fec.govdocquery.fec.gov/pdf/517/201706089056413517/201706089056413517.pdffec form 3x rev. 05/2016...
TRANSCRIPT
FEC FORM 3XRev. 05/2016
Office Use Only
NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 52 U.S.C. § 30109.
4. TYPE OF REPORT (Choose One)
(a) Quarterly Reports:
12-Day Primary (12P) General (12G) Runoff (12R) PRE-Election Report for the: Convention (12C) Special (12S)
30-Day POST-Election General (30G) Runoff (30R) Special (30S) Report for the:
(b) Monthly Report Due On:
Feb 20 (M2) May 20 (M5) Aug 20 (M8)
Mar 20 (M3) Jun 20 (M6) Sep 20 (M9)
Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE)
FEC FORM 3X
REPORT OF RECEIPTS AND DISBURSEMENTSFor Other Than An Authorized Committee
1. NAME OF COMMITTEE (in full)
ADDRESS (number and street)
Check if different than previously reported. (ACC)
TYPE OR PRINT
CITY STATE ZIP CODE2. FEC IDENTIFICATION NUMBER ▼
▼ ▼ ▼
5. Covering Period through
I certify that I have examined this Report and to the best of my knowledge and belief it is true, correct and complete.
Type or Print Name of Treasurer
Signature of Treasurer Date
April 15 Quarterly Report (Q1)
July 15 Quarterly Report (Q2)
October 15 Quarterly Report (Q3)
January 31 Year-End Report (YE)
July 31 Mid-Year Report (Non-election Year Only) (MY)
Termination Report (TER) in the
Election on State of
in the Election on State of
Office Use Only
C
▼
3. IS THIS NEW AMENDED REPORT (N) OR (A)
(c)
▼
Nov 20 (M11)(Non-Election Year Only)
Dec 20 (M12)(Non-Election Year Only)
Example: If typing, type over the lines.
(d)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
12FE4M5
06/08/2017 18 : 05
Image# 201706089056413517 PAGE 1 / 109
MAVERICK PAC USA
C/O RED CURVE SOLUTIONS
138 CONANT STREET
BEVERLY MA 01915
C00427435
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06 20 GA2017
01 01 2017 05 31 2017
CRATE, BRADLEY, , ,
CRATE, BRADLEY, , ,[Electronically Filed] 06 08 2017
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M M / D D / Y Y Y Y M M / D D / Y Y Y Y
Y Y Y Y
COLUMN BCalendar Year-to-Date
COLUMN AThis Period
6. (a) Cash on Hand January 1,
(b) Cash on Hand at Beginning of Reporting Period ............
(c) Total Receipts (from Line 19) .............
(d) Subtotal (add Lines 6(b) and 6(c) for Column A and Lines 6(a) and 6(c) for Column B) ...............
7. Total Disbursements (from Line 31) ...........
8. Cash on Hand at Close of Reporting Period (subtract Line 7 from Line 6(d)) .................
9. Debts and Obligations Owed TO the Committee (Itemize all on Schedule C and/or Schedule D) ................
10. Debts and Obligations Owed BY the Committee (Itemize all on Schedule C and/or Schedule D) ................
For further information contact:
Federal Election Commission999 E Street, NW
Washington, DC 20463
Toll Free 800-424-9530Local 202-694-1100
FEC Form 3X (Rev. 05/2016 ) Page 2
SUMMARY PAGEOF RECEIPTS AND DISBURSEMENTS
This committee has qualified as a multicandidate committee. (see FEC FORM 1M)
Report Covering the Period: From: To:
Write or Type Committee Name
MAVERICK PAC USA
01 01 2017 05 31 2017
Image# 201706089056413518
2017 33123.17
33123.17
215787.07 215787.07
248910.24 248910.24
122683.23 122683.23
126227.01 126227.01
0.00
0.00
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M M / D D / Y Y Y Y M M / D D / Y Y Y Y
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Report Covering the Period: From: To:
COLUMN BCalendar Year-to-Date
COLUMN ATotal This Period
11. Contributions (other than loans) From: (a) Individuals/Persons Other Than Political Committees (i) Itemized (use Schedule A) ............ (ii) Unitemized ..................................... (iii) TOTAL (add Lines 11(a)(i) and (ii) .................
(b) Political Party Committees .................. (c) Other Political Committees (such as PACs) .................................... (d) Total Contributions (add Lines 11(a)(iii), (b), and (c)) (Carry Totals to Line 33, page 5) ..............12. Transfers From Affiliated/Other Party Committees ........................................
13. All Loans Received .....................................
14. Loan Repayments Received .......................15. Offsets To Operating Expenditures (Refunds, Rebates, etc.) (Carry Totals to Line 37, page 5) ...............16. Refunds of Contributions Made to Federal Candidates and Other Political Committees ....................................17. Other Federal Receipts (Dividends, Interest, etc.) ............................18. Transfers from Non-Federal and Levin Funds (a) Non-Federal Account (from Schedule H3) .............................
(b) Levin Funds (from Schedule H5) .........
(c) Total Transfers (add 18(a) and 18(b)) ..
19. Total Receipts (add Lines 11(d), 12, 13, 14, 15, 16, 17, and 18(c)) .........
20. Total Federal Receipts (subtract Line 18(c) from Line 19) .........
DETAILED SUMMARY PAGEof Receipts
Write or Type Committee Name
I. Receipts
FEC Form 3X (Rev. 05/2016 ) Page 3
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MAVERICK PAC USA
01 01 2017 05 31 2017
Image# 201706089056413519
59600.00 59600.00
14787.07 14787.07
74387.07 74387.07
0.00 0.00
5500.00 5500.00
79887.07 79887.07
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
135900.00 135900.00
0.00 0.00
0.00 0.00
0.00 0.00
215787.07 215787.07
215787.07 215787.07
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21. Operating Expenditures: (a) Allocated Federal/Non-Federal Activity (from Schedule H4) (i) Federal Share .............................
(ii) Non-Federal Share ...................... (b) Other Federal Operating Expenditures ....................................... (c) Total Operating Expenditures (add 21(a)(i), (a)(ii), and (b)) .............22. Transfers to Affiliated/Other Party Committees .................................................23. Contributions to Federal Candidates/Committees and Other Political Committees .................24. Independent Expenditures (use Schedule E) .......................................25. Coordinated Party Expenditures (52 U.S.C. § 30116(d)) (use Schedule F)........................................
26. Loan Repayments Made ............................
27. Loans Made ................................................28. Refunds of Contributions To: (a) Individuals/Persons Other Than Political Committees .................
(b) Political Party Committees ................. (c) Other Political Committees (such as PACs) ................................... (d) Total Contribution Refunds (add Lines 28(a), (b), and (c)) ...........
29. Other Disbursements (Including Non-Federal Donations) ...................................
30. Federal Election Activity (52 U.S.C. § 30101(20)) (a) Allocated Federal Election Activity (from Schedule H6) (i) Federal Share ................................
(ii) "Levin" Share................................. (b) Federal Election Activity Paid Entirely With Federal Funds .............. (c) Total Federal Election Activity (add Lines 30(a)(i), 30(a)(ii) and 30(b)) .....
31. Total Disbursements (add Lines 21(c), 22, 23, 24, 25, 26, 27, 28(d), 29 and 30(c)) ..
32. Total Federal Disbursements (subtract Line 21(a)(ii) and Line 30(a)(ii) from Line 31) ..............................................
COLUMN BCalendar Year-to-Date
COLUMN ATotal This Period
II. Disbursements
DETAILED SUMMARY PAGEof Disbursements
FEC Form 3X (Rev. 05/2016 ) Page 4
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Image# 201706089056413520
0.00 0.00
0.00 0.00
19578.89 19578.89
19578.89 19578.89
0.00 0.00
2500.00 2500.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
100604.34 100604.34
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
122683.23 122683.23
122683.23 122683.23
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COLUMN BCalendar Year-to-Date
COLUMN ATotal This Period
DETAILED SUMMARY PAGEof Disbursements
FEC Form 3X (Rev. 05/2016 ) Page 5III. Net Contributions/
Operating Expenditures
33. Total Contributions (other than loans) (from Line 11(d), page 3) ..........................34. Total Contribution Refunds (from Line 28(d)) ........................................35. Net Contributions (other than loans) (subtract Line 34 from Line 33) ................36. Total Federal Operating Expenditures (add Line 21(a)(i) and Line 21(b)) .........37. Offsets to Operating Expenditures (from Line 15, page 3)...............................38. Net Operating Expenditures (subtract Line 37 from Line 36) ................
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Image# 201706089056413521
79887.07 79887.07
0.00 0.00
79887.07 79887.07
19578.89 19578.89
0.00 0.00
19578.89 19578.89
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SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413522
6 109
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MAVERICK PAC USA
ABRAMCZYK, ANDREW, , ,
400 WEST 63RD ST
APARTMENT 1503 04 11 2017
NEW YORK NY 10069Transaction ID : SA11AI.16088
BARCLAYS INVESTMENT ANALYSIS
350.00
300.00
ANSBERRY, JAMES, , ,3925 DAVIS PL NWAPT B-1 01 20 2017
WASHINGTON DC 20007Transaction ID : SA11AI.15578
BOOZ ALLEN HAMILTON CONSULTANT
300.00
300.00
BAKER, CASSANDRA, , ,333 2ND ST NE
01 13 2017
WASHINGTON DC 20002Transaction ID : SA11AI.15500
FREEDOM PARTNERS ASSOCIATE
300.00
300.00
900.00
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
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SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413523
7 109
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MAVERICK PAC USA
BAYLISS, SLATER, , ,
204 SOUTH MONROE STREET02 20 2017
TALLAHASSEE FL 32301Transaction ID : SA11AI.15692
CARDENAS PARTNERS GOVERNMENT AFFAIRS
1500.00
1500.00
BEARDSLEE, KEITH, , ,1801 CHERRY STREET
04 19 2017
MEXICO MO 65265Transaction ID : SA11AI.16146
SEEN, READ, HEARD COMMUNICATIONS
300.00
300.00
BECKER, ASHLEY, , ,301 W 57TH STREET
5A 02 28 2017
NEW YORK NY 10019Transaction ID : SA11AI.15752
EY CONSULTANT
250.00
125.00
1925.00
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
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SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413524
8 109
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MAVERICK PAC USA
BECKER, ASHLEY, , ,
301 W 57TH STREET
5A 03 31 2017
NEW YORK NY 10019Transaction ID : SA11AI.15954
EY CONSULTANT
375.00
125.00
BECKER, ASHLEY, , ,301 W 57TH STREET5A 04 30 2017
NEW YORK NY 10019Transaction ID : SA11AI.16228
EY CONSULTANT
500.00
125.00
BECKER, ASHLEY, , ,301 W 57TH STREET
5A 05 31 2017
NEW YORK NY 10019Transaction ID : SA11AI.16340
EY CONSULTANT
625.00
125.00
375.00
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Aggregate Year-to-Date ▼
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C
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
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SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413525
9 109
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MAVERICK PAC USA
BONNA, ANTHONY, , ,
1771 W ROYAL TERN LANE05 12 2017
FORT PIERCE FL 34982Transaction ID : SA11AI.16291
SELF-EMPLOYED DIRECT MAIL & DIGITAL MARKETING
250.00
50.00
BRILLHART, BURTON, , ,5343 RICHARD AVENUE
01 14 2017
DALLAS TX 75206Transaction ID : SA11AI.15509
DRIVE FINANCIAL SERVICES OFFICER
1500.00
1500.00
BROGAN, FRANCIS, , ,2510 VIRGINIA AVENUE N.W,
APT 402-NORTH 04 29 2017
WASHINGTON DC 20037Transaction ID : SA11AI.16227
SUNSET POINT HOLDINGS LLLP ATTORNEY AND BUSINESS OWNER
250.00
125.00
1675.00
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Aggregate Year-to-Date ▼
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C
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▲ ▲ ▲
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
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, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413526
10 109
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MAVERICK PAC USA
BURKE, MARCELLA, , ,
19711 IVORY BROOK DRIVE03 14 2017
HOUSTON TX 77094Transaction ID : SA11AI.15862
AKIN GUMP ATTORNEY
300.00
300.00
BURNS, SHANNON, , ,8370 DOW CIRCLE
01 15 2017
STRONGSVILLE OH 44136Transaction ID : SA11AI.15516
VICTORY SOLUTIONS CEO
1000.00
1000.00
CALLAWAY, JONATHAN, , ,317 N FAYETTE ST
01 13 2017
ALEXANDRIA VA 22314Transaction ID : SA11AI.15504
FIVE CORNERS STRATEGIES CAMPAIGN MANAGER
500.00
500.00
1800.00
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▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413527
11 109
✘
MAVERICK PAC USA
CARUANA, CRAIG, , ,
5921 71ST STREET05 01 2017
MASPETH NY 11378Transaction ID : SA11AI.16233
AMERICA WORKS DIRECTOR OF VETERAN PROGRAMS
250.00
50.00
CASSIN, RYAN, , ,5504 JUNIUS STREET
02 28 2017
DALLAS TX 75214Transaction ID : SA11AI.15738
BEAST DIGITAL OWNER
1500.00
1500.00
CHIAVARONE, STEVE, , ,15 LIVINGSTONE DR.
03 15 2017
HAMILTON NJ 08619Transaction ID : SA11AI.15872
FEDERATED INVESTORS ASSET MANAGEMENT
300.00
300.00
1850.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413528
12 109
✘
MAVERICK PAC USA
CHRISMER, RICH, , ,
610 FOREST COURT
UNIT 3 01 04 2017
CLAYTON MO 63105Transaction ID : SA11AI.15416
ARTIREST STRATEGY
300.00
300.00
CHRISTIANSEN, MATTHEW, , MR.,101 73RD ST. APT 33
01 21 2017
NORTH BERGEN NJ 07047Transaction ID : SA11AI.15589
SEC ACCOUNTANT
300.00
300.00
CLARKE, DANIEL, , ,7 ARROWHEAD LANE
01 18 2017
COS COB CT 06807Transaction ID : SA11AI.15552
NOBLE GROUP ENERGY TRADING
300.00
300.00
900.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413529
13 109
✘
MAVERICK PAC USA
COMBEST, MONICA, , ,
3725 CAMBRIDGE CROSSING DRIVE03 30 2017
SAINT CHARLES MO 63304Transaction ID : SA11AI.15952
ENTERPRISE HOLDINGS, INC. MANAGER
300.00
300.00
COOK, JOHN, , ,46 HALL AVE
01 11 2017
WATERTOWN MA 02472Transaction ID : SA11AI.15477
UBS FINANCIAL ADVISOR
1000.00
1000.00
COOK, JOHN, , ,46 HALL AVE
01 11 2017
WATERTOWN MA 02472Transaction ID : SA11AI.15478
UBS FINANCIAL ADVISOR CHARGEBACK
500.00
– 500.00
800.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413530
14 109
✘
MAVERICK PAC USA
COOKE, CHRISTOPHER, , ,
1016 N DANIEL ST01 12 2017
ARLINGTON VA 22201Transaction ID : SA11AI.15484
CHADBOURNE & PARKE LLP ATTORNEY
500.00
500.00
COOKE, CHRISTOPHER, , ,1016 N DANIEL ST
05 30 2017
ARLINGTON VA 22201Transaction ID : SA11AI.16339
CHADBOURNE & PARKE LLP ATTORNEY
600.00
100.00
CORBETT, MATTHEW, , ,2121 ALLEN PKWY
APT. 4066 04 04 2017
HOUSTON TX 77019Transaction ID : SA11AI.16049
FREEPOINT COMMODITIES ENERGY ANALYST
500.00
500.00
1100.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413531
15 109
✘
MAVERICK PAC USA
COUGHLAN, DONALD, , ,
913 N HANCOCK ST01 18 2017
PHILADELPHIA PA 19123Transaction ID : SA11AI.15553
COMCAST FINANCE ASSOCIATE
500.00
500.00
DAGOSTINO, JAMES, , ,3705 DRUMMOND STREET
03 11 2017
HOUSTON TX 77025Transaction ID : SA11AI.15849
SELF-EMPLOYED FINANCIAL ANALYST
300.00
300.00
DAMSCHEN, ROB, , ,1600 SOUTH EADS STREET
01 18 2017
ARLINGTON VA 22202Transaction ID : SA11AI.15557
WISE PUBLIC AFFAIRS DIRECTOR
300.00
300.00
1100.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413532
16 109
✘
MAVERICK PAC USA
DANIEL, JENSON, , ,
8832 HARNESS TRAIL04 21 2017
POTOMAC MD 20854Transaction ID : SA11AI.16194
ORGANON ADVISORS MANAGEMENT CONSULTANT
500.00
500.00
DAVISON, TREVOR, , ,500 MADIN S
01 12 2017
ALEXANDRIA VA 22314Transaction ID : SA11AI.15486
US MILITARY OFFICER
500.00
500.00
DELAFE, CHRISTIAN, , ,3400 SW 27TH AVENUE #405
02 10 2017
MIAMI FL 33133Transaction ID : SA11AI.15630
GLOBAL CITY DEVELOPMENT REAL ESTATE
250.00
125.00
1125.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413533
17 109
✘
MAVERICK PAC USA
DELAFE, CHRISTIAN, , ,
3400 SW 27TH AVENUE #40503 10 2017
MIAMI FL 33133Transaction ID : SA11AI.15843
GLOBAL CITY DEVELOPMENT REAL ESTATE
375.00
125.00
DELAFE, CHRISTIAN, , ,3400 SW 27TH AVENUE #405
04 10 2017
MIAMI FL 33133Transaction ID : SA11AI.16070
GLOBAL CITY DEVELOPMENT REAL ESTATE
500.00
125.00
DELAFE, CHRISTIAN, , ,3400 SW 27TH AVENUE #405
05 10 2017
MIAMI FL 33133Transaction ID : SA11AI.16276
GLOBAL CITY DEVELOPMENT REAL ESTATE
625.00
125.00
375.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413534
18 109
✘
MAVERICK PAC USA
DICROCE, MARK, , ,
199 E 4TH ST. APT. 804 19 2017
NEW YORK NY 10009Transaction ID : SA11AI.16149
EY CONSULTANT
350.00
300.00
DIGIAMBATTISTA, ERNEST, , ,161 ESSEX STREET
01 12 2017
LYNNFIELD MA 01940Transaction ID : SA11AI.15494
CYBRIC CEO
500.00
500.00
EICHELBERGER, JOHN, , MR.,3838 N. BRAESWOOD BLVD.
APT 353 04 26 2017
HOUSTON TX 77025Transaction ID : SA11AI.16216
SCHWARTZ, PAGE & HARDING ATTORNEY
300.00
300.00
1100.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413535
19 109
✘
MAVERICK PAC USA
EMERT, JASON, , ,
3117 LITTLE DIG GAP ROAD02 10 2017
LOUISVILLE TN 37777Transaction ID : SA11AI.15631
THE EMERT GROUP ATTORNEY
250.00
125.00
EMERT, JASON, , ,3117 LITTLE DIG GAP ROAD
03 10 2017
LOUISVILLE TN 37777Transaction ID : SA11AI.15844
THE EMERT GROUP ATTORNEY
375.00
125.00
EMERT, JASON, , ,3117 LITTLE DIG GAP ROAD
04 10 2017
LOUISVILLE TN 37777Transaction ID : SA11AI.16071
THE EMERT GROUP ATTORNEY
500.00
125.00
375.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413536
20 109
✘
MAVERICK PAC USA
EMERT, JASON, , ,
3117 LITTLE DIG GAP ROAD05 10 2017
LOUISVILLE TN 37777Transaction ID : SA11AI.16277
THE EMERT GROUP ATTORNEY
625.00
125.00
FAIN, WILLIAM, , ,4125 CANNON BROOK WAY
01 19 2017
CHARLOTTESVILLE VA 22901Transaction ID : SA11AI.15561
AMERICANS OF PROSPERITY SENIOR FINANCIAL ANALYST
300.00
300.00
FINOCCHIO, PETER, , ,3116 12TH STREET SOUTH
01 20 2017
ARLINGTON VA 22204Transaction ID : SA11AI.15586
NOT EMPLOYED NOT EMPLOYED
300.00
300.00
725.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413537
21 109
✘
MAVERICK PAC USA
FLINT, CRISTIFER, G, ,
410 S JESSUP STREET05 29 2017
PHILADELPHIA PA 19147Transaction ID : SA11AI.16334
COMCAST SENIOR MANAGER, GOVERNMENT AFFAIRS
250.00
50.00
FLORES, CHARLES, , ,806 West 30th Street
05 14 2017
HOUSTON TX 77018Transaction ID : SA11AI.16298
BECK REDDEN LLP ATTORNEY
500.00
500.00
GAHMAN, BRANDON, , ,317 N FAYETTE
05 27 2017
ALEXANDRIA VA 22314Transaction ID : SA11AI.16327
FIVE CORNER STRATEGIES ASSOCIATE
250.00
50.00
600.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413538
22 109
✘
MAVERICK PAC USA
GARZA, A. JIMMY, , ,
1800 ANGELINA MARIE01 11 2017
PHARR TX 78577Transaction ID : SA11AI.15475
BEBO DISTRIBUTING DIRECTOR OF OPERATIONS
1500.00
1500.00
GIACINI, ANDREW, , ,1245 4TH STREET SOUTHWESTE511 01 15 2017
WASHINGTON DC 20024Transaction ID : SA11AI.15511
NOT EMPLOYED NOT EMPLOYED
500.00
500.00
GLEASON, ALEX, , ,1330 SOUTH FAIR STREET
01 18 2017
ARLINGTON VA 22202Transaction ID : SA11AI.15555
U.S. HOUSE OF REPRESENTATIVES COMMUNICATIONS DIRECTOR
500.00
500.00
2500.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413539
23 109
✘
MAVERICK PAC USA
GLEASON, ALEX, , ,
1330 SOUTH FAIR STREET01 24 2017
ARLINGTON VA 22202Transaction ID : SA11AI.15595
U.S. HOUSE OF REPRESENTATIVES COMMUNICATIONS DIRECTOR CHARGEBACK - AGGREGATE IS ZERO
– 500.00
GODBEY, CHRIS, , ,4329 36TH STREET S
02 04 2017
ARLINGTON VA 22206Transaction ID : SA11AI.15618
SURGE RED CONSULTANT
300.00
300.00
GOLAN, YVETTE, , ,1177 22ND ST. NW
01 13 2017
WASHINGTON DC 20037Transaction ID : SA11AI.15499
THE GOLAN FIRM ATTORNEY
300.00
300.00
100.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413540
24 109
✘
MAVERICK PAC USA
GOLDSMITH, MARY, , ,
925 H ST. NW #41401 11 2017
WASHINGTON DC 20001Transaction ID : SA11AI.15466
RSM DIRECTOR OF BUSINESS DEVELOPMENT & GOV
500.00
500.00
GOREY, JASON, , ,148 N EARLY ST.
02 16 2017
ALEXANDRIA VA 22304Transaction ID : SA11AI.15667
NO ONE LEFT BEHIND, INC. EXECUTIVE
300.00
300.00
GOUGH, JENNESS, , ,108 GENESEO ROAD
01 06 2017
SAN ANTONIO TX 78209Transaction ID : SA11AI.15432
UNIVERSITY OF THE INCARNATE WORD GRADUATE ASSISTANT OF TRADEMARK AND LI
300.00
300.00
1100.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413541
25 109
✘
MAVERICK PAC USA
GRANT, WENDOLYN, , ,
2000 NORTH BAYSHORE DRIVE, #121002 02 2017
MIAMI FL 33137Transaction ID : SA11AI.15613
REPUBLICA VP CORPORATE DEVELOPMENT
500.00
500.00
GREEN, DANIEL, , ,1045 21ST COURT
01 09 2017
VERO BEACH FL 32960Transaction ID : SA11AI.15444
THE WASHINGTON INSTITUTE FOR NEAR EAST RESEARCH FELLOW
300.00
300.00
GREENWILL, GATOR, , ,2548 JASU DRIVE
02 14 2017
LAWRENCE KS 66046Transaction ID : SA11AI.15650
GKG CAPITAL MANAGEMENT ENTREPRENEUR
250.00
125.00
925.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413542
26 109
✘
MAVERICK PAC USA
GREENWILL, GATOR, , ,
2548 JASU DRIVE03 14 2017
LAWRENCE KS 66046Transaction ID : SA11AI.15864
GKG CAPITAL MANAGEMENT ENTREPRENEUR
375.00
125.00
GREENWILL, GATOR, , ,2548 JASU DRIVE
04 14 2017
LAWRENCE KS 66046Transaction ID : SA11AI.16108
GKG CAPITAL MANAGEMENT ENTREPRENEUR
500.00
125.00
GREENWILL, GATOR, , ,2548 JASU DRIVE
05 14 2017
LAWRENCE KS 66046Transaction ID : SA11AI.16295
GKG CAPITAL MANAGEMENT ENTREPRENEUR
625.00
125.00
375.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413543
27 109
✘
MAVERICK PAC USA
GRIFFIN, MICHAEL, , ,
4220 WEST CORONA STREET03 14 2017
TAMPA FL 33629Transaction ID : SA11AI.15867
VERTICAL INTEGRATION, INC. COMMERCIAL REAL ESTATE
500.00
500.00
HALLAWAY, KATHERINE, , ,21402 PARK RUN
05 01 2017
KATY TX 77450Transaction ID : SA11AI.16234
BROWN AND GAY ENGINEERS, INC. ASSISTANT PROJECT ENGINEER
300.00
300.00
HART, GREGORY, , ,125 S. GREEN STREET
APT. 803A 02 06 2017
CHICAGO IL 60607Transaction ID : SA11AI.15627
DELOITTE CONSULTING MANAGEMENT CONSULTANT
250.00
125.00
925.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413544
28 109
✘
MAVERICK PAC USA
HART, GREGORY, , ,
125 S. GREEN STREET
APT. 803A 03 06 2017
CHICAGO IL 60607Transaction ID : SA11AI.15835
DELOITTE CONSULTING MANAGEMENT CONSULTANT
375.00
125.00
HART, GREGORY, , ,125 S. GREEN STREETAPT. 803A 04 06 2017
CHICAGO IL 60607Transaction ID : SA11AI.16058
DELOITTE CONSULTING MANAGEMENT CONSULTANT
500.00
125.00
HART, GREGORY, , ,125 S. GREEN STREET
APT. 803A 05 06 2017
CHICAGO IL 60607Transaction ID : SA11AI.16268
DELOITTE CONSULTING MANAGEMENT CONSULTANT
625.00
125.00
375.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413545
29 109
✘
MAVERICK PAC USA
HERNANDEZ, KEVIN, , ,
1126 11TH ST NW01 13 2017
WASHINGTON DC 20001Transaction ID : SA11AI.15501
US HISPANIC CHAMBER OF COMMERC DIRECTOR OF GOVT. AFFAIRS
300.00
300.00
HORN, ANDREW, , ,1115 CAMERON STREETUNIT 111 01 04 2017
ALEXANDRIA VA 22314Transaction ID : SA11AI.15417
DELOITTE CONSULTING, LLP MANAGEMENT CONSULTANT
500.00
500.00
IZZO, PETER, , ,717 5TH AVE.
01 18 2017
NEW YORK NY 10022Transaction ID : SA11AI.15548
MERRILL LYNCH FINANCE
500.00
500.00
1300.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413546
30 109
✘
MAVERICK PAC USA
JABLONKA, CURTIS, , ,
2400 MILLIGAN GROVE01 20 2017
GROVE CITY OH 43123Transaction ID : SA11AI.15575
SELF-EMPLOYED PRIVATE JETS/ REAL ESTATE/ INSURANCE
300.00
300.00
JACOBS, EMILY, , ,1801 16TH STREET NWUNIT 111 02 27 2017
WASHINGTON DC 20009Transaction ID : SA11AI.15730
SQUIRE PATTON BOGGS PRINCIPAL
500.00
500.00
JACQUES, BERNY, , ,7606 RIDGE ROAD #203
01 11 2017
SEMINOLE FL 33772Transaction ID : SA11AI.15462
STATE OF FLORIDA ATTORNEY
500.00
500.00
1300.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413547
31 109
✘
MAVERICK PAC USA
JERNIGAN, LISA, , ,
3815 FOREST GLEN DRIVE01 13 2017
BIRMINGHAM AL 35213Transaction ID : SA11AI.15496
MARATHON CORPORATION ATTORNEY
1500.00
1500.00
JONES, JAMES, , ,6335 GULFTONSTE. 100 04 05 2017
HOUSTON TX 77081Transaction ID : SA11AI.16052
JONES & CARTER MANAGER
500.00
500.00
JONES, JAMES, , ,6335 GULFTON
STE. 100 05 31 2017
HOUSTON TX 77081Transaction ID : SA11AI.16343
JONES & CARTER MANAGER
525.00
25.00
2025.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413548
32 109
✘
MAVERICK PAC USA
KAHRS, JAMES, , ,
901 NORTH POLLARD STREET
SUITE 1513 05 11 2017
ARLINGTON VA 22203Transaction ID : SA11AI.16280
PANGEA OWNER
250.00
50.00
KLIONSKY, CIPORA, , ,1205 NORTH GARFIELD STREETAPT 910 03 01 2017
ARLINGTON VA 22201Transaction ID : SA11AI.15793
US DEPARTMENT OF JUSTICE ANALYST
300.00
300.00
KORSON, TRAVIS, , ,70 I STREET SOUTHEAST
01 20 2017
WASHINGTON DC 20003Transaction ID : SA11AI.15577
MILLENNIAL STRATEGY GROUP CONSULTANT
300.00
300.00
650.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413549
33 109
✘
MAVERICK PAC USA
KROLL, CHASE, , ,
2987 DISTRICT AVENUE01 21 2017
FAIRFAX VA 22031Transaction ID : SA11AI.15591
GO BIG MEDIA DIGITAL MEDIA
300.00
300.00
KRONCKE, BARBARA, , ,51 BAKER PLACE
01 19 2017
NEWTON LOWER FALLS MA 02462Transaction ID : SA11AI.15563
MCCARTER & ENGLISH, LLP ATTORNEY
1000.00
1000.00
KRONCKE, BARBARA, , ,51 BAKER PLACE
01 19 2017
NEWTON LOWER FALLS MA 02462Transaction ID : SA11AI.15565
MCCARTER & ENGLISH, LLP ATTORNEY
1300.00
300.00
1600.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413550
34 109
✘
MAVERICK PAC USA
LILLY, SUSAN, , ,
1005 CONGRESS AVE., STE. 91001 16 2017
AUSTIN TX 78701Transaction ID : SA11AI.15528
LILLY & CO PRESIDENT
1500.00
1500.00
LINN, JULIE, , ,7203 LA VISTA DRIVE
05 19 2017
DALLAS TX 75214Transaction ID : SA11AI.16310
SHAPIRO LINN STRATEGIC CONS. PARTNER
300.00
300.00
MAGNUSON, ERIC, , ,15 WILLIAM STREET
APARTMENT 20A 02 06 2017
NEW YORK NY 10005Transaction ID : SA11AI.15621
SELF-EMPLOYED BANKING & CAPITAL MARKETS CONSULTANT
250.00
125.00
1925.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413551
35 109
✘
MAVERICK PAC USA
MAGNUSON, ERIC, , ,
15 WILLIAM STREET
APARTMENT 20A 03 06 2017
NEW YORK NY 10005Transaction ID : SA11AI.15831
SELF-EMPLOYED BANKING & CAPITAL MARKETS CONSULTANT
375.00
125.00
MAGNUSON, ERIC, , ,15 WILLIAM STREETAPARTMENT 20A 04 06 2017
NEW YORK NY 10005Transaction ID : SA11AI.16063
SELF-EMPLOYED BANKING & CAPITAL MARKETS CONSULTANT
500.00
125.00
MAGNUSON, ERIC, , ,15 WILLIAM STREET
APARTMENT 20A 05 06 2017
NEW YORK NY 10005Transaction ID : SA11AI.16272
SELF-EMPLOYED BANKING & CAPITAL MARKETS CONSULTANT
625.00
125.00
375.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413552
36 109
✘
MAVERICK PAC USA
MARQUIS, GARRETT, , ,
1835 PHELPS PL NW
31 01 19 2017
WASHINGTON DC 20008Transaction ID : SA11AI.15566
PRISM STRATEGY INC CONSULTANT
300.00
300.00
MAYFIELD, EARL, , ,10560 MAIN STREET#218 01 16 2017
FAIRFAX VA 22030Transaction ID : SA11AI.15530
JURIS DAY ATTORNEY
300.00
300.00
MAYS, CHRISTOPHER, , ,40 KITTERY COURT
01 09 2017
SAN JOSE CA 95139Transaction ID : SA11AI.15446
WSG&R ATTORNEY
1000.00
1000.00
1600.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413553
37 109
✘
MAVERICK PAC USA
MCCLURE, ANDREW, , ,
30 CAMBRIDGE PARK DRIVE01 17 2017
CAMBRIDGE MA 02140Transaction ID : SA11AI.15541
MIT STUDENT
300.00
300.00
MCCLURE, ANDREW, , ,30 CAMBRIDGE PARK DRIVE
03 01 2017
CAMBRIDGE MA 02140Transaction ID : SA11AI.15767
MIT STUDENT
325.00
25.00
MCCLURE, ANDREW, , ,30 CAMBRIDGE PARK DRIVE
05 31 2017
CAMBRIDGE MA 02140Transaction ID : SA11AI.16341
MIT STUDENT
425.00
100.00
425.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413554
38 109
✘
MAVERICK PAC USA
MCGONEGLE, HEATHER, , ,
1500 WASHINGTON STREET01 15 2017
HOBOKEN NJ 07030Transaction ID : SA11AI.15513
MARS, INC. TAX ACCOUNTANT
300.00
300.00
MEGERLE, STEVEN, , ,3987 ROSE HILL AVENUE
01 17 2017
CINCINNATI OH 45229Transaction ID : SA11AI.15537
SELF-EMPLOYED ATTORNEY
500.00
500.00
MILLIGAN, PETER, , ,39 W. 75TH ST.
APT. 2F 01 06 2017
NEW YORK NY 10023Transaction ID : SA11AI.15433
WEIL, GOTSHAL & MANGES LLP ATTORNEY
500.00
500.00
1300.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413555
39 109
✘
MAVERICK PAC USA
MILLIGAN, PETER, , ,
39 W. 75TH ST.
APT. 2F 05 31 2017
NEW YORK NY 10023Transaction ID : SA11AI.16342
WEIL, GOTSHAL & MANGES LLP ATTORNEY
600.00
100.00
MONGELL, GEORGE, , ,PO BOX 81681
01 06 2017
PITTSBURGH PA 15217Transaction ID : SA11AI.15428
VITMORE REAL ESTATE DEVELOPER
500.00
500.00
MONTY, JACOB, , ,150 W PARKER
01 20 2017
HOUSTON TX 77076Transaction ID : SA11AI.15573
MONTY PARTNERS PARTNER
1500.00
1500.00
2100.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413556
40 109
✘
MAVERICK PAC USA
MOORE, EDWIN, H, ,
2453 BASS BAY DR.03 17 2017
TALLAHASSEE FL 32312Transaction ID : SA11AI.15880
DOD MILITARY
250.00
250.00
MORITZ, CHRISTIAN, , ,1015 PAPERMILL COURT
01 12 2017
WASHINGTON DC 20007Transaction ID : SA11AI.15480
LINKEDIN MARKETING
300.00
300.00
MUNIZ, ARTEMIO, , ,11210 BENTLEY
02 15 2017
HOUSTON TX 77093Transaction ID : SA11AI.15662
A&M MATTRESS CO. CONSULTANT
275.00
125.00
675.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413557
41 109
✘
MAVERICK PAC USA
MUNIZ, ARTEMIO, , ,
11210 BENTLEY02 15 2017
HOUSTON TX 77093Transaction ID : SA11AI.15665
A&M MATTRESS CO. CONSULTANT CHARGEBACK
250.00
– 25.00
MUNIZ, ARTEMIO, , ,11210 BENTLEY
03 15 2017
HOUSTON TX 77093Transaction ID : SA11AI.15869
A&M MATTRESS CO. CONSULTANT
375.00
125.00
MUNIZ, ARTEMIO, , ,11210 BENTLEY
04 15 2017
HOUSTON TX 77093Transaction ID : SA11AI.16117
A&M MATTRESS CO. CONSULTANT
500.00
125.00
225.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413558
42 109
✘
MAVERICK PAC USA
MUNIZ, ARTEMIO, , ,
11210 BENTLEY05 15 2017
HOUSTON TX 77093Transaction ID : SA11AI.16300
A&M MATTRESS CO. CONSULTANT
625.00
125.00
MUSA, ARMANDO, , ,11 NORTHFIELD GATE
03 27 2017
PITTSFORD NY 14534Transaction ID : SA11AI.15927
IBERDROLA USA IN-HOUSE CONSEL
500.00
500.00
NAUERT, JONATHAN, , ,15345 NORTH SCOTTSDALE ROAD
SUITE 3051 02 06 2017
SCOTTSDALE AZ 85254Transaction ID : SA11AI.15622
B2 PARTNERS, LLC PRIVATE EQUITY INVESTOR
250.00
125.00
750.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413559
43 109
✘
MAVERICK PAC USA
NAUERT, JONATHAN, , ,
15345 NORTH SCOTTSDALE ROAD
SUITE 3051 03 06 2017
SCOTTSDALE AZ 85254Transaction ID : SA11AI.15830
B2 PARTNERS, LLC PRIVATE EQUITY INVESTOR
375.00
125.00
NAUERT, JONATHAN, , ,15345 NORTH SCOTTSDALE ROADSUITE 3051 04 06 2017
SCOTTSDALE AZ 85254Transaction ID : SA11AI.16062
B2 PARTNERS, LLC PRIVATE EQUITY INVESTOR
500.00
125.00
NAUERT, JONATHAN, , ,15345 NORTH SCOTTSDALE ROAD
SUITE 3051 05 06 2017
SCOTTSDALE AZ 85254Transaction ID : SA11AI.16271
B2 PARTNERS, LLC PRIVATE EQUITY INVESTOR
625.00
125.00
375.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413560
44 109
✘
MAVERICK PAC USA
NELSON, TYLER, , ,
8410 HWY 90A, #16001 20 2017
SUGAR LAND FL 77478Transaction ID : SA11AI.15579
CORNERSTONE GOVERNMENT AFFAIRS LOBBYIST
250.00
250.00
NELSON, TYLER, , ,8410 HWY 90A, #160
02 20 2017
SUGAR LAND FL 77478Transaction ID : SA11AI.15694
CORNERSTONE GOVERNMENT AFFAIRS LOBBYIST
500.00
250.00
NELSON, TYLER, , ,8410 HWY 90A, #160
03 20 2017
SUGAR LAND FL 77478Transaction ID : SA11AI.15902
CORNERSTONE GOVERNMENT AFFAIRS LOBBYIST
750.00
250.00
750.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413561
45 109
✘
MAVERICK PAC USA
NILSON, BRUCE, , ,
1947 N UHLE STREET01 20 2017
ARLINGTON VA 22201Transaction ID : SA11AI.15582
RED CURVE SOLUTIONS CONSULTANT
300.00
300.00
NOBLE, SEAN, , ,3800 EAST LINCOLN DRIVE #25
01 19 2017
PHOENIX AZ 85018Transaction ID : SA11AI.15568
DC LONDON PRESIDENT
500.00
500.00
NOBLE, SEAN, , ,3800 EAST LINCOLN DRIVE #25
02 04 2017
PHOENIX AZ 85018Transaction ID : SA11AI.15619
DC LONDON PRESIDENT
625.00
125.00
925.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413562
46 109
✘
MAVERICK PAC USA
NOBLE, SEAN, , ,
3800 EAST LINCOLN DRIVE #2503 04 2017
PHOENIX AZ 85018Transaction ID : SA11AI.15826
DC LONDON PRESIDENT
750.00
125.00
NOBLE, SEAN, , ,3800 EAST LINCOLN DRIVE #25
04 04 2017
PHOENIX AZ 85018Transaction ID : SA11AI.16050
DC LONDON PRESIDENT
875.00
125.00
NOBLE, SEAN, , ,3800 EAST LINCOLN DRIVE #25
05 04 2017
PHOENIX AZ 85018Transaction ID : SA11AI.16263
DC LONDON PRESIDENT
1000.00
125.00
375.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413563
47 109
✘
MAVERICK PAC USA
OBST, MARTIN, , ,
105 BERKLEY ROAD02 22 2017
INDIANAPOLIS IN 46208Transaction ID : SA11AI.15708
INFORMATION REQUESTED SENIOR ADVISOR
250.00
125.00
OBST, MARTIN, , ,105 BERKLEY ROAD
03 22 2017
INDIANAPOLIS IN 46208Transaction ID : SA11AI.15922
INFORMATION REQUESTED SENIOR ADVISOR
375.00
125.00
OBST, MARTIN, , ,105 BERKLEY ROAD
04 22 2017
INDIANAPOLIS IN 46208Transaction ID : SA11AI.16199
INFORMATION REQUESTED SENIOR ADVISOR
500.00
125.00
375.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413564
48 109
✘
MAVERICK PAC USA
OBST, MARTIN, , ,
105 BERKLEY ROAD05 22 2017
INDIANAPOLIS IN 46208Transaction ID : SA11AI.16318
INFORMATION REQUESTED SENIOR ADVISOR
625.00
125.00
ORTAGUS, MORGAN, , ,265 E 66TH STREETAPT. 22A 03 27 2017
NEW YORK NY 10065Transaction ID : SA11AI.15932
EY EXECUTIVE DIRECTOR
250.00
125.00
ORTAGUS, MORGAN, , ,265 E 66TH STREET
APT. 22A 04 27 2017
NEW YORK NY 10065Transaction ID : SA11AI.16222
EY EXECUTIVE DIRECTOR
375.00
125.00
375.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413565
49 109
✘
MAVERICK PAC USA
ORTAGUS, MORGAN, , ,
265 E 66TH STREET
APT. 22A 05 27 2017
NEW YORK NY 10065Transaction ID : SA11AI.16330
EY EXECUTIVE DIRECTOR
500.00
125.00
OSTERLING, SCOTT, , ,10218 BURGOYNE RD
03 21 2017
HOUSTON TX 77042Transaction ID : SA11AI.15917
SCHLUMBERGER BUSINESS EXECUTIVE
300.00
300.00
PALAZZO-GIORGIO, BRANDON, , ,2121 MID LANE
APT. 457 05 11 2017
HOUSTON TX 77027Transaction ID : SA11AI.16285
GREENBRIAR FINANCIAL INVESTMENT MANAGER
250.00
50.00
475.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413566
50 109
✘
MAVERICK PAC USA
PAYNE, TYLER, , ,
10205 4TH ST E01 13 2017
TREASURE ISLAND FL 33706Transaction ID : SA11AI.15498
OPTIMART, INC. ATTORNEY
500.00
500.00
PEDROSA, NILDA, , ,6640 SOUTHWEST 122ND STREET
01 11 2017
PINECREST FL 33156Transaction ID : SA11AI.15469
STATE OF FLORIDA DEPUTY CHIEF OF STAFF
500.00
500.00
PFEIFER, DANIEL, , ,6539 SAGAMORE ROAD
01 16 2017
MISSION HILLS KS 66208Transaction ID : SA11AI.15522
SELF-EMPLOYED CONSULTANT
1500.00
1500.00
2500.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413567
51 109
✘
MAVERICK PAC USA
PHILPOTT, MICHAEL, , ,
130 MADISON STREET
APT. 8 05 29 2017
HOBOKEN NJ 07030Transaction ID : SA11AI.16337
ERNST & YOUNG CONSULTANT
250.00
100.00
PHILPOTT, MICHAEL, , ,130 MADISON STREETAPT. 8 05 31 2017
HOBOKEN NJ 07030Transaction ID : SA11AI.16344
ERNST & YOUNG CONSULTANT
275.00
25.00
PORTER, GREGORY, , ,7 EAST 57TH STREET
01 16 2017
KANSAS CITY MO 64113Transaction ID : SA11AI.15527
CATALYST CONSULTANT
300.00
300.00
425.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413568
52 109
✘
MAVERICK PAC USA
POWERS, KELLY, , ,
312 WEST 87TH ST., 2D01 20 2017
NEW YORK NY 10024Transaction ID : SA11AI.15584
SELF-EMPLOYED PHYSICIAN
300.00
300.00
RISON, ERIK, , ,16 N VINE ST APT 208
01 12 2017
RICHMOND VA 23220Transaction ID : SA11AI.15490
THE NORTH HIGHLAND COMPANY MANAGEMENT CONSULTANT
300.00
300.00
RITER, JOEL, , ,2430 4TH STREET NW
01 05 2017
WASHINGTON DC 20002Transaction ID : SA11AI.15426
SELF CONSULTANT
500.00
500.00
1100.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413569
53 109
✘
MAVERICK PAC USA
ROE, WILLIAM, PRICE, ,
3331 LAS PALMAS ST03 17 2017
HOUSTON TX 77027-6346Transaction ID : SA11AI.15883
DIGITAL MANAGEMENT, INC. MANAGEMENT CONSULTING
300.00
300.00
ROONEY, KATHLEEN, , ,3406 N ST NW
01 16 2017
WASHINGTON DC 20007Transaction ID : SA11AI.15532
ROONEY HOLDINGS ANALYST
1500.00
1500.00
SAMRA, HAROUT, , ,445 SEVILLA AVENUE
01 16 2017
CORAL GABLES FL 33134Transaction ID : SA11AI.15525
DLA PIPER LLP ATTORNEY
1500.00
1500.00
3300.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413570
54 109
✘
MAVERICK PAC USA
SANDERS, JOSHUA, , ,
1328 W 22ND ST03 28 2017
HOUSTON TX 77008Transaction ID : SA11AI.15941
HALL ATTORNEYS POLICY DIRECTOR
300.00
300.00
SARELSON, MATTHEW, , ,1522 CECILIA AVENUE
03 15 2017
CORAL GABLES FL 33146Transaction ID : SA11AI.15871
MATTHEW SETH SARELSON, P.A. ATTORNEY
1500.00
1500.00
SHAHBANDAR, OUBAI, , ,1372 N VEITCH ST
01 18 2017
ARLINGTON VA 22201Transaction ID : SA11AI.15550
USG ANALYST
300.00
300.00
2100.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413571
55 109
✘
MAVERICK PAC USA
SICILIANO, STUART, , ,
5205 ABINGDON ROAD03 14 2017
BETHESDA MD 20816Transaction ID : SA11AI.15866
HAMILTON PLACE STRATEGIES PARTNER
300.00
300.00
SKINNER, PAUL, , ,3661 S. PINE AVE.
02 13 2017
OCALA FL 34471Transaction ID : SA11AI.15647
PTS CONSULTING OWNER/INVESTOR
250.00
125.00
SKINNER, PAUL, , ,3661 S. PINE AVE.
03 13 2017
OCALA FL 34471Transaction ID : SA11AI.15859
PTS CONSULTING OWNER/INVESTOR
375.00
125.00
550.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413572
56 109
✘
MAVERICK PAC USA
SOLTIS ANDERSON, KRISTEN, , ,
411 11TH ST SE01 05 2017
WASHINGTON DC 20003Transaction ID : SA11AI.15422
ECHELON INSIGHTS PARTNER
500.00
500.00
SONDERLING, KEITH, , ,15631 GLENCREST AVE
02 16 2017
DELRAY BEACH FL 33446Transaction ID : SA11AI.15678
GUNSTER ATTORNEY
250.00
125.00
SONDERLING, KEITH, , ,15631 GLENCREST AVE
03 16 2017
DELRAY BEACH FL 33446Transaction ID : SA11AI.15875
GUNSTER ATTORNEY
375.00
125.00
750.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413573
57 109
✘
MAVERICK PAC USA
SONDERLING, KEITH, , ,
15631 GLENCREST AVE04 16 2017
DELRAY BEACH FL 33446Transaction ID : SA11AI.16122
GUNSTER ATTORNEY
500.00
125.00
SONDERLING, KEITH, , ,15631 GLENCREST AVE
05 16 2017
DELRAY BEACH FL 33446Transaction ID : SA11AI.16303
GUNSTER ATTORNEY
625.00
125.00
SOWELL, JAMAL, , ,714 EAST ATWATER AVENUE
APARTMENT 1A 01 18 2017
BLOOMINGTON IN 47401Transaction ID : SA11AI.15556
SELF-EMPLOYED LAW STUDENT
550.00
500.00
750.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413574
58 109
✘
MAVERICK PAC USA
SOWELL, JAMAL, , ,
714 EAST ATWATER AVENUE
APARTMENT 1A 02 14 2017
BLOOMINGTON IN 47401Transaction ID : SA11AI.15651
SELF-EMPLOYED LAW STUDENT
600.00
50.00
SOWELL, JAMAL, , ,714 EAST ATWATER AVENUEAPARTMENT 1A 03 14 2017
BLOOMINGTON IN 47401Transaction ID : SA11AI.15860
SELF-EMPLOYED LAW STUDENT
650.00
50.00
SOWELL, JAMAL, , ,714 EAST ATWATER AVENUE
APARTMENT 1A 04 14 2017
BLOOMINGTON IN 47401Transaction ID : SA11AI.16111
SELF-EMPLOYED LAW STUDENT
700.00
50.00
150.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413575
59 109
✘
MAVERICK PAC USA
SOWELL, JAMAL, , ,
714 EAST ATWATER AVENUE
APARTMENT 1A 05 14 2017
BLOOMINGTON IN 47401Transaction ID : SA11AI.16297
SELF-EMPLOYED LAW STUDENT
750.00
50.00
STANTON, FREDRIK, , ,54 WEST 9TH STREET
01 06 2017
NEW YORK NY 10011Transaction ID : SA11AI.15431
SELF-EMPLOYED FILM MAKER
500.00
500.00
STONE, KYLE, , ,68 ELLENDALE RD.
03 15 2017
DEERFIELD IL 60611Transaction ID : SA11AI.15873
ILLINOIS DEPT OF PUBLIC HEALTH ATTORNEY
300.00
300.00
850.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413576
60 109
✘
MAVERICK PAC USA
THORNTON, DOUGLAS, , ,
8100 ASHFORD COURT01 19 2017
FREDERICK MD 21702Transaction ID : SA11AI.15570
SELF-EMPLOYED SELF-EMPLOYED
300.00
300.00
TITUS, ALEXANDER, , ,6711 WASHINGTON BOULEVARDUNIT E 04 20 2017
ARLINGTON VA 22213Transaction ID : SA11AI.16190
FREEDOM PARTNERS BUSINESS DEVELOPMENT
300.00
300.00
TUOHY, JOSHUA, , ,57 G STREET SOUTHWEST
02 23 2017
WASHINGTON DC 20024Transaction ID : SA11AI.15712
NON-PROFIT GOVERNMENT RELATIONS
300.00
300.00
900.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413577
61 109
✘
MAVERICK PAC USA
VALLS, NICOLE, , ,
515 SW 22ND RD01 09 2017
MIAMI FL 33129Transaction ID : SA11AI.15443
VALLS GROUP RESTAURANTEUR
500.00
500.00
VANDER POEL, NICK, , ,5520 RUE ST TROPEZ
02 09 2017
RENO NV 89511Transaction ID : SA11AI.15629
CAPITOL PARTNERS GOVERNMENT RELATIONS
250.00
125.00
VANDER POEL, NICK, , ,5520 RUE ST TROPEZ
03 05 2017
RENO NV 89511Transaction ID : SA11AI.15827
CAPITOL PARTNERS GOVERNMENT RELATIONS
375.00
125.00
750.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413578
62 109
✘
MAVERICK PAC USA
VANDER POEL, NICK, , ,
5520 RUE ST TROPEZ04 05 2017
RENO NV 89511Transaction ID : SA11AI.16051
CAPITOL PARTNERS GOVERNMENT RELATIONS
500.00
125.00
VANDER POEL, NICK, , ,5520 RUE ST TROPEZ
05 05 2017
RENO NV 89511Transaction ID : SA11AI.16265
CAPITOL PARTNERS GOVERNMENT RELATIONS
625.00
125.00
WAGNER, STEPHEN, , ,833 SUDBURY DRIVE
APARTMENT 8 04 06 2017
CLAYTON MO 63105Transaction ID : SA11AI.16055
MONETA GROUP LLC FINANCIAL ADVISOR
300.00
300.00
550.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413579
63 109
✘
MAVERICK PAC USA
WALKER, JAMES, , ,
1301 NORTH TROY STREET
APT. 305 01 03 2017
ARLINGTON VA 22201Transaction ID : SA11AI.15412
MONUMENT CAPITAL GROUP LLC INVESTMENT PROFESSIONAL
300.00
300.00
WARNER, FREDERIC, , ,2803 FERNDALE
02 06 2017
HOUSTON TX 77098Transaction ID : SA11AI.15626
MEMORIAL HERMANN GOVERNMENT AFFAIRS
250.00
125.00
WARNER, FREDERIC, , ,2803 FERNDALE
03 06 2017
HOUSTON TX 77098Transaction ID : SA11AI.15834
MEMORIAL HERMANN GOVERNMENT AFFAIRS
375.00
125.00
550.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413580
64 109
✘
MAVERICK PAC USA
WARNER, FREDERIC, , ,
2803 FERNDALE04 06 2017
HOUSTON TX 77098Transaction ID : SA11AI.16057
MEMORIAL HERMANN GOVERNMENT AFFAIRS
500.00
125.00
WARNER, FREDERIC, , ,2803 FERNDALE
05 07 2017
HOUSTON TX 77098Transaction ID : SA11AI.16273
MEMORIAL HERMANN GOVERNMENT AFFAIRS
625.00
125.00
WELLS, KONSTANTINE, , ,50 SOUND VIEW DRIVE
01 15 2017
GREENWICH CT 06830Transaction ID : SA11AI.15518
06830 CAPITAL LLC MANAGING PARTNER
300.00
300.00
550.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413581
65 109
✘
MAVERICK PAC USA
WESSEL, CAMERON, , ,
7922 DAY CREEK BOULEVARD01 17 2017
RANCHO CUCAMONGA CA 91739Transaction ID : SA11AI.15545
SELF-EMPLOYED BUSINESS OWNER
500.00
500.00
WILDER, EMMANUEL, , ,3030 CAREWAY PLACE
05 22 2017
RALEIGH NC 27607Transaction ID : SA11AI.16316
FIDELITY INVESTMENTS TECHNICAL LEAD
250.00
50.00
WRIGHT, AUSTIN, , ,301 E. 63RD STREET
01 09 2017
NEW YORK CITY NY 10065Transaction ID : SA11AI.15451
SELF-EMPLOYED CONSULTANT
300.00
300.00
850.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413582
66 109
✘
MAVERICK PAC USA
WULLER, ELIZABETH, , ,
906 NEW HAMPSHIRE AVE NW05 10 2017
WASHINGTON DC 20037Transaction ID : SA11AI.16278
QUORUM ANALYTICS BUSINESS DEVELOPMENT
250.00
50.00
50.00
59600.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413583
67 109
✘
MAVERICK PAC USA
DENISE GITSHAM FOR CONGRESS
427 C STREET
STE 220 02 03 2017
SAN DIEGO CA 92101Transaction ID : SA11C.15386
C00591685
500.00
500.00
QUICKEN LOANS INC PAC101 S. WASHINGTON SQ.SUITE 620 02 03 2017
LANSING MI 48933Transaction ID : SA11C.15391
C00388827
5000.00
5000.00
5500.00
5500.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413584
68 109
✘
MAVERICK PAC USA
ANHEUSER BUSCH COMPANIES
1401 I STREET NW
SUITE 200 03 17 2017
WASHINGTON DC 20005Transaction ID : SA17.15400
NON-CONTRIBUTION ACCOUNT
5000.00
5000.00
CITIZENS FOR NIRAJ ANTANI8547 WHITE CEDAR DRIVE
01 18 2017
MIAMISBURG HI 45342Transaction ID : SA17.15389
300.00
NON-CONTRIBUTION ACCOUNT
300.00
HARBINGER LLC1919 M STREET NW, STE 200
02 03 2017
WASHINGTON DC 20036Transaction ID : SA17.15387
NON-CONTRIBUTION ACCOUNT
600.00
600.00
5900.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413585
69 109
✘
MAVERICK PAC USA
KOCH COMPANIES PUBLIC SECTOR, LLC
4111 EAST 37TH ST NORTH01 23 2017
WICHITA KS 67220Transaction ID : SA17.15395
NON-CONTRIBUTION ACCOUNT
10000.00
10000.00
QORVIS1201 CONNECTICUT AVE, NWSUITE 500 01 17 2017
WASHINGTON DC 20036Transaction ID : SA17.16400
5000.00
NON-CONTRIBUTION ACCOUNT
5000.00
QUICKEN LOANS1050 WOODWARD AVENUE
02 13 2017
DETROIT MI 48226Transaction ID : SA17.15398
NON-CONTRIBUTION ACCOUNT
15000.00
15000.00
30000.00
▲ ▲ ▲ , , . , , .
▲ ▲ ▲ , , .
Aggregate Year-to-Date ▼
▲ ▲ ▲ , , .
C
▲ ▲ ▲ , , .C
, , .
▲ ▲ ▲
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
▲ ▲ ▲ , , .
, , .
SCHEDULE A (FEC Form 3X)ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 06/2016
Date of Receipt
Name of Employer (for Individual) Occupation (for Individual)
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date ▼
Date of Receipt
▼
FEC ID number of contributingfederal political committee.
Full Name of Individual (Last, First, Middle Initial) or Full Organization Name
Mailing Address
City State Zip Code
Receipt For: Primary General Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date ▼
Date of Receipt
FEC ID number of contributingfederal political committee.
PAGE OFFOR LINE NUMBER: (check only one)Use separate schedule(s)
for each category of the Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
Memo Item
Memo Item
Memo Item
Name of Employer (for Individual) Occupation (for Individual)
Name of Employer (for Individual) Occupation (for Individual)
Image# 201706089056413586
70 109
✘
MAVERICK PAC USA
ROONEY HOLDINGS, INC.
5601 SOUTH 122ND EAST AVE.01 30 2017
TULSA OK 74146Transaction ID : SA17.15397
NON-CONTRIBUTION ACCOUNT
100000.00
100000.00
100000.00
135900.00
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413587
71 109
✘
MAVERICK PAC USA
APEX
138 CONANT STREET 03 21 2017
2ND FLOOR
BEVERLY MA 01915
MERCHANT FEESTransaction ID : SB21B.15960
1.00
APEX
138 CONANT STREET 04 04 2017
2ND FLOOR
BEVERLY MA 01915
MERCHANT FEESTransaction ID : SB21B.16345
2.00
BOYSE, NATALIE, R, ,
41 GARDEN STREET 01 11 2017
APARTMENT #10
BOSTON MA 02114
EVENT EXPENSE: CATERINGTransaction ID : SB21B.15962
535.95
538.95
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413588
72 109
✘
MAVERICK PAC USA
BOYSE, NATALIE, R, ,
41 GARDEN STREET 03 27 2017
APARTMENT #10
BOSTON MA 02114
EVENT EXPENSE: CATERINGTransaction ID : SB21B.15963
390.99
DIMTCHEV, PETAR, , ,
5101 RIVER RD #503 04 07 2017
BETHESDA MD 20816
EVENT ENTERTAINMENT: MUSICTransaction ID : SB21B.16350
600.00
NEW YORK ATHLETIC CLUB
180 CENTRAL PARK SOUTH 04 21 2017
NEW YORK NY 10019
EVENT EXPENSE: FACILITY RENTAL/CATERINGTransaction ID : SB21B.16348
3607.90
4598.89
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413589
73 109
✘
MAVERICK PAC USA
ROCK CREEK ADVISORS
1000 WISCONSIN AVENUE NW 02 14 2017
SUITE 300
WASHINGTON DC 20007
FUNDRAISING CONSULTINGTransaction ID : SB21B.15964
7421.07
ROCK CREEK ADVISORS
1000 WISCONSIN AVENUE NW 03 27 2017
SUITE 300
WASHINGTON DC 20007
FUNDRAISING CONSULTINGTransaction ID : SB21B.15965
4385.46
STRIPE
3180 18TH STREET, SUITE 100 01 11 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.15974
78.18
11884.71
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413590
74 109
✘
MAVERICK PAC USA
STRIPE
3180 18TH STREET, SUITE 100 01 12 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.15975
13.54
STRIPE
3180 18TH STREET, SUITE 100 01 13 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.15976
126.87
STRIPE
3180 18TH STREET, SUITE 100 01 17 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.15977
66.21
206.62
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413591
75 109
✘
MAVERICK PAC USA
STRIPE
3180 18TH STREET, SUITE 100 01 18 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.15978
104.33
STRIPE
3180 18TH STREET, SUITE 100 01 19 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.15979
364.42
STRIPE
3180 18TH STREET, SUITE 100 01 20 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.15980
96.23
564.98
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413592
76 109
✘
MAVERICK PAC USA
STRIPE
3180 18TH STREET, SUITE 100 01 23 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.15981
83.19
STRIPE
3180 18TH STREET, SUITE 100 01 24 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.15982
110.61
STRIPE
3180 18TH STREET, SUITE 100 01 25 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.15983
23.99
217.79
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413593
77 109
✘
MAVERICK PAC USA
STRIPE
3180 18TH STREET, SUITE 100 01 27 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.15984
1.03
STRIPE
3180 18TH STREET, SUITE 100 01 31 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.15985
2.78
STRIPE
3180 18TH STREET, SUITE 100 02 01 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.15986
8.76
12.57
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413594
78 109
✘
MAVERICK PAC USA
STRIPE
3180 18TH STREET, SUITE 100 02 02 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.15987
4.96
STRIPE
3180 18TH STREET, SUITE 100 02 03 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.15988
3.81
STRIPE
3180 18TH STREET, SUITE 100 02 06 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.15989
15.83
24.60
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413595
79 109
✘
MAVERICK PAC USA
STRIPE
3180 18TH STREET, SUITE 100 02 08 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.15990
29.68
STRIPE
3180 18TH STREET, SUITE 100 02 09 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.15991
1.03
STRIPE
3180 18TH STREET, SUITE 100 02 13 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.15992
3.93
34.64
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413596
80 109
✘
MAVERICK PAC USA
STRIPE
3180 18TH STREET, SUITE 100 02 14 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.15993
11.67
STRIPE
3180 18TH STREET, SUITE 100 02 15 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.15994
17.11
STRIPE
3180 18TH STREET, SUITE 100 02 16 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.15995
8.77
37.55
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413597
81 109
✘
MAVERICK PAC USA
STRIPE
3180 18TH STREET, SUITE 100 02 17 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.15996
7.02
STRIPE
3180 18TH STREET, SUITE 100 02 21 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.15997
25.70
STRIPE
3180 18TH STREET, SUITE 100 02 22 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.15998
3.81
36.53
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413598
82 109
✘
MAVERICK PAC USA
STRIPE
3180 18TH STREET, SUITE 100 02 23 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.15999
59.28
STRIPE
3180 18TH STREET, SUITE 100 02 24 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16000
9.08
STRIPE
3180 18TH STREET, SUITE 100 02 27 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16001
11.06
79.42
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413599
83 109
✘
MAVERICK PAC USA
STRIPE
3180 18TH STREET, SUITE 100 02 28 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16002
0.59
STRIPE
3180 18TH STREET, SUITE 100 03 01 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16003
31.50
STRIPE
3180 18TH STREET, SUITE 100 03 02 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16004
64.60
96.69
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413600
84 109
✘
MAVERICK PAC USA
STRIPE
3180 18TH STREET, SUITE 100 03 03 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16005
47.05
STRIPE
3180 18TH STREET, SUITE 100 03 07 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16006
1.03
STRIPE
3180 18TH STREET, SUITE 100 03 08 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16007
26.23
74.31
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413601
85 109
✘
MAVERICK PAC USA
STRIPE
3180 18TH STREET, SUITE 100 03 09 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16008
0.59
STRIPE
3180 18TH STREET, SUITE 100 03 10 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16009
0.59
STRIPE
3180 18TH STREET, SUITE 100 03 13 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16010
3.23
4.41
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413602
86 109
✘
MAVERICK PAC USA
STRIPE
3180 18TH STREET, SUITE 100 03 14 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16011
10.64
STRIPE
3180 18TH STREET, SUITE 100 03 15 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16012
26.11
STRIPE
3180 18TH STREET, SUITE 100 03 16 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16013
41.57
78.32
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413603
87 109
✘
MAVERICK PAC USA
STRIPE
3180 18TH STREET, SUITE 100 03 17 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16014
66.76
STRIPE
3180 18TH STREET, SUITE 100 03 20 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16015
5.99
STRIPE
3180 18TH STREET, SUITE 100 03 21 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16016
2.06
74.81
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413604
88 109
✘
MAVERICK PAC USA
STRIPE
3180 18TH STREET, SUITE 100 03 22 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16017
23.62
STRIPE
3180 18TH STREET, SUITE 100 03 23 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16018
21.56
STRIPE
3180 18TH STREET, SUITE 100 03 24 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16019
5.68
50.86
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413605
89 109
✘
MAVERICK PAC USA
STRIPE
3180 18TH STREET, SUITE 100 03 27 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16020
1.03
STRIPE
3180 18TH STREET, SUITE 100 03 28 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16021
3.50
STRIPE
3180 18TH STREET, SUITE 100 03 29 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16022
22.54
27.07
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413606
90 109
✘
MAVERICK PAC USA
STRIPE
3180 18TH STREET, SUITE 100 03 30 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16023
18.37
STRIPE
3180 18TH STREET, SUITE 100 03 31 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16024
7.43
STRIPE
3180 18TH STREET, SUITE 100 04 03 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16351
10.03
35.83
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413607
91 109
✘
MAVERICK PAC USA
STRIPE
3180 18TH STREET, SUITE 100 04 04 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16352
4.96
STRIPE
3180 18TH STREET, SUITE 100 04 05 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16353
5.87
STRIPE
3180 18TH STREET, SUITE 100 04 06 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16354
18.73
29.56
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413608
92 109
✘
MAVERICK PAC USA
STRIPE
3180 18TH STREET, SUITE 100 04 07 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16355
20.79
STRIPE
3180 18TH STREET, SUITE 100 04 10 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16356
28.95
STRIPE
3180 18TH STREET, SUITE 100 04 11 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16357
1.03
50.77
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413609
93 109
✘
MAVERICK PAC USA
STRIPE
3180 18TH STREET, SUITE 100 04 12 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16358
16.92
STRIPE
3180 18TH STREET, SUITE 100 04 13 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16359
25.99
STRIPE
3180 18TH STREET, SUITE 100 04 14 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16360
10.40
53.31
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413610
94 109
✘
MAVERICK PAC USA
STRIPE
3180 18TH STREET, SUITE 100 04 18 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16361
11.55
STRIPE
3180 18TH STREET, SUITE 100 04 19 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16362
20.32
STRIPE
3180 18TH STREET, SUITE 100 04 20 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16363
5.15
37.02
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413611
95 109
✘
MAVERICK PAC USA
STRIPE
3180 18TH STREET, SUITE 100 04 21 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16364
33.55
STRIPE
3180 18TH STREET, SUITE 100 04 24 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16365
25.27
STRIPE
3180 18TH STREET, SUITE 100 04 25 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16366
22.12
80.94
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413612
96 109
✘
MAVERICK PAC USA
STRIPE
3180 18TH STREET, SUITE 100 04 26 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16367
16.49
STRIPE
3180 18TH STREET, SUITE 100 04 27 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16368
3.50
STRIPE
3180 18TH STREET, SUITE 100 04 28 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16369
9.00
28.99
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413613
97 109
✘
MAVERICK PAC USA
STRIPE
3180 18TH STREET, SUITE 100 05 01 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16370
8.77
STRIPE
3180 18TH STREET, SUITE 100 05 02 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16371
3.81
STRIPE
3180 18TH STREET, SUITE 100 05 03 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16372
27.26
39.84
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413614
98 109
✘
MAVERICK PAC USA
STRIPE
3180 18TH STREET, SUITE 100 05 04 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16373
9.80
STRIPE
3180 18TH STREET, SUITE 100 05 05 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16374
7.93
STRIPE
3180 18TH STREET, SUITE 100 05 08 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16375
4.96
22.69
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413615
99 109
✘
MAVERICK PAC USA
STRIPE
3180 18TH STREET, SUITE 100 05 09 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16376
5.99
STRIPE
3180 18TH STREET, SUITE 100 05 10 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16377
17.78
STRIPE
3180 18TH STREET, SUITE 100 05 11 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16378
1.75
25.52
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413616
100 109
✘
MAVERICK PAC USA
STRIPE
3180 18TH STREET, SUITE 100 05 12 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16379
10.64
STRIPE
3180 18TH STREET, SUITE 100 05 15 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16380
12.15
STRIPE
3180 18TH STREET, SUITE 100 05 16 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16381
6.59
29.38
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413617
101 109
✘
MAVERICK PAC USA
STRIPE
3180 18TH STREET, SUITE 100 05 17 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16382
28.53
STRIPE
3180 18TH STREET, SUITE 100 05 18 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16383
9.92
STRIPE
3180 18TH STREET, SUITE 100 05 19 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16384
2.06
40.51
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413618
102 109
✘
MAVERICK PAC USA
STRIPE
3180 18TH STREET, SUITE 100 05 22 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16385
1.03
STRIPE
3180 18TH STREET, SUITE 100 05 23 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16386
10.03
STRIPE
3180 18TH STREET, SUITE 100 05 24 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16387
12.58
23.64
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413619
103 109
✘
MAVERICK PAC USA
STRIPE
3180 18TH STREET, SUITE 100 05 25 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16388
1.03
STRIPE
3180 18TH STREET, SUITE 100 05 26 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16389
1.75
STRIPE
3180 18TH STREET, SUITE 100 05 30 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16390
3.81
6.59
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413620
104 109
✘
MAVERICK PAC USA
STRIPE
3180 18TH STREET, SUITE 100 05 31 2017
SAN FRANSISCO CA 94110
MERCHANT FEESTransaction ID : SB21B.16391
1.03
1.03
19149.34
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413621
105 109
✘
MAVERICK PAC USA
GREG FOR MONTANA
PO BOX 1597 05 16 2017
HELENA MT 59624
FEDERAL CONTRIBUTION - SPECIAL GENERALC00631945
Transaction ID : SB23.16392
GIANFORTE, GREG, , ,1000.00
✘ 2017
✘
MT 01 Special-General
HANDEL FOR CONGRESS, INC.
4010 OLD MILTON PKWY 04 25 2017
ALPHARETTA GA 30005
FEDERAL CONTRIBUTION - SPECIAL RUNOFFC00633362
Transaction ID : SB23.16397
HANDEL, KAREN CHRISTINE, , ,✘ 2017 1500.00
✘
RunoffGA 06
2500.00
2500.00
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413622
106 109
✘
MAVERICK PAC USA
APEX
138 CONANT STREET 01 19 2017
2ND FLOOR
BEVERLY MA 01915
NON-CONTRIBUTION ACCOUNT: MERCHANT FEESTransaction ID : SB29.16025
200.00
CLARK HILL PLC
1001 PENNSYLVANIA AVE NW 02 02 2017
SUITE 1300 SOUTH
WASHINGTON DC 20004
NON-CONTRIBUTION ACCOUNT: LEGAL CONSULTINGTransaction ID : SB29.16029
2000.00
CLARK HILL PLC
1001 PENNSYLVANIA AVE NW 03 27 2017
SUITE 1300 SOUTH
WASHINGTON DC 20004
NON-CONTRIBUTION ACCOUNT: LEGAL CONSULTINGTransaction ID : SB29.16030
2067.66
4267.66
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413623
107 109
✘
MAVERICK PAC USA
HAWTHORNE ROOFTOP + TAVERN
1336 U STREET NW 01 19 2017
WASHINGTON DC 20009
NON-CONTRIBUTION ACCOUNT: EVENT EXPENSE: FACILITYRENTAL/CATERING Transaction ID : SB29.16032
10000.00
HAWTHORNE ROOFTOP + TAVERN
1336 U STREET NW 02 03 2017
WASHINGTON DC 20009
NON-CONTRIBUTION ACCOUNT: EVENT EXPENSE: FACILITYRENTAL/CATERING Transaction ID : SB29.16033
25000.00
PHIL TRAN PUBLIC RELATIONS LLC
111 MERLOT STREET 03 10 2017
MILLERSVILLE MD 21108
NON-CONTRIBUTION ACCOUNT: PHOTOGRAPHY SERVICESTransaction ID : SB29.16035
375.00
35375.00
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
▲ ▲ ▲ , , .
21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413624
108 109
✘
MAVERICK PAC USA
RED CURVE SOLUTIONS
138 CONANT STREET 02 02 2017
2ND FLOOR
BEVERLY MA 01915
NON-CONTRIBUTION ACCOUNT: COMPLIANCE CONSULTINGTransaction ID : SB29.16036
2318.46
RED CURVE SOLUTIONS
138 CONANT STREET 03 27 2017
2ND FLOOR
BEVERLY MA 01915
NON-CONTRIBUTION ACCOUNT: COMPLIANCE CONSULTINGTransaction ID : SB29.16037
1619.21
ROCK CREEK ADVISORS
1000 WISCONSIN AVENUE NW 02 14 2017
SUITE 300
WASHINGTON DC 20007
NON-CONTRIBUTION ACCOUNT: FUNDRAISING CONSULTINGTransaction ID : SB29.16038
40539.01
44476.68
SCHEDULE B (FEC Form 3X)ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , . ▲ ▲ ▲ , , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ............................................................... ▼▼
FEC Schedule B (Form 3X) Rev. 05/2016
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
Amount of Each Disbursement this Period
FEC Identification Number
FEC Identification Number
FEC Identification Number
A. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
B. Date of Disbursement
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
C. Date of Disbursement
Use separate schedule(s) for each category of the Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify) ▼
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: District:
Category/Type
Disbursement For: Primary General Other (specify)
Purpose of Disbursement
Candidate Name
Office Sought: House Senate PresidentState: 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
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21b 22 23 26 27 28a 28b 28c 29 30b
Memo Item
Memo Item
Memo Item
C
C
C
Image# 201706089056413625
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MAVERICK PAC USA
ROCK CREEK ADVISORS
1000 WISCONSIN AVENUE NW 03 27 2017
SUITE 300
WASHINGTON DC 20007
NON-CONTRIBUTION ACCOUNT: FUNDRAISING CONSULTINGTransaction ID : SB29.16039
16425.00
16425.00
100544.34