collins
TRANSCRIPT
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
FE5AN018
FEC
FORM 3
1. NAME OF COMMITTEE (in full)
ADDRESS (number and street)
Check if different than previously reported. (ACC)
FEC FORM 3(Revised 02/2003)
Office
Use
Only
NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 2 U.S.C. §437g.
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 DISBURSEMENTSFor 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
25
14031-0386
27
2012
10
Jocelyn Jakubus
Jocelyn Jakubus
2012
[Electronically Filed]
C00520379
PAGE 1 / 112
201210
11 NY06
Clarence NY
Collins for Congress
PO Box 386
10/25/2012 14 : 53Image# 12940440254
2012
01 1710
NY
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M M / D D / Y Y Y Y M M / D D / Y Y Y Y
FE5AN018
COLUMN B
Election Cycle-to-Date
COLUMN A
This 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 Commission
999 E Street, NW
Washington, DC 20463
Toll Free 800-424-9530
Local 202-694-1100
FEC Form 3 (Revised 02/2003) Page 2
SUMMARY PAGEof Receipts and Disbursements
Report Covering the Period: From: To:
Write or Type Committee Name
173200.94
160643.53
179328.85
506907.94
PAGE 2 / 112
2012
506907.94
201210
982092.8
0
0 0
681325.15
173200.94
Collins for Congress
0
Image# 12940440255
0
982092.8
01 1710
160643.53
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M M / D D / Y Y Y Y M M / D D / Y Y Y Y
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FE5AN018
COLUMN B
Election Cycle-to-Date
COLUMN A
Total 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 12/2003) Page 3
Report Covering the Period: From: To:
Write or Type Committee Name
0
159999.94
0
0
9000
1161421.65
91701
0
91701
0
0
PAGE 3 / 112
2012
0
173200.94
2012
4513.71
650000
10
0
0
173200.94
2000
0
0
Collins for Congress
337908
650000
0
Image# 12940440256
506907.94
01
79499.94
1710
91701
246207
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FE5AN018
COLUMN B
Election Cycle-to-Date
COLUMN A
Total 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 02/2003) 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)..............................................................................................
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179328.85
160643.53
0
0
160643.53
0
0
0
0
0
0
PAGE 4 / 112
982092.8
0
166771.44
0
0
0
0
339972.38
0
0
173200.94
0
0
Image# 12940440257
160643.53
0
982092.8
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
Partnership Itemization Memo
150
100
150
100
1000
NY
NY
4850 Martingale Court
814 Wurlitzer Drive
1000
118 Cook Road
Collins for Congress
14052-2731Transaction ID : A-PI411
14052-3114
NYNorth Tonawanda
East Aurora
East Aurora
Audubon Machinery
Information Requested
Transaction ID : A-PI45814120-3042
Transaction ID : A-C9454
Information Requested
09
12
05
100.00
2012
5
2012
2012
Image# 12940440258
10
10
10
112
Joseph Gerbasi
2012
2012
Timothy McGrath
2012
Joseph M. McMahon
President
Information Requested
Information Requested
[MEMO ITEM]
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
300
200
2800
200
100
NY
NY
395 Linden Avenue
6629 N Canal Road
100
5151 Rockledge Drive
Collins for Congress
14031-2441Transaction ID : A-PI443
14052-2932
NYLockport
Clarence
East Aurora
Information Requested
NA
Transaction ID : A-C942014094-9401
Transaction ID : A-C9463
NA
16
12
09
300.00
2012
6
2012
2012
Image# 12940440259
10
10
10
112
Philip Kadet
2012
2012
Philip M Corwin
2012
Robert Lipp
Information Requested
Retired
retired
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
2500
500
5000
500
125
CT
NY
12 Colonial Lane
47 Park Place
125
23 Four Seasons Road W
Collins for Congress
14226-4246Transaction ID : A-C9413
06878-2301
NYEast Aurora
Buffalo
Riverside
Information Requested
NOCO Energy Corp.
Transaction ID : A-C945114052-2309
Transaction ID : A-C9376
Sidley Austin
12
02
17
3125.00
2012
7
2012
2012
Image# 12940440260
10
10
10
112
Joseph McLaughlin
2012
2012
Michael F Newman
2012
Denise Rapalje
Information Requested
Lawyer
Manager
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
Partnership Itemization Memo
Partnership Itemization Memo
1500
5000
1500
2500
150
NY
NY
PO Box 589
4701 Red Oak Court
150
27 S Woodside Lane
Collins for Congress
14221-5950Transaction ID : A-PI466
14226-0589
NYHamburg
Williamsville
Amherst
Information Requested
Calspan Corp.
Transaction ID : A-PI43714075-5441
Transaction ID : A-PI454
Tonawanda Coke
09
09
09
0.00
2012
8
2012
2012
Image# 12940440261
10
10
10
112
JD Crane
2012
2012
John R Yurtchuk
2012
Steven Baldo
Information Requested
CEO
Chairman
[MEMO ITEM]
[MEMO ITEM]
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
Partnership Itemization Memo
Partnership Itemization Memo
150
150
150
150
250
NY
NY
3280 Craig Drive
8612 Main Street
250
43 Koster Row
Collins for Congress
14226-3420Transaction ID : A-PI465
14120-1252
NYWilliamsville
Amherst
North Tonawanda
Songin CPAs, PLLC
Quest Communications
Transaction ID : A-PI40514221-7462
Transaction ID : A-PI414
12
05
09
0.00
2012
9
2012
2012
Image# 12940440262
10
10
10
112
The Committee to Elect George Marziarz
2012
2012
Scott Yanity
2012
Michael J. Songin
Partner
Senior Accountant
[MEMO ITEM]
[MEMO ITEM]
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
100
500
100
500
50
NY
AK
9030 Cliffside Drive
8 Miller Drive
100
PO Box 71552
Collins for Congress
99707-1552Transaction ID : A-C9378
14031-1460
NYLyndonville
Fairbanks
Clarence
NA
Dept. of the Army
Transaction ID : A-C936914098-9762
Transaction ID : A-PI406
NA
05
09
02
150.00
2012
10
2012
2012
Image# 12940440263
10
10
10
112
William Grove
2012
2012
Kevin Stowell
2012
Douglas Hedges
Retired
Retired
Auditor
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
Partnership Itemization Memo
150
2600
150
100
1000
NY
NY
3815 Hampton Brook Drive
15 Woodhaven Road
1000
1 Orchard Hill Drive
Collins for Congress
14127-3535Transaction ID : A-PI432
14075-6334
NYBuffalo
Orchard Park
Hamburg
Health Now New York Inc
Information Requested
Transaction ID : A-C947514226-4352
Transaction ID : A-PI468
Waring Financial Group
12
09
09
1000.00
2012
11
2012
2012
Image# 12940440264
10
10
10
112
Thomas H Waring , Jr.
2012
2012
Patricia M Brammer
2012
Alphonso O'Neil-White
CEO
Principal
Information Requested
[MEMO ITEM]
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
53
250
130
250
150
NY
NY
120 W Tupper Street
1550 Colvin Boulevard
150
30 Dart Street
Collins for Congress
14213-1051Transaction ID : A-C9478
14201-2170
NYBuffalo
Buffalo
Buffalo
Information Requested
NA
Transaction ID : A-PI43014223-1120
Transaction ID : A-C9484
Information Requested
09
12
12
303.00
2012
12
2012
2012
Image# 12940440265
10
10
10
112
Jeffrey Davis
2012
2012
James E Lee
2012
John B Long
Information Requested
Information Requested
Retired
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
150
350
150
250
250
NY
NY
6175 East Lake Rd
3815 Hampton Brook Drive
250
5490 Via Marina
Collins for Congress
14221-2839Transaction ID : A-PI436
14550
NYHamburg
Williamsville
Silver Springs
Information Requested
Information Requested
Transaction ID : A-C948614075-6334
Transaction ID : A-C9515
NA
12
09
09
500.00
2012
13
2012
2012
Image# 12940440266
10
10
10
112
Edwin Gozelski
2012
2012
Judith Attea
2012
John Waring
Information Requested
Retired
Information Requested
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
Partnership Itemization Memo
150
4000
150
1500
300
NY
NY
461 Linwood Avenue
4688 Day Road
300
44 Belmont Avenue
Collins for Congress
14223-1927Transaction ID : A-PI445
14209-1630
NYLockport
Buffalo
Buffalo
Information Requested
Transaction ID : A-C942614094-1650
Transaction ID : A-PI462
Pete Vito & Associates
12
09
09
300.00
2012
14
2012
2012
Image# 12940440267
10
10
10
112
Peter M. Vito
2012
2012
James Finamore
2012
Friends of Rock Updegrove
President
Information Requested
[MEMO ITEM]
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
2500
200
3500
200
20
NY
NY
26 Hickory Lane
8622 Seven Springs Road
20
350 Essjay Road
Collins for Congress
14221-8200Transaction ID : A-PI439
14052-2136
NYBatavia
Williamsville
East Aurora
NA
Ciminelli Development
Transaction ID : A-C954914020-9601
Transaction ID : A-C9458
05
12
09
220.00
2012
15
2012
2012
Image# 12940440268
10
10
10
112
Suite 101
Friends of James J Bach
2012
2012
Frank Ciminelli
2012
John O'Brien
Retired
CEO
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
300
250
300
250
25
NY
NY
97 Depew Avenue
564 Stonebridge Boulevard
25
7230 Woodhaven Drive
Collins for Congress
14094-6243Transaction ID : A-C9575
14214-1509
OHPickerington
Lockport
Buffalo
NA
Town of Lockport
Transaction ID : A-C936443147-2098
Transaction ID : A-C9492
Information Requested
09
12
01
575.00
2012
16
2012
2012
Image# 12940440269
10
10
10
112
Matthew Dorn
2012
2012
Marc Smith
2012
Robert LoMonaco
Veteran
Information Requested
Supervisor
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
2000
2500
2000
2500
2500
FL
NY
24 Dockside Lane
136 Harbridge Manor
2500
66 S New York Street
Collins for Congress
14094-4227Transaction ID : A-C9437
33037-5267
NYWilliamsville
Lockport
Key Largo
Hamister Group
Information Requested
Transaction ID : A-PI44914221-5829
Transaction ID : A-C9538
Information Requested
09
09
12
4500.00
2012
17
2012
2012
Image# 12940440270
10
10
10
112
# 18
Robert Glidden Jr.
2012
2012
Kevin McCabe
2012
Mark E Hamister
CEO
Information Requested
Information Requested
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Contribution from Partnership. Partners exceedingreporting threshold itemized as memos.
50
100
50
100
100
NY
NY
PO Box 101
3438 Orchard Park Road
100
300 Northrup Road
Collins for Congress
14059-9677Transaction ID : A-C9587
14424-0101
NYOrchard Park
Elma
Canandaigua
Information Requested
Transaction ID : A-C953614127-1619
Transaction ID : A-C9355
Self
09
14
17
250.00
2012
18
2012
2012
Image# 12940440271
10
10
10
112
John Marcus
2012
2012
Carol Bogenrieder
2012
Southtowns Financial Group LLP
Self
Information Requested
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
50
300
50
300
200
NY
NY
44 Gaffney Road
14 Ruskin Road
200
112 Delaware Avenue
Collins for Congress
14850-4708Transaction ID : A-C9373
14094-5536
NYEast Aurora
Ithaca
Lockport
Collins Agency
Cornell University
Transaction ID : A-C946614052-1421
Transaction ID : A-PI413
Information Requested
12
05
03
250.00
2012
19
2012
2012
Image# 12940440272
10
10
10
112
George Kugler
2012
2012
Edward Weissman
2012
James Collins
Insurance Agent
Information Requested
Librarian
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
2500
150
3500
150
200
NY
NY
69 Delaware Avenue
162 Stonham Way
200
4 Centre Drive
Collins for Congress
14127-4117Transaction ID : A-C9576
14202-3809
NYWilliamsville
Orchard Park
Buffalo
Information Requested
The Krog Corporation
Transaction ID : A-C953414221-5831
Transaction ID : A-PI409
Harris Beach
09
01
03
2700.00
2012
20
2012
2012
Image# 12940440273
10
10
10
112
Room 900
Terrance Flynn
2012
2012
Peter Krog
2012
Timothy Keller
Information Requested
Attorney
Partner
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
250
250
250
250
25
NY
NY
107 Oakland Place
125 Eltingville Boulevard
25
1914 Welch Road
Collins for Congress
14113-9712Transaction ID : A-C9517
14222-2047
NYStaten Island
North Java
Buffalo
US Dept. of HUD
Information Requested
Transaction ID : A-C936510312-3859
Transaction ID : A-C9483
MBK & Associates
10
12
09
525.00
2012
21
2012
2012
Image# 12940440274
10
10
10
112
Unit 2
Mark Kostrzewski
2012
2012
Susan Reisdorf
2012
Dan Panarella
Admin Staff Specialist
President
Information Requested
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
49
1000
49
1000
500
NY
NY
PO Box 454
6201 Senate Circle
500
7198 Brookside Drive
Collins for Congress
14094-6261Transaction ID : A-C9409
14032-0454
NYEast Amherst
Lockport
Clarence Center
Information Requested
Information Requested
Transaction ID : A-PI42314051-1979
Transaction ID : A-C9510
Amstar of WNY Inc.
05
09
17
1049.00
2012
22
2012
2012
Image# 12940440275
10
10
10
112
Michail Kouimanis
2012
2012
Patricia Schiavone
2012
Donald I. Dussing , Jr.
Information Requested
Owner
Information Requested
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
150
2500
150
2500
500
NY
NY
60 S Woodside Lane
6653 Main Street
500
PO Box 2117
Collins for Congress
14231-2117Transaction ID : A-C9535
14221-5949
NYWilliamsville
Williamsville
Williamsville
Energy Mark, LLC
Transaction ID : A-C950214221-5906
Transaction ID : A-C9537
Robert-James Sales
12
09
09
3150.00
2012
23
2012
2012
Image# 12940440276
10
10
10
112
Robert Glidden III
2012
2012
MDI, LLC
2012
Gregory Marchiori
President
Director
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
Partnership Itemization Memo
100
150
100
150
1000
NY
NY
4735 Margaret Drive
11444 W Olympic Boulevard
1000
276 Middlesex Road
Collins for Congress
14216-3118Transaction ID : A-PI421
14031-2250
CALos Angeles
Buffalo
Clarence
Service Corp. of America
Information Requested
Transaction ID : A-C947290064-1549
Transaction ID : A-PI453
Information Requested
12
09
05
1000.00
2012
24
2012
2012
Image# 12940440277
10
10
10
112
Daniel Michnik
2012
2012
Robert Liguori
2012
Berton Steir
President
Information Requested
Information Requested
[MEMO ITEM]
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
300
100
300
100
2500
NY
NY
8173 Driftwood Court
6210 Old Lake Shore
5000
210 Summit Street
Collins for Congress
14094-4860Transaction ID : A-C9430
14221-8501
NYLakeview
Lockport
Williamsville
Self
Information Requested
Transaction ID : A-C950714075
Transaction ID : A-C9477
Information Requested
11
12
12
2900.00
2012
25
2012
2012
Image# 12940440278
10
10
10
112
Alan Randaccio
2012
2012
John Butcher
2012
Gerald Buchheit
Developer
Information Requested
Information Requested
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
100
100
100
100
500
NY
TX
37 Franklin Street
76 West Avenue
500
5 Hedwig Circle
Collins for Congress
77024-4521Transaction ID : A-C9374
14202-4118
NYLockport
Houston
Buffalo
Texas Independent
Transaction ID : A-C943514094-3641
Transaction ID : A-C9569
Mass Mutual
12
01
03
700.00
2012
26
2012
2012
Image# 12940440279
10
10
10
112
Suite 500
Michael J. McDermid
2012
2012
Frederick Zimmerman
2012
Seaman, Jones, Hogan & Brooks
Investment Agent
Geologist
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
2500
125
2500
125
500
NY
NY
3000 Delaware Avenue
9589 Cobblestone Drive
500
152 Howell Street
Collins for Congress
14424-1254Transaction ID : A-C9416
14217-2324
NYClarence
Canandaigua
Kenmore
Schmitt Sales, Inc.
NA
Transaction ID : A-C956014031-2421
Transaction ID : A-C9461
03
12
15
3125.00
2012
27
2012
2012
Image# 12940440280
10
10
10
112
Donald J Siwek Funeral Home
2012
2012
Gail Alexander
2012
Peter Glor
Executive
Homemaker
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
250
1000
250
500
150
NY
NY
5166 Main Street
PO Box 768
150
11 Harding Avenue
Collins for Congress
14094-6020Transaction ID : A-C9439
14221-5246
NYWilliamsville
Lockport
Williamsville
Information Requested
Reid Petroleum Corp.
Transaction ID : A-PI41914231-0768
Transaction ID : A-C9418
Iskalo Development Corp.
05
16
12
750.00
2012
28
2012
2012
Image# 12940440281
10
10
10
112
Paul B Iskalo
2012
2012
Steven Reid
2012
Peter C Grollitsch
Information Requested
CEO
Manager
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
300
250
300
250
300
NY
NY
12118 E Yates Center Road
796 Oneida Street
300
905 River Road
Collins for Congress
14174-1332Transaction ID : A-C9504
14098-9678
NYLewiston
Youngstown
Lyndonville
Information Requested
Cannon Design
Transaction ID : A-C942814092-1340
Transaction ID : A-C9524
Information Requested
12
09
12
850.00
2012
29
2012
2012
Image# 12940440282
10
10
10
112
Jeff Johnson
2012
2012
Paul Cannon
2012
Christopher Pannozzo
Information Requested
Information Requested
CEO
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
1000
250
1000
250
1000
NY
NY
19 Lakeridge Drive
58 Beverly Avenue
1000
7414 Canal Road
Collins for Congress
14094-9405Transaction ID : A-C9509
14127-3364
NYLockport
Lockport
Orchard Park
Information Requested
Mulvey Construction Inc.
Transaction ID : A-C944014094-2552
Transaction ID : A-C9548
First Niagara Bank
12
05
09
2250.00
2012
30
2012
2012
Image# 12940440283
10
10
10
112
Richard Hamister
2012
2012
Tim Mulvey
2012
Brian Costello
Information Requested
Banker
Contractor
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
100
100
100
100
100
NY
NY
220 Carnoustie Drive
3815 Hampton Brook Drive
100
2296 Union Road
Collins for Congress
14227-2726Transaction ID : A-C9547
14052-9471
NYHamburg
Cheektowaga
East Aurora
NA
Information Requested
Transaction ID : A-C953214075-6334
Transaction ID : A-C9452
Information Requested
09
12
05
300.00
2012
31
2012
2012
Image# 12940440284
10
10
10
112
Wayne Keller
2012
2012
Jeanne Makowski
2012
Sarah Waring
Homemaker
Information Requested
Information Requested
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
Partnership Itemization Memo
Partnership Itemization Memo
1500
150
1500
150
500
NY
NY
137 Winston Road
295 Main Street
500
120 W Tupper Street
Collins for Congress
14201-2170Transaction ID : A-PI415
14216-2119
NYBuffalo
Buffalo
Buffalo
Information Requested
Transaction ID : A-PI42614203-2402
Transaction ID : A-PI418
Great Lakes Athletic Fields
05
05
05
0.00
2012
32
2012
2012
Image# 12940440285
10
10
10
112
Room 210
James E. Hornung , Sr.
2012
2012
Christopher Jacobs
2012
Niagara Group, LP
Owner
Information Requested
[MEMO ITEM]
[MEMO ITEM]
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
2500
2500
2500
2500
300
NY
TX
PO Box 1010
93 Darwin Drive
300
3605 Beverly Drive
Collins for Congress
75205-2803Transaction ID : A-C9405
14603
NYAmherst
Dallas
Rochester
NA
Transaction ID : A-C953114226-4510
Transaction ID : A-C9482
The Pike Company
09
12
09
5300.00
2012
33
2012
2012
Image# 12940440286
10
10
10
112
Ebets Judson
2012
2012
Jaqueline George
2012
Friends of Joe Mesi
Owner
Retired
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
10
650
10
150
1000
NY
NY
6278 Gott Creek Trail
5516 Hartford Drive
1000
581 Grand Avenue
Collins for Congress
14609-6432Transaction ID : A-C9358
14051-1951
NYLockport
Rochester
East Amherst
Piatkowski, Riteway Meats
Comm. & Labor Admin Services
Transaction ID : A-C944114094-6255
Transaction ID : A-PI447
RDI
12
09
12
1010.00
2012
34
2012
2012
Image# 12940440287
10
10
10
112
David A Huck
2012
2012
Jesse Lenney
2012
Walter Piatkowski
President
Engineer
Political Director
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
500
100
500
100
200
NY
NY
8478 East Avenue
181 Breezewood Cmn
200
54 Lanoche Court
Collins for Congress
14221-1977Transaction ID : A-C9495
14067-9226
NYEast Amherst
Williamsville
Gasport
Information Requested
Evans Bank
Transaction ID : A-PI43114051-1426
Transaction ID : A-C9543
Information Requested
09
05
12
600.00
2012
35
2012
2012
Image# 12940440288
10
10
10
112
Joan McNamara
2012
2012
David J Nasca
2012
Stephanie Demartino
Information Requested
Information Requested
Banker
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
500
300
500
300
1000
NY
NY
54 Argyle Place
15 Forest Lake Drive
1000
160 Greenaway Road
Collins for Congress
14226-4166Transaction ID : A-C9512
14127-2615
NYNorth Tonawanda
Amherst
Orchard Park
Masiello, Martucci Calabrese
Dobmeier Janitorial
Transaction ID : A-C947314120-3710
Transaction ID : A-C9419
Hunt Real Estate
12
16
09
1800.00
2012
36
2012
2012
Image# 12940440289
10
10
10
112
June Kreutzer
2012
2012
Linda Dobmeier
2012
Carl Calabrese
Partner
Real Estate Sales
President
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
200
250
200
250
200
NY
NY
9 Ventura Drive
950 Main Street
200
39 Grasmere Road
Collins for Congress
14094-3409Transaction ID : A-C9476
14127-2381
NYEast Aurora
Lockport
Orchard Park
Westermeier & Martin Dental
Information Requested
Transaction ID : A-PI40414052-1924
Transaction ID : A-C9489
Damon Morey
12
12
12
450.00
2012
37
2012
2012
Image# 12940440290
10
10
10
112
Christian Henrich
2012
2012
Morgan Jones Jr
2012
Scott Westermeier
Partner
Lawyer
Information Requested
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
125
50
125
50
125
NY
NY
1933 Hanley Drive
138 Glenridge Road
125
326 Mill Road
Collins for Congress
14052-2830Transaction ID : A-C9460
14085-9704
NYEast Aurora
East Aurora
Lake View
Information Requested
Information Requested
Transaction ID : A-C944614052-2627
Transaction ID : A-PI417
Information Requested
12
05
12
250.00
2012
38
2012
2012
Image# 12940440291
10
10
10
112
Joan Maher
2012
2012
John Draegert
2012
Jane Vosseller
Information Requested
Information Requested
Information Requested
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
1000
1000
1000
1000
25
NY
NY
2101 Saint Ritas Lane
19 Christen Court
70
61 Rehm Road
Collins for Congress
14086-1067Transaction ID : A-C9565
14221-2055
NYLancaster
Lancaster
Williamsville
Information Requested
NA
Transaction ID : A-C942114086-3101
Transaction ID : A-C9559
Schmitt Sales, Inc.
16
03
02
2025.00
2012
39
2012
2012
Image# 12940440292
10
10
10
112
Maureen Schmitt
2012
2012
Karen Bradley
2012
Patricia Ziolkowski
Information Requested
Executive
Homemaker
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
75
300
75
200
10
CA
NY
PO Box 29849
121 Old Orchard Lane
10
1465 W Blood Road
Collins for Congress
14052-9434Transaction ID : A-C9459
95159
NYOrchard Park
East Aurora
San Jose
Information Requested
Information Requested
Transaction ID : A-C944514127-4639
Transaction ID : A-C9354
NA
12
15
12
285.00
2012
40
2012
2012
Image# 12940440293
10
10
10
112
Joseph Sturkey
2012
2012
Nickole Garrison
2012
Diane Hanitz
Information Requested
Retired
Information Requested
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
75
25
75
25
250
NY
NY
6856 Milestrip Road
7101 Randall Road
250
216 Treehaven Drive
Collins for Congress
14052-1355Transaction ID : A-C9449
14127-1613
NYLe Roy
East Aurora
Orchard Park
Information Requested
Information Requested
Transaction ID : A-C951814482-9309
Transaction ID : A-PI416
Information Requested
09
05
12
325.00
2012
41
2012
2012
Image# 12940440294
10
10
10
112
Gary Haas
2012
2012
William Green
2012
Wolcott Hinchey
Information Requested
Information Requested
Information Requested
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
250
1500
250
1500
200
NY
NY
300 S State Street
200 Delaware Avenue
700
30 Gordon Terrace
Collins for Congress
14569-1114Transaction ID : A-C9516
13202-2024
NYBuffalo
Warsaw
Syracuse
Damon Morey LLP
Information Requested
Transaction ID : A-C949914202-2150
Transaction ID : A-PI441
12
09
09
450.00
2012
42
2012
2012
Image# 12940440295
10
10
10
112
Suite 1200
Hiscock & Barclay, LLP
2012
2012
Valerie Montgomery Duell
2012
Frederick A Wolf , Esq.
Attorney
Information Requested
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
300
200
300
200
2500
NY
NY
1755 Grover Road
401 S Washington Square
2500
5707 Jennifer Drive W
Collins for Congress
14094-6009Transaction ID : A-C9427
14052-9721
MILansing
Lockport
East Aurora
Information Requested
Information Requested
Transaction ID : A-C956248933-2148
Transaction ID : A-C9468
International Aggregato
02
12
12
3000.00
2012
43
2012
2012
Image# 12940440296
10
10
10
112
Unit 305
Frederick Hill
2012
2012
Brian Sibiga
2012
Jonathan Solomon
Information Requested
Owner
Information Requested
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
35
150
35
150
1000
NY
VA
55 Heritage Road E
311 Crag Burn Drive
1000
PO Box 19402
Collins for Congress
24019-1041Transaction ID : A-C9572
14221-2307
NYEast Aurora
Roanoke
Williamsville
Information Requested
NA
Transaction ID : A-C949014052-9470
Transaction ID : A-C9542
Information Requested
12
09
01
1185.00
2012
44
2012
2012
Image# 12940440297
10
10
10
112
Peggy LaGree
2012
2012
Susan Keene
2012
Walter Zurowski
Information Requested
Information Requested
Retired
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
250
125
250
125
150
NY
NY
2100 Lapham Road
51 Latchmere Drive
150
794 Auburn Avenue
Collins for Congress
14222-1417Transaction ID : A-C9493
14052-2722
NYVictor
Buffalo
East Aurora
Information Requested
Hodgson Russ
Transaction ID : A-C936614564-1282
Transaction ID : A-C9457
Information Requested
08
12
12
525.00
2012
45
2012
2012
Image# 12940440298
10
10
10
112
Rosemary Ivery
2012
2012
John Amershadian
2012
Adam Krouskop
Information Requested
Information Requested
Lawyer
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
1000
300
1000
300
75
NY
NY
100 Haines Street
701 Willardshire Road
75
270 North Pointe Parkway
Collins for Congress
14051Transaction ID : A-C9568
14094-5143
NYOrchard Park
Amherst
Lockport
Information Requested
Smith, Cook & Associates Inc
Transaction ID : A-C945514127-2038
Transaction ID : A-C9433
Information Requested
12
12
01
1375.00
2012
46
2012
2012
Image# 12940440299
10
10
10
112
Suite 10
Dan Wilson
2012
2012
Andre Cook
2012
James Wekenmann
Information Requested
Information Requested
President
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Contribution from Partnership. Partners exceedingreporting threshold itemized as memos.
20
250
20
250
100
NY
NY
8612 Main Street
57 Wisner Road
100
PO Box 21
Collins for Congress
14021-0021Transaction ID : A-C9557
14221-7462
NYRochester
Batavia
Williamsville
JnJ
NA
Transaction ID : A-C935314622-1163
Transaction ID : A-C9500
15
12
03
370.00
2012
47
2012
2012
Image# 12940440300
10
10
10
112
Songin CPA's PLLC
2012
2012
Gertrude Penepent
2012
Richard Ermer
Embedded SW Engineer
Retired
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
75
1300
75
300
1000
NY
NY
9660 Rocky Point
PO Box 470
1000
222 Hillcrest Road
Collins for Congress
14052-1316Transaction ID : A-C9450
14031-1588
NYClarence Center
East Aurora
Clarence
Brawdy Construction
Information Requested
Transaction ID : A-C953014032-0470
Transaction ID : A-PI422
Northtowns Orthopedics
09
05
12
1075.00
2012
48
2012
2012
Image# 12940440301
10
10
10
112
Frank Luzi
2012
2012
Jane Pastor
2012
James Brawdy
Owner
Physician
Information Requested
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
Partnership Itemization Memo
1000
150
1000
150
250
NY
NY
104 Croy Avenue
PO Box 208
250
4980 Shadow Rock Lane
Collins for Congress
14031-1585Transaction ID : A-PI456
14215-1360
NYWarsaw
Clarence
Buffalo
Self employed
Transaction ID : A-C952114569-0208
Transaction ID : A-PI412
Information Requested
09
05
09
250.00
2012
49
2012
2012
Image# 12940440302
10
10
10
112
Vastye Gillespie
2012
2012
Michael Murphy
2012
Citizens for Dan Burling
Information Requested
Attorney
[MEMO ITEM]
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
150
250
150
250
250
NY
NY
106 Hillside Drive
1584 Reading Road
250
5005 Goodrich Road
Collins for Congress
14031-2403Transaction ID : A-PI429
14127-3237
NYWest Falls
Clarence
Orchard Park
Northwest Mutual Finacnial
Information Requested
Transaction ID : A-C949114170-9759
Transaction ID : A-C9361
Wells Fargo
12
11
09
500.00
2012
50
2012
2012
Image# 12940440303
10
10
10
112
Thomas Grys
2012
2012
Jason A Lahti
2012
John Hart
Investment Advisor
Banking
Information Requested
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
150
1500
150
1500
250
NY
NY
2989 S Creek Road
3132 Hulberton Road
250
103 Wood Acres Drive
Collins for Congress
14051-1713Transaction ID : A-PI438
14075-6022
NYHolley
East Amherst
Hamburg
Information Requested
Information Requested
Transaction ID : A-C952514470-9371
Transaction ID : A-C9417
Information Requested
09
15
09
1750.00
2012
51
2012
2012
Image# 12940440304
10
10
10
112
Jeffery Murray
2012
2012
William Christ
2012
Edward Morgan
Information Requested
Information Requested
Information Requested
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
50
200
50
100
15
NY
NY
3368 Shore Parkway
34 Maple Road
45
3592 Galloway Road
Collins for Congress
14020-9434Transaction ID : A-C9570
11235-2712
NYSetauket
Batavia
Brooklyn
Fonar Corporation
Empire Tractor Inc.
Transaction ID : A-C935711733-3220
Transaction ID : A-C9360
Retired
12
12
01
165.00
2012
52
2012
2012
Image# 12940440305
10
10
10
112
Apt. A4
Adam Newton
2012
2012
Timothy Call
2012
Henry Meyer
Attorney
Retired
Manager
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Contribution from Partnership. Partners exceedingreporting threshold itemized as memos.
200
25
200
25
1000
NY
NY
1330 Main Road
41 Hawthorne Avenue
1000
359 Snyder Road
Collins for Congress
14052-9708Transaction ID : A-C9462
14036-9757
NYAlbany
East Aurora
Corfu
McNally Weingarten, Reid
Self employed
Transaction ID : A-C943812203-2113
Transaction ID : A-C9573
12
01
12
1225.00
2012
53
2012
2012
Image# 12940440306
10
10
10
112
Kutter's Cheese Factory, LLC
2012
2012
Charles Snyder
2012
Robert W. Reid
Partner
Builder
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
Partnership Itemization Memo
Partnership Itemization Memo
500
2500
500
2500
150
NY
NY
26 Radcliffe Drive
301 Lakefront Boulevard
150
295 Main Street
Collins for Congress
14203-2402Transaction ID : A-PI427
14068-1284
NYBuffalo
Buffalo
Getzville
Information Requested
Transaction ID : A-PI45214202-4325
Transaction ID : A-PI464
Information Requested
09
09
05
0.00
2012
54
2012
2012
Image# 12940440307
10
10
10
112
Room 210
Peggy Winter
2012
2012
Swan Group
2012
Anne E. Martin
Information Requested
Information Requested
[MEMO ITEM]
[MEMO ITEM]
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
50
75
50
75
250
NY
PO Box 612
450
7198 Brookside Drive
Collins for Congress
14094-6261Transaction ID : A-C9408
NYLockport
Lockport
NA
Information Requested
Transaction ID : A-C936814095-0612
Transaction ID : A-C9456
Information Requested
05
12
17
375.00
2012
55
2012
2012
Image# 12940440308
10
10
10
112
Glenn Diemer
2012
2012
John Schiavone
2012
Carl Reggentine
Retired
Information Requested
Information Requested
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
100
100
100
100
2500
NY
NY
104 Lexington Avenue
350 Main Street
2500
166 W 72nd Street
Collins for Congress
10023-3327Transaction ID : A-C9356
14222-1810
NYBuffalo
New York
Buffalo
Billinge Group
Transaction ID : A-PI42414202-3750
Transaction ID : A-C9414
Information Requested
05
17
14
200.00
2012
56
2012
2012
Image# 12940440309
10
10
10
112
Suite 1400
Apt. 4B
William Buscaglia , Jr.
2012
2012
Nripendra Das
2012
Bouvier Partnership, LLP
Information Requested
Consultant
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
200
1500
200
1500
1000
FL
NY
670 Lagoon Road
5499 Hallmark Lane
1000
5937 Wynkoop Road
Collins for Congress
14094-9370Transaction ID : A-C9407
32963-2259
NYLockport
Lockport
Vero Beach
Information Requested
Self Employed
Transaction ID : A-C944314094-6258
Transaction ID : A-PI410
Hudson Advisors
12
01
17
1200.00
2012
57
2012
2012
Image# 12940440310
10
10
10
112
Frances Hudson
2012
2012
Patricia Dufour
2012
Timothy Lederhaus
Information Requested
Executive VP
Real Estate Broker
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
300
500
300
500
200
NY
NY
7337 Paddock Ridge Road
4 Ravine Court
200
9540 Turnstone Drive
Collins for Congress
14031-2416Transaction ID : A-C9554
14120-9730
NYEast Aurora
Clarence
North Tonawanda
Information Requested
Information Requested
Transaction ID : A-C944414052-2646
Transaction ID : A-C9434
Information Requested
12
12
05
1000.00
2012
58
2012
2012
Image# 12940440311
10
10
10
112
Christian Peck
2012
2012
Heather Jermak
2012
Robert Montone
Information Requested
Information Requested
Information Requested
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
2000
5000
2000
2500
25
NY
NY
23 Four Seasons Road W
17 Sussex Road
25
200 Delaware Avenue
Collins for Congress
14202-2150Transaction ID : A-PI442
14226-4246
NYGlenmont
Buffalo
Buffalo
Information Requested
Transaction ID : A-C941012077-3239
Transaction ID : A-C9412
NOCO Energy Corp.
17
17
09
2525.00
2012
59
2012
2012
Image# 12940440312
10
10
10
112
Suite 1200
Michael F Newman
2012
2012
Damon & Morey LLP
2012
Richard Tice
Information Requested
Manager
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
10
2500
45
2500
250
NY
NY
163 Mount Vernon Road
320 Porter Avenue
250
34 Maple Road
Collins for Congress
11733-3220Transaction ID : A-C9370
14226-4321
NYBuffalo
Setauket
Buffalo
D'Youville College
Fonar Corporation
Transaction ID : A-C948514201-1032
Transaction ID : A-PI448
John W. Danforth
12
09
05
260.00
2012
60
2012
2012
Image# 12940440313
10
10
10
112
Kevin Reilly
2012
2012
Henry Meyer
2012
Denise Roche
President
CEO
Attorney
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
1500
100
1500
100
300
NY
NY
29 Spruce Street
7255 Lower East Hill Road
300
1750 Hall Road
Collins for Congress
14059-9771Transaction ID : A-C9555
14094-4921
NYColden
Elma
Lockport
Information Requested
Freed Maxick & Battaglia
Transaction ID : A-PI42814033-9752
Transaction ID : A-C9474
NA
09
12
03
1600.00
2012
61
2012
2012
Image# 12940440314
10
10
10
112
Ronald Truax
2012
2012
Henry Koziol
2012
Raymond Kent
Information Requested
Retired
Director
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
Partnership Itemization Memo
250
150
250
150
150
NY
NY
909 N Colony Road
123 N Grove Street
250
688 W Ferry Street
Collins for Congress
14222-1606Transaction ID : A-C9494
14072-2801
NYEast Aurora
Buffalo
Grand Island
NA
Five Star Bank
Transaction ID : A-PI46314052-1744
Transaction ID : A-PI455
Information Requested
09
09
12
250.00
2012
62
2012
2012
Image# 12940440315
10
10
10
112
Richard Planavsky
2012
2012
Pater Ahrens
2012
Frank P. Wilton
Retired
Information Requested
Banker
[MEMO ITEM]
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
1000
500
1000
500
250
NY
NY
620 E Goundry Street
31 Castle Creek Trail
250
95 Huxley Drive
Collins for Congress
14226-4512Transaction ID : A-C9375
14120-5619
NYWilliamsville
Amherst
North Tonawanda
NA
William Mattar, PC
Transaction ID : A-C950514221-6900
Transaction ID : A-C9431
Information Requested
12
12
03
1750.00
2012
63
2012
2012
Image# 12940440316
10
10
10
112
Henry F Wojtaszek
2012
2012
William Mattar
2012
Jeffrey Dorn
Retired
Information Requested
Attorney
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
1000
500
1000
500
500
NY
NY
295 Main Street
Supermarket Management, Inc.
500
66 S New York Street
Collins for Congress
14094-4227Transaction ID : A-C9436
14203-2412
NYBuffalo
Lockport
Buffalo
Supermarket Management Inc
Information Requested
Transaction ID : A-C947914201
Transaction ID : A-PI425
12
05
12
1500.00
2012
64
2012
2012
Image# 12940440317
10
10
10
112
460 Niagara Street
Staats St. Group
2012
2012
Patricia McCabe
2012
Philip Perna
CEO
Information Requested
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Contribution from Partnership. Partners exceedingreporting threshold itemized as memos.
25
25
25
25
250
NY
VA
121 Ponderosa Drive
50 Franklin Street
250
1201 S Eads Street
Collins for Congress
22202-2812Transaction ID : A-C9359
14221-2422
NYBatavia
Arlington
Buffalo
T-Mobil USA
Transaction ID : A-C957414020-3019
Transaction ID : A-C9544
Information Requested
01
05
12
300.00
2012
65
2012
2012
Image# 12940440318
10
10
10
112
Joseph Huber
2012
2012
Arthur Jackson
2012
Turnbull Heating & Air
Information Requested
Senior Analyst
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
500
1000
500
1000
250
IL
NY
150 N Field Drive
8100 Clarence Center Road
250
760 W Ferry Street
Collins for Congress
14222-1617Transaction ID : A-C9465
60045-2583
NYEast Amherst
Buffalo
Lake Forest
Manatoba
NA
Transaction ID : A-C956714051-1986
Transaction ID : A-C9564
NA
01
02
12
1750.00
2012
66
2012
2012
Image# 12940440319
10
10
10
112
Suite 100
Robert Stuart Jr.
2012
2012
Nancy Berger
2012
Richard Shine
Manager
Retired
Homemaker
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
250
5000
250
2500
200
NY
NY
6210 Old Lake Shore
6402 Woodberry Court
200
19 Lakeridge Drive S
Collins for Congress
14127-3370Transaction ID : A-C9526
14075
NYEast Amherst
Orchard Park
Lakeview
NA
Information Requested
Transaction ID : A-C950814051-1547
Transaction ID : A-C9506
Self
09
11
09
2950.00
2012
67
2012
2012
Image# 12940440320
10
10
10
112
Gerald Buchheit
2012
2012
Mark Schoell
2012
Janet Mattar
Homemaker
Developer
Information Requested
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
150
19
150
19
500
NJ
NY
33 Bentley Avenue
1333 Eagle Run Drive
500
8617 Sheridan Hill Drive
Collins for Congress
14221-6321Transaction ID : A-PI459
07304-1901
FLSanibel
Buffalo
Jersey City
Information Requested
Information Requested
Transaction ID : A-C952233957-6709
Transaction ID : A-C9362
Spencer-Fontayne Corp
09
11
09
519.00
2012
68
2012
2012
Image# 12940440321
10
10
10
112
Robert Marlowe
2012
2012
Tyler Showalter
2012
Roger Triftshauser
Information Requested
Consultant
Information Requested
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
1000
500
1000
500
200
NY
NY
5048 Brookhaven Drive
205 Reiter Road
200
7380 Erica Lane
Collins for Congress
14120-4903Transaction ID : A-PI457
14031-1610
NYEast Aurora
North Tonawanda
Clarence
Lancaster Central Schools
OGSI
Transaction ID : A-C946414052-2716
Transaction ID : A-C9367
NA
12
08
09
700.00
2012
69
2012
2012
Image# 12940440322
10
10
10
112
Marcia J Irish
2012
2012
Robert F. Schlehr
2012
Donna Porter
Teacher
Retired
Vice President
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
2500
500
2500
500
2500
NY
NY
66 Brookdale Drive
535 N Forest Road
2500
PO Box 1010
Collins for Congress
14603Transaction ID : A-C9481
14221-3215
NYWilliamsville
Rochester
Williamsville
Harmac
The Pike Company
Transaction ID : A-C954614221-4935
Transaction ID : A-C9432
Information Requested
05
12
12
5500.00
2012
70
2012
2012
Image# 12940440323
10
10
10
112
Rosemary Quebral
2012
2012
Thomas Judson
2012
John Somers
President
Information Requested
Owner
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
125
1000
125
1000
1000
NY
NY
Ulrich Dev. Co., LLC
636 Mountain View Drive
1000
140 Summershade Court
Collins for Congress
14051-1678Transaction ID : A-PI435
14094
NYLewiston
East Amherst
Lockport
Information Requested
Transaction ID : A-C944214092-1910
Transaction ID : A-C9556
Ulrich Development Co., LLC
12
03
09
2000.00
2012
71
2012
2012
Image# 12940440324
10
10
10
112
45 Main Street
David Ulrich
2012
2012
Trade Credit Insurance Agency
2012
Jeffrey Williams
Information Requested
Partner
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
150
30
150
30
150
NY
NY
156 Colony Court
107 Oakland Place
150
59 Woodward Avenue
Collins for Congress
14141-1021Transaction ID : A-PI460
14226-3509
NYBuffalo
Springville
Amherst
City Gate
Information Requested
Transaction ID : A-C954514222-2047
Transaction ID : A-C9422
Self employed
05
16
09
180.00
2012
72
2012
2012
Image# 12940440325
10
10
10
112
Drew Tidwell
2012
2012
Robin L Sion
2012
Laurie Kostrzewski
Office Manager
Consultant
Information Requested
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Contribution from Partnership. Partners exceedingreporting threshold itemized as memos.
200
300
200
300
250
NY
NY
122 Northledge Drive
27 N Long Street
250
950 Main Street
Collins for Congress
14052-1924Transaction ID : A-C9467
14094
NYWilliamsville
East Aurora
Lockport
Banas Mortgage Co.
Transaction ID : A-C949614221-5311
Transaction ID : A-C9429
Information Requested
12
12
12
750.00
2012
73
2012
2012
Image# 12940440326
10
10
10
112
Bradley Marble
2012
2012
Westermeier & Martin Dental Care PLLC
2012
Paul Banas
Mortgage Broker
Information Requested
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
1000
25
1000
25
2500
NY
NJ
12 Rochester Street
152 Howell Street
2500
PO Box 905
Collins for Congress
07860-0905Transaction ID : A-C9498
14546-1324
NYCanandaigua
Newton
Scottsville
Self employed
Transaction ID : A-C941514424-1254
Transaction ID : A-PI434
Information Requested
15
09
12
3500.00
2012
74
2012
2012
Image# 12940440327
10
10
10
112
Henry Williams Jr.
2012
2012
Scott Garrett for Congress
2012
Dan Alexander
Physician
Information Requested
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Contribution from Partnership. Partners exceedingreporting threshold itemized as memos.
Partnership Itemization Memo
500
200
500
200
500
NY
NY
12 Fountain Plaza
3987 Graywood Center
500
247 Cayuga Road
Collins for Congress
14225-1900Transaction ID : A-C9513
14202-2222
NYGeneseo
Cheektowaga
Buffalo
Information Requested
Transaction ID : A-C951914454-9777
Transaction ID : A-PI450
Information Requested
09
09
09
1000.00
2012
75
2012
2012
Image# 12940440328
10
10
10
112
Suite 400
Raymond Fink
2012
2012
WS Grove Orthopaedic Supplies LLC
2012
Robert Moore
Information Requested
Information Requested
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
Partnership Itemization Memo
75
150
75
150
25
NY
NY
PO Box 537
1330 Main Road
25
710 Main Street
Collins for Congress
14052-2406Transaction ID : A-C9453
14120-0537
NYCorfu
East Aurora
North Tonawanda
Kutter's Cheese Factory
Information Requested
Transaction ID : A-PI40714036-9757
Transaction ID : A-PI433
First Asset Recovery Group
01
09
12
75.00
2012
76
2012
2012
Image# 12940440329
10
10
10
112
David Lipinoga
2012
2012
Grant Hamilton
2012
Richard Kutter
Owner
Principal
Information Requested
[MEMO ITEM]
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
50
100
50
100
50
NY
NY
1407 Townline Road
180 Pratt Street
50
6026 Wellesley Cmn
Collins for Congress
14051-1950Transaction ID : A-C9371
14059-8822
NYEast Aurora
East Amherst
Elma
Information Requested
SUNY NY
Transaction ID : A-C944714052-1416
Transaction ID : A-PI420
Information Requested
12
05
03
100.00
2012
77
2012
2012
Image# 12940440330
10
10
10
112
John Ott
2012
2012
Randall Dipert
2012
Joseph Delvecchio
Information Requested
Information Requested
Professor
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
1000
250
1000
250
10
NY
NY
27 Chicory Lane
34 Maple Road
45
300 Corporate Parkway
Collins for Congress
14226-1259Transaction ID : A-C9533
14086-4403
NYSetauket
Amherst
Lancaster
Fonar Corporation
Self
Transaction ID : A-C937711733-3220
Transaction ID : A-C9497
Information Requested
02
12
09
1260.00
2012
78
2012
2012
Image# 12940440331
10
10
10
112
Suite 216N
Andrew Dorn , IV
2012
2012
Joseph Dileo
2012
Henry Meyer
Attorney
Information Requested
Financial Planner
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
250
30
250
30
1000
NY
NY
8286 Garrock Road
102 Coriander Court
1000
144 Middlesex Road
Collins for Congress
14216-3543Transaction ID : A-C9488
14221-4186
NYEast Amherst
Buffalo
Williamsville
Southwest Airlines
Courier Capitol Corp.
Transaction ID : A-C936314051-2470
Transaction ID : A-C9514
Information Requested
10
09
12
1280.00
2012
79
2012
2012
Image# 12940440332
10
10
10
112
Virginia Lindberg
2012
2012
William H. Gurney
2012
Timothy Bidlack
Pilot
Information Requested
Financial Advisor
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
40
2500
40
2500
1000
TX
NY
3605 Beverly Drive
331 Depew Avenue
1000
201 E 83rd Street
Collins for Congress
10028-2870Transaction ID : A-C9566
75205-2803
NYBuffalo
New York
Dallas
First Niagara Financial
NA
Transaction ID : A-C950114214-1657
Transaction ID : A-C9406
NA
12
09
02
3540.00
2012
80
2012
2012
Image# 12940440333
10
10
10
112
Apt. 11F
Mike George
2012
2012
Michael Klimoski
2012
Daniel Cantara , III
Exec. Vice President
Retired
Retired
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
Partnership Itemization Memo
Partnership Itemization Memo
2500
500
2500
500
900
NY
NY
13 Thamesford Lane
424 Main Street
900
5329 Green Valley Drive
Collins for Congress
14031-1232Transaction ID : A-PI446
14221-5961
NYBuffalo
Clarence
Buffalo
Frey Electric
Transaction ID : A-PI44014202-3614
Transaction ID : A-PI444
Amherst Chamber of Commerce
09
09
09
0.00
2012
81
2012
2012
Image# 12940440334
10
10
10
112
Room 1400
Colleen DiPirro
2012
2012
Kent Frey
2012
Webster Szanyi, LLP
President & CEO
President
[MEMO ITEM]
[MEMO ITEM]
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
2500
250
2500
250
25
NY
NY
4042 Foxwood Lane
110 Ashwood Lane
25
18 Sussex Lane
Collins for Congress
14086-9458Transaction ID : A-PI451
14221-7368
NYOrchard Park
Lancaster
Buffalo
NA
Frey Electric
Transaction ID : A-C957114127-4844
Transaction ID : A-C9487
Foxwood Capital, Inc
01
12
09
275.00
2012
82
2012
2012
Image# 12940440335
10
10
10
112
Nora Sullivan
2012
2012
Kenneth Jaskier
2012
William Embick
Retired
President
Controller
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
50
75
50
75
250
NY
NY
6777 E Quaker Street
50 Franklin Street
300
815 Palmer Road
Collins for Congress
14428-9513Transaction ID : A-C9372
14127-2500
NYBatavia
Churchville
Orchard Park
Turnbull Refrigeration
Retired
Transaction ID : A-PI40814020-3019
Transaction ID : A-C9448
Information Requested
01
12
03
125.00
2012
83
2012
2012
Image# 12940440336
10
10
10
112
Apt. 8
Kathleen Kneeland
2012
2012
Timothy Rowe
2012
Roy Turnbull
Manager
Information Requested
Engineer
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
250
250
200
NY
1 Evans Street
400 Essjay Road
200
Collins for Congress
91701.00
14020-3151
NYWilliamsville
Batavia
Jaeckle LLP
Transaction ID : A-C951114221-8228
Transaction ID : A-C9558
Freed Maxick & Bataglia
09
03
450.00
2012
84
2012
Image# 12940440337
10
10
112
Suite 320
Paul Battaglia
2012
2012
Susan Palmer
Attorney
Accountant
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
300
1000
300
1000
500
NY
NY
PO Box 173
PO Box 191
500
PO Box 142
Collins for Congress
14110-0142Transaction ID : A-PI461
14120-0173
NYWarsaw
North Boston
North Tonawanda
Transaction ID : A-C952314569-0191
Transaction ID : A-C9529
09
09
09
1500.00
2012
85
2012
2012
Image# 12940440338
10
10
10
112
North Tonawanda Republican City Comm.
2012
2012
Boston Republican Committee
2012
Wyoming County Republican Committee
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
500
500
Collins for Congress
2000.00
Transaction ID : A-C9520
09
500.00
2012
86
Image# 12940440339
10
112
2012
Orleans County Republican Comm.
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
1000
2000
1000
2000
5000
KS
GA
6405 Metcalf Avenue
601 Pennsylvania Ave NW
5000
2700 Cumberland Parkway SE
Collins for Congress
30339-3321Transaction ID : A-C9561
66202-4084
DCWashington
Atlanta
Shawnee Mission
C00007880
Transaction ID : A-C955320004
Transaction ID : A-C9470
05
12
02
8000.00
2012
87
2012
2012
Image# 12940440340
10
10
10
112
South Building Suite 600
Suite 150
Suite 503
TACO PAC
2012
2012
Voice for Freedom PAC
2012
Credit Union Legislative Action Council PAC
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
1000
2000
1000
2000
1000
FL
DC
610 S Boulevard
888 16th Street NW
1000
1325 G Street NW
Collins for Congress
20005-3134Transaction ID : A-C9540
33606-2693
DCWashington
Washington
Tampa
Transaction ID : A-C942320006-4103
Transaction ID : A-C9541
16
09
09
4000.00
2012
88
2012
2012
Image# 12940440341
10
10
10
112
Suite 1000
ROSKAM PAC
2012
2012
Wholesaler-Distributor PAC
2012
Business Industry PAC
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Partnership Itemization Memo
1500
5000
6500
5000
2000
DC
NY
600 14th Street NW
PO Box 823047
2000
10 Lafayette Square
Collins for Congress
14203-1824Transaction ID : A-PI467
20005-2099
TXDallas
Buffalo
Washington
C00520379
Transaction ID : A-C955175382-3047
Transaction ID : A-C9471
05
12
09
7000.00
2012
89
2012
2012
Image# 12940440342
10
10
10
112
Suite 800
KOCH Industries PAC
2012
2012
NFG FEDPAC
2012
Pete Sessions for Congress
[MEMO ITEM]
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
500
5000
500
5000
1000
VA
DC
1655 Fort Myer Drive
120 N Congress Street
1000
1776 I Street NW
Collins for Congress
20006-3759Transaction ID : A-C9469
22209-3199
MSJackson
Washington
Arlington
Transaction ID : A-C941139201-2685
Transaction ID : A-C9550
17
05
12
6500.00
2012
90
2012
2012
Image# 12940440343
10
10
10
112
Suite 300
Lobby 4
Suite 850
National Venture Capital Assn. PAC
2012
2012
Nuclear Energy Institute Federal PAC
2012
George PAC
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
1000
500
1000
500
500
FL
NY
1340 Hamlet Avenue
6705 W. Jennifer Drive
500
625 State Street
Collins for Congress
12305-2111Transaction ID : A-C9424
33756-3332
NYLockport
Schenectady
Clearwater
Transaction ID : A-C952814094
Transaction ID : A-C9503
09
12
16
2000.00
2012
91
2012
2012
Image# 12940440344
10
10
10
112
Pancake PAC
2012
2012
MVP Health Care Federal PAC
2012
Town of Lockport Republican Committee
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
Contribution from Partnership. Partners exceedingreporting threshold itemized as memos.
2500
38999.94
2500
38999.94
1500
GA
DC
2470 Daniels Bridge Road
520 N Northwest Highway
1500
403 E Capitol Street SE
Collins for Congress
20003-3810Transaction ID : A-C9480
30606-6191
ILPark Ridge
Washington
Athens
C00529826
Transaction ID : A-C952760068-2538
Transaction ID : A-C9588
09
17
12
42999.94
2012
92
2012
2012
Image# 12940440345
10
10
10
112
Suite 121
Western New York Victory Fund
2012
2012
Fluor Corporation PAC
2012
American Society of Anesthesioligists PAC
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
5000
1000
6500
1000
1000
DC
NY
430 1st Street SE
12176 Chancery Station Circle
1000
10 Lafayette Square
Collins for Congress
14203-1824Transaction ID : A-C9539
20003-1826
VAReston
Buffalo
Washington
Transaction ID : A-C942520190-5803
Transaction ID : A-C9563
16
02
09
7000.00
2012
93
2012
2012
Image# 12940440346
10
10
10
112
TRUCK PAC
2012
2012
NFG FEDPAC
2012
Conservative Opportunity Leadership & Enterprise PAC
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 contributing
federal 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 contributing
federal 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 contributing
federal 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 02/2009)
2000
228 S Washington Street
2000
Collins for Congress
79499.94
VAAlexandriaTransaction ID : A-C9552
22314-5404
05
2000.00
2012
94
Image# 12940440347
10
112
Suite 115 2012
Trust PAC Team Republicans
FE5AN018
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 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
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
144 2nd Street
144 2nd Street
144 2nd Street
Floor 1
Floor 1
4.5
4.5
1.13
Floor 1
Collins for Congress
Transaction ID : B-E-9388
CA
CA
CA
94105-3718
94105-3718
94105-3718
Transaction ID : B-E-9383
Transaction ID : B-E-9402
10
10
Credit Card fee
10
Credit Card fee
Credit Card fee
2012
10.13
Piryx, Inc.
2012
Piryx, Inc.
2012
Piryx, Inc.
95
2012
2012
2012
Image# 12940440348
15
112
03
12
San Francisco
San Francisco
San Francisco
001
001
001
FE5AN018
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 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
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
144 2nd Street
144 2nd Street
144 2nd Street
Floor 1
Floor 1
0.86
9
6.75
Floor 1
Collins for Congress
Transaction ID : B-E-9395
CA
CA
CA
94105-3718
94105-3718
94105-3718
Transaction ID : B-E-9391
Transaction ID : B-E-9384
10
10
Credit Card fee
10
Credit Card fee
Credit Card fee
2012
16.61
Piryx, Inc.
2012
Piryx, Inc.
2012
Piryx, Inc.
96
2012
2012
2012
Image# 12940440349
11
112
15
08
San Francisco
San Francisco
San Francisco
001
001
001
FE5AN018
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 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
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
144 2nd Street
144 2nd Street
144 2nd Street
Floor 1
Floor 1
4.5
2.25
2.25
Floor 1
Collins for Congress
Transaction ID : B-E-9398
CA
CA
CA
94105-3718
94105-3718
94105-3718
Transaction ID : B-E-9382
Transaction ID : B-E-9399
10
10
Credit Card fee
10
Credit Card fee
Credit Card fee
2012
9.00
Piryx, Inc.
2012
Piryx, Inc.
2012
Piryx, Inc.
97
2012
2012
2012
Image# 12940440350
02
112
03
05
San Francisco
San Francisco
San Francisco
001
001
001
FE5AN018
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 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
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
144 2nd Street
144 2nd Street
144 2nd Street
Floor 1
Floor 1
4.5
1.13
0.45
Floor 1
Collins for Congress
Transaction ID : B-E-9380
CA
CA
CA
94105-3718
94105-3718
94105-3718
Transaction ID : B-E-9385
Transaction ID : B-E-9394
10
10
Credit Card fee
10
Credit Card fee
Credit Card fee
2012
6.08
Piryx, Inc.
2012
Piryx, Inc.
2012
Piryx, Inc.
98
2012
2012
2012
Image# 12940440351
14
112
10
05
San Francisco
San Francisco
San Francisco
001
001
001
FE5AN018
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 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
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
144 2nd Street
144 2nd Street
144 2nd Street
Floor 1
Floor 1
45
4.5
45
Floor 1
Collins for Congress
Transaction ID : B-E-9403
CA
CA
CA
94105-3718
94105-3718
94105-3718
Transaction ID : B-E-9392
Transaction ID : B-E-9389
10
10
Credit Card fee
10
Credit Card fee
Credit Card fee
2012
94.50
Piryx, Inc.
2012
Piryx, Inc.
2012
Piryx, Inc.
99
2012
2012
2012
Image# 12940440352
10
112
12
03
San Francisco
San Francisco
San Francisco
001
001
001
FE5AN018
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 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
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
66 Canal Center Plaza
66 Canal Center Plaza
144 2nd Street
Suite 500
Floor 1
4.5
80230
80090
Suite 500
Collins for Congress
Transaction ID : B-E-9578
VA
VA
CA
22314-1576
94105-3718
22314-1576
Transaction ID : B-E-9386
Transaction ID : B-E-9577
10
10
Television
10
Other: Television
Credit Card fee
2012
160324.50
Piryx, Inc.
2012
Crossroads Media, LLC.
2012
Crossroads Media, LLC.
100
2012
2012
2012
Image# 12940440353
14
112
05
11
Alexandria
San Francisco
Alexandria
001
001
FE5AN018
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 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
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
144 2nd Street
144 2nd Street
144 2nd Street
Floor 1
Floor 1
22.5
2.25
0.45
Floor 1
Collins for Congress
Transaction ID : B-E-9379
CA
CA
CA
94105-3718
94105-3718
94105-3718
Transaction ID : B-E-9404
Transaction ID : B-E-9400
10
10
Credit Card fee
10
Credit Card fee
Credit Card fee
2012
25.20
Piryx, Inc.
2012
Piryx, Inc.
2012
Piryx, Inc.
101
2012
2012
2012
Image# 12940440354
02
112
03
02
San Francisco
San Francisco
San Francisco
001
001
001
FE5AN018
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 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
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
144 2nd Street
144 2nd Street
144 2nd Street
Floor 1
Floor 1
22.5
2.25
11.25
Floor 1
Collins for Congress
Transaction ID : B-E-9397
CA
CA
CA
94105-3718
94105-3718
94105-3718
Transaction ID : B-E-9396
Transaction ID : B-E-9401
10
10
Credit Card fee
10
Credit Card fee
Credit Card fee
2012
36.00
Piryx, Inc.
2012
Piryx, Inc.
2012
Piryx, Inc.
102
2012
2012
2012
Image# 12940440355
08
112
03
05
San Francisco
San Francisco
San Francisco
001
001
001
FE5AN018
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 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
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
144 2nd Street
144 2nd Street
144 2nd Street
Floor 1
Floor 1
1.13
0.68
0.45
Floor 1
Collins for Congress
Transaction ID : B-E-9387
CA
CA
CA
94105-3718
94105-3718
94105-3718
Transaction ID : B-E-9393
Transaction ID : B-E-9381
10
10
Credit Card fee
10
Credit card fee
Credit Card fee
2012
2.26
Piryx, Inc.
2012
Piryx, Inc.
2012
Piryx, Inc.
103
2012
2012
2012
Image# 12940440356
09
112
12
12
San Francisco
San Francisco
San Francisco
001
001
001
FE5AN018
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 02/2009)
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code Amount of Each Disbursement this Period
! ! ! , , .
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
144 2nd StreetFloor 1
11.25
Collins for Congress
160535.53
CA 94105-3718
Transaction ID : B-E-9390
10
Credit Card fee
2012
11.25
Piryx, Inc.
2012
104
Image# 12940440357
11
112
San Francisco
001
FE5AN018
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 02/2003)
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
0
Transaction ID : SC/10-L4
[PERSONAL FUNDS]
Christopher C Collins
NY
2012
Collins for Congress
26
9660 Cobblestone Drive
0.0003
Clarence
4500
2012
4500.00
105
4500
Image# 12940440358
112
None
14031-1576
FE5AN018
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 02/2003)
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
0
Transaction ID : SC/10-L5
[PERSONAL FUNDS]
Christopher C Collins
NY
2012
Collins for Congress
17
9660 Cobblestone Drive
0.0004
Clarence
245500
2012
245500.00
106
245500
Image# 12940440359
112
None
14031-1576
FE5AN018
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 02/2003)
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
0
Transaction ID : SC/10-L6
[PERSONAL FUNDS]
Christopher C Collins
NY
2012
Collins for Congress
30
9660 Cobblestone Drive
0.0008
Clarence
100000
2012
100000.00
107
100000
Image# 12940440360
112
None
14031-1576
FE5AN018
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 02/2003)
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
0
Transaction ID : SC/10-L7
[PERSONAL FUNDS]
Christopher C Collins
NY
2012
Collins for Congress
28
9660 Cobblestone Drive
0.0009
Clarence
150000
2012
150000.00
108
150000
Image# 12940440361
112
None
14031-1576
FE5AN018
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 02/2003)
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
0
Transaction ID : SC/10-L8
[PERSONAL FUNDS]
Christopher C Collins
NY
2012
Collins for Congress
650000.00
13
9660 Cobblestone Drive
0.0009
Clarence
150000
2012
150000.00
109
150000
Image# 12940440362
112
None
14031-1576
FE5AN018
SCHEDULE D (FEC Form 3)
DEBTS AND OBLIGATIONS
Excluding Loans
(Use separate
schedule(s)
for each
numbered line)
NAME OF COMMITTEE (In Full)
, , .
, , .
1) SUBTOTALS This Period This Page (optional) ...................................................................
2) TOTALS This Period (last page this line number only) ......................................................
3) TOTAL OUTSTANDING LOANS from Schedule C (last page only) ..................................
4) ADD 2) and 3) and carry forward to appropriate line of Summary Page (last page only)
A. Full Name (Last, First, Middle Initial) of Debtor or Creditor
Mailing Address
City State Zip Code
Payment This Period
, , .
FEC Schedule D (Form 3) (Revised 02/2003)
Outstanding Balance at Close of This Period
, , .
, , .
, , .
Outstanding Balance Beginning This Period
, , .Amount Incurred This Period
, , .
Nature of Debt (Purpose):
B. Full Name (Last, First, Middle Initial) of Debtor or Creditor
Mailing Address
City State Zip Code
Payment This Period
, , .
Outstanding Balance at Close of This Period
, , .
Outstanding Balance Beginning This Period
, , .Amount Incurred This Period
, , .
Nature of Debt (Purpose):
C. Full Name (Last, First, Middle Initial) of Debtor or Creditor
Mailing Address
City State Zip Code
Payment This Period
, , .
Outstanding Balance at Close of This Period
, , .
Outstanding Balance Beginning This Period
, , .Amount Incurred This Period
, , .
Nature of Debt (Purpose):
PAGE OF
FOR LINE NUMBER:
(check only one) 9
10
71 Park Street
22314-2433
214 N Fayette Street
14201-2020
14221-5035
388 N Forest Road
641.63
191.4
75007500
191.4
641.63
Alexandria
Williamsville
Buffalo
8333.03
110
Image# 12940440363
112
Collins for Congress
0
0
Tom Wolf Imaging
Transaction ID : SD10-DEBT9585
Bravo Events Expo Displays
Public Opinion Strategies
0
0
0
Polling: Poll
NY
NY
Campaign Event: Rental
VA
Administrative/Salary/Overhead: Photos
Transaction ID : SD10-DEBT9581
Transaction ID : SD10-DEBT9582
0
FE5AN018
SCHEDULE D (FEC Form 3)
DEBTS AND OBLIGATIONS
Excluding Loans
(Use separate
schedule(s)
for each
numbered line)
NAME OF COMMITTEE (In Full)
, , .
, , .
1) SUBTOTALS This Period This Page (optional) ...................................................................
2) TOTALS This Period (last page this line number only) ......................................................
3) TOTAL OUTSTANDING LOANS from Schedule C (last page only) ..................................
4) ADD 2) and 3) and carry forward to appropriate line of Summary Page (last page only)
A. Full Name (Last, First, Middle Initial) of Debtor or Creditor
Mailing Address
City State Zip Code
Payment This Period
, , .
FEC Schedule D (Form 3) (Revised 02/2003)
Outstanding Balance at Close of This Period
, , .
, , .
, , .
Outstanding Balance Beginning This Period
, , .Amount Incurred This Period
, , .
Nature of Debt (Purpose):
B. Full Name (Last, First, Middle Initial) of Debtor or Creditor
Mailing Address
City State Zip Code
Payment This Period
, , .
Outstanding Balance at Close of This Period
, , .
Outstanding Balance Beginning This Period
, , .Amount Incurred This Period
, , .
Nature of Debt (Purpose):
C. Full Name (Last, First, Middle Initial) of Debtor or Creditor
Mailing Address
City State Zip Code
Payment This Period
, , .
Outstanding Balance at Close of This Period
, , .
Outstanding Balance Beginning This Period
, , .Amount Incurred This Period
, , .
Nature of Debt (Purpose):
PAGE OF
FOR LINE NUMBER:
(check only one) 9
10
340 S Pickett Street
22201
2601-A Wilson Vlvd.
22304-8125
22301-1015
104 Hume Avenue
3036.38
10436.88
4782.754782.75
10436.88
3036.38
Arlington
Alexandria
Alexandria
18256.01
Unit 9712
111
Image# 12940440364
112
Collins for Congress
0
0
Epiphany Productions
Transaction ID : SD10-DEBT9580
Roland-Kelly, Inc.
Henninger Media Services
0
0
0
Other: Media
VA
VA
Other: Radio
VA
Administrative/Salary/Overhead: Fundraisingconsultant
Transaction ID : SD10-DEBT9584
Transaction ID : SD10-DEBT9579
0
FE5AN018
SCHEDULE D (FEC Form 3)
DEBTS AND OBLIGATIONS
Excluding Loans
(Use separate
schedule(s)
for each
numbered line)
NAME OF COMMITTEE (In Full)
, , .
, , .
1) SUBTOTALS This Period This Page (optional) ...................................................................
2) TOTALS This Period (last page this line number only) ......................................................
3) TOTAL OUTSTANDING LOANS from Schedule C (last page only) ..................................
4) ADD 2) and 3) and carry forward to appropriate line of Summary Page (last page only)
A. Full Name (Last, First, Middle Initial) of Debtor or Creditor
Mailing Address
City State Zip Code
Payment This Period
, , .
FEC Schedule D (Form 3) (Revised 02/2003)
Outstanding Balance at Close of This Period
, , .
, , .
, , .
Outstanding Balance Beginning This Period
, , .Amount Incurred This Period
, , .
Nature of Debt (Purpose):
B. Full Name (Last, First, Middle Initial) of Debtor or Creditor
Mailing Address
City State Zip Code
Payment This Period
, , .
Outstanding Balance at Close of This Period
, , .
Outstanding Balance Beginning This Period
, , .Amount Incurred This Period
, , .
Nature of Debt (Purpose):
C. Full Name (Last, First, Middle Initial) of Debtor or Creditor
Mailing Address
City State Zip Code
Payment This Period
, , .
Outstanding Balance at Close of This Period
, , .
Outstanding Balance Beginning This Period
, , .Amount Incurred This Period
, , .
Nature of Debt (Purpose):
PAGE OF
FOR LINE NUMBER:
(check only one) 9
10
L-3507
43260-0001
14221-7602
8750 Main Street
4081.98
654.13 654.13
4081.98
Williamsville
Columbus
4736.11
112
650000.00
Image# 12940440365
112
Collins for Congress
31325.15
0
Samuel's Grande Manor
Falcon Paymasters
0
0
NY
OH
Administrative/Salary/Overhead
Campaign Event: Fundraising event
Transaction ID : SD10-DEBT9583
Transaction ID : SD10-DEBT9586
681325.15
0