transaction ID : A9BF0361A732D44339D5

1000.00

INFORMATION REQUESTED INFORMATION REQUESTED

2018

1000.00

2000.00

pbasupally
Typewritten Text
Page 27: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059659

27 131

POLIQUIN FOR CONGRESS

BROWN, ALISON, , ,23 WILSON RD

03 08 2018

GRAY METransaction ID : AD337D1BC68094629BCC

04039-4408

500.00

RETIRED RETIRED

2018

✘500.00

IRISH, ANDREW, , ,1264 AUBURN ROAD

03 29 2018

PERU ME 04290Transaction ID : A321ED70712BA4DF68B0

250.00

IRISH FAIMLY LOGGING INC. LOGGING

2018

✘250.00

PERRI, MICHELE, , ,28 NEIL LANE

03 10 2018

RIVERSIDE CT 06878Transaction ID : A8F46A39CC1C844FBA21

2700.00

RETIRED RETIRED

2018✘

5400.00

3450.00

pbasupally
Typewritten Text
Page 28: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059660

28 131

POLIQUIN FOR CONGRESS

HUNTON & WILLIAMS951 EAST BYRD ST

03 26 2018

RICHMOND VATransaction ID : A64680F3D65C644818CC

23219

2000.00

2018

✘4000.00

PELLETIER, JOHN, B, ,199 MAIN ST

03 11 2018

VAN BUREN ME 04785-1256Transaction ID : A902B736ABAA94960A3F

250.00

UNIVERSITY OF MAINE AT FORT KENT ADJUNCT PROFESSOR

2018

✘350.00

JACOB, JOEL, E, ,PO BOX 250250

02 14 2018

WEST BLOOMFIELD MI 48325-0250Transaction ID : AAFB40ECB6CDE4188935

2300.00

RETIRED RETIRED

2018✘

5000.00

4550.00

pbasupally
Typewritten Text
Page 29: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059661

29 131

POLIQUIN FOR CONGRESS

JOHNSON, DAVID, , ,20 10TH STREET NORTHWEST

UNIT 1403 03 27 2018

ATLANTA GATransaction ID : A2934FA2BD47C478D893

30309

2700.00

STRATEGIC LINK CONSULTING PARTNER

2018

✘2700.00

LILLY, ROBERT, , ,16 MANSON LIBBY RD

03 27 2018

SCARBOROUGH ME 04074Transaction ID : AD09EE5F7CCD24379B88

2700.00

RETIRED RETIRED

2018

✘2700.00

STERN, DOUG, , ,9 MANURSING WAY

03 29 2018

RYE NY 10580Transaction ID : A87B5A2E6D9604863BE5

500.00

RETIRED RETIRED

2018

500.00

5900.00

pbasupally
Typewritten Text
Page 30: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059662

30 131

POLIQUIN FOR CONGRESS

MAPES, JONATHAN, , ,188 OAK ST

03 28 2018

SPRINGVALE METransaction ID : A20091C1D99D340EFA87

04083

700.00

HA MAPES MOTOR FUELS OWNER

2018

✘3500.00

SPANG, CARL, , ,55 WISWALL ROAD

03 20 2018

DURHAM NH 03824Transaction ID : A4489C9DB26E64AAA959

500.00

RETIRED RETIRED

2018

✘500.00

JACOB, JOEL, E, ,PO BOX 250250

02 14 2018

WEST BLOOMFIELD MI 48325-0250Transaction ID : A6A305D19AD6449C2BE7

2700.00

RETIRED RETIRED

2018

5000.00

3900.00

pbasupally
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Page 31: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059663

31 131

POLIQUIN FOR CONGRESS

WESTON, CARY, M, ,166 LASALLE DR

03 28 2018

BANGOR METransaction ID : A95AF6EBED5EF4D77B09

04401-2585

1000.00

SUTHERLAND WESTON MARKETING

2018

✘1000.00

LAWRIE, JOHN, M, ,201 LA PUERTA WAY

03 19 2018

PALM BEACH FL 33480-3223Transaction ID : A314BD07BE74242A7AF2

2700.00

INFORMATION REQUESTED INFORMATION REQUESTED

2018

✘2700.00

INGRAM, EDGAR, , ,3 NEW ALBANY FARMS RD

01 13 2018

NEW ALBANY OH 43054-9000Transaction ID : AA73AF5CF86B14A998E4

2000.00

RETIRED RETIRED

2018

2000.00

5700.00

pbasupally
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Page 32: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059664

32 131

POLIQUIN FOR CONGRESS

CUTCHIN, DOUGLAS, , ,47 HIGH ST

01 12 2018

FAIRFIELD METransaction ID : AB099E2BE4B5B4281937

04937

2700.00

RETIRED RETIRED

2018✘

5400.00

MAHER, PETER, , ,110 BRIDGE ST

03 26 2018

YARMOUTH ME 04096Transaction ID : A1E6B9492163146AFAF3

1000.00

ENGINEER SME

2018

✘1000.00

MASSEY, GEORGE, , ,8 MASON STREET

01 22 2018

CAMBRIDGE MA 02138-3417Transaction ID : A50059E220C5C422B989

2600.00

INFORMATION REQUESTED INFORMATION REQUESTED

2018

2600.00

6300.00

pbasupally
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Page 33: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059665

33 131

POLIQUIN FOR CONGRESS

COLBY, GORDON, , ,510 GOSHEN RD

03 23 2018

WALDOBORO METransaction ID : AE011CA6507FE4331833

04572

2700.00

RT ALLEN & SON MANAGER

2018

✘5400.00

CAVICCHI, PAUL, , ,12510 PEBBLE WAY CT

03 23 2018

HOUSTON TX 77041Transaction ID : ADF636DF544364FCBAAC

1000.00

RETIRED RETIRED

2018

✘2000.00

SHAW, ROBERT, E, ,165 W SHORE RD

03 29 2018

AUBURN ME 04210-9100Transaction ID : AE6A70F27DA954CB38BA

500.00

SKILLINGS SHAW & ASSOC PRESIDENT

2018

500.00

4200.00

pbasupally
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Page 34: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059666

34 131

POLIQUIN FOR CONGRESS

DYSART, DAVID, , ,530 COLDBROOK ROAD

03 30 2018

HERMON METransaction ID : A1F6B05EC61F34F2484C

04401

2000.00

DYSARTS SERVICE VICE-PRESIDENT

2018

✘2000.00

DARLING, JOHN, , ,4141 HIGEL AVE

03 09 2018

SARASOTA FL 34242Transaction ID : A5BBB601D1EC140A4831

2000.00

DARLING'S / DARLCO INC. MANAGER

2018

✘2000.00

QUIRK, JOHN, , ,113 VIRGINIA LANE

03 28 2018

BANGOR ME 04401Transaction ID : AC63B51E890904B1EB57

500.00

QUIRK AUTOPARK GENERAL MANAGER

2018

500.00

4500.00

pbasupally
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Page 35: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059667

35 131

POLIQUIN FOR CONGRESS

ARMSTRONG, RICH, , ,109 KENNEBEC ROAD

03 28 2018

HAMPDEN METransaction ID : AF6B2B71EAF7A40BD81D

04401

500.00

SNOWMAN PRINTING PRESIDENT

2018

✘500.00

WAGNER, CLIFFORD, , ,2015 SOUTHEAST COLUMBIA RIVER DRIVUNIT 120 03 29 2018

VANCOUVER WA 98661Transaction ID : A23FCC20038084DA08B5

2700.00

RETIRED RETIRED

2018

✘2700.00

MANOCHERIAN, JED, , ,18 EAST 50TH STREET

01 18 2018

NEW YORK NY 10022-6817Transaction ID : ABC7DB9DBEDF44EEBABF

2700.00

WOODBRANCH INVESTMENTS REAL ESTATE

2018✘

5400.00

5900.00

pbasupally
Typewritten Text
Page 36: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059668

36 131

POLIQUIN FOR CONGRESS

NOYES, CHERYL, GRANT, ,40 PERUVIAN WAY

01 18 2018

BANGOR METransaction ID : AB8579CDDAAA9465B927

04401-2593

700.00

RETIRED RETIRED

2018

✘4000.00

LAVERDIERE, PETER, , ,88 BLACK ISLAND RD

03 28 2018

OXFORD ME 04270-4815Transaction ID : A0335B00A5A754880BEF

200.00

RETIRED RETIRED

2018

✘400.00

FOLEY, THOMAS, , ,62 KHAKUM WOOD RD

03 26 2018

GREENWICH CT 06831Transaction ID : A8F130D718A0E4EC68AF

2700.00

NTC GROUP BUSINESS EXECUTIVE

2018

2700.00

3600.00

pbasupally
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Page 37: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059669

37 131

POLIQUIN FOR CONGRESS

FOX, DAVID, , ,141 W. JACKSON BLVD. SUITE 3844

03 19 2018

CHICAGO ILTransaction ID : A041152A25DF34ADEAC2

60604

1300.00

LASALLE ASSET MANAGEMENT TRADER

2018✘

4000.00

COLBY, GORDON, , ,510 GOSHEN RD

03 23 2018

WALDOBORO ME 04572Transaction ID : A8147B0E36D404D51A9F

2700.00

RT ALLEN & SON MANAGER

2018✘

5400.00

VOLK, DEREK, , ,11 MORIN STREET

03 26 2018

BIDDEFORD ME 04005Transaction ID : A1F26B3DBAA5F4E7A903

1000.00

VOLK PACKAGING CORPORATION SALES REPS

2018

1000.00

5000.00

pbasupally
Typewritten Text
Page 38: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059670

38 131

POLIQUIN FOR CONGRESS

HILLS, THOMAS, C, ,506 TEAL PLAZA

03 26 2018

SECAUCUS NJTransaction ID : AE7818B64F7704928A2F

07094-2218

500.00

BROOKS BROTHERS SALES

2018

✘500.00

CHAUD, SHAHID, , ,2000 WINTERWOOD DRIVE

03 29 2018

FULLERTON CA 92833-4823Transaction ID : A1B1198A06E3E4D4ABF5

500.00

CENTURY 21 REAL ESTATE AGENT

2018

✘500.00

BRODSKY, CAROLYN, , ,14 MAST ROAD,

03 10 2018

SCARBOROUGH ME 04074Transaction ID : AD811AAFCF2DB45F1875

250.00

STERLING ROPE CO. INC PRESIDENT

2018

250.00

1250.00

pbasupally
Typewritten Text
Page 39: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059671

39 131

POLIQUIN FOR CONGRESS

MOORE, ROBERT, , ,522 GLENMONT DRIVE

03 27 2018

SOLANA BEACH CATransaction ID : AE10EF3E90D0D49688DB

92075

500.00

CETERA FINANCIAL GROUP EXECUTIVE

2018

✘500.00

BABER, BRETT, , ,29 SILVER RIDGE ROAD

03 30 2018

VEAZIE ME 04401Transaction ID : AB579946342DC4149AB6

500.00

LANHAMBLACKWELL & BABER ATTORNEY

2018

✘1000.00

MACDONALD, STUART, , ,79 SPAR COVE ROAD

03 29 2018

FREEPORT ME 04032Transaction ID : A6A5B88840A964DA2811

500.00

RETIRED RETIRED

2018

500.00

1500.00

pbasupally
Typewritten Text
Page 40: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059672

40 131

POLIQUIN FOR CONGRESS

NOYES, PETER, , ,511 BLACKSTRAP RD

03 26 2018

FALMOUTH METransaction ID : AB3837AC25CA34ED996E

04105

1000.00

EARL W NOYES & SONS MOVER

2018

✘1000.00

PRESCOTT, JON, , ,173 CALLAGHAN ROAD

03 26 2018

HOULTON ME 04730Transaction ID : AFAAA95EF6011487C81E

250.00

KATAHDIN TRUST CO. BANKER

2018

✘250.00

MAYO, DOUG, , ,PO BOX 526

03 28 2018

PORTLAND ME 04112Transaction ID : A0D8F53AC6A314BE4B51

2500.00

SELF EMPLOYED ENTREPRENEUR

2018

2500.00

3750.00

pbasupally
Typewritten Text
Page 41: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059673

41 131

POLIQUIN FOR CONGRESS

CUTCHIN, DOUGLAS, , ,47 HIGH ST

01 12 2018

FAIRFIELD METransaction ID : ADD3096BA4CF04BD0A7A

04937

2700.00

RETIRED RETIRED

2018

✘5400.00

RANSON, MICHAEL, , ,165 DUANE STREET

03 30 2018

NEW YORK NY 10013Transaction ID : ABECB1D96DAB64E39B78

2000.00

BLUE WOLF CAPITAL INVESTOR

2018

✘2000.00

CARLETON, JOSEPH, , , JRPO BOX 155

01 11 2018

KITTERY ME 03904Transaction ID : A4D29DC544B0B475BAD2

250.00

SELF EMPLOYED ATTORNEY

2018

250.00

4950.00

pbasupally
Typewritten Text
Page 42: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059674

42 131

POLIQUIN FOR CONGRESS

HUNTON & WILLIAMS951 EAST BYRD ST

02 28 2018

RICHMOND VATransaction ID : A71C559775F814111B7E

23219

1000.00

2018

✘2000.00

PLOWMAN, DAVID, , ,589 MAIN ROAD NORTH

03 12 2018

HAMPDEN ME 04444Transaction ID : A3A12DBA9452E412889D

500.00

PDQ DOOR MANAGEMENT

2018

✘500.00

GREENE, PETER, F, ,381 RIDGE RD

03 30 2018

ADDISON ME 04606-3002Transaction ID : A9CE452C1A0EA4BA5BAE

100.00

MACHIAS SAVINGS BANK BANKER

2018

300.00

1600.00

pbasupally
Typewritten Text
Page 43: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059675

43 131

POLIQUIN FOR CONGRESS

WILLIAMS, AMY, , ,2028 CHEROKEE BLVD

03 29 2018

KNOXVILLE TNTransaction ID : A0EDF1A527C0C4BA8809

37919

2700.00

HOMEMAKER HOMEMAKER

2018

✘5400.00

LYNCH, CHRISTOPHER, , ,880 SHORE RAOD

03 26 2018

CAPE ELIZABETH ME 04107Transaction ID : AC69A14E5947F4D6E9C1

250.00

LEGACY PROPERTIES SOTHEBY'S INTERNATIOREAL ESTATE

2018

✘750.00

DRAPER, GORDON, , ,1225 MAIN ST

03 30 2018

BOWDOIN ME 04287Transaction ID : AAB0CE6B8D2724D15824

250.00

US POSTAL SERVICE ELECTRONIC TECH

2018

350.00

3200.00

pbasupally
Typewritten Text
Page 44: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059676

44 131

POLIQUIN FOR CONGRESS

SPRAGUE, PHINESS, , ,159 CHARLES E JORDAN ROAD

03 28 2018

CAPE ELIZABETH METransaction ID : AC14A30E9405C41C294C

04107

1000.00

PORTLAND YACHT SERVICES MANAGER

2018

✘1000.00

SHERIDAN, ROBERT, K, MR.,16 CAMELOT DR

03 27 2018

HINGHAM MA 02043Transaction ID : A099B57D137434F818F0

1500.00

EMERITUS PRESIDENT

2018

✘1500.00

OSGOOD, STERLING, , ,43 MAIN STREET

03 08 2018

LINCOLN ME 04457Transaction ID : A91CECD56D6004516AB0

1000.00

RETIRED RETIRED

2018

1000.00

3500.00

pbasupally
Typewritten Text
Page 45: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059677

45 131

POLIQUIN FOR CONGRESS

MURRAY, SUNA, , ,29 BAY STATE ROAD

03 31 2018

BOSTON MATransaction ID : AE64E5A5368984D7D9CC

02215

100.00

SELF EMPLOYED SKATING COACH

2018

✘1100.00

KUMP, ROBERT, , ,3 KENSINGTON PLACE

03 23 2018

WESTPORT CT 06880Transaction ID : AC2B5A4F4215E4057A66

500.00

AVANGRID EXECUTIVE

2018

✘500.00

PELLETIER, JOHN, B, ,199 MAIN ST

03 31 2018

VAN BUREN ME 04785-1256Transaction ID : A1CF23B8C4573411D83D

250.00

UNIVERSITY OF MAINE AT FORT KENT ADJUNCT PROFESSOR

2018

600.00

850.00

pbasupally
Typewritten Text
Page 46: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059678

46 131

POLIQUIN FOR CONGRESS

O'ROURKE, JOHN, , ,11028 STANMORE DR

03 12 2018

POTOMAC MDTransaction ID : A0C3E530F7E024A6BB7D

20854

1000.00

RETIRED RETIRED

2018

✘1000.00

WHEELER, MICHAEL, , ,4520 BLUFFVIEW BOULEVARD

03 27 2018

DALLAS TX 75209Transaction ID : AB3609BE6CA574969B2D

1000.00

FLUOR CORPORATION CPO

2018

✘1000.00

COHEN, MARK, L, ,125 CHESTNUT STREET

03 29 2018

CONCORD MA 01742-2646Transaction ID : A512ED95E1A3041F1968

800.00

OPR SYSTEMS, INC. PRESIDENT

2018✘

3500.00

2800.00

pbasupally
Typewritten Text
Page 47: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059679

47 131

POLIQUIN FOR CONGRESS

LEADBETTER, JEFF, , ,66 PERUVIAN WAY

03 14 2018

BANGOR METransaction ID : A5C84C02EC87E4FF39D3

04401-2593

1000.00

LEADBETTERS OWNER

2018

✘1000.00

PLOURDE, JEFFREY, , ,17 SOUTH TIERY STREET

01 26 2018

OLD TOWN ME 04468Transaction ID : A84EC4B52092F4B0AB3E

500.00

TD BANK REGIONAL VICE PRESIDENT

2018

✘500.00

SMITH, KEN, , ,19 STRAWBERRY HILL

03 26 2018

BAR HARBOR ME 04609Transaction ID : AF2829237AF0341859A2

150.00

MANOR HOUSE INN OWNER

2018

250.00

1650.00

pbasupally
Typewritten Text
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SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059680

48 131

POLIQUIN FOR CONGRESS

NOYES, LYNN, , ,511 BLACKSTRAP RD

03 26 2018

FALMOUTH METransaction ID : A6C34FA29231E4BAE8E7

04105

2000.00

EARL W NOYES & SONS MOVER

2018

✘2000.00

THOMAS, JAMES, , ,33 WOODS END ROAD

03 29 2018

NEW CANAAN CT 06840Transaction ID : AA3BB813F30A24627BB5

1000.00

THOMAS, MCNERNEY VENTURE CAPITALISTS

2018

✘1000.00

TRYON, WARREN, , ,216 9TH STREET SOUTHEAST

03 31 2018

WASHINGTON DC 20003Transaction ID : A4DA6DC3DE9E245B8A51

250.00

PARTNER CAPITOL COUNSEL

2018

250.00

3250.00

pbasupally
Typewritten Text
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SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059681

49 131

POLIQUIN FOR CONGRESS

WOOD, ROBERT, , ,813 VICAR LANE

03 29 2018

ALEXANDRIA VATransaction ID : A68257A58CAC54D66B04

22302

1000.00

BGR GROUP CONSULTANT

2018

✘1000.00

FLYNN, THOMAS, EDWARD, ,48 BAY AVE

03 30 2018

HANCOCK ME 04640-4003Transaction ID : AC3153A93B9C7406F8CA

250.00

ELLSWORTH UVEITIS & RETINA CARE PHYSICIAN

2018

✘1250.00

RAMSEY, MICHAEL, , ,74 BEACHMERE PL EXN

03 30 2018

OGUNQUIT ME 03907Transaction ID : A8A2485F0830C42D5B77

1000.00

ABS INNKEEPER

2018

1000.00

2250.00

pbasupally
Typewritten Text
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SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059682

50 131

POLIQUIN FOR CONGRESS

CASHMAN, JAY, , ,549 SOUTH ST

03 21 2018

QUINCY MATransaction ID : A06DE75B449E348678A2

02169

2000.00

RETIRED RETIRED

2018

✘2000.00

HAWTHORNE, SCOTT, L, ,85 CEDAR ST

01 11 2018

BELFAST ME 04915-6212Transaction ID : A203ED39A6EEC414E874

2000.00

MATHEWS BROTHERS MANAGER

2018

✘2000.00

MAPES, JONATHAN, , ,188 OAK ST

03 28 2018

SPRINGVALE ME 04083Transaction ID : AF79029BE4CFA4B51826

800.00

HA MAPES MOTOR FUELS OWNER

2018✘

3500.00

4800.00

pbasupally
Typewritten Text
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SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059683

51 131

POLIQUIN FOR CONGRESS

BRODSKY, CAROLYN, , ,14 MAST ROAD,

03 30 2018

SCARBOROUGH METransaction ID : A2D24C430ECA44DAEB51

04074

250.00

STERLING ROPE CO. INC PRESIDENT

2018

✘500.00

SENIOR, ALAN, , ,10519 NORTHEAST 38TH PLLINBROOK #12 02 28 2018

KIRKLAND WA 98033Transaction ID : A709CF41AAA9F4195A86

1000.00

BEAUMONT CORP. MANAGER

2018

✘1000.00

BUSHEY, LEE, P, ,2 PATRICIA TER

03 29 2018

WATERVILLE ME 04901Transaction ID : A262A6D63C877459FAB4

500.00

FULL HOUSE, INC SELF-EMPLOYED

2018

500.00

1750.00

pbasupally
Typewritten Text
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SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059684

52 131

POLIQUIN FOR CONGRESS

BALSON, ANDREW, , ,276 HIGHLAND STREET

02 21 2018

WEST NEWTON MATransaction ID : AD06D044DA28E4544923

02465

2700.00

COVE HILL PARTNERS INVESTMENT MGMT

2018✘

5400.00

GEIGER, JEFF, , ,3 PROSPECT ST

03 30 2018

MYSTIC CT 06355Transaction ID : A3E80CCB95469482D95C

1000.00

GENERAL DUNAMICS ELECTRIC BOAT EXECUTIVE

2018

✘1500.00

JONES, WILLIAM, A, , IIIPO BOX 1015

02 28 2018

CLEVELAND TN 37364-1015Transaction ID : AE4471050EB2F436EAAB

1000.00

JONES MANAGEMENT SERVICES VICE PRESIDENT

2018

1000.00

4700.00

pbasupally
Typewritten Text
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SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059685

53 131

POLIQUIN FOR CONGRESS

BODE, DENISE, A, ,28389 CATALPA POINT RD

03 12 2018

EASTON MDTransaction ID : A07A71E0848A444E3B9B

21601-8579

2000.00

MICHAEL BEST STRATEGIES PARTNER

2018

✘2000.00

RAND, C. BRADFORD, , ,52 JOHNS WAY

03 09 2018

HAMPDEN ME 04444Transaction ID : A879B014F20874BABBDF

100.00

SELF DENTIST

2018

✘1100.00

LAWRIE, KIMBERLY, , ,201 LA PUERTA WAY

03 19 2018

PALM BEACH FL 33480Transaction ID : AC6EDD619227A4CDD875

300.00

HOMEMAKER HOMEMAKER

2018

300.00

2400.00

pbasupally
Typewritten Text
Page 54: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059686

54 131

POLIQUIN FOR CONGRESS

OWEN, ROBERT, D, ,8 BEECHWOOD WAY

03 12 2018

SCARBOROUGH NYTransaction ID : AF59C346FB2EC4FEF904

10510-2405

1000.00

INFORMATION REQUESTED INFORMATION REQUESTED

2018

✘1000.00

MOLANDER, FREDERICK, , ,50 SEA SPRAY REACH

03 19 2018

YARMOUTH ME 04096Transaction ID : A84DEAD912C0343D09BE

300.00

SELF EMPLOYED DENTIST

2018

✘300.00

BALSON, ANDREW, , ,276 HIGHLAND STREET

02 21 2018

WEST NEWTON MA 02465Transaction ID : AEFED9682A8614F3CA4E

2700.00

COVE HILL PARTNERS INVESTMENT MGMT

2018

5400.00

4000.00

pbasupally
Typewritten Text
Page 55: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059687

55 131

POLIQUIN FOR CONGRESS

DEMARTINI, ROB, , ,25 CHANNEL CENTER STREET

03 28 2018

BOSTON MATransaction ID : AE75AD8D8D6FC4E179F2

02210

500.00

NEW BALANCE ATHLETICS, INC MANAGER

2018

✘500.00

RAND, C. BRADFORD, , ,52 JOHNS WAY

02 09 2018

HAMPDEN ME 04444Transaction ID : ABBC8DFE0C4384964BCF

100.00

SELF DENTIST

2018

✘1000.00

DEGEN, GARY, , ,60 WESTERN AVE, SUITE 3 PMB201

03 29 2018

AUGUSTA ME 04330Transaction ID : AFE4F80D6070040DE9AD

100.00

MAINEGENERAL HEALTH PODIATRIST

2018

400.00

700.00

pbasupally
Typewritten Text
Page 56: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059688

56 131

POLIQUIN FOR CONGRESS

FOX, DAVID, , ,141 W. JACKSON BLVD. SUITE 3844

03 19 2018

CHICAGO ILTransaction ID : A7B5533460C814C8687F

60604

200.00

LASALLE ASSET MANAGEMENT TRADER

2018

✘4000.00

HERTOG, ROGER, , ,745 5TH AVE

03 12 2018

NEW YORK NY 10151Transaction ID : A265D884F09054348A77

2700.00

RETIRED RETIRED

2018

✘2700.00

MURPHY, JOHN, G, ,12 FOWLER FARM RD

02 05 2018

SCARBOROUGH ME 04074Transaction ID : A986E74073ED142BFBD4

1000.00

MAINE CREDIT UNION LEAGUE PRESIDENT

2018

1000.00

3900.00

pbasupally
Typewritten Text
Page 57: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059689

57 131

POLIQUIN FOR CONGRESS

BARTON, ROBERT, , ,4 WOODS KNOLL DRIVE

03 27 2018

CAPE ELIZABETH METransaction ID : AC48EFAADF4B74D01A09

04107

100.00

RETIRED RETIRED

2018

✘350.00

BOPP, MICHAEL, DEE, ,1409 BISHOP LN

03 16 2018

ALEXANDRIA VA 22302Transaction ID : A104C9A64F86A4F4CBFB

1450.00

GIBSON DUNN ATTORNEY

2018

✘2750.00

BENNETT, RICHARD, A, ,75 BENNETT LN

03 12 2018

OXFORD ME 04270-3154Transaction ID : AF37142385D834DA08A5

500.00

VALUEEDGE ADVISORS INFORMATION REQUESTED

2018

500.00

2050.00

pbasupally
Typewritten Text
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SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059690

58 131

POLIQUIN FOR CONGRESS

WINTERS, MARK, , ,43 BAY ST

03 28 2018

WINSLOW METransaction ID : AC2CFB26D7C004806BC7

04901-7045

500.00

RETIRED RETIRED

2018

✘1500.00

BHATTA, KRISHNA, M, ,184 NORRIDGEWOCK AVE

02 07 2018

SKOWHEGAN ME 04976-4207Transaction ID : AB765D050E2934900989

500.00

EMMC UROLOGIST

2018

✘500.00

MANOCHERIAN, JED, , ,18 EAST 50TH STREET

01 18 2018

NEW YORK NY 10022-6817Transaction ID : AC0E1DE83E2E14FBFBEF

2700.00

WOODBRANCH INVESTMENTS REAL ESTATE

2018

5400.00

3700.00

pbasupally
Typewritten Text
Page 59: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059691

59 131

POLIQUIN FOR CONGRESS

NANOVIC, ROBERT, , ,81 WESTCUSTOGO LN

02 14 2018

NO. YARMOUTH METransaction ID : A2EE46F0E18A64D3D96F

04097

2700.00

RETIRED RETIRED

2018

✘4000.00

LEVY, LEORA, , ,59 PECKSLAND ROAD

03 28 2018

GREENWICH CT 06831Transaction ID : A6EA94ACDC0924DAD965

1000.00

RETIRED RETIRED

2018

✘1000.00

CONDON, CHRIS, , ,91 CONCORD STREET

03 26 2018

YARMOUTH ME 04096Transaction ID : AB8534E3CB20649D78A5

1000.00

UNITED INSURANCE INSURANCE SALES

2018

1000.00

4700.00

pbasupally
Typewritten Text
Page 60: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059692

60 131

POLIQUIN FOR CONGRESS

WILLIAMSON II, WILLIAM B, , ,11 PORCH STREET

03 27 2018

PORTLAND METransaction ID : A4B6C690F24C34CDD969

04103

1000.00

BANK OF AMERICA STATE PRESIDENT

2018

✘1000.00

WILLIAMS, AMY, , ,2028 CHEROKEE BLVD

03 29 2018

KNOXVILLE TN 37919Transaction ID : AE0B8F26023974798818

2700.00

HOMEMAKER HOMEMAKER

2018✘

5400.00

RICCIO, SCOTT, , ,2760 HOTEL RD

03 12 2018

AUBURN ME 04210Transaction ID : AB4E88E4BACEB4CB782B

2700.00

INFORMATION REQUESTED INFORMATION REQUESTED

2018

2700.00

6400.00

pbasupally
Typewritten Text
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SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059693

61 131

POLIQUIN FOR CONGRESS

SHERRILL, STEPHEN, C, ,765 PARK AVENUE

03 30 2018

NEW YORK NYTransaction ID : A2ED543C3412046C98F0

10021

2700.00

BRS & CO INVESTMENTS

2018

✘5400.00

SHERRILL, STEPHEN, C, ,765 PARK AVENUE

03 30 2018

NEW YORK NY 10021Transaction ID : A52841D5192FD43BD8FE

– 2700.00

BRS & CO INVESTMENTS✘

2018

✘REDESIGNATION FROM

5400.00

SHERRILL, STEPHEN, C, ,765 PARK AVENUE

03 30 2018

NEW YORK NY 10021Transaction ID : A727C5E4DC8E04857B6A

2700.00

BRS & CO INVESTMENTS

2018 ✘

✘ REDESIGNATION TO

5400.00

2700.00

pbasupally
Typewritten Text
Page 62: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059694

62 131

POLIQUIN FOR CONGRESS

TOKAR, EDWARD, T, ,8 SWEETBRIAR ROAD

03 30 2018

SUMMIT NJTransaction ID : A96A6BE7A736744F0A27

07901

2000.00

PRIVATE INVESTOR PRIVATE INVESTOR

2018

✘3000.00

TOKAR, EDWARD, T, ,8 SWEETBRIAR ROAD

03 30 2018

SUMMIT NJ 07901Transaction ID : A59E7C858B29340A7B6C

– 300.00

PRIVATE INVESTOR PRIVATE INVESTOR✘

2018

✘REDESIGNATION FROM

3000.00

TOKAR, EDWARD, T, ,8 SWEETBRIAR ROAD

03 30 2018

SUMMIT NJ 07901Transaction ID : ACFC6BBCF094A4220903

300.00

PRIVATE INVESTOR PRIVATE INVESTOR

2018 ✘

✘ REDESIGNATION TO

3000.00

2000.00

pbasupally
Typewritten Text
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SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059695

63 131

POLIQUIN FOR CONGRESS

MARDEN, HAROLD, , ,160 GROVES ROAD

03 30 2018

YARMOUTH METransaction ID : A4C0EBDD4904D4A38B65

04096

5400.00

MARDEN'S MARDEN'S

2018

✘5400.00

MARDEN, HAROLD, , ,160 GROVES ROAD

03 30 2018

YARMOUTH ME 04096Transaction ID : A19BBD47C575A41CBB1D

– 2700.00

MARDEN'S MARDEN'S✘

2018

✘REDESIGNATION FROM

5400.00

MARDEN, HAROLD, , ,160 GROVES ROAD

03 30 2018

YARMOUTH ME 04096Transaction ID : A8A1A479BECCB4DEDABC

2700.00

MARDEN'S MARDEN'S

2018 ✘

✘ REDESIGNATION TO

5400.00

5400.00

pbasupally
Typewritten Text
Page 64: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059696

64 131

POLIQUIN FOR CONGRESS

HOGAN, ROBERT, V, ,58 PAYSON RD

03 12 2018

BELMONT MATransaction ID : AA83FB6CC9B1C4269ACC

02478

1000.00

MCDONALD FRANCHISE RESTAURANT OWNER

2018✘

5400.00

HOGAN, ROBERT, V, ,58 PAYSON RD

03 12 2018

BELMONT MA 02478Transaction ID : A1592E28D1C0C40A4968

– 100.00

MCDONALD FRANCHISE RESTAURANT OWNER✘

2018✘

REDESIGNATION FROM

5400.00

HOGAN, ROBERT, V, ,58 PAYSON RD

03 12 2018

BELMONT MA 02478Transaction ID : AE1D5EAC32EC54D82AB2

100.00

MCDONALD FRANCHISE RESTAURANT OWNER

2018 ✘

✘ REDESIGNATION TO

5400.00

1000.00

196900.00

pbasupally
Typewritten Text
Page 65: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059697

65 131

POLIQUIN FOR CONGRESS

WELLS FARGO AND COMPANY EMPLOYEES GOOD GOVERNMENT FEDERAL FUND I

SIXTH AND MARQUETTE

MAC N9305-084 03 30 2018

MINNEAPOLIS MNTransaction ID : AFD6689846F83407A959

55479

C00012518

2000.00

2018

✘2000.00

KOCH INDUSTRIES INC POLITICAL ACTION COMMITTEE (KOCHPAC)

600 14TH STREET, NWSUITE 800 03 29 2018

WASHINGTON DC 20005Transaction ID : ACA126AE53CD342A68A2

C00236489

1500.00

2018

✘6000.00

NELSON MULLINS RILEY & SCARBOROUGHPO BOX 11070

03 26 2018

COLUMBIA SC 29211-1070Transaction ID : AE5749175E65C474BB77

C00278895

1000.00

2018

1000.00

4500.00

pbasupally
Typewritten Text
Page 66: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059698

66 131

POLIQUIN FOR CONGRESS

ALLIED PILOTS ASSOCIATION PAC14600 TRINITY BLVD SUITE 500

02 28 2018

FORT WORTH TXTransaction ID : A6E28F7743F0C44E2A66

76155

C00267849

1000.00

2018

✘2500.00

WEBER FOR CONGRESSPO BOX 1327

03 26 2018

FRIENDSWOOD TX 77549Transaction ID : ADD2E0DC6860241AFB5F

C00502229

1000.00

2018

✘2000.00

MORTGAGE BANKERS ASSOCIATION POLITICAL ACTION COMMITTEE (MORPAC)

1919 M STREET, NW5TH FLOOR 02 28 2018

WASHINGTON DC 20036Transaction ID : A37EA8A1D98734D4EADC

C00004812

1500.00

2018✘

9500.00

3500.00

pbasupally
Typewritten Text
Page 67: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059699

67 131

POLIQUIN FOR CONGRESS

AMERICANS FOR LAW ENFORCEMENT228 S WASHINGTON ST

01 29 2018

ALEXANDRIA VATransaction ID : A7A823FD3F4364A60B60

22314-5408

C00625830

300.00

2018

✘300.00

NEUGEBAUER CONGRESSIONAL COMMITTEE611 PENNSYLVANIA AVE SE# 395 02 20 2018

WASHINGTON DC 20003-4303Transaction ID : AF712D1279D684482809

C00384016

2000.00

2018

✘2000.00

HELPING AMERICA'S NEXT DEDICATED ELECTED LEADERS PAC (HANDEL PAC)

PO BOX 989103 28 2018

ARLINGTON VA 22219-1891Transaction ID : AE45BBC433D814481BEA

C00650630

1000.00

2018

1000.00

3300.00

pbasupally
Typewritten Text
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SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059700

68 131

POLIQUIN FOR CONGRESS

NATIONAL AIR TRAFFIC CONTROLLERS ASSOCIATION PAC1325 MASSACHUSETTS AVE., NW

02 28 2018

WASHINGTON DCTransaction ID : A5780FDFFAA5B4FBD87A

20005

C00238725

2000.00

2018

✘5000.00

COHNREZNICK PAC7501 WISCONSIN AVESUITE 400E 01 18 2018

BETHESDA MD 20814Transaction ID : ADFCBA31C4F6F4808B59

C00547216

1000.00

2018

✘3000.00

BUILDING OPPORTUNITIES FOR A STRONGER TOMORROW PAC (B.O.S.T. PAC)

824 S MILLEDGE AVESTE 101 03 29 2018

ATHENS GA 30605-1332Transaction ID : A67398A2945D644E9A5F

C00629832

2000.00

2018

3000.00

5000.00

pbasupally
Typewritten Text
Page 69: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059701

69 131

POLIQUIN FOR CONGRESS

CONSERVATIVE OPPORTUNITY LEADERSHIP AND ENTERPRISE PAC (COLEPAC)

12176 CHANCERY STATION CIR

03 28 2018

RESTON VATransaction ID : A2B392F061D1B4FFFBBC

20190-5803

C00404392

1000.00

2018

✘1000.00

COMMERCIAL REAL ESTATE FINANCE COUNCIL PAC900 SEVENTH STREET,NW SUITE 501

03 26 2018

WASHINGTON DC 20001Transaction ID : A4CB3C35A39F040AF8DA

C00411173

1500.00

2018

✘1500.00

NATIONAL ASSOCIATION OF MORTGAGE BROKERS POLITICAL ACTION COMMITTEE (NAMBPAC)

2701 W 15TH ST STE 53603 28 2018

PLANO TX 75075Transaction ID : A5F1BD1267C374796AB3

C00254201

1000.00

2018

2000.00

3500.00

pbasupally
Typewritten Text
Page 70: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059702

70 131

POLIQUIN FOR CONGRESS

UNITED TECHNOLOGIES CORPORATION POLITICAL ACTION COMMITTEE

1101 PENNSYLVANIA AVE, NW

10TH FLOOR 02 28 2018

WASHINGTON DCTransaction ID : AA3F49EFF9CC446BBB17

20004

C00035683

1000.00

2018

✘4000.00

CITIGROUP INC. POLITICAL ACTION COMMITTEE - FEDERAL (CITIGROUP PAC-FEDERAL)

1101 PENNSYLVANIA AVENUE NW #100003 29 2018

WASHINGTON DC 20004Transaction ID : A6322E9E017384E78981

C00008474

2500.00

2018✘

7500.00

PAUL HASTINGS LLP PAC515 S FLOWER STFL 25 02 20 2018

LOS ANGELES CA 90071-2228Transaction ID : A970074D65BBD496D91E

C00144584

1500.00

2018

1500.00

5000.00

pbasupally
Typewritten Text
Page 71: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059703

71 131

POLIQUIN FOR CONGRESS

TOYOTA MOTOR NORTH AMERICA INC. PAC (TOYOTA/LEXUS PAC)325 7TH ST NW

STE 1000 03 12 2018

WASHINGTON DCTransaction ID : AC91BBDA2B1464B2E9A6

20004-2801

C00542365

1000.00

2018

✘2000.00

MANUFACTURED HOUSING INSTITURE PAC2111 WILSON BLVD STE 100

03 26 2018

ARLINGTON VA 22201Transaction ID : A9C1B83ADA1EE4EEA92A

C00043463

1000.00

2018

✘5000.00

LENDING TREE LLC PAC11115 RUSHMORE DR

03 16 2018

CHARLOTTE NC 28277Transaction ID : A54445906E43843D995C

C00467381

1000.00

2018

4500.00

3000.00

pbasupally
Typewritten Text
Page 72: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059704

72 131

POLIQUIN FOR CONGRESS

INDEPENDENT INSURANCE AGENTS & BROKERS OF AMERICA, INC. POLITICAL ACTION COMMITTEE (INSURP

20 F STREET, NW SUITE 610

03 26 2018

WASHINGTON DCTransaction ID : A5D80CA0681A34F498DD

20001

C00022343

1000.00

2018✘

8500.00

INTERNATIONAL FRANCHISE ASSOCIATION FRANCHISING POLITICAL ACTION COMMITTEE INC

1501 K ST NW STE 35003 14 2018

WASHINGTON DC 20005Transaction ID : ACE02F7BD6B0445859A1

C00084491

1000.00

2018

✘1000.00

HONEYWELL INTERNATIONAL POLITICAL ACTION COMMITTEE

101 CONSTITUTION AVE. NWSUITE 500 WEST 03 26 2018

WASHINGTON DC 20001Transaction ID : AD37B4165E23F4991A82

C00096156

2500.00

2018✘

8000.00

4500.00

pbasupally
Typewritten Text
Page 73: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059705

73 131

POLIQUIN FOR CONGRESS

EXXON MOBIL CORPORATION POLITICAL ACTION COMMITTEE (EXXONMOBIL PAC)

PO BOX 20503

03 30 2018

INDIANAPOLIS INTransaction ID : A8F8B18E664AE46A7AC9

46220

C00121368

2500.00

2018✘

7500.00

LPL FINANCIAL LLC POLITICAL ACTION COMMITTEE (LPL PAC)75 STATE STFL 24 03 30 2018

BOSTON MA 02109-1827Transaction ID : AABF1DC9718634DB7A65

C00486217

1000.00

2018✘

6500.00

ACTION COMMITTEE FOR RURAL ELECTRIFICATION/MISSOURI COOPERATIVES (FKA MISSOURI ACRE)

PO BOX 164502 28 2018

JEFFERSON CITY MO 65102Transaction ID : A1CA99158789A4A978CB

C00008169

1000.00

2018

3500.00

4500.00

pbasupally
Typewritten Text
Page 74: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059706

74 131

POLIQUIN FOR CONGRESS

AMERICAN FOREST & PAPER ASSOCIATION POLITICAL ACTION COMMITTEE

1101 K STREET, NW

SUITE 700 03 23 2018

WASHINGTON DCTransaction ID : AECEAA98066D0454BA68

20005

C00029348

5000.00

2018✘

10000.00

REPUBLICAN MAIN STREET PARTNERSHIP PAC2201 WISCONSIN AVENW SUITE 320 03 12 2018

WASHINGTON DC 20007Transaction ID : A79CCE217335A4CBC84D

C00165159

1000.00

2018

✘4000.00

JP MORGAN CHASE & CO. FEDERAL POLITICAL ACTION COMMITTEE

601 PENNSYLVANIA AVENUE, NW7TH FLOOR 01 18 2018

WASHINGTON DC 20004Transaction ID : A77B2D743CBE849B385C

C00104299

2000.00

2018

4000.00

8000.00

pbasupally
Typewritten Text
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SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059707

75 131

POLIQUIN FOR CONGRESS

FREEDOM PROJECT; THE320 1ST STREET SE

03 12 2018

WASHINGTON DCTransaction ID : AF89C957742D54F17BB4

20003

C00305805

1500.00

2018

✘1500.00

CHARLES SCHWAB CORPORATION POLITICAL ACTION COMMITTEE

325 7TH STREET NW, SUITE 20003 29 2018

WASHINGTON DC 20004Transaction ID : A5B7BE06507CF41B3A3F

C00370114

1500.00

2018

✘4000.00

ELECTRONIC TRANSACTIONS ASSOCIATION POLITICAL ACTION COMMITTEE

1101 16TH STREET NW SUITE 40201 18 2018

WASHINGTON DC 20036Transaction ID : A9BB295DC9B824C2DA57

C00548198

1000.00

2018

2500.00

4000.00

pbasupally
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SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059708

76 131

POLIQUIN FOR CONGRESS

MICHIGAN SUGAR COMPANY GROWERS POLITICAL ACTION COMMITTEE

2600 SOUTH EUCLID AVENUE

03 14 2018

BAY CITY MITransaction ID : ACA7900C8B5EC4267A49

48706

C00384354

2000.00

2018

✘4000.00

DEPOSITORY TRUST AND CLEARING CORPORATION PAC - DTCC PAC; THE

1455 PENNSYLVANIA AVE., NWSUITE 725 03 29 2018

WASHINGTON DC 20005Transaction ID : AB1DF80BF1BC74F5E87E

C00497917

1000.00

2018✘

5350.00

AMERICAN BANKERS ASSOCIATION PAC (BANKPAC)1120 CONNECTICUT AVENUE NWSUITE 600 03 29 2018

WASHINGTON DC 20036Transaction ID : A477697730C7F4D5EBF3

C00004275

2500.00

2018✘

7500.00

5500.00

pbasupally
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SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059709

77 131

POLIQUIN FOR CONGRESS

SECURING EVERY AMERICAN'S LIBERTY PAC (SEAL PAC)PO BOX 71596

03 28 2018

HENRICO VATransaction ID : A8912E6A4084D4FED900

23255-1596

C00404392

1000.00

2018

✘1000.00

CHESAPEAKE PAC2470 DANIELL'S BRIDGE RD STE 121

03 26 2018

ATHENS GA 30606Transaction ID : A4BA598A4B7BF42FFB7D

C00492819

1000.00

2018

✘1000.00

WINNOVEMBER POLITICAL ACTION COMMITTEE1345 S CAPITOL ST SW#1004 03 12 2018

WASHINGTON DC 20003Transaction ID : A7A69BF2FCC1144C59F3

C00516013

1000.00

2018

1000.00

3000.00

pbasupally
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Page 78: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059710

78 131

POLIQUIN FOR CONGRESS

STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY FEDERAL POLITICAL ACTION COMMITTEE

ONE STATE FARM PLAZA

'C/O MARK SCHWAMBERGER, TREASURER, 02 28 2018

BLOOMINGTON ILTransaction ID : AC19843572ECF4B84981

61710

C00544817

1500.00

2018

✘4000.00

INTERNATIONAL FOODSERVICE DISTRIBUTORS ASSOC PAC1410 SPRING HILL ROAD STE 210

02 28 2018

MC LEAN VA 22102Transaction ID : AA42704BB2FE34030992

C00383521

2500.00

2018

✘2500.00

MAJORITY IN CONGRESS PAC601 N FERNCREEK AVE STE 200

03 29 2018

ORLANDO FL 32803Transaction ID : A840BF89E83164DBD979

C00402909

500.00

2018

500.00

4500.00

pbasupally
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Page 79: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059711

79 131

POLIQUIN FOR CONGRESS

REPUBLICAN MAIN STREET PARTNERSHIP PAC2201 WISCONSIN AVE

NW SUITE 320 02 28 2018

WASHINGTON DCTransaction ID : A8C7A8C555D214FE6950

20007

C00165159

1000.00

2018

✘3000.00

TD BANK N.A. POLITICAL ACTION COMMITTEE317 MADISON AVENUE

01 16 2018

NEW YORK NY 10017Transaction ID : AAABC92700EE04C06843

C00501429

2500.00

2018

✘5000.00

BUILDING AND RESTORING THE AMERICAN DREAM FUNDPO BOX 30844

01 18 2018

BETHESDA MD 20824Transaction ID : A3CE8C70DDF9D42FB94E

C00590356

500.00

2018

500.00

4000.00

pbasupally
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Page 80: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059712

80 131

POLIQUIN FOR CONGRESS

MOOLENAAR FOR CONGRESS5915 EASTMAN AVE STE 100

03 26 2018

MIDLAND MITransaction ID : A3D9DF7FF57F140F8826

48640

C00561530

1000.00

2018

✘2000.00

L BRANDS, INC. POLITICAL ACTION COMMITTEE (L BRANDS PAC)

THREE LIMITED PARKWAY02 28 2018

COLUMBUS OH 43230Transaction ID : A908DAAC57740481E92B

C00214338

2000.00

2018

✘2000.00

MORGAN STANLEY POLITICAL ACTION COMMITTEE1585 BROADWAYFL 39 03 23 2018

NEW YORK NY 10036-8200Transaction ID : ADFEA8BAC09D74E0C9E0

C00337626

1000.00

2018✘

6500.00

4000.00

pbasupally
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Page 81: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059713

81 131

POLIQUIN FOR CONGRESS

SAFARI CLUB INTERNATIONAL PAC (SCI-PAC)4800 W GATES PASS ROAD

03 23 2018

TUCSON AZTransaction ID : A419FF8DB36684627A53

85745

C00122101

2000.00

2018

✘4000.00

NATIONAL STONE, SAND & GRAVEL ASSOCIATION ROCKPAC1605 KING STREET

01 18 2018

ALEXANDRIA VA 22314Transaction ID : AE50D0BA38EF34E8C898

C00089458

1500.00

2018

✘5000.00

FINANCIAL SERVICES INSTITUTE PAC607 14TH ST NWSUITE 750 03 29 2018

WASHINGTON DC 20005Transaction ID : A70577020C1474DAAB45

C00409714

2500.00

2018

4000.00

6000.00

pbasupally
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Page 82: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059714

82 131

POLIQUIN FOR CONGRESS

PRIMERICA PAC1 PRIMERICA PARKWAY

03 26 2018

DULUTH GATransaction ID : AAAF31834118C48F2AE8

30099

C00521914

1000.00

2018

✘1000.00

LOCKHEED MARTIN CORPORATION EMPLOYEES' POLITICAL ACTION COMMITTEE

2121 CRYSTAL DRIVESUITE 100 03 29 2018

ARLINGTON VA 22202Transaction ID : A52164B5734014428957

C00303024

1500.00

2018

✘5000.00

MINN-DAK FARMERS COOPERATIVE SUGAR PAC (MDSPAC)7525 RED RIVER ROAD

03 14 2018

WAHPETON ND 58075Transaction ID : AC22609D11A9C40C7B02

C00164939

1000.00

2018

2000.00

3500.00

pbasupally
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Page 83: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059715

83 131

POLIQUIN FOR CONGRESS

SECURITIES INDUSTRY AND FINANCIAL MARKETS ASSOCIATION POLITICAL ACTION COMMITTEE

1101 NEW YORK AVENUE, NW

8TH FLOOR 03 31 2018

WASHINGTON DCTransaction ID : A9CA77F4D460D47B3B24

20005

C00431312

1000.00

2018

✘5000.00

DISCOVER FINANCIAL SERVICES POLITICAL ACTION COMMITTEE

500 8TH STREET NW SUITE 21003 14 2018

WASHINGTON DC 20004Transaction ID : A0090A3E2EF1946C39AA

C00438051

1000.00

2018

✘2000.00

LONE STAR LIBERTY FUND2931 RIDGE RDSTE 101-181 01 16 2018

ROCKWALL TX 75032-6670Transaction ID : A19445F419783419B9CB

C00627661

1000.00

2018

1000.00

3000.00

pbasupally
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Page 84: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059716

84 131

POLIQUIN FOR CONGRESS

VICTORY AND FREEDOM PAC1666 K STREET, NW

SUITE 500 01 22 2018

WASHINGTON DCTransaction ID : A9385EA44AE1E4F6083B

20006

C00525212

2500.00

2018

✘4500.00

THE BOEING COMPANY POLITICAL ACTION COMMITTEE929 LONG BRIDGE DRIVE

01 11 2018

ARLINGTON VA 22202Transaction ID : AB75BA9718B504B42A18

C00142711

1000.00

2018

✘4000.00

BULLDOG VICTORY PACPO BOX 80

03 30 2018

VAN METER IA 50261Transaction ID : A4F35F35535A346B8B96

C00573394

3000.00

2018

4000.00

6500.00

pbasupally
Typewritten Text
Page 85: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059717

85 131

POLIQUIN FOR CONGRESS

FOLEY & LARDNER POLITICAL FUND3000 K STREET NW 6TH FLOOR

02 28 2018

WASHINGTON DCTransaction ID : A593F962BCD5E494DA5F

20007

C00105338

1000.00

2018

✘2000.00

GIBSON DUNN & CRUTCHER LLP PAC333 SOUTH GRAND AVENUE

03 16 2018

LOS ANGELES CA 90071Transaction ID : AF39284DF3D7949A6B06

C00344754

1500.00

2018

✘2750.00

PROSPERITY ACTION INC.1006 PENDLETON STREET

02 28 2018

ALEXANDRIA VA 22314Transaction ID : AF1E097E27F3A4E96A21

C00377689

5000.00

2018✘

10000.00

7500.00

pbasupally
Typewritten Text
Page 86: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059718

86 131

POLIQUIN FOR CONGRESS

TUESDAY GROUP PAC209 PENSYLVANIA AVE SE

03 29 2018

WASHINGTON DCTransaction ID : AFCF2C2720A364D55A97

20003

C00433060

2500.00

2018✘

7500.00

CASTLEPAC LLCPO BOX 133

01 18 2018

WILMINGTON DE 19899-0133Transaction ID : A8D3224DA492E469E926

C00254938

1000.00

2018

✘1000.00

REGIONS FINANCIAL CORPORATION POLITICAL ACTION COMMITTEE

1015 15TH ST NWSTE 920 03 19 2018

WASHINGTON DC 20005-2623Transaction ID : AA16A869A647D4BAB872

C00432252

1000.00

2018

2000.00

4500.00

pbasupally
Typewritten Text
Page 87: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059719

87 131

POLIQUIN FOR CONGRESS

INTERNATIONAL PAPER POLITICAL ACTION COMMITTEE (IP-PAC)1101 PENNSYLVANIA AVENUE NW

SUITE 200 03 26 2018

WASHINGTON DCTransaction ID : AFD1E327D4C394EF78BA

20004

C00034405

4000.00

2018✘

10000.00

UNITED SERVICES AUTOMOBILE ASSOCIATION EMPLOYEE PAC - USAA EMPLOYEE PAC

9800 FREDERICKSBURG RD03 14 2018

SAN ANTONIO TX 78288-0001Transaction ID : A1AA128D0EE2340209D3

C00164145

1000.00

2018✘

6000.00

NATIONAL COUNCIL OF TEXTILE ORGANIZATIONS INC POLITICAL ACTION COMMITTEE (TEXTILEPAC)

469 HOSPITAL DR.SUITE C 03 14 2018

GASTONIA NC 28054Transaction ID : A10E34C3ABED64E398DA

C00405555

1000.00

2018

3000.00

6000.00

pbasupally
Typewritten Text
Page 88: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059720

88 131

POLIQUIN FOR CONGRESS

EMERSON ELECTRIC CO PAC8000 W FLORISSANT AVE

03 29 2018

SAINT LOUIS MOTransaction ID : AFDEE87C06EF44093A2F

63136

C00080515

5000.00

2018✘

10000.00

REALPAC THE REAL ESTATE ROUNDTABLE PAC801 PENNSYLVANIA AVE. NW SUITE 720

03 19 2018

WASHINGTON DC 20004Transaction ID : A170080C451544E6294A

C00033779

1000.00

2018

✘1000.00

SCALISE FOR CONGRESSPO BOX 23219

03 26 2018

JEFFERSON LA 70183Transaction ID : AC33641E4B2BA4D77A12

C00394957

2000.00

2018✘

4000.00

8000.00

pbasupally
Typewritten Text
Page 89: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059721

89 131

POLIQUIN FOR CONGRESS

AMERICAN LAND TITLE ASSOCIATION TITLE INDUSTRY PAC (TIPAC)

1800 M ST, NW

SUITE 300S 03 26 2018

WASHINGTON DCTransaction ID : A067B51247968469F8E4

20036

C00012914

5000.00

2018✘

10000.00

FROZEN FOOD PAC2000 CORPORATE RIDGE STE 1000

02 20 2018

MC LEAN VA 22102Transaction ID : AC96F0EF540314EFBB26

C00385740

1000.00

2018

✘2000.00

UPSPAC55 GLENLAKE PARKWAY NE

03 12 2018

ATLANTA GA 30328Transaction ID : AE7E8EE495083487A889

C00064766

2500.00

2018✘

7500.00

8500.00

pbasupally
Typewritten Text
Page 90: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059722

90 131

POLIQUIN FOR CONGRESS

CROWE PAC3815 RIVER CROSSING PKWY STE 300

02 28 2018

INDIANAPOLIS INTransaction ID : AB01D7195F72F46B4982

46240

C00451518

1000.00

2018

✘2000.00

FIRST IN FREEDOM PAC228 S. WASHINGTON ST., STE. 115

03 29 2018

ALEXANDRIA VA 22314Transaction ID : AE1B3BEFE269E48B5AB3

C00540146

2500.00

2018

✘5000.00

DR BRIAN BABIN FOR CONGRESSPO BOX 159

03 24 2018

WOODVILLE TX 75979Transaction ID : AFD21FBC296714958B27

C00553859

2000.00

2018

2000.00

5500.00

pbasupally
Typewritten Text
Page 91: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059723

91 131

POLIQUIN FOR CONGRESS

BLOOMIN' BRANDS, INC. POLITICAL ACTION COMMITTEE2202 N. WESTSHORE BLVD.

5TH FLOOR 03 14 2018

TAMPA FLTransaction ID : A8710A8B59A4346DBA7A

33607

C00253153

2500.00

2018

✘5000.00

ICE PACPO BOX 752

03 29 2018

LONG LAKE MN 55356Transaction ID : A846232600A6F498296F

C00484667

2000.00

2018

✘2000.00

INSURED RETIREMENT INSTITUTE POLITICAL ACTION COMMITTEE (IRI PAC)

1100 VERMONT AVE. NW10TH FLOOR 02 05 2018

WASHINGTON DC 20005Transaction ID : A3AB526AC904540E88AA

C00490474

1000.00

2018

4500.00

5500.00

pbasupally
Typewritten Text
Page 92: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059724

92 131

POLIQUIN FOR CONGRESS

RED GOLD INC. PACPO BOX 83

03 12 2018

ELWOOD INTransaction ID : ACB481970F7C3499782F

46036-0083

C00390112

1000.00

2018

✘1000.00

JACKIE PACPO BOX 26141

03 28 2018

ALEXANDRIA VA 22313-6141Transaction ID : AA7D014C6AB9A42BBB98

C00582726

2500.00

2018

✘2500.00

WAL-MART STORES INC. PAC FOR RESPONSIBLE GOVERNMENT (WALPAC)

702 SW 8TH ST03 29 2018

BENTONVILLE AR 72716Transaction ID : A3705BA3980E84D39AE2

C00093054

1000.00

2018✘

7000.00

4500.00

pbasupally
Typewritten Text
Page 93: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059725

93 131

POLIQUIN FOR CONGRESS

AMERICAN COUNCIL OF LIFE INSURERS POLITICAL ACTION COMMITTEE

101 CONSTITUTION AVE., NW

SUITE 700 03 29 2018

WASHINGTON DCTransaction ID : ABDB15166EE0C442386F

20001

C00147066

1000.00

2018✘

6000.00

LOBIONDO FOR CONGRESSPO BOX 550

03 29 2018

VINELAND NJ 08362-0550Transaction ID : AAD1EBC4D18E749259C1

C00269340

1000.00

2018

✘1000.00

KEN PAC2125 N JOSEY LNSTE 200 03 28 2018

CARROLLTON TX 75006-3016Transaction ID : ADDD4C830C9E74507B2D

C00594473

2000.00

2018

2000.00

4000.00

pbasupally
Typewritten Text
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SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059726

94 131

POLIQUIN FOR CONGRESS

BRANCH BANKING & TRUST COMPANY PAC (BB&T PAC)PO BOX 1290

03 26 2018

WINSTON SALEM NCTransaction ID : AB8DF2618B2AD48E0B26

27102-1290

C00278895

2500.00

2018

✘2500.00

GREAT AMERICA COMMITTEEPO BOX 28022

03 28 2018

WASHINGTON DC 20038-8022Transaction ID : AB0D2B4F454EE43D5B16

C00640664

2700.00

2018✘

5400.00

GREAT AMERICA COMMITTEEPO BOX 28022

03 28 2018

WASHINGTON DC 20038-8022Transaction ID : A6DA6F49546F44F83B6D

C00640664

2700.00

2018

5400.00

7900.00

pbasupally
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SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059727

95 131

POLIQUIN FOR CONGRESS

THE EYE OF THE TIGER POLITICAL ACTION COMMITTEEPO BOX 2485

03 26 2018

SPRINGFIELD VATransaction ID : AA6DF9D29719A4494A7D

22152

C00467431

5000.00

2018✘

10000.00

KOCH INDUSTRIES INC POLITICAL ACTION COMMITTEE (KOCHPAC)

600 14TH STREET, NWSUITE 800 03 29 2018

WASHINGTON DC 20005Transaction ID : A07A03BE4B0E14EA9B65

C00236489

1000.00

2018✘

6000.00

NFIB THE VOICE OF FREE ENTERPRISE INC.1201 F STREETSUITE 200 03 26 2018

WASHINGTON DC 20004Transaction ID : A8AB1553F09204414961

C90013509

1000.00

2018

4000.00

7000.00

pbasupally
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Page 96: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059728

96 131

POLIQUIN FOR CONGRESS

EXXON MOBIL CORPORATION POLITICAL ACTION COMMITTEE (EXXONMOBIL PAC)

PO BOX 20503

01 11 2018

INDIANAPOLIS INTransaction ID : ACC9723B219E440FC9A1

46220

C00121368

2000.00

2018

✘5000.00

WESTERN SUGAR COOPERATIVE7555 E HAMPDEN AVE STE 600

03 14 2018

DENVER CO 80231Transaction ID : A83F585A39313497CB59

C00446674

1000.00

2018

✘2000.00

NATIONAL ASSOCIATION OF WHOLESALER-DISTRIBUTORS PAC

1325 G STREET, N.W. SUITE 100003 26 2018

WASHINGTON DC 20005Transaction ID : A92E36A5F710747ACA0C

C00109306

1000.00

2018

1000.00

4000.00

pbasupally
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Page 97: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059729

97 131

POLIQUIN FOR CONGRESS

AIR LINE PILOTS ASSOCIATION PAC1625 MASSACHUSETTS AVE. NW

03 22 2018

WASHINGTON DCTransaction ID : AE707ABCAD23C4370BCD

20036

C00035451

1000.00

2018✘

7000.00

BANK OF AMERICA CORPORATION FEDERAL PAC1455 PENNSYLVANIA AVE, SUITE 950

03 29 2018

WASHINGTON DC 20004Transaction ID : AAC2BAE9CD7B0458A92D

C00252866

2000.00

2018✘

7500.00

AMERICAN SENIORS HOUSING ASSOCIATION (SENIORS HOUSING PAC)

5225 WISCONSIN AVE., NWSUITE 502 03 16 2018

WASHINGTON DC 20015Transaction ID : A15B6FA1312834551A6B

C00325332

1000.00

2018

2000.00

4000.00

pbasupally
Typewritten Text
Page 98: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059730

98 131

POLIQUIN FOR CONGRESS

NOVA PAC332 W LEE HWY #303

01 11 2018

DULLES VATransaction ID : A7F2171DE73CD4785B13

20189

C00585554

1000.00

2018

✘1000.00

NAVIENT PAC200 EDMUND HALLEY DRIVE

03 16 2018

RESTON VA 20191Transaction ID : AA5CE425D5CF54493BE1

C00331835

500.00

2018

✘2500.00

EMERSON ELECTRIC CO PAC8000 W FLORISSANT AVE

03 29 2018

SAINT LOUIS MO 63136Transaction ID : A17CBEC3439D449A5821

C00080515

2500.00

2018

10000.00

4000.00

pbasupally
Typewritten Text
Page 99: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059731

99 131

POLIQUIN FOR CONGRESS

DAVID ROUZER FOR CONGRESSPO BOX 2267

03 28 2018

SMITHFIELD NCTransaction ID : A50A694EAE168460A907

27577

C00501643

1000.00

2018

✘2000.00

AMERICAN FINANCIAL SERVICES ASSOCIATION PAC919 18TH STREET, NW

03 29 2018

WASHINGTON DC 20006Transaction ID : A94BE6ADA85F44157845

C00038604

1000.00

2018✘

8500.00

PROTECT THE HOUSEPO BOX 30844

03 28 2018

BETHESDA MD 20824-0844Transaction ID : A8CF6E35E76DA4699A4E

C00669622

32692.64

2018

56451.88

34692.64

pbasupally
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Page 100: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059732

100 131

POLIQUIN FOR CONGRESS

PROTECT THE HOUSEPO BOX 30844

03 28 2018

BETHESDA MDTransaction ID : AE292166468C2490696F

20824-0844

C00669622

23759.24

2018✘

56451.88

23759.24

228151.88

pbasupally
Typewritten Text
Page 101: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE A (FEC Form 3)

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

, , .

FEC ID number of contributingfederal political committee. C

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

for each category of the Detailed Summary Page

11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

Amount of Each Receipt this Period

, , .

FEC Schedule A (Form 3) (Revised 05/2016)

Memo Item

Memo Item

Memo Item

Image# 201804139108059733

101 131

POLIQUIN FOR CONGRESS

POLIQUIN, BRUCE L, , ,123 SNOW POND RD

03 12 2018

OAKLAND METransaction ID : AD51E3C1153B7475C9B5

04963-4732

H4ME02234

2909.22

US HOUSE OF REPRESENTATIVES MEMBER

2018IN-KIND:LODGING

✘5525.41

2909.22

2909.22

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SCHEDULE B (FEC Form 3)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)

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

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

FEC Schedule B (Form 3) (Revised 05/2016)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201804139108059734

102 131

POLIQUIN FOR CONGRESS

POLIQUIN, BRUCE L, , ,

123 SNOW POND RD 03 12 2018

OAKLAND ME 04963-4732

IN-KIND:LODGING

2018 2909.22

✘ Transaction ID : BD51E3C1153B7475C9B5

SAME DAY PROCESSING

PO BOX 251382 01 01 2018

ST PAUL MN 55122

COMPLIANCE CONSULTING 001

2018 1151.70

Transaction ID : B300432B287464409932✘

MORRELL, KELSEY, , ,

106 S ALPINE ST 01 01 2018

APT 4

OAKLAND ME 04963

CAMPAIGN CONSULTING 001

2018 75.00

✘ Transaction ID : B02B8C82301F4481FBAA

4135.92

Page 103: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE B (FEC Form 3)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)

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

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

FEC Schedule B (Form 3) (Revised 05/2016)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201804139108059735

103 131

POLIQUIN FOR CONGRESS

HUTSON CONSULTING

16777 SOUTH 305TH EAST AVE 01 01 2018

COWETA OK 74429

CAMPAIGN CONSULTING 001

2018 1000.00

✘ Transaction ID : BC1C8F4D554B4430FAF4

ANEDOT

PO BOX 84314 01 02 2018

BATON ROUGE LA 70884-4314

CREDIT CARD FEES 001

2018 8.40

Transaction ID : B8F23CA95E37C4E38A32✘

FACEBOOK

1 HACKER WAY 01 02 2018

MENLO PARK CA 94025

ONLINE ADS 001

2018 529.50

✘ Transaction ID : BE57DF2F0B20A412CBC9

1537.90

Page 104: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE B (FEC Form 3)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)

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

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

FEC Schedule B (Form 3) (Revised 05/2016)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201804139108059736

104 131

POLIQUIN FOR CONGRESS

FACEBOOK

1 HACKER WAY 01 02 2018

MENLO PARK CA 94025

ONLINE ADS 001

2018 6.82

✘ Transaction ID : B149395C3268A43679E9

TWENTY-FIRST CENTURY GROUP, INC.

434 NEW JERSEY AVENUE S.E. 01 03 2018

WASHINGTON DC 20003-4008

EVENT ROOM RENTAL 001

2018 750.00

Transaction ID : BE76BC9BFEBF64F2DAC1✘

ARISTOTLE INTERNATIONAL

205 PENNSYLVANIA AVENUE, SE 01 03 2018

WASHINGTON DC 20003-1164

DATABASE 001

2018 7200.00

✘ Transaction ID : B8DA310A7F22A478B9EB

7956.82

Page 105: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE B (FEC Form 3)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)

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

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

FEC Schedule B (Form 3) (Revised 05/2016)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201804139108059737

105 131

POLIQUIN FOR CONGRESS

LITTLEFIELD CONSULTING

455 MASSACHUSETTS AVE NW 01 03 2018

SUITE #108

WASHINGTON DC 20001

CAMPAIGN CONSULTING 001

2018 8885.32

✘ Transaction ID : BDC63CBA13EFE4CD0A85

ANEDOT

PO BOX 84314 01 09 2018

BATON ROUGE LA 70884-4314

CREDIT CARD FEES 001

2018 43.50

Transaction ID : BE7EE32907D77457DAB2✘

ANEDOT

PO BOX 84314 01 10 2018

BATON ROUGE LA 70884-4314

CREDIT CARD FEES 001

2018 4.20

✘ Transaction ID : B0191BE4666A44689B1B

8933.02

Page 106: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE B (FEC Form 3)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)

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

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

FEC Schedule B (Form 3) (Revised 05/2016)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201804139108059738

106 131

POLIQUIN FOR CONGRESS

GULA GRAHAM

499 S CAPITOL ST SW 01 11 2018

STE 420

WASHINGTON DC 20003

FUNDRAISING CONSULTING 001

2018 2708.67

✘ Transaction ID : B5ACA5F05FD1F4F53BC3

ANEDOT

PO BOX 84314 01 13 2018

BATON ROUGE LA 70884-4314

CREDIT CARD FEES 001

2018 78.30

Transaction ID : B5C52130EEC2B4C3794C✘

SCR & ASSOCIATES, LLC

100 TRADECENER 01 16 2018

SUITE G700

WOBURN MA 01801-1817

CAMPAIGN CONSULTING 001

2018 6000.00

✘ Transaction ID : B118646F916ED460793E

8786.97

Page 107: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE B (FEC Form 3)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)

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

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

FEC Schedule B (Form 3) (Revised 05/2016)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201804139108059739

107 131

POLIQUIN FOR CONGRESS

CAPITOL HILL CLUB

300 1ST STREET SE 01 18 2018

WASHINGTON DC 20003

FOOD AND BEVERAGE 001

2018 176.04

✘ Transaction ID : B92A0C0A98CC94FC0A00

CAPITOL HILL CLUB

300 1ST STREET SE 01 18 2018

WASHINGTON DC 20003

FOOD AND BEVERAGE 001

2018 200.82

Transaction ID : BAE03B76D692745FBB0C✘

DELTA AIRLINES

PO BOX 1234 01 20 2018

ATLANTA GA 12345

AIRFARE 002

2018 196.60

✘ Transaction ID : B7E1E646332C14877ADC

573.46

Page 108: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE B (FEC Form 3)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)

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

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

FEC Schedule B (Form 3) (Revised 05/2016)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201804139108059740

108 131

POLIQUIN FOR CONGRESS

ANEDOT

PO BOX 84314 01 21 2018

BATON ROUGE LA 70884-4314

CREDIT CARD FEES 001

2018 19.80

✘ Transaction ID : B9E52C1BF309C4B42AAD

AMTRAK

60 MASSACHUSETTS AVE NE 01 22 2018

WASHINGTON DC 20002-4285

TRAVEL 002

2018 39.00

Transaction ID : B6C444331A2A94751B37✘

AMERICAN AIRLINES

P.O. BOX 619616 01 22 2018

DALLAS TX 75261

AIRFARE

2018 64.00

✘ Transaction ID : BFD5C991A2FE24FFE92A

122.80

Page 109: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE B (FEC Form 3)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)

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

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

FEC Schedule B (Form 3) (Revised 05/2016)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201804139108059741

109 131

POLIQUIN FOR CONGRESS

AMERICAN AIRLINES

P.O. BOX 619616 01 22 2018

DALLAS TX 75261

AIRFARE

2018 108.30

✘ Transaction ID : B76BDFF9F8D6B40BDB7D

MORRELL, KELSEY, , ,

106 S ALPINE ST 01 29 2018

APT 4

OAKLAND ME 04963

CAMPAIGN CONSULTING 001

2018 75.00

Transaction ID : BED485B41DE304EADA57✘

ANEDOT

PO BOX 84314 01 29 2018

BATON ROUGE LA 70884-4314

CREDIT CARD FEES 001

2018 78.60

✘ Transaction ID : B70F65A58A2E743F9ACB

261.90

Page 110: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE B (FEC Form 3)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)

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

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

FEC Schedule B (Form 3) (Revised 05/2016)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201804139108059742

110 131

POLIQUIN FOR CONGRESS

ANEDOT

PO BOX 84314 01 30 2018

BATON ROUGE LA 70884-4314

CREDIT CARD FEES 001

2018 19.80

✘ Transaction ID : B0EDA80FD54CD4B9FBAF

JACKSON, LEE, , ,

192 PRENTISS STREET 02 01 2018

OLD TOWN ME 04468-1844

CAMPAIGN CONSULTING 001

2018 3000.00

Transaction ID : B42C11AD2A7E44108BA6✘

HUTSON CONSULTING

16777 SOUTH 305TH EAST AVE 02 01 2018

COWETA OK 74429

CAMPAIGN CONSULTING 001

2018 1000.00

✘ Transaction ID : B7758918C11CF4458BE9

4019.80

Page 111: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE B (FEC Form 3)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)

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

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

FEC Schedule B (Form 3) (Revised 05/2016)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201804139108059743

111 131

POLIQUIN FOR CONGRESS

FACEBOOK

1 HACKER WAY 02 02 2018

MENLO PARK CA 94025

ONLINE ADS 001

2018 184.59

✘ Transaction ID : B71245A2683AE485DA4F

GULA GRAHAM

499 S CAPITOL ST SW 02 05 2018

STE 420

WASHINGTON DC 20003

FUNDRAISING CONSULTING 001

2018 254.86

Transaction ID : B48CE29E124244D12B56✘

GULA GRAHAM

499 S CAPITOL ST SW 02 06 2018

STE 420

WASHINGTON DC 20003

FUNDRAISING CONSULTING 001

2018 17040.00

✘ Transaction ID : B331989E7A38D4AD1BAE

17479.45

Page 112: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE B (FEC Form 3)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)

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

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

FEC Schedule B (Form 3) (Revised 05/2016)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201804139108059744

112 131

POLIQUIN FOR CONGRESS

SAME DAY PROCESSING

PO BOX 251382 02 07 2018

ST PAUL MN 55122

COMPLIANCE CONSULTING 001

2018 3143.05

✘ Transaction ID : B8C807F7DA82B4A6DB63

ANEDOT

PO BOX 84314 02 12 2018

BATON ROUGE LA 70884-4314

CREDIT CARD FEES 001

2018 39.60

Transaction ID : B21CABD80F89141249ED✘

ANEDOT

PO BOX 84314 02 13 2018

BATON ROUGE LA 70884-4314

CREDIT CARD FEES 001

2018 4.20

✘ Transaction ID : B60C26C9BF7D14ED2AF8

3186.85

Page 113: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE B (FEC Form 3)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)

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

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

FEC Schedule B (Form 3) (Revised 05/2016)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201804139108059745

113 131

POLIQUIN FOR CONGRESS

DELTA AIRLINES

PO BOX 1234 02 13 2018

ATLANTA GA 12345

AIRFARE 002

2018 417.50

✘ Transaction ID : BECECDFE2E5D34FB68E7

CAPITOL HILL CLUB

300 1ST STREET SE 02 21 2018

WASHINGTON DC 20003

FOOD AND BEVERAGE 001

2018 709.87

Transaction ID : B4739248C2C424A5F9D0✘

CAPITOL HILL CLUB

300 1ST STREET SE 02 21 2018

WASHINGTON DC 20003

FOOD AND BEVERAGE 001

2018 115.90

✘ Transaction ID : B9FAC270D225D4CD0BA2

1243.27

Page 114: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE B (FEC Form 3)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)

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

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

FEC Schedule B (Form 3) (Revised 05/2016)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201804139108059746

114 131

POLIQUIN FOR CONGRESS

ANEDOT

PO BOX 84314 02 21 2018

BATON ROUGE LA 70884-4314

CREDIT CARD FEES 001

2018 217.35

✘ Transaction ID : B24CF55C76A2B4A978C3

ANEDOT

PO BOX 84314 02 22 2018

BATON ROUGE LA 70884-4314

CREDIT CARD FEES 001

2018 19.80

Transaction ID : B6D947F7AA36541A9978✘

ANEDOT

PO BOX 84314 02 26 2018

BATON ROUGE LA 70884-4314

CREDIT CARD FEES 001

2018 39.60

✘ Transaction ID : B56F42C819FE341328AF

276.75

Page 115: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE B (FEC Form 3)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)

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

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

FEC Schedule B (Form 3) (Revised 05/2016)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201804139108059747

115 131

POLIQUIN FOR CONGRESS

HUTSON CONSULTING

16777 SOUTH 305TH EAST AVE 02 28 2018

COWETA OK 74429

CAMPAIGN CONSULTING 001

2018 1000.00

✘ Transaction ID : B7F022CF39B2A46B79B2

ANEDOT

PO BOX 84314 02 28 2018

BATON ROUGE LA 70884-4314

CREDIT CARD FEES 001

2018 39.30

Transaction ID : B83681F9D5F7C4318ABA✘

JACKSON, LEE, , ,

192 PRENTISS STREET 02 28 2018

OLD TOWN ME 04468-1844

CAMPAIGN CONSULTING 001

2018 3000.00

✘ Transaction ID : B71955ECF560D420E91A

4039.30

Page 116: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE B (FEC Form 3)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)

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

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

FEC Schedule B (Form 3) (Revised 05/2016)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201804139108059748

116 131

POLIQUIN FOR CONGRESS

FACEBOOK

1 HACKER WAY 03 01 2018

MENLO PARK CA 94025

ONLINE ADS 001

2018 201.84

✘ Transaction ID : BD31F6D36FF0742438DB

LITTLEFIELD CONSULTING

455 MASSACHUSETTS AVE NW 03 05 2018

SUITE #108

WASHINGTON DC 20001

CAMPAIGN CONSULTING 001

2018 3145.12

Transaction ID : BB9C7CCE9446D42B1B78✘

OBRIEN, CORENNA, , ,

88 VIRGINIA LN 03 05 2018

BANGOR ME 04401-5687

MILEAGE 002

2018 715.70

✘ Transaction ID : B5E86BF56B7934C3AA8B

4062.66

Page 117: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE B (FEC Form 3)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)

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

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

FEC Schedule B (Form 3) (Revised 05/2016)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201804139108059749

117 131

POLIQUIN FOR CONGRESS

ANEDOT

PO BOX 84314 03 05 2018

BATON ROUGE LA 70884-4314

CREDIT CARD FEES 001

2018 117.60

✘ Transaction ID : B38AC4C0204AA4A2B81C

LITTLEFIELD CONSULTING

455 MASSACHUSETTS AVE NW 03 05 2018

SUITE #108

WASHINGTON DC 20001

CAMPAIGN CONSULTING 001

2018 3217.08

Transaction ID : BF9BC4ADE703C47E38A9✘

ANEDOT

PO BOX 84314 03 08 2018

BATON ROUGE LA 70884-4314

CREDIT CARD FEES 001

2018 104.08

✘ Transaction ID : BACF8C40C6D2C4C4D8BB

3438.76

Page 118: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE B (FEC Form 3)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)

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

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

FEC Schedule B (Form 3) (Revised 05/2016)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201804139108059750

118 131

POLIQUIN FOR CONGRESS

ANEDOT

PO BOX 84314 03 09 2018

BATON ROUGE LA 70884-4314

CREDIT CARD FEES 001

2018 253.97

✘ Transaction ID : B64B48A4DD0884734BDB

SAME DAY PROCESSING

PO BOX 251382 03 09 2018

ST PAUL MN 55122

COMPLIANCE CONSULTING 001

2018 1247.10

Transaction ID : B90AD86EB2FD643ABBEC✘

GULA GRAHAM

499 S CAPITOL ST SW 03 12 2018

STE 420

WASHINGTON DC 20003

FUNDRAISING CONSULTING 001

2018 4326.09

✘ Transaction ID : BF4D3298A196143ACA27

5827.16

Page 119: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE B (FEC Form 3)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)

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

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

FEC Schedule B (Form 3) (Revised 05/2016)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201804139108059751

119 131

POLIQUIN FOR CONGRESS

ANEDOT

PO BOX 84314 03 12 2018

BATON ROUGE LA 70884-4314

CREDIT CARD FEES 001

2018 98.10

✘ Transaction ID : BC9F1467A17B74D37B5F

ANEDOT

PO BOX 84314 03 14 2018

BATON ROUGE LA 70884-4314

CREDIT CARD FEES 001

2018 39.30

Transaction ID : B50AB50EBD2314006AF7✘

ANEDOT

PO BOX 84314 03 16 2018

BATON ROUGE LA 70884-4314

CREDIT CARD FEES 001

2018 34.05

✘ Transaction ID : B52E87FAF0DF346E4B9A

171.45

Page 120: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE B (FEC Form 3)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)

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

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

FEC Schedule B (Form 3) (Revised 05/2016)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201804139108059752

120 131

POLIQUIN FOR CONGRESS

ANEDOT

PO BOX 84314 03 19 2018

BATON ROUGE LA 70884-4314

CREDIT CARD FEES 001

2018 110.40

✘ Transaction ID : B25AFAF3ED0D642648CB

CAPITOL HILL CLUB

300 1ST STREET SE 03 19 2018

WASHINGTON DC 20003

FOOD AND BEVERAGE 001

2018 96.92

Transaction ID : BB7ED391BDF3F4BA886D✘

CAPITOL HILL CLUB

300 1ST STREET SE 03 19 2018

WASHINGTON DC 20003

FOOD AND BEVERAGE 001

2018 175.51

✘ Transaction ID : BB1B0AF8F6BB64D08977

382.83

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SCHEDULE B (FEC Form 3)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)

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

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

FEC Schedule B (Form 3) (Revised 05/2016)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201804139108059753

121 131

POLIQUIN FOR CONGRESS

ANEDOT

PO BOX 84314 03 21 2018

BATON ROUGE LA 70884-4314

CREDIT CARD FEES 001

2018 102.90

✘ Transaction ID : BAABADD7F23E24E3FB02

ANEDOT

PO BOX 84314 03 23 2018

BATON ROUGE LA 70884-4314

CREDIT CARD FEES 001

2018 145.80

Transaction ID : BA0F4A4FB11684545BC7✘

ANEDOT

PO BOX 84314 03 26 2018

BATON ROUGE LA 70884-4314

CREDIT CARD FEES 001

2018 568.48

✘ Transaction ID : B9C0405DD1A5A4982852

817.18

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SCHEDULE B (FEC Form 3)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)

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

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

FEC Schedule B (Form 3) (Revised 05/2016)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201804139108059754

122 131

POLIQUIN FOR CONGRESS

ANEDOT

PO BOX 84314 03 28 2018

BATON ROUGE LA 70884-4314

CREDIT CARD FEES 001

2018 502.11

✘ Transaction ID : B9333617D4B834A63BE9

TWENTY-FIRST CENTURY GROUP, INC.

434 NEW JERSEY AVENUE S.E. 03 28 2018

WASHINGTON DC 20003-4008

EVENT ROOM RENTAL 001

2018 750.00

Transaction ID : BE60243EA51B9411CB61✘

ANEDOT

PO BOX 84314 03 31 2018

BATON ROUGE LA 70884-4314

CREDIT CARD FEES 001

2018 504.90

✘ Transaction ID : B23AC5A2E9A0D4AF6A15

1757.01

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SCHEDULE B (FEC Form 3)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)

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

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

FEC Schedule B (Form 3) (Revised 05/2016)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201804139108059755

123 131

POLIQUIN FOR CONGRESS

HUTSON CONSULTING

16777 SOUTH 305TH EAST AVE 01 12 2018

COWETA OK 74429

EXPENSE REIMBURSEMENT 001

2018 3164.10

✘ Transaction ID : B5D9C0D03B0F24B068B7

APPLE STORE

1 INFINITE LOOP 01 12 2018

CUPERTINO CA 95014-2083

OFFICE EQUIPMENT 001

2018 3164.10

Transaction ID : B6F2F6D40B289462183E✘

3164.10

82175.36

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SCHEDULE B (FEC Form 3)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)

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

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

FEC Schedule B (Form 3) (Revised 05/2016)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201804139108059756

124 131

POLIQUIN FOR CONGRESS

POLIQUIN, BRUCE L, , ,

123 SNOW POND RD 02 07 2018

OAKLAND ME 04963-4732

LOAN REPAYMENT: LOAN RECEIVEDC00518654

POLIQUIN, BRUCE L, , ,✘ 2014 50000.00

✘ Transaction ID : BE76B467381AA427881B

ME 02

50000.00

50000.00

Page 125: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE B (FEC Form 3)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)

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

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

FEC Schedule B (Form 3) (Revised 05/2016)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201804139108059757

125 131

POLIQUIN FOR CONGRESS

HOGAN, ROBERT, V, ,

58 PAYSON RD 03 12 2018

BELMONT MA 02478

REFUND: CONTRIBUTION REFUND 010

2018 100.00

✘ Transaction ID : B34EFBA8F144F46B980F

HOGAN, ROBERT, V, ,

58 PAYSON RD 03 12 2018

BELMONT MA 02478

REFUND: CONTRIBUTION REFUND 010

2018 500.00

Transaction ID : BE86BB85DF9944DBDB9E✘

R.H. FOSTER ENERGY LLC

PO BOX 161 03 01 2018

HAMPDEN ME 04444-0161

REFUND: CONTRIBUTION REFUND 010

2018 250.00

✘ Transaction ID : B4868C3732F784C92B15

850.00

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SCHEDULE B (FEC Form 3)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)

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

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

FEC Schedule B (Form 3) (Revised 05/2016)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201804139108059758

126 131

POLIQUIN FOR CONGRESS

J&J EDWARDS PROPERTIES LLC

PO BOX 634 03 01 2018

HAMPDEN ME 04444-0634

REFUND: CONTRIBUTION REFUND 010

2018 1000.00

✘ Transaction ID : B9A08F31DECD246FBB62

1000.00

1850.00

Page 127: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE B (FEC Form 3)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)

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

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

FEC Schedule B (Form 3) (Revised 05/2016)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201804139108059759

127 131

POLIQUIN FOR CONGRESS

FRIENDS OF JOE HECK

PO BOX 753908 01 26 2018

LAS VEGAS NV 89136

REFUND: CONTRIBUTION REFUNDC00580688

010

FRIENDS OF JOE HECK2018 2000.00

✘ Transaction ID : BD356C6E43C8F48FDAFB

2000.00

2000.00

Page 128: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE B (FEC Form 3)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)

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

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

FEC Schedule B (Form 3) (Revised 05/2016)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201804139108059760

128 131

POLIQUIN FOR CONGRESS

PINE TREE SOCIETY

368 MINOT AVE. 02 02 2018

AUBURN ME 04210-4331

DONATION 012

1000.00

Transaction ID : B872990F08E26465CB1D

MARTHA AND MARY'S HOMELESS SHELTER

PO BOX 1753 02 02 2018

PRESQUE ISLE ME 04769-1753

DONATION 012

1000.00

Transaction ID : B1C1C29AECC8C435AA3B

HONOR FLIGHT ME

PO BOX 1770 02 02 2018

PORTLAND ME 04104-1770

DONATION 012

1000.00

Transaction ID : BC470B368DB8B472F936

3000.00

Page 129: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE B (FEC Form 3)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)

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

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

FEC Schedule B (Form 3) (Revised 05/2016)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201804139108059761

129 131

POLIQUIN FOR CONGRESS

ARISE ADDICTION RECOVERY

PO BOX 353 02 02 2018

MACHIAS ME 04654-0353

DONATION 012

1000.00

Transaction ID : B2FE57DC0E3BE4BECB65

HOUSE IN THE WOODS

217 SKUNK HILL RD 02 02 2018

LEE ME 04455-4112

DONATION 012

1000.00

Transaction ID : BD8D8CB1B84A34A8999E

ALLEN'S WAY

5 BENNETT DRIVE 02 02 2018

CARIBOU ME 04736-1839

DONATION 012

1000.00

Transaction ID : B319F66889F2E46B780D

3000.00

Page 130: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE B (FEC Form 3)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)

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

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

FEC Schedule B (Form 3) (Revised 05/2016)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

C. Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

Amount of Each Disbursement this Period

FEC Identification Number

FEC Identification Number

FEC Identification Number

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

▲ ▲ ▲ , , .

Memo Item

Memo Item

Memo Item

C

C

C

Image# 201804139108059762

130 131

POLIQUIN FOR CONGRESS

AROOSTOOK COUNTY ACTION PROGRAM

PO BOX 1116 02 02 2018

PRESQUE ISLE ME 04769-1116

DONATION 012

1000.00

Transaction ID : BF949CBE2CF444F029D2

BANGOR AREA HOMELESS SHELTER

263 MAIN ST. 02 02 2018

BANGOR ME 04401-6403

DONATION 012

1000.00

Transaction ID : B24A6E20739414223BDA

2000.00

8000.00

Page 131: REPORT OF RECEIPTS FEC AND DISBURSEMENTS FORM 3docquery.fec.gov/pdf/633/201804139108059633/...January 31 Year-End Report (YE) Termination Report (TER) (b) Example: If typing, type

SCHEDULE C (FEC Form 3)

LOANS

PAGE OF

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

NAME OF COMMITTEE (In Full)

SUBTOTALS This Period This Page (optional) ....................................................................

TOTALS This Period (last page in this line only) ................................................................

FEC Schedule C (Form 3) (Revised 05/2016)

Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.

Name of Employer

Occupation

List All Endorsers or Guarantors (if any) to Loan Source

, , . , , .

, , . , , . , , .

Original Amount of Loan Cumulative Payment To Date Balance Outstanding at Close of This Period

Date Incurred Date Due Interest Rate Secured:

Yes No . % (apr)

Election:

Primary

General

Other (specify)

LOAN SOURCE Full Name (Last, First, Middle Initial)

Mailing Address

City State ZIP Code

1. Full Name (Last, First, Middle Initial)

Mailing Address

City State ZIP Code , , .Amount Guaranteed Outstanding:

Name of Employer

Occupation

2. Full Name (Last, First, Middle Initial)

Mailing Address

City State ZIP Code , , .Amount Guaranteed Outstanding:

Name of Employer

Occupation

3. Full Name (Last, First, Middle Initial)

Mailing Address

City State ZIP Code , , .Amount Guaranteed Outstanding:

Name of Employer

Occupation

4. Full Name (Last, First, Middle Initial)

Mailing Address

City State ZIP Code , , .Amount Guaranteed Outstanding:

TERMS

FOR LINE NUMBER: (check only one) 13a

13b

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

Memo Item

Personal Funds of the Candidate

(If none, enter 0)

Image# 201804139108059763

131 131

Transaction ID : C941B1567473849DCA68

POLIQUIN FOR CONGRESS

2014

POLIQUIN, BRUCE L, , ,✘

123 SNOW POND RD

04963-4732OAKLAND ME✘

200000.00 63600.00 136400.00

201409 30 NONE 0.00✘

136400.00

136400.00