report of receipts fec and disbursementsdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf ·...

232
C M M / D D / Y Y Y Y M M / D D / Y Y Y Y M M / D D / Y Y Y Y M M / D D / Y Y Y Y M M / D D / Y Y Y Y FE5AN018 FEC FORM 3 1. NAME OF COMMITTEE (in full) ADDRESS (number and street) Check if different than previously reported. (ACC) FEC FORM 3 (Revised 02/2003) Office Use Only NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 2 U.S.C. §437g. I certify that I have examined this Report and to the best of my knowledge and belief it is true, correct and complete. Type or Print Name of Treasurer Signature of Treasurer Date 4. TYPE OF REPORT (Choose One) (a) Quarterly Reports: 12-Day PRE-Election Report for the: Primary (12P) General (12G) Runoff (12R) Convention (12C) Special (12S) 30-Day POST-Election Report for the: General (30G) Runoff (30R) Special (30S) CITY STATE ZIP CODE 2. FEC IDENTIFICATION NUMBER 3. IS THIS NEW AMENDED REPORT (N) OR (A) in the Election on State of T TYPE OR PRINT REPORT OF RECEIPTS AND DISBURSEMENTS For An Authorized Committee 5. Covering Period through T T in the Election on State of STATE DISTRICT T T Office Use Only T April 15 Quarterly Report (Q1) July 15 Quarterly Report (Q2) October 15 Quarterly Report (Q3) January 31 Year-End Report (YE) Termination Report (TER) (b) T Example: If typing, type over the lines. (c) 12FE4M5 31 19038 13 01 Margaret Sager Margaret Sager 2013 [Electronically Filed] C00542571 PAGE 1 / 232 2013 10 Glenside PA Friends of Val Arkoosh P.O. Box 1011 01/31/2014 20 : 00 Image# 14940311119 2014 01 31 12 PA

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Page 1: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

C

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

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

M M / D D / Y Y Y Y

FE5AN018

FEC

FORM 3

1. NAME OF COMMITTEE (in full)

ADDRESS (number and street)

Check if different than previously reported. (ACC)

FEC FORM 3(Revised 02/2003)

Office

Use

Only

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

I certify that I have examined this Report and to the best of my knowledge and belief it is true, correct and complete.

Type or Print Name of Treasurer

Signature of Treasurer Date

4. TYPE OF REPORT (Choose One)

(a) Quarterly Reports:

12-Day PRE-Election Report for the:

Primary (12P) General (12G) Runoff (12R)

Convention (12C) Special (12S)

30-Day POST-Election Report for the:

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

CITY STATE ZIP CODE2. FEC IDENTIFICATION NUMBER

3. IS THIS NEW AMENDED

REPORT (N) OR (A)

in the

Election on State of

TYPE OR PRINT

REPORT OF RECEIPTS

AND DISBURSEMENTSFor An Authorized Committee

5. Covering Period through

in the

Election on State of

STATE DISTRICT

Office Use Only

April 15 Quarterly Report (Q1)

July 15 Quarterly Report (Q2)

October 15 Quarterly Report (Q3)

January 31 Year-End Report (YE)

Termination Report (TER)

(b)

Example: If typing, type

over the lines.

(c)

12FE4M5

31

19038

13

01

Margaret Sager

Margaret Sager

2013

[Electronically Filed]

C00542571

PAGE 1 / 232

201310

Glenside PA

Friends of Val Arkoosh

P.O. Box 1011

01/31/2014 20 : 00Image# 14940311119

2014

01 3112

PA

Page 2: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , .

, , .

, , .

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

FE5AN018

COLUMN B

Election Cycle-to-Date

COLUMN A

This Period

6. Net Contributions (other than loans)

(a) Total Contributions

(other than loans) (from Line 11(e)) ....

(b) Total Contribution Refunds

(from Line 20(d)) ..................................

(c) Net Contributions (other than loans)

(subtract Line 6(b) from Line 6(a)) ......

7. Net Operating Expenditures

(a) Total Operating Expenditures

(from Line 17) ......................................

(b) Total Offsets to Operating

Expenditures (from Line 14) ................

(c) Net Operating Expenditures

(subtract Line 7(b) from Line 7(a)) ......

8. Cash on Hand at Close of

Reporting Period (from Line 27) .................

9. Debts and Obligations Owed TO

the Committee (Itemize all on

Schedule C and/or Schedule D) ................

10. Debts and Obligations Owed BY

the Committee (Itemize all on

Schedule C and/or Schedule D) ................

For further information contact:

Federal Election Commission

999 E Street, NW

Washington, DC 20463

Toll Free 800-424-9530

Local 202-694-1100

FEC Form 3 (Revised 02/2003) Page 2

SUMMARY PAGEof Receipts and Disbursements

Report Covering the Period: From: To:

Write or Type Committee Name

198792.73

143073.12

643932.40

935216.22

PAGE 2 / 232

2013

930419.22

201310

286236.82

0.00

4297.00 4797.00

0.00

203089.73

Friends of Val Arkoosh

0.00

Image# 14940311120

0.00

286236.82

01 3112

143073.12

Page 3: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

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, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , .

, , .

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

, , .

, , .

FE5AN018

COLUMN B

Election Cycle-to-Date

COLUMN A

Total This Period

11. CONTRIBUTIONS (other than loans) FROM:

(a) Individuals/Persons Other Than

Political Committees

(i) Itemized (use Schedule A) ...........

(ii) Unitemized ....................................

(iii) TOTAL of contributions

from individuals .......................

(b) Political Party Committees .................

(c) Other Political Committees

(such as PACs) ...................................

(d) The Candidate ....................................

(e) TOTAL CONTRIBUTIONS

(other than loans)

(add Lines 11(a)(iii), (b), (c), and (d)) ..

12. TRANSFERS FROM OTHER

AUTHORIZED COMMITTEES ....................

13. LOANS:

(a) Made or Guaranteed by the

Candidate ............................................

(b) All Other Loans ...................................

(c) TOTAL LOANS

(add Lines 13(a) and (b)) ....................

14. OFFSETS TO OPERATING

EXPENDITURES

(Refunds, Rebates, etc.) ............................

15. OTHER RECEIPTS

(Dividends, Interest, etc.) ...........................

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

DETAILED SUMMARY PAGEof Receipts

I. RECEIPTS

FEC Form 3 (Revised 12/2003) Page 3

Report Covering the Period: From: To:

Write or Type Committee Name

0.00

23500.00

0.00

0.00

0.00

935216.22

189589.73

0.00

849372.05

0.00

0.00

PAGE 3 / 232

2013

16211.89

203089.73

2013

0.00

0.00

10

0.00

0.00

203089.73

0.00

0.00

0.00

Friends of Val Arkoosh

911716.22

0.00

0.00

Image# 14940311121

935216.22

01

13500.00

3112

173377.84

62344.17

Page 4: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , . , , .

, , .

, , .

, , .

, , .

, , .

FE5AN018

COLUMN B

Election Cycle-to-Date

COLUMN A

Total This Period

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

18. TRANSFERS TO OTHER

AUTHORIZED COMMITTEES .....................

19. LOAN REPAYMENTS:

(a) Of Loans Made or Guaranteed

by the Candidate .................................

(b) Of All Other Loans ..............................

(c) TOTAL LOAN REPAYMENTS

(add Lines 19(a) and (b)) .....................

20. REFUNDS OF CONTRIBUTIONS TO:

(a) Individuals/Persons Other

Than Political Committees ..................

(b) Political Party Committees ..................

(c) Other Political Committees

(such as PACs) ....................................

(d) TOTAL CONTRIBUTION REFUNDS

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

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

22. TOTAL DISBURSEMENTS

(add Lines 17, 18, 19(c), 20(d), and 21)

II. DISBURSEMENTS

DETAILED SUMMARY PAGEof DisbursementsFEC Form 3 (Revised 02/2003) Page 4

III. CASH SUMMARY

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

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

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

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

27. CASH ON HAND AT CLOSE OF REPORTING PERIOD

(subtract Line 26 from Line 25)..............................................................................................

, , . , , .

643932.40

147370.12

0.00

0.00

147370.12

0.00

0.00

4797.00

0.00

0.00

4297.00

PAGE 4 / 232

286236.82

4797.00

588212.79

0.00

250.00

0.00

0.00

791302.52

0.00

0.00

203089.73

0.00

0.00

Image# 14940311122

143073.12

4297.00

291283.82

Page 5: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

250.00

55519.00

500.00

35.00

35.00

MA

MO

PO Box 382110

2212 Pine St

1035.00

4 N Kingshighway Blvd

Friends of Val Arkoosh

63108-1359Transaction ID : VN8HHBXGS30

02238-2110

PAPhiladelphia

Saint Louis

Cambridge

C00401224

University of Pennsylvania Health Syst

BJC Medical Group of Missouri

Transaction ID : VN8HHBW211019103-6516

Transaction ID : VN8HHBW2110E

31

31

30

285.00

2014

5

2014

2014

Image# 14940311123

12

12

12

232

Apt D6

ACTBLUE

2013

2013

Erica Schockett

2013

Courtney Schreiber

OB/GYN

Conduit total listed in Agg. field

Internist

[MEMO ITEM]

Page 6: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

150.00

250.00

450.00

250.00

250.00

OH

PA

25196 Rocky Harbour Dr

PO Box 382110

55519.00

6375 Church Rd

Friends of Val Arkoosh

19151-2504Transaction ID : VN8HHB08040

43551-7619

MACambridge

Philadelphia

Perrysburg

C00401224

Drexel University

Transaction ID : VN8HHBXGS30E02238-2110

Transaction ID : VN8HHB8JE30

University of Toledo

30

25

07

400.00

2014

6

2014

2014

Image# 14940311124

10

10

12

232

Linda French

2013

2013

John Rich

2013

ACTBLUE

Conduit total listed in Agg. field

Professor & Chairman of the Department

Professor, Department of Health Manage

[MEMO ITEM]

Page 7: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

500.00

1000.00

500.00

1000.00

500.00

CA

NY

436 14th St

2650 N Providence Rd

2000.00

829 Park Ave

Friends of Val Arkoosh

10021-2846Transaction ID : VN8HHBNN860

94612-2716

PAMedia

New York

Oakland

Columbia University

Self

Transaction ID : VN8HHB1G85019063-4314

Transaction ID : VN8HHBG1250

Akonadi Foundation

08

19

09

2000.00

2014

7

2014

2014

Image# 14940311125

12

11

10

232

Apt 8C

Ste 1417

Mary Q Delaney

2013

2013

Wendy M Mackenzie

2013

Ron Wapner

OB/GYN

Grantmaker

Public Affairs Consultant

Page 8: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

500.00

500.00

1500.00

500.00

1000.00

NM

PA

756 Fairway Rd NW

230 16th St

1000.00

530 Cresheim Valley Rd

Friends of Val Arkoosh

19038-8409Transaction ID : VN8HHBNM980

87107-5719

CASanta Monica

Wyndmoor

Albuquerque

Cedars-Sinai Medical Center

Self

Transaction ID : VN8HHB7MH7090402-2216

Transaction ID : VN8HHBD5280

University of New Mexico

22

29

09

2000.00

2014

8

2014

2014

Image# 14940311126

12

10

10

232

John P Rask

2013

2013

Maryl Hitchings

2013

Sarah J. Kilpatrick

OB/GYN

Anesthesiologist

Retired

Page 9: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

53.00

3600.00

712.00

1000.00

1000.00

IL

MA

225 N Columbus Dr

912 Grandview Ave

1500.00

85 Wolcott Rd

Friends of Val Arkoosh

02467-3108Transaction ID : VN8HHBW20A0

60601-5255

PAPittsburgh

Chestnut Hill

Chicago

Sammana Inc.

Tufts MC PO

Transaction ID : VN8HHBNZN9015211-1444

Transaction ID : VN8HHBSNVA0

Northwestern University

11

20

26

2053.00

2014

9

2014

2014

Image# 14940311127

12

12

12

232

Apt 3110

Paloma Toledo

2013

2013

Scott Segal

2013

Diane Knox Petronko

Nurse/Consultant

Obstetric Anesthesiologist

Anesthesiologist

Page 10: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* In-Kind: in kind beverages for event

Note: Above Contribution earmarked through thisorganization.

200.00

250.00

1700.00

250.00

53.00

MD

PA

3218 Brooklawn Ct

PO Box 382110

55519.00

912 Grandview Ave

Friends of Val Arkoosh

15211-1444Transaction ID : VN8HHBSGKB0

20815-3941

MACambridge

Pittsburgh

Chevy Chase

C00401224

Sammana Inc.

Transaction ID : VN8HHBW20A0E02238-2110

Transaction ID : VN8HHB4PMA0

National Institute of Health

26

17

19

450.00

2014

10

2014

2014

Image# 14940311128

12

10

12

232

Naomi O'Grady

2013

2013

Diane Knox Petronko

2013

ACTBLUE

Conduit total listed in Agg. field

Physician

Nurse/Consultant

[MEMO ITEM]

Page 11: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

1000.00

250.00

1500.00

250.00

500.00

GA

CA

930 Edgewater Ct

7701 Mullrany Dr

500.00

828 Arlington Ave

Friends of Val Arkoosh

94707-1927Transaction ID : VN8HHBJWAC0

30328-3564

TXDallas

Berkeley

Sandy Springs

Digestive Health

NA

Transaction ID : VN8HHB7PKC075248-1716

Transaction ID : VN8HHBF4JC0

Emory University

22

13

26

1750.00

2014

11

2014

2014

Image# 14940311129

11

11

10

232

Matthew Klopman

2013

2013

Kathleen C. Barry

2013

Lawrence Schiller

Physician

Anesthesiologist

retired

Page 12: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

500.00

2600.00

500.00

2600.00

1000.00

MA

PA

112 Lancaster Ter

PO Box 382110

55519.00

233 S 6th St

Friends of Val Arkoosh

19106-3753Transaction ID : VN8HHB06YD0

02446-2237

MACambridge

Philadelphia

Brookline

C00401224

University of Pennsylvania Law School

Transaction ID : VN8HHBJWAC0E02238-2110

Transaction ID : VN8HHBD6YC0

Boston University School of Medicine

26

29

07

3100.00

2014

12

2014

2014

Image# 14940311130

10

10

11

232

Apt 1112

Emelia M Benjamin

2013

2013

Regina Austin

2013

ACTBLUE

Conduit total listed in Agg. field

Professor of Medicine

law professor

[MEMO ITEM]

Page 13: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

500.00

500.00

55519.00

500.00

1000.00

PA

MA

408 Barbara Lanw

1412 South Blvd

1000.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBW1PE0E

19010

TXHouston

Cambridge

Bryn Mawr

C00401224

MD Anderson Cancer Center

Transaction ID : VN8HHB1G2D077006-6334

Transaction ID : VN8HHBW1PE0

Temple University School of Medicine

08

31

31

1500.00

2014

13

2014

2014

Image# 14940311131

12

12

10

232

Larry Kaiser

2013

2013

ACTBLUE

2013

John Mendelsohn

Past President

Senior Executive Vice President for th

Conduit total listed in Agg. field

[MEMO ITEM]

Page 14: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

* In-Kind: in kind food items for event

250.00

1000.00

250.00

250.00

27.29

NJ

PA

5 Beacon Hill Rd

2014 Hilltop Rd

647.79

470 Round Hill Rd

Friends of Val Arkoosh

18470-7542Transaction ID : VN8HHBW1KG0

07932-2241

PAFlourtown

Clifford Township

Florham Park

Fox Rothschild

The Commonwealth Medical College

Transaction ID : VN8HHBS7PE019031-1615

Transaction ID : VN8HHBTEFF0

Covance, Inc.

18

29

31

527.29

2014

14

2014

2014

Image# 14940311132

12

12

12

232

Kenneth Somberg

2013

2013

Janet M Townsend

2013

Mary Helf

Partner

Gastroenterologist

Founding Chair of Family Medicine

Page 15: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* In-Kind: in kind parking service for house party

Note: Above Contribution earmarked through thisorganization.

250.00

1668.00

1500.00

515.00

250.00

PA

VA

123 Beechmont Rd

PO Box 382110

55519.00

105 Pommander Walk

Friends of Val Arkoosh

22314-3844Transaction ID : VN8HHBTYDH0

15206-4513

MACambridge

Alexandria

Pittsburgh

C00401224

Self Employed

Transaction ID : VN8HHBW1KG0E02238-2110

Transaction ID : VN8HHBRYRG0

Self-employed, Elsa Limbach

31

17

31

765.00

2014

15

2014

2014

Image# 14940311133

12

12

12

232

Elsa Limbach

2013

2013

Nora Mead Brownell

2013

ACTBLUE

Conduit total listed in Agg. field

Dance Artist

Energy Consultant

[MEMO ITEM]

Page 16: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

250.00

250.00

500.00

250.00

1000.00

GA

TX

242 Superior Ave

333 W End Ave

1000.00

6081 Country Club Drive

Friends of Val Arkoosh

77904-1630Transaction ID : VN8HHBFENM0

30030-1815

NYNew York

Victoria

Decatur

Weill Cornell Medical College/NY Presb

None

Transaction ID : VN8HHBD40H010023-8131

Transaction ID : VN8HHB3N6K0

Emory School of Medicine

29

10

15

1500.00

2014

16

2014

2014

Image# 14940311134

11

10

10

232

Apt 10B

Carolyn C Meltzer

2013

2013

Margery E. Loeb

2013

Cynthia A Lien

Anesthesiologist

Radiologist

Unemployed

Page 17: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

500.00

1000.00

55519.00

500.00

500.00

PA

MA

506 E Durham St

15278 Lake Road 12

500.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBJW9M0E

19119-1224

KSGardner

Cambridge

Philadelphia

C00401224

Self

Transaction ID : VN8HHBE5ZM066030-9661

Transaction ID : VN8HHBJW9M0

Women's Medical Fund

06

26

26

1000.00

2014

17

2014

2014

Image# 14940311135

11

11

11

232

Susan E Schewel

2013

2013

ACTBLUE

2013

Barbara W Atkinson

Retired

Executive Director

Conduit total listed in Agg. field

[MEMO ITEM]

Page 18: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

50.00

55519.00

1550.00

250.00

250.00

MA

IA

PO Box 382110

5915 Ricky Ridge Trl

250.00

2513 Northwood Dr

Friends of Val Arkoosh

50010-4740Transaction ID : VN8HHBSHRM0

02238-2110

PAOrefield

Ames

Cambridge

C00401224

OAA

Self employed

Transaction ID : VN8HHBRSPM018069-8806

Transaction ID : VN8HHBRSPM0E

16

16

19

300.00

2014

18

2014

2014

Image# 14940311136

12

12

12

232

ACTBLUE

2013

2013

Deborah Gitchell

2013

Kim Corba

Physician

Conduit total listed in Agg. field

Community Activist

[MEMO ITEM]

Page 19: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

1000.00

750.00

1000.00

150.00

50.00

PA

NY

6375 Church Rd

PO Box 382110

55519.00

502 Park Ave

Friends of Val Arkoosh

10022-1108Transaction ID : VN8HHBW1NP0

19151-2504

MACambridge

New York

Philadelphia

C00401224

Self

Transaction ID : VN8HHBSHRM0E02238-2110

Transaction ID : VN8HHBNFCN0

Drexel University

19

07

31

1150.00

2014

19

2014

2014

Image# 14940311137

12

12

12

232

Ph 25

John Rich

2013

2013

Donald Rubin

2013

ACTBLUE

Conduit total listed in Agg. field

Professor, Department of Health Manage

Retired

[MEMO ITEM]

Page 20: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

250.00

1935.00

250.00

100.00

1000.00

PA

GA

6 Deaver Pl

PO Box 382110

55519.00

2170 Ector Ct NE

Friends of Val Arkoosh

30345-1901Transaction ID : VN8HHBD42Q0

19095-1727

MACambridge

Atlanta

Wyncote

C00401224

Morehouse School of Medicine

Transaction ID : VN8HHBW1NP0E02238-2110

Transaction ID : VN8HHBKC7P0

Temple University

31

02

29

350.00

2014

20

2014

2014

Image# 14940311138

10

12

12

232

Vincent S. Cowell MD

2013

2013

Martha L Elks

2013

ACTBLUE

Conduit total listed in Agg. field

Anesthesiologist

Senior Associate Dean, Education & Fac

[MEMO ITEM]

Page 21: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

250.00

250.00

55519.00

250.00

2600.00

PA

MA

137 Montgomery Dr

427 E Duke Of Gloucester St

5200.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBXGST0E

19438-2131

VAWilliamsburg

Cambridge

Harleysville

C00401224

Colonial Williamsburg

Transaction ID : VN8HHBVSMS023185-4249

Transaction ID : VN8HHBXGST0

Warrior Diamond, Inc.

31

30

30

2850.00

2014

21

2014

2014

Image# 14940311139

12

12

12

232

Nathaniel Webster

2013

2013

ACTBLUE

2013

William Barker

Actor

Chief Executive Officer

Conduit total listed in Agg. field

[MEMO ITEM]

Page 22: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

500.00

1000.00

500.00

1000.00

250.00

MA

CA

2 Stone Ter

3583 Butler St

250.00

3826 Alameda De Las Pulgas

Friends of Val Arkoosh

94025-6210Transaction ID : VN8HHBJWAT0

01945-1320

PAPittsburgh

Menlo Park

Marblehead

BE Galleries

Self

Transaction ID : VN8HHBVS7T015201-1314

Transaction ID : VN8HHB47TT0

Massachusetts General Hospital

31

15

26

1750.00

2014

22

2014

2014

Image# 14940311140

11

10

12

232

Lucinda L. Everett

2013

2013

Karen F Grove

2013

Joy T Borelli-Edwards

Owner

Physician

Philanthropis

Page 23: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

50.00

250.00

400.00

250.00

500.00

PA

NJ

406 Arrowhead Trl

PO Box 382110

55519.00

8 Edinburgh Ln

Friends of Val Arkoosh

08054-1203Transaction ID : VN8HHBNSAW0

19608-9700

MACambridge

Mount Laurel

Sinking Spring

C00401224

Hospital of the University of Pennsylv

Transaction ID : VN8HHBJWAT0E02238-2110

Transaction ID : VN8HHBFX5T0

THE READING HOSPITAL &MC/PATHOLOGIS

26

18

10

300.00

2014

23

2014

2014

Image# 14940311141

12

11

11

232

Neil A Hoffman MD

2013

2013

Robert Gaiser

2013

ACTBLUE

Conduit total listed in Agg. field

PATHOLOGIST

Anesthesiologist

[MEMO ITEM]

Page 24: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

1000.00

1000.00

55519.00

1000.00

250.00

MO

MA

17 Windsor Terrace Ln

315 New St

750.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBW1KX0E

63141-9000

PAPhiladelphia

Cambridge

Creve Coeur

C00401224

Albert Einstein Healthcare Network

Transaction ID : VN8HHBNN6W019106-1134

Transaction ID : VN8HHBW1KX0

Western Anesthesiology Associates

09

31

31

1250.00

2014

24

2014

2014

Image# 14940311142

12

12

12

232

Apt 309

Sam Page

2013

2013

ACTBLUE

2013

Angeles Gonzalez-Prado

Internist

Anesthesiologist

Conduit total listed in Agg. field

[MEMO ITEM]

Page 25: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

500.00

55519.00

500.00

1000.00

1000.00

MA

TN

PO Box 382110

2761 Glendower Ave

1000.00

504 Fairfax Ave

Friends of Val Arkoosh

37212-4011Transaction ID : VN8HHB4BWX0

02238-2110

CALos Angeles

Nashville

Cambridge

C00401224

Keck SOM

Vanderbilt University

Transaction ID : VN8HHBE07X035222-3729

Transaction ID : VN8HHBE07X0E

05

05

16

1500.00

2014

25

2014

2014

Image# 14940311143

10

11

11

232

ACTBLUE

2013

2013

Ellen Wright Clayton

2013

Kathleen G Nelson

Pediatrician

Conduit total listed in Agg. field

Director, Center for Biomedical Ethics

[MEMO ITEM]

Page 26: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

50.00

1250.00

350.00

250.00

500.00

NJ

NJ

101 Pheasant Field Ln

5 Circuit Rd

500.00

107 Sunnymeade Rd

Friends of Val Arkoosh

08844-4654Transaction ID : VN8HHBJ9Z01

08057-1431

MAChestnut Hill

Hillsborough

Moorestown

N/A

None

Transaction ID : VN8HHBRSJY002467-1802

Transaction ID : VN8HHBHZ5Z0

Temple University

16

21

23

800.00

2014

26

2014

2014

Image# 14940311144

11

11

12

232

Curtis T Miyamoto

2013

2013

Pamela Booth

2013

Karen Tucker

Retired

Radiation Oncologist

Not Employed

Page 27: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

100.00

600.00

55519.00

100.00

250.00

CA

MA

629 Lakeview Ave

1009 Lombard St

250.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBE0811E

94112-2201

PAPhiladelphia

Cambridge

San Francisco

C00401224

Thomas Jefferson University

Transaction ID : VN8HHB7M71119147-1219

Transaction ID : VN8HHBE0811

Self

22

05

05

350.00

2014

27

2014

2014

Image# 14940311145

11

11

10

232

Ricky L Choi

2013

2013

ACTBLUE

2013

James W Heitz

Anesthesiologist

Pediatrician

Conduit total listed in Agg. field

[MEMO ITEM]

Page 28: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

2600.00

500.00

2600.00

500.00

250.00

NY

PA

601 W 113th St

318 Yale Ave

450.00

908 Oak Ridge Rd

Friends of Val Arkoosh

19010-1734Transaction ID : VN8HHBNYY41

10025-9716

PASwarthmore

Bryn Mawr

New York

WOMEN'S WAY

Duane Morris

Transaction ID : VN8HHBHVR2119081-2023

Transaction ID : VN8HHBNZG31

NYPD

20

11

11

3350.00

2014

28

2014

2014

Image# 14940311146

12

12

11

232

Apt 11A

Herbert Pardes

2013

2013

John Horstmann

2013

Wendy H Voet

Executive Director

Physician

Attorney

Page 29: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

500.00

1535.00

55519.00

500.00

2000.00

PA

MA

3211 W Coulter St

225 Northwestern Ave

2000.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBW2051E

19129-1043

PAPhiladelphia

Cambridge

Philadelphia

C00401224

Pagoda Resources

Transaction ID : VN8HHBKFJ5119128-1808

Transaction ID : VN8HHBW2051

Children's Hospital of Pennsylvania

03

26

26

2500.00

2014

29

2014

2014

Image# 14940311147

12

12

12

232

Jeffrey Feldman

2013

2013

ACTBLUE

2013

Robert Kennedy

President

Geriatrician

Conduit total listed in Agg. field

[MEMO ITEM]

Page 30: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

250.00

450.00

55519.00

250.00

500.00

PA

MA

610 Addison St

326 S 19th St

1500.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBXGR61E

19147-1413

PAPhiladelphia

Cambridge

Philadelphia

C00401224

University of Pennsylvania

Transaction ID : VN8HHBSQB6119103-2515

Transaction ID : VN8HHBXGR61

Drexel University College of Medicine

20

30

30

750.00

2014

30

2014

2014

Image# 14940311148

12

12

12

232

Apt 12B

Mark Woodland

2013

2013

ACTBLUE

2013

Peter Vasquez

Physician

OB/GYN

Conduit total listed in Agg. field

[MEMO ITEM]

Page 31: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

250.00

55519.00

250.00

200.00

200.00

MA

VA

PO Box 382110

301 Penllyn Blue Bell Pike

1400.00

4518 Briarwick Dr

Friends of Val Arkoosh

23236-1022Transaction ID : VN8HHB1JS61

02238-2110

PABlue Bell

North Chesterfield

Cambridge

C00401224

Doylestown Anesthesia Associates

Virginia Commonwealth University

Transaction ID : VN8HHBW1M6119422-1625

Transaction ID : VN8HHBW1M61E

31

31

08

450.00

2014

31

2014

2014

Image# 14940311149

10

12

12

232

ACTBLUE

2013

2013

PonJola Coney

2013

Edward H Leonard

Anesthesiologist

Conduit total listed in Agg. field

Senior Associate Dean of Faculty Affai

[MEMO ITEM]

Page 32: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

50.00

55519.00

1150.00

2600.00

2600.00

MA

WA

PO Box 382110

24 Meadowood Rd

2600.00

3838 NE 189th Pl

Friends of Val Arkoosh

98155-2744Transaction ID : VN8HHB44071

02238-2110

PABryn Mawr

Lake Forest Park

Cambridge

C00401224

S.M. JENKINS & CO.

University of Washington

Transaction ID : VN8HHBFZF6119010-1052

Transaction ID : VN8HHBFZF61E

19

19

14

2650.00

2014

32

2014

2014

Image# 14940311150

10

11

11

232

ACTBLUE

2013

2013

David V. Evans

2013

Scott Jenkins

CONSULTANT

Conduit total listed in Agg. field

Family Medicine

[MEMO ITEM]

Page 33: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

250.00

350.00

55519.00

250.00

250.00

TX

MA

4730 Melissa Ln

233 S 6th St

250.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBSHT81E

75229-4221

PAPhiladelphia

Cambridge

Dallas

C00401224

Fox Rothschild LLP

Transaction ID : VN8HHBHZ68119106-3756

Transaction ID : VN8HHBSHT81

BRIDGE Lacrosse

21

19

19

500.00

2014

33

2014

2014

Image# 14940311151

12

12

11

232

Apt 2107

Edith Lycke

2013

2013

ACTBLUE

2013

Stephanie Resnick

Attorney

Founder

Conduit total listed in Agg. field

[MEMO ITEM]

Page 34: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

500.00

450.00

500.00

250.00

250.00

CO

PA

2400 E Cherry Creek South Dr

2310 NE Regents Dr

600.00

706 Cornwall Rd

Friends of Val Arkoosh

16803-1427Transaction ID : VN8HHBFXTA1

80209-3254

ORPortland

State College

Denver

Oregon Health & Science University

Self

Transaction ID : VN8HHBSN39197212-1530

Transaction ID : VN8HHBCYBA1

N/A

20

28

18

1000.00

2014

34

2014

2014

Image# 14940311152

11

10

12

232

Unit 208

Lynda Goldstein

2013

2013

Michele Gray

2013

Charles Kilo

Internist

Not Employed

Homemaker

Page 35: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

200.00

900.00

300.00

150.00

200.00

VA

PA

2228 King St

2044 Harts Ln

600.00

137 W Harvey St

Friends of Val Arkoosh

19144-2721Transaction ID : VN8HHBHZ6D1

22301-2726

PAConshohocken

Philadelphia

Alexandria

Mission Kids

Temple University

Transaction ID : VN8HHBKHCB119428-2415

Transaction ID : VN8HHBP5ZC1

US Dept of Health and Human Services

03

12

21

550.00

2014

35

2014

2014

Image# 14940311153

11

12

12

232

Lisa Kaplowitz

2013

2013

Carolyn T Adams

2013

Dina Fink

Director of Development

Deputy Asst Secretary

College Professor

Page 36: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

250.00

250.00

55519.00

250.00

150.00

NJ

MA

718 Farmhouse Rd

6850 Stella Cir

2750.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBJVZE1E

08056-1474

PACoopersburg

Cambridge

Mickleton

C00401224

Allentown Anesthesia associates

Transaction ID : VN8HHBP0HD118036-9739

Transaction ID : VN8HHBJVZE1

Nephrology Associates PA

11

26

26

400.00

2014

36

2014

2014

Image# 14940311154

11

11

12

232

Rubeen Israni

2013

2013

ACTBLUE

2013

Jodie Buxbaum

Physiciam

Nephrologist

Conduit total listed in Agg. field

[MEMO ITEM]

Page 37: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

50.00

55519.00

300.00

250.00

250.00

MA

MA

PO Box 382110

650 Canterbury Ln

250.00

365 Silver St

Friends of Val Arkoosh

02127-4402Transaction ID : VN8HHBDZDH1

02238-2110

PASewickley

Boston

Cambridge

C00401224

University of Pittsburgh

Brigham and Women's PO

Transaction ID : VN8HHBJWAG115143-1223

Transaction ID : VN8HHBJWAG1E

26

26

05

300.00

2014

37

2014

2014

Image# 14940311155

11

11

11

232

ACTBLUE

2013

2013

Ronald Hurley

2013

Erin A Sullivan

Anesthesiologist

Conduit total listed in Agg. field

Anesthesiologist

[MEMO ITEM]

Page 38: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

4182.00

250.00

35.00

250.00

50.00

MA

PA

1897 Beacon Street

PO Box 382110

55519.00

227 E Meade St

Friends of Val Arkoosh

19118-2812Transaction ID : VN8HHBNFPN1

02445

MACambridge

Philadelphia

Brookline

C00401224

Drexel University

Transaction ID : VN8HHBDZDH1E02238-2110

Transaction ID : VN8HHBDZ8N1

Anesthesia Associates of Massachusetts

05

05

07

4432.00

2014

38

2014

2014

Image# 14940311156

12

11

11

232

Unit #1

Mark C Norris

2013

2013

Jennifer Kolker

2013

ACTBLUE

Conduit total listed in Agg. field

Anesthesiologist

Professor

[MEMO ITEM]

Page 39: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

200.00

55519.00

700.00

50.00

50.00

MA

MD

PO Box 382110

7201 N Norton Ave

300.00

5403 Blackistone Rd

Friends of Val Arkoosh

20816-1820Transaction ID : VN8HHB4PEP1

02238-2110

MOGladstone

Bethesda

Cambridge

C00401224

Kansas City University of Medicine and

Self

Transaction ID : VN8HHBDZEP164119-5394

Transaction ID : VN8HHBDZEP1E

05

05

17

250.00

2014

39

2014

2014

Image# 14940311157

10

11

11

232

ACTBLUE

2013

2013

Adair Parr

2013

Linda R Adkison

Associate Dean for Curricular Affairs,

Conduit total listed in Agg. field

Physician

[MEMO ITEM]

Page 40: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

250.00

350.00

735.00

100.00

500.00

PA

NY

615 Elkins Ave

405 S Clifton Ave

500.00

474 W 238th St

Friends of Val Arkoosh

10463-2027Transaction ID : VN8HHBRSNQ1

19027-2301

ILPark Ridge

Bronx

Elkins Park

Anesthesia Quality Institute

Stamford Anesthesiology Services

Transaction ID : VN8HHB7PCQ160068-3950

Transaction ID : VN8HHBJC0Q1

University of Pennsylvania

22

25

16

850.00

2014

40

2014

2014

Image# 14940311158

12

11

10

232

Apt 3A

Evelyn Wiener

2013

2013

Benjamin Unger

2013

Richard P Dutton

Anesthesiologist

Executive Director, Student Health Ser

Anesthesiologist

Page 41: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

500.00

500.00

800.00

350.00

250.00

PA

NY

1555 Bardsey Dr

PO Box 382110

55519.00

136 E 64th St

Friends of Val Arkoosh

10065-7380Transaction ID : VN8HHBRSPR1

19002-1546

MACambridge

New York

Lower Gwynedd

C00401224

unemployed

Transaction ID : VN8HHBRSNQ1E02238-2110

Transaction ID : VN8HHBD2AQ1

Abington Memorial Hospital

16

28

16

850.00

2014

41

2014

2014

Image# 14940311159

12

10

12

232

Scott E Shapiro

2013

2013

Brooke S Beardslee

2013

ACTBLUE

Conduit total listed in Agg. field

Cardiologist

public health

[MEMO ITEM]

Page 42: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

250.00

250.00

55519.00

250.00

500.00

OK

MA

13101 Waterrock Ln

PO Box 382110

55519.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBFZER1E

73007-7631

MACambridge

Cambridge

Arcadia

C00401224

C00401224

Transaction ID : VN8HHBRSPR1E02238-2110

Transaction ID : VN8HHBFZER1

VA Hospital

16

19

19

250.00

2014

42

2014

2014

Image# 14940311160

11

11

12

232

Susan M Edwards

2013

2013

ACTBLUE

2013

ACTBLUE

Conduit total listed in Agg. field

Chair of Radiological Sciences

Conduit total listed in Agg. field

[MEMO ITEM]

[MEMO ITEM]

Page 43: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

500.00

500.00

55519.00

500.00

1100.00

MI

MA

765 Watershed Ct

4413 Chalfont Pl

2600.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBDZDS1E

48105-2573

MDBethesda

Cambridge

Ann Arbor

C00401224

Ballard Spahr LLP

Transaction ID : VN8HHBSHKR120816-1812

Transaction ID : VN8HHBDZDS1

University of Michigan

19

05

05

1600.00

2014

43

2014

2014

Image# 14940311161

11

11

12

232

Jill M Mhyre

2013

2013

ACTBLUE

2013

Frederic Ballard

Attorney

Obstetric Anesthesiologist

Conduit total listed in Agg. field

[MEMO ITEM]

Page 44: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

250.00

500.00

500.00

500.00

300.00

PA

PA

1601 Museum Rd

2015 Spring Garden St

800.00

324 Hathaway Ln

Friends of Val Arkoosh

19096-1905Transaction ID : VN8HHBT3GV1

19610-2828

PAPhiladelphia

Wynnewood

Wyomissing

Maternity Care Coalition

Self

Transaction ID : VN8HHBHZ5T119130-5000

Transaction ID : VN8HHBT3ST1

Carim Eye and Retina Center Ltd

21

23

23

1050.00

2014

44

2014

2014

Image# 14940311162

12

12

11

232

Moiz Carim

2013

2013

Teri R. Simon

2013

Letty D. Thall

Public Policy Director

Physician

Attorney

Page 45: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

500.00

55519.00

500.00

200.00

200.00

MA

VA

PO Box 382110

301 Penllyn Blue Bell Pike

1200.00

5006 Lake Tree Ln

Friends of Val Arkoosh

22932-3143Transaction ID : VN8HHB1NJX1

02238-2110

PABlue Bell

Crozet

Cambridge

C00401224

Doylestown Anesthesia Associates

University of Virginia

Transaction ID : VN8HHBSHVV119422-1625

Transaction ID : VN8HHBSHVV1E

19

19

09

700.00

2014

45

2014

2014

Image# 14940311163

10

12

12

232

ACTBLUE

2013

2013

John C Rowlingson

2013

Edward H Leonard

Anesthesiologist

Conduit total listed in Agg. field

Anesthesiologist

[MEMO ITEM]

Page 46: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

150.00

1000.00

1150.00

250.00

1000.00

MN

PA

1889 Sandcherry Ct NW

237 S 18th St

1000.00

7316 Elbow Ln

Friends of Val Arkoosh

19119-2809Transaction ID : VN8HHBNBPY1

55901-3473

PAPhiladelphia

Philadelphia

Rochester

Crossways Ventures

The Savitz Organization

Transaction ID : VN8HHB7HRY119103-1617

Transaction ID : VN8HHBP5YY1

National Physicians Alliance

21

12

05

1400.00

2014

46

2014

2014

Image# 14940311164

12

12

10

232

Apt 16B

Chris McCoy

2013

2013

Margaret Wood Fleming

2013

Harvey Kimmel

President

Chair, Policy Committee

Benefit Plan Compliance

Page 47: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

250.00

55519.00

250.00

500.00

500.00

MA

NY

PO Box 382110

25 NW 23rd Pl

1035.00

55 Field Ln

Friends of Val Arkoosh

11577-2605Transaction ID : VN8HHBJD412

02238-2110

ORPortland

Roslyn Heights

Cambridge

C00401224

retired

NYU

Transaction ID : VN8HHBW1NZ197210-5580

Transaction ID : VN8HHBW1NZ1E

31

31

25

750.00

2014

47

2014

2014

Image# 14940311165

11

12

12

232

Ste 6

ACTBLUE

2013

2013

Andrew D Rosenberg

2013

BettyLou Koffel

physician

Conduit total listed in Agg. field

Anesthesiologist

[MEMO ITEM]

Page 48: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

85.00

55519.00

425.00

35.00

35.00

MA

PA

PO Box 382110

506 W Heather Rd

235.00

726 S 7th St

Friends of Val Arkoosh

19147-2119Transaction ID : VN8HHB05Y32

02238-2110

PAOreland

Philadelphia

Cambridge

C00401224

Springfield Township

self-employed

Transaction ID : VN8HHBSHS1219075-2334

Transaction ID : VN8HHBSHS12E

19

19

06

120.00

2014

48

2014

2014

Image# 14940311166

10

12

12

232

ACTBLUE

2013

2013

Carole Treston

2013

Bonny Davis

Treasurer/Tax Collector

Conduit total listed in Agg. field

RN

[MEMO ITEM]

Page 49: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

* In-Kind: in kind hotel room for candidate stay

2600.00

2600.00

55519.00

2600.00

1227.94

MO

MA

3100 W Old Field Rd

530 Spring Ln

9779.49

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBW1X62E

65203-9403

PAWyndmoor

Cambridge

Columbia

C00401224

University of Pennsylvania

Transaction ID : VN8HHC25Y4219038-8413

Transaction ID : VN8HHBW1X62

Flatbranch Brewing Inc

15

26

26

3827.94

2014

49

2014

2014

Image# 14940311167

12

12

12

232

Thomas Smith

2013

2013

ACTBLUE

2013

Valerie Arkoosh

Obstetric Anesthesiologist

President

Conduit total listed in Agg. field

[MEMO ITEM]

Page 50: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

500.00

55519.00

500.00

50.00

50.00

MA

PA

PO Box 382110

365 Silver St

350.00

531 E Durham St

Friends of Val Arkoosh

19119-1225Transaction ID : VN8HHB3RY72

02238-2110

MABoston

Philadelphia

Cambridge

C00401224

Brigham and Women's PO

University of Pennsylvania

Transaction ID : VN8HHBSHS6202127-4402

Transaction ID : VN8HHBSHS62E

19

19

11

550.00

2014

50

2014

2014

Image# 14940311168

10

12

12

232

ACTBLUE

2013

2013

Andrew Lamas

2013

Ronald Hurley

Anesthesiologist

Conduit total listed in Agg. field

Professor

[MEMO ITEM]

Page 51: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

250.00

250.00

55519.00

250.00

250.00

MI

MA

21 Kingsley Manor Ct

3535 Chevy Chase Lake Dr

250.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBF3Q92E

48304-2813

MDChevy Chase

Cambridge

Bloomfield Hills

C00401224

Pacific Northwest National Laboratory

Transaction ID : VN8HHBVS87220815-4852

Transaction ID : VN8HHBF3Q92

Wayne State University

29

13

13

500.00

2014

51

2014

2014

Image# 14940311169

11

11

12

232

Roberta E Sonnino

2013

2013

ACTBLUE

2013

Abbe Fessenden

Information Requested

Pediatric Surgeon

Conduit total listed in Agg. field

[MEMO ITEM]

Page 52: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

85.00

55519.00

595.00

500.00

500.00

MA

PA

PO Box 382110

1714 Stockton St

1000.00

726 S 7th St

Friends of Val Arkoosh

19147-2119Transaction ID : VN8HHBNDFB2

02238-2110

CASan Francisco

Philadelphia

Cambridge

C00401224

Self

self-employed

Transaction ID : VN8HHBFZE9294133-2930

Transaction ID : VN8HHBFZE92E

19

19

06

585.00

2014

52

2014

2014

Image# 14940311170

12

11

11

232

Ste 200

ACTBLUE

2013

2013

Carole Treston

2013

Paulette J Meyer- Friedman

Activist

Conduit total listed in Agg. field

RN

[MEMO ITEM]

Page 53: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* In-Kind: in kind purchase of hotel room

* Earmarked Contribution: See Below

417.96

1000.00

7584.55

500.00

250.00

PA

PA

220 White Tail Ln

7454 Devon St

600.00

530 Spring Ln

Friends of Val Arkoosh

19038-8413Transaction ID : VN8HHBXHPC2

19063-4348

PAPhiladelphia

Wyndmoor

Media

University of Pennsylvania Health Syst

University of Pennsylvania

Transaction ID : VN8HHBFZGB219119-1018

Transaction ID : VN8HHBSN2C2

Prime Health Network

19

20

04

1167.96

2014

53

2014

2014

Image# 14940311171

10

12

11

232

Karl Schwabe

2013

2013

Valerie Arkoosh

2013

Rob Roy MacGregor

Infectious Disease Specialist

Physician

Obstetric Anesthesiologist

Page 54: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

250.00

55519.00

250.00

250.00

250.00

MA

PA

PO Box 382110

841 Appenzell Dr

250.00

558 N 23rd St

Friends of Val Arkoosh

19130-3117Transaction ID : VN8HHBJC4C2

02238-2110

PAHummelstown

Philadelphia

Cambridge

C00401224

Pennsylvania State University

Self

Transaction ID : VN8HHBDZDC217036-8533

Transaction ID : VN8HHBDZDC2E

05

05

25

500.00

2014

54

2014

2014

Image# 14940311172

11

11

11

232

ACTBLUE

2013

2013

Joseph F Ricchiuti

2013

Patrick M McQuillan

Anesthesiologist

Conduit total listed in Agg. field

Attorney

[MEMO ITEM]

Page 55: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

1000.00

250.00

1000.00

250.00

250.00

PA

VA

1025 W Cliveden St

3101 NE 130th St

250.00

3428 Misty Pl

Friends of Val Arkoosh

23452-6018Transaction ID : VN8HHB8AFF2

19119-3702

OKEdmond

Virginia Beach

Philadelphia

Self

EVMS Medical Group

Transaction ID : VN8HHBJWMC273013-7491

Transaction ID : VN8HHBSM7E2

Rutgers University School of Law - Cam

26

19

23

1500.00

2014

55

2014

2014

Image# 14940311173

10

12

11

232

Ann E Freedman

2013

2013

Bonnie J Dattel

2013

Katherine Scheirman

Retired

law professor

OB-GYN

Page 56: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

500.00

55519.00

1500.00

500.00

500.00

MA

PA

PO Box 382110

5605 S Woodlawn Ave

500.00

1017 Clinton St

Friends of Val Arkoosh

19107-6016Transaction ID : VN8HHBKFBG2

02238-2110

ILChicago

Philadelphia

Cambridge

C00401224

University of Chicago

Morgan, Lewis & Bockius LLP

Transaction ID : VN8HHBW1MF260637-1622

Transaction ID : VN8HHBW1MF2E

26

26

03

1000.00

2014

56

2014

2014

Image# 14940311174

12

12

12

232

ACTBLUE

2013

2013

Mark Dichter

2013

Vineet Arora

Associate Professor of Medicine

Conduit total listed in Agg. field

Attorney

[MEMO ITEM]

Page 57: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

250.00

2000.00

250.00

500.00

500.00

PA

MI

1333 Robinhood Rd

PO Box 382110

55519.00

23701 Wilmarth Ave

Friends of Val Arkoosh

48335-3566Transaction ID : VN8HHBV22K2

19046-1025

MACambridge

Farmington

Meadowbrook

C00401224

Tenet

Transaction ID : VN8HHBKFBG2E02238-2110

Transaction ID : VN8HHBSRKH2

AEMHN

03

21

31

750.00

2014

57

2014

2014

Image# 14940311175

12

12

12

232

Aung Gyi

2013

2013

Suzanne R White

2013

ACTBLUE

Conduit total listed in Agg. field

Anesthesiologist

physician

[MEMO ITEM]

Page 58: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

500.00

55519.00

500.00

500.00

500.00

MA

MN

PO Box 382110

19 Gentry Dr

500.00

2455 Highway 52 N

Friends of Val Arkoosh

55901-8311Transaction ID : VN8HHBE03K2

02238-2110

PAPalmyra

Rochester

Cambridge

C00401224

Penn State Hershey

The Mayo Clinic

Transaction ID : VN8HHBDZTK217078-3840

Transaction ID : VN8HHBDZTK2E

05

05

05

1000.00

2014

58

2014

2014

Image# 14940311176

11

11

11

232

Apt 306

ACTBLUE

2013

2013

David O Warner

2013

Donald E Martin

Anesthesiologist

Conduit total listed in Agg. field

Anesthesiologist

[MEMO ITEM]

Page 59: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

250.00

2000.00

500.00

500.00

500.00

NY

PA

PO Box 1766

PO Box 382110

55519.00

1141 Cornell Ave

Friends of Val Arkoosh

19026-3217Transaction ID : VN8HHBW1KM2

12901-0240

MACambridge

Drexel Hill

Plattsburgh

C00401224

Thomas Jefferson University Hospital

Transaction ID : VN8HHBE03K2E02238-2110

Transaction ID : VN8HHBRSVK2

Champlain Valley Physicians

05

16

26

750.00

2014

59

2014

2014

Image# 14940311177

12

12

11

232

Robert Eberle

2013

2013

Suzanne Huffnagle

2013

ACTBLUE

Conduit total listed in Agg. field

Anesthesiologist

Anesthesiology

[MEMO ITEM]

Page 60: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* In-Kind: in kind food items for event

Note: Above Contribution earmarked through thisorganization.

243.67

250.00

443.67

250.00

250.00

MI

PA

3742 Tanglewood Ct

PO Box 382110

55519.00

308 E Allens Ln

Friends of Val Arkoosh

19119-1101Transaction ID : VN8HHBTE1R2

48105-9574

MACambridge

Philadelphia

Ann Arbor

C00401224

Blue Banyan Yoga

Transaction ID : VN8HHBW1KM2E02238-2110

Transaction ID : VN8HHB1GMN2

University of Michigan

26

08

23

493.67

2014

60

2014

2014

Image# 14940311178

12

10

12

232

Carmen R Green

2013

2013

Sophie Simpson

2013

ACTBLUE

Conduit total listed in Agg. field

Obstetric Anesthesiologist

Owner

[MEMO ITEM]

Page 61: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

250.00

250.00

55519.00

250.00

500.00

IL

MA

57 E Delaware Pl

1901 Walnut St

500.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBFZFR2E

60611-1607

PAPhiladelphia

Cambridge

Chicago

C00401224

Children's Hospital of Pennsylvania

Transaction ID : VN8HHB1FZR219103-4645

Transaction ID : VN8HHBFZFR2

Loyola University Medical Center

08

19

19

750.00

2014

61

2014

2014

Image# 14940311179

11

11

10

232

Apt 18F

Apt 1102

Steven B. Edelstein

2013

2013

ACTBLUE

2013

John Downes

Attending Intensivist, Critical Care M

Anesthesiologist

Conduit total listed in Agg. field

[MEMO ITEM]

Page 62: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

50.00

328.00

55519.00

50.00

250.00

MA

MA

55 Main St

2013 Egret Ln

250.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBSHSS2E

01360-1017

SCCharleston

Cambridge

Northfield

C00401224

Medical University of South Carolina

Transaction ID : VN8HHBVS7S229414-5303

Transaction ID : VN8HHBSHSS2

UMassMemorial Health Care

27

19

19

300.00

2014

62

2014

2014

Image# 14940311180

12

12

12

232

Stephen Martin

2013

2013

ACTBLUE

2013

Deborah V Deas

Senior Associate Dean for Medical Educ

Family Medicine

Conduit total listed in Agg. field

[MEMO ITEM]

Page 63: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

250.00

700.00

250.00

150.00

250.00

MD

PA

600 McNeill Rd

215 Loring Ave

250.00

1701 Locust St

Friends of Val Arkoosh

19103-6163Transaction ID : VN8HHBW1ZV2

20910-5541

NYPelham

Philadelphia

Silver Spring

Self

Thomas Jefferson University

Transaction ID : VN8HHBRSMT210803-2254

Transaction ID : VN8HHBS65T2

Evergreen Health Co-op

16

17

31

650.00

2014

63

2014

2014

Image# 14940311181

12

12

12

232

Unit 1709

Alex Blum

2013

2013

Stanton Smullens

2013

Brenda D Harms

Homemaker

Physician

Chief Medical Officer

Page 64: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

100.00

500.00

2600.00

500.00

250.00

PA

PA

1008 Stratford Ave

PO Box 382110

55519.00

8800 Montgomery Ave

Friends of Val Arkoosh

19038-8310Transaction ID : VN8HHBSHJV2

19027-3025

MACambridge

Wyndmoor

Elkins Park

C00401224

None

Transaction ID : VN8HHBW1ZV2E02238-2110

Transaction ID : VN8HHBJC1V2

None

31

25

19

600.00

2014

64

2014

2014

Image# 14940311182

12

11

12

232

Glenn Carlson

2013

2013

Margaret Greenawalt

2013

ACTBLUE

Conduit total listed in Agg. field

Unemployed

Not Employed

[MEMO ITEM]

Page 65: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

1000.00

55519.00

2000.00

100.00

100.00

MA

CO

PO Box 382110

151 Soundview Ave

2600.00

1043 Pine St

Friends of Val Arkoosh

80302-4022Transaction ID : VN8HHBFZEW2

02238-2110

NYWhite Plains

Boulder

Cambridge

C00401224

Columbia University

Retired

Transaction ID : VN8HHBE07W210606-3614

Transaction ID : VN8HHBE07W2E

05

05

19

1100.00

2014

65

2014

2014

Image# 14940311183

11

11

11

232

ACTBLUE

2013

2013

Margery J. Goldman

2013

Richard Smiley

Chief of Obstetric Anesthesiology

Conduit total listed in Agg. field

Retired

[MEMO ITEM]

Page 66: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

* In-Kind: in kind food and supplies for event

Note: Above Contribution earmarked through thisorganization.

500.00

435.00

500.00

310.00

1000.00

PA

PA

911 Fraser Rd

PO Box 382110

55519.00

1116 Perry Hwy

Friends of Val Arkoosh

15237-2135Transaction ID : VN8HHBRSQX2

19038-7013

MACambridge

Pittsburgh

Glenside

C00401224

Self

Transaction ID : VN8HHBFZEW2E02238-2110

Transaction ID : VN8HHC264X2

Womencare OB/GYN

19

01

16

810.00

2014

66

2014

2014

Image# 14940311184

12

12

11

232

Sherry Blumenthal

2013

2013

Elizabeth Kairys

2013

ACTBLUE

Conduit total listed in Agg. field

OB/GYN

Not Employed

[MEMO ITEM]

Page 67: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

500.00

2600.00

500.00

2600.00

500.00

PA

NJ

720 N Spring Mill Rd

PO Box 382110

55519.00

8 Talon Ct

Friends of Val Arkoosh

08080-1680Transaction ID : VN8HHB3K3Z2

19085-2045

MACambridge

Sewell

Villanova

C00401224

Jefferson Medical College

Transaction ID : VN8HHBRSQX2E02238-2110

Transaction ID : VN8HHBNZGZ2

Benefits Data Trust

16

11

09

3100.00

2014

67

2014

2014

Image# 14940311185

10

12

12

232

Warren W Kantor

2013

2013

David Maguire

2013

ACTBLUE

Conduit total listed in Agg. field

CEO

Anesthesiologist

[MEMO ITEM]

Page 68: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

250.00

250.00

55519.00

250.00

500.00

MD

MA

4312 Clagett Rd

17573 Middle Lake Dr

500.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBDZV13E

20782

FLBoca Raton

Cambridge

University Park

C00401224

Resolute Anesthesia and Pain Solutions

Transaction ID : VN8HHBSSH0333496-1028

Transaction ID : VN8HHBDZV13

University of Maryland

22

05

05

750.00

2014

68

2014

2014

Image# 14940311186

11

11

12

232

Rob Sprinkle

2013

2013

ACTBLUE

2013

Steven Stein

Anesthesiologist

Family Medicine

Conduit total listed in Agg. field

[MEMO ITEM]

Page 69: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

500.00

55519.00

500.00

250.00

250.00

MA

DC

PO Box 382110

1630 Copper Beech Cir

250.00

1751 P St NW

Friends of Val Arkoosh

20036-1303Transaction ID : VN8HHBNZH33

02238-2110

PAHuntingdon Valley

Washington

Cambridge

C00401224

ARAMARK

The McIntosh Foundation

Transaction ID : VN8HHBSHT2319006-7771

Transaction ID : VN8HHBSHT23E

19

19

11

750.00

2014

69

2014

2014

Image# 14940311187

12

12

12

232

ACTBLUE

2013

2013

Winsome McIntosh

2013

Tracey S Pachman

Attorney

Conduit total listed in Agg. field

Consultant

[MEMO ITEM]

Page 70: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

1000.00

350.00

1000.00

100.00

250.00

MD

PA

1714 S Harbor Ln

PO Box 2569

250.00

8620 Montgomery Ave

Friends of Val Arkoosh

19038-8306Transaction ID : VN8HHBSHW43

21401-6535

COSilverthorne

Glenside

Annapolis

University of Minnesota

Temple University

Transaction ID : VN8HHB4A33380498-2569

Transaction ID : VN8HHBRVJ33

Self

15

17

19

1350.00

2014

70

2014

2014

Image# 14940311188

12

12

10

232

94 Ryan Gulch Rd

Elizabeth Buckman

2013

2013

Richard T Collier

2013

Judith A Buchanan

Professor Division of Prosthodontics

Public Relations

Adjunct Professor

Page 71: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

1000.00

1000.00

55519.00

1000.00

1000.00

PA

MA

507 Shortridge Dr

PO Box 382110

55519.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBW1K53E

19096-1609

MACambridge

Cambridge

Wynnewood

C00401224

C00401224

Transaction ID : VN8HHBSHW43E02238-2110

Transaction ID : VN8HHBW1K53

Drexel University College of Medicine

19

31

31

1000.00

2014

71

2014

2014

Image# 14940311189

12

12

12

232

Howard Eisen

2013

2013

ACTBLUE

2013

ACTBLUE

Conduit total listed in Agg. field

Cardiologist

Conduit total listed in Agg. field

[MEMO ITEM]

[MEMO ITEM]

Page 72: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

250.00

250.00

55519.00

250.00

400.00

PA

MA

401 Woodside Ave

42 Jasmine St

400.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBKFB63E

19072-2332

CODenver

Cambridge

Narberth

C00401224

University of Colorado

Transaction ID : VN8HHBG0G5380220-5911

Transaction ID : VN8HHBKFB63

Temple U

19

03

03

650.00

2014

72

2014

2014

Image# 14940311190

12

12

11

232

Scott Burris

2013

2013

ACTBLUE

2013

Jane E.B. Reusch

Physician

Law Professor

Conduit total listed in Agg. field

[MEMO ITEM]

Page 73: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

200.00

600.00

55519.00

200.00

150.00

VA

MA

2201 Goldentree Way

6375 Church Rd

600.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBXGT73E

22182-5173

PAPhiladelphia

Cambridge

Vienna

C00401224

Drexel University

Transaction ID : VN8HHBE7P6319151-2504

Transaction ID : VN8HHBXGT73

George Washington University

07

30

30

350.00

2014

73

2014

2014

Image# 14940311191

12

12

11

232

May L Chin

2013

2013

ACTBLUE

2013

Theodore Corbin

Emergency Medicine

Anesthesiologist

Conduit total listed in Agg. field

[MEMO ITEM]

Page 74: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

250.00

250.00

55519.00

250.00

500.00

WI

MA

412 Farwell Dr

1150 K St NW

600.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBW1MA3E

53704-6026

DCWashington

Cambridge

Madison

C00401224

UCLA

Transaction ID : VN8HHB3SJ7320005-6804

Transaction ID : VN8HHBW1MA3

University of Wisconsin

11

31

31

750.00

2014

74

2014

2014

Image# 14940311192

12

12

10

232

Apt 503

Deborah A Rusy

2013

2013

ACTBLUE

2013

Alice Chen

Physician

Anesthesiologist

Conduit total listed in Agg. field

[MEMO ITEM]

Page 75: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

500.00

300.00

500.00

150.00

200.00

PA

PA

239 Rex Ave

6513 Navaho Trl

700.00

401 W Allens Ln

Friends of Val Arkoosh

19119-2805Transaction ID : VN8HHBEVRB3

19118-3718

MNEdina

Philadelphia

Philadelphia

Self

retired

Transaction ID : VN8HHBF43A355439-1137

Transaction ID : VN8HHBFSKA3

retired

13

17

08

850.00

2014

75

2014

2014

Image# 14940311193

11

11

11

232

Bettina Hoerlin

2013

2013

Julia A Ericksen

2013

Kathy Zuspan

Anesthesiologist

health planner

retired

Page 76: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

1000.00

2000.00

55519.00

1000.00

75.00

IL

MA

25W361 Westove Ct

1504 Montrose St

500.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBSHVC3E

60540-3407

PAPhiladelphia

Cambridge

Naperville

C00401224

Veteran's Health Administration

Transaction ID : VN8HHBF7VC319146-2115

Transaction ID : VN8HHBSHVC3

Women's Center for Health

14

19

19

1075.00

2014

76

2014

2014

Image# 14940311194

12

12

11

232

Christopher G. Olson

2013

2013

ACTBLUE

2013

Poune Saberi

General Practitioner

GYN Surgeon

Conduit total listed in Agg. field

[MEMO ITEM]

Page 77: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

250.00

250.00

55519.00

250.00

250.00

IL

MA

430 Fox Meadow Dr

4623 Osage Ave

250.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBF3QJ3E

60093-4301

PAPhiladelphia

Cambridge

Northfield

C00401224

Self

Transaction ID : VN8HHBEZ5H319143-2113

Transaction ID : VN8HHBF3QJ3

University of Illinois

11

13

13

500.00

2014

77

2014

2014

Image# 14940311195

11

11

11

232

Charles E Laurito

2013

2013

ACTBLUE

2013

Lisa Mathewson

Attorney

Anesthesiologist

Conduit total listed in Agg. field

[MEMO ITEM]

Page 78: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

* In-Kind: in kind mileage reimbursement

250.00

250.00

55519.00

250.00

361.38

PA

MA

3550 Terrace St

PO Box 1011

829.47

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBJWAM3E

15213-2500

PAGlenside

Cambridge

Pittsburgh

C00401224

Friends of Val Arkoosh

Transaction ID : VN8HHBWTYM319038-6011

Transaction ID : VN8HHBJWAM3

University of Pittsburgh

10

26

26

611.38

2014

78

2014

2014

Image# 14940311196

11

11

12

232

Andrew Herlich

2013

2013

ACTBLUE

2013

Ellen Sun

Finance Director

Anesthesiologist

Conduit total listed in Agg. field

[MEMO ITEM]

Page 79: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

* In-Kind: in kind mileage reimbursement

1750.00

950.00

5200.00

350.00

201.10

PA

NJ

7709 Chapel Rd

PO Box 1011

468.09

725 Kings Hwy

Friends of Val Arkoosh

08057-2621Transaction ID : VN8HHBW1JQ3

19027-2528

PAGlenside

Moorestown

Elkins Park

Friends of Val Arkoosh

Cooper Health System

Transaction ID : VN8HHBWTZN319038-6011

Transaction ID : VN8HHBJC0P3

American Board of Internal Medicine

24

25

31

2301.10

2014

79

2014

2014

Image# 14940311197

12

11

11

232

Lorie B. Slass

2013

2013

Valerie Armstead

2013

Ellen Sun

Finance Director

Communications Director

Physician

Page 80: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

75.00

2600.00

425.00

600.00

1750.00

IL

PA

211 S Cumberland Ave

PO Box 382110

55519.00

1504 Montrose St

Friends of Val Arkoosh

19146-2115Transaction ID : VN8HHB48HR3

60068-4055

MACambridge

Philadelphia

Park Ridge

C00401224

Veteran's Health Administration

Transaction ID : VN8HHBW1JQ3E02238-2110

Transaction ID : VN8HHBTSPR3

University of Chicago

31

30

15

675.00

2014

80

2014

2014

Image# 14940311198

10

12

12

232

Barbara Scavone

2013

2013

Poune Saberi

2013

ACTBLUE

Conduit total listed in Agg. field

Anesthesiologist

General Practitioner

[MEMO ITEM]

Page 81: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

100.00

628.00

55519.00

100.00

1000.00

WA

MA

8623 46th Ave SW

7 3rd Ave

1000.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBSHTS3E

98136-2429

PAMalvern

Cambridge

Seattle

C00401224

Self

Transaction ID : VN8HHBS6XS319355-3031

Transaction ID : VN8HHBSHTS3

Providence Elderplace

17

19

19

1100.00

2014

81

2014

2014

Image# 14940311199

12

12

12

232

Lisa Plymate

2013

2013

ACTBLUE

2013

Susan L Anderson

Retired

Geriatrician

Conduit total listed in Agg. field

[MEMO ITEM]

Page 82: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

2600.00

2600.00

55519.00

2600.00

1000.00

CA

MA

746 Esplanada Way

484 1st St

1500.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBNYYV3E

94305-1073

NYBrooklyn

Cambridge

Stanford

C00401224

Self

Transaction ID : VN8HHBVS8T311215-2606

Transaction ID : VN8HHBNYYV3

Stanford University

31

11

11

3600.00

2014

82

2014

2014

Image# 14940311200

12

12

12

232

Carol Winograd

2013

2013

ACTBLUE

2013

Polly Howells

Retired

Professor

Conduit total listed in Agg. field

[MEMO ITEM]

Page 83: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

1000.00

300.00

1000.00

100.00

500.00

IL

PA

812 S Clay St

300 E 39th St

500.00

121 Edgewood Rd

Friends of Val Arkoosh

19003-2507Transaction ID : VN8HHBRTKW3

60521-4541

NYNew York

Ardmore

Hinsdale

New York University

university of pennsylvania

Transaction ID : VN8HHAZJZV310016-2216

Transaction ID : VN8HHBCVTV3

Aim Specialty Health

03

26

17

1600.00

2014

83

2014

2014

Image# 14940311201

12

10

10

232

Apt 27G

Susan Nedza

2013

2013

Benjamin Abella

2013

Jennifer F Havens

Psychiatrist

Physician

physician

Page 84: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

250.00

250.00

55519.00

250.00

500.00

PA

MA

17 Coopertown Rd

25 NW 23rd Pl

535.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBW1MX3E

19041-1012

ORPortland

Cambridge

Haverford

C00401224

retired

Transaction ID : VN8HHAZMYX397210-5580

Transaction ID : VN8HHBW1MX3

Philadelphia Futures

03

26

26

750.00

2014

84

2014

2014

Image# 14940311202

12

12

10

232

Ste 6

Joan Mazzotti

2013

2013

ACTBLUE

2013

BettyLou Koffel

physician

Executive Director

Conduit total listed in Agg. field

[MEMO ITEM]

Page 85: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

1000.00

1000.00

55519.00

1000.00

250.00

PA

MA

230 W Willow Grove Ave

635 Sussex Rd

250.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBSHVZ3E

19118-3919

PAWynnewood

Cambridge

Philadelphia

C00401224

St. Christopher's Hospital for Childre

Transaction ID : VN8HHBP5JZ319096-2204

Transaction ID : VN8HHBSHVZ3

Drexel School of Public Health

12

19

19

1250.00

2014

85

2014

2014

Image# 14940311203

12

12

12

232

Marla J. Gold

2013

2013

ACTBLUE

2013

Nancy D Spector

Physician

Dean Emeritus

Conduit total listed in Agg. field

[MEMO ITEM]

Page 86: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

250.00

500.00

850.00

500.00

500.00

PA

PA

531 E Durham St

2515 Panama St

500.00

739 S Highland Ave

Friends of Val Arkoosh

19066-1609Transaction ID : VN8HHBSNH34

19119-1225

PAPhiladelphia

Merion Station

Philadelphia

University of Pennsylvania

Rutgers University

Transaction ID : VN8HHBKCB0419103-6474

Transaction ID : VN8HHB3RY14

Praxis Consulting Group

02

11

20

1250.00

2014

86

2014

2014

Image# 14940311204

12

10

12

232

Virginia Vanderslice

2013

2013

Rayman L Solomon

2013

Vivek Ahya

Pulmonary Medicine Physician

President

Administrator

Page 87: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

250.00

55519.00

250.00

500.00

500.00

MA

PA

PO Box 382110

3155 19th St NW

500.00

4601 Brookridge Dr

Friends of Val Arkoosh

18034-8805Transaction ID : VN8HHB8BF44

02238-2110

DCWashington

Center Valley

Cambridge

C00401224

Pacific Gas and Electric Company

Lehigh Valley Health Network

Transaction ID : VN8HHBW1Q3420010-2638

Transaction ID : VN8HHBW1Q34E

26

26

23

750.00

2014

87

2014

2014

Image# 14940311205

10

12

12

232

ACTBLUE

2013

2013

Thomas M McLoughlin

2013

Melissa Lavinson

Vice President of Federal Affairs

Conduit total listed in Agg. field

Physician

[MEMO ITEM]

Page 88: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

25.00

55519.00

253.00

500.00

500.00

MA

PA

PO Box 382110

150 Columbus Ave

500.00

728 Stanbridge St

Friends of Val Arkoosh

19401-5506Transaction ID : VN8HHBJW264

02238-2110

NYNew York

Norristown

Cambridge

C00401224

N/A

Montgomery County Democratic Committee

Transaction ID : VN8HHBDZE6410023-5972

Transaction ID : VN8HHBDZE64E

05

05

26

525.00

2014

88

2014

2014

Image# 14940311206

11

11

11

232

Ph 1A

ACTBLUE

2013

2013

Olivia Brady

2013

Carol Tolan

Not employed

Conduit total listed in Agg. field

Assistant Director

[MEMO ITEM]

Page 89: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

500.00

3000.00

500.00

1000.00

25.00

IA

IL

3502 Foxana Dr

PO Box 382110

55519.00

251 Longcommon Rd

Friends of Val Arkoosh

60546-2033Transaction ID : VN8HHBS6564

52246-8616

MACambridge

Riverside

Iowa City

C00401224

Self

Transaction ID : VN8HHBJW264E02238-2110

Transaction ID : VN8HHBT8M64

University of Iowa

26

26

17

1500.00

2014

89

2014

2014

Image# 14940311207

12

12

11

232

James Bates

2013

2013

Marie T. Brown

2013

ACTBLUE

Conduit total listed in Agg. field

Anesthesiologist

Internist

[MEMO ITEM]

Page 90: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

100.00

550.00

55519.00

100.00

250.00

MD

MA

8708 Melwood Rd

16 Arbor Rd

250.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBW2084E

20817-3226

MOOlivette

Cambridge

Bethesda

C00401224

Self

Transaction ID : VN8HHBTXQ7463132-4203

Transaction ID : VN8HHBW2084

George Washington University

31

31

31

350.00

2014

90

2014

2014

Image# 14940311208

12

12

12

232

Fitzhugh Mullan

2013

2013

ACTBLUE

2013

Isaac Young

Retired

Physician

Conduit total listed in Agg. field

[MEMO ITEM]

Page 91: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

250.00

250.00

750.00

250.00

500.00

IL

PA

976 Sunset Rd

161 E Chicago Ave

500.00

1214 Yarmouth Rd

Friends of Val Arkoosh

19096-3639Transaction ID : VN8HHBJWAA4

60093-3641

ILChicago

Wynnewood

Winnetka

Northwestern Medical Faculty Foundatio

University of Pennsylvania

Transaction ID : VN8HHBTEK8460611-6681

Transaction ID : VN8HHBDVH94

North Shore University Health System

29

04

26

1000.00

2014

91

2014

2014

Image# 14940311209

11

11

12

232

Apt 48F

Joseph Szokol

2013

2013

David Eckmann

2013

Honorio Benzon

Physician

Anesthesiologist

Anesthesiologist

Page 92: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

250.00

500.00

1250.00

500.00

250.00

FL

PA

1601 Clint Moore Rd

PO Box 382110

55519.00

5545 Tuscany Ct

Friends of Val Arkoosh

18036-1964Transaction ID : VN8HHBT2FC4

33487-5715

MACambridge

Coopersburg

Boca Raton

C00401224

Allentown Anesthesia Associates

Transaction ID : VN8HHBJWAA4E02238-2110

Transaction ID : VN8HHBVS3B4

Broad Pain Care Consultants

26

27

23

750.00

2014

92

2014

2014

Image# 14940311210

12

12

11

232

Ste 160

Ian Schaja

2013

2013

Aras Ali

2013

ACTBLUE

Conduit total listed in Agg. field

Anesthesiologist

Anesthesiologist

[MEMO ITEM]

Page 93: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

500.00

750.00

500.00

250.00

250.00

PA

TX

4141 Apalogen Rd

6 Crestwood Dr

250.00

6037 Llano Ave

Friends of Val Arkoosh

75206-6321Transaction ID : VN8HHBD42D4

19129-5503

MOSaint Louis

Dallas

Philadelphia

Washington University

UT Southwestern

Transaction ID : VN8HHBT8TC463105-3033

Transaction ID : VN8HHBCYBD4

Hangley Aronchick

26

28

29

1000.00

2014

93

2014

2014

Image# 14940311211

10

10

12

232

Wendy Beetlestone Esq.

2013

2013

Martin Giesecke

2013

Ellen Lockhart

Associate Professor and Vice Chairman,

Attorney

Anesthesiologist

Page 94: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

250.00

500.00

250.00

500.00

250.00

PA

MD

314 S Smedley St

3008 E Laurelhurst Dr NE

100.00

PO Box 816

Friends of Val Arkoosh

21022-0816Transaction ID : VN8HHBT89E4

19103-6718

WASeattle

Brooklandville

Philadelphia

Self

James R. Garrett, Consultant

Transaction ID : VN8HHB3SME498105-5331

Transaction ID : VN8HHBDCZE4

Synthes Spine

11

31

26

1000.00

2014

94

2014

2014

Image# 14940311212

12

10

10

232

Jeffrey Eagan

2013

2013

Jim Garrett

2013

Jean Amick

None

AO ASIF Consultant

Educational Consultant

Page 95: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

100.00

2600.00

426.00

2600.00

250.00

NJ

PA

100 Old Palisade Rd

213 W 3rd St

250.00

948 Leopard Rd

Friends of Val Arkoosh

19046-2410Transaction ID : VN8HHBSJ5H4

07024-7023

ILHinsdale

Rydal

Fort Lee

University of Illinois at Chicago

Children's Hosp of Phila

Transaction ID : VN8HHAZNZF460521-4021

Transaction ID : VN8HHBJBWH4

Comprehensive Genetics

04

25

19

2950.00

2014

95

2014

2014

Image# 14940311213

12

11

10

232

Apt 2906

Mark I Evans

2013

2013

David Lowe

2013

Pauline M Maki

Professor of Psychiatry and Psychology

Physician

Physician

Page 96: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

50.00

55519.00

1200.00

500.00

500.00

MA

WA

PO Box 382110

128 Bedens Brook Rd

500.00

3838 NE 189th Pl

Friends of Val Arkoosh

98155-2744Transaction ID : VN8HHBF7XK4

02238-2110

NJSkillman

Lake Forest Park

Cambridge

C00401224

Vorhees Virtua

University of Washington

Transaction ID : VN8HHBRSPJ408558-2303

Transaction ID : VN8HHBRSPJ4E

16

16

14

550.00

2014

96

2014

2014

Image# 14940311214

11

12

12

232

ACTBLUE

2013

2013

David V. Evans

2013

John A Carlson Jr.

OB-GYN

Conduit total listed in Agg. field

Family Medicine

[MEMO ITEM]

Page 97: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

250.00

250.00

250.00

250.00

250.00

MA

PA

2 Beeching St

5 Mink Dr

250.00

1157 Avonlea Cir

Friends of Val Arkoosh

19342-9520Transaction ID : VN8HHBT1SQ4

01602-1402

NHHanover

Glen Mills

Worcester

Dartmouth Medical School

Premier Orthopaedics

Transaction ID : VN8HHBD89M403755-3108

Transaction ID : VN8HHBF7VN4

University of Massachusetts

30

14

22

750.00

2014

97

2014

2014

Image# 14940311215

12

11

10

232

Julia Johnson

2013

2013

Chip D Hummer

2013

Jocelyn D. D Chertoff

Physician

OB/GYN - Chair

Orthopaedic Surgeon

Page 98: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

250.00

1000.00

600.00

500.00

250.00

PA

PA

515 E Mount Pleasant Ave

508 Old Lancaster Rd

250.00

18 N Edmonds Ave

Friends of Val Arkoosh

19083-5024Transaction ID : VN8HHBS7SX4

19119-1233

PAHaverford

Havertown

Philadelphia

University of Pennsylvania Health Syst

Thomas Jefferson University

Transaction ID : VN8HHBSN1S419041-1411

Transaction ID : VN8HHBNZGS4

Urban Affairs Coalition

20

11

18

1000.00

2014

98

2014

2014

Image# 14940311216

12

12

12

232

Leslie Benoliel

2013

2013

Jane Huffnagle

2013

Charles W Schwab

Surgeon

Non profit manager

Anesthesiologist

Page 99: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

1000.00

2600.00

1553.00

100.00

100.00

PA

MO

8800 Montgomery Ave

812 S Clay St

400.00

327 Hampshire Hill Ln

Friends of Val Arkoosh

63141-7207Transaction ID : VN8HHBKE405

19038-8310

ILHinsdale

Saint Louis

Wyndmoor

Aim Specialty Health

N/A

Transaction ID : VN8HHBJVSY460521-4541

Transaction ID : VN8HHBSHJZ4

Self

26

19

02

1200.00

2014

99

2014

2014

Image# 14940311217

12

12

11

232

Richard Greenawalt

2013

2013

Marie Chapman Carroll

2013

Susan Nedza

Physician

Private Investor

Retired

Page 100: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

150.00

1250.00

550.00

500.00

50.00

CA

PA

1409 Ada St

107 Sunnymeade Rd

400.00

918 Katie Cir

Friends of Val Arkoosh

19468-7400Transaction ID : VN8HHBRS615

94702-1216

NJHillsborough

Royersford

Berkeley

None

Merck & Co

Transaction ID : VN8HHBT3S1508844-4654

Transaction ID : VN8HHBNEC15

Pro-Media Communications

23

06

16

700.00

2014

100

2014

2014

Image# 14940311218

12

12

12

232

Rochelle Lefkowitz

2013

2013

Molly Watkins

2013

Pamela Booth

Not Employed

President

Associate Director

Page 101: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

100.00

250.00

55519.00

100.00

1000.00

CO

MA

7336 Windsor Dr

429 Denniston Ave

1000.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBRSP35E

80301-3718

PAPittsburgh

Cambridge

Boulder

C00401224

REED SMITH LLP

Transaction ID : VN8HHBNZN2515206-4441

Transaction ID : VN8HHBRSP35

Retired

11

16

16

1100.00

2014

101

2014

2014

Image# 14940311219

12

12

12

232

Janet Strife

2013

2013

ACTBLUE

2013

Daniel I Booker

ATTORNEY

Physician

Conduit total listed in Agg. field

[MEMO ITEM]

Page 102: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

250.00

55519.00

250.00

53.00

53.00

MA

AL

PO Box 382110

85 Wolcott Rd

606.00

133 McGregor Ave S

Friends of Val Arkoosh

36608-2345Transaction ID : VN8HHB1NS65

02238-2110

MAChestnut Hill

Mobile

Cambridge

C00401224

Tufts MC PO

University of South Alabama

Transaction ID : VN8HHBE084502467-3108

Transaction ID : VN8HHBE0845E

05

05

09

303.00

2014

102

2014

2014

Image# 14940311220

10

11

11

232

ACTBLUE

2013

2013

Mary I Townsley

2013

Scott Segal

Anesthesiologist

Conduit total listed in Agg. field

Professor of Physiology and Medicine

[MEMO ITEM]

Page 103: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* In-Kind: in kind flight ticket purchase

100.00

8103.75

400.00

519.20

500.00

PA

PA

530 Spring Ln

110 E Delaware Pl

500.00

8802 Bailey Rd

Friends of Val Arkoosh

19038-7406Transaction ID : VN8HHBSHK85

19038-8413

ILChicago

Glenside

Wyndmoor

Chicago Women's Health Practitioners

Guardian Nurses

Transaction ID : VN8HHBT3Z7560611-4901

Transaction ID : VN8HHBXH975

University of Pennsylvania

23

07

19

1119.20

2014

103

2014

2014

Image# 14940311221

12

10

12

232

Apt 1703

Valerie Arkoosh

2013

2013

Elizabeth R Long

2013

Judith Cothran

Physician

Obstetric Anesthesiologist

President

Page 104: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

500.00

55519.00

500.00

1000.00

1000.00

MA

NC

PO Box 382110

445 Boxwood Rd

1000.00

2441 Sedley Rd

Friends of Val Arkoosh

28211-3650Transaction ID : VN8HHBF50A5

02238-2110

PABryn Mawr

Charlotte

Cambridge

C00401224

International Raw Materials Ltd

Charlotte Radiology

Transaction ID : VN8HHBXGR9519010-1254

Transaction ID : VN8HHBXGR95E

30

30

13

1500.00

2014

104

2014

2014

Image# 14940311222

11

12

12

232

ACTBLUE

2013

2013

Matthew Gromet

2013

William P O'Neill Jr.

Business Executive

Conduit total listed in Agg. field

Radiologist

[MEMO ITEM]

Page 105: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

500.00

55519.00

500.00

500.00

500.00

MA

PA

PO Box 382110

115 Overbrook Pkwy

500.00

440 S Broad St

Friends of Val Arkoosh

19146-4917Transaction ID : VN8HHB763A5

02238-2110

PAWynnewood

Philadelphia

Cambridge

C00401224

N/A

Temple University

Transaction ID : VN8HHBKFBA519096-3702

Transaction ID : VN8HHBKFBA5E

03

03

18

1000.00

2014

105

2014

2014

Image# 14940311223

10

12

12

232

Unit 2301

ACTBLUE

2013

2013

Amy J Goldberg

2013

David Balamuth

RETIRED

Conduit total listed in Agg. field

Section Chief, Trauma and Surgical Cri

[MEMO ITEM]

Page 106: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

250.00

250.00

55519.00

250.00

250.00

NY

MA

985 5th Ave

2000 Market St

250.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBXGRE5E

10075-0142

PAPhiladelphia

Cambridge

New York

C00401224

Fox Rothschild, LLP

Transaction ID : VN8HHBHZ6B519103-7006

Transaction ID : VN8HHBXGRE5

Fledgling Fund

21

30

30

500.00

2014

106

2014

2014

Image# 14940311224

12

12

11

232

Fl 10

Diana Barrett

2013

2013

ACTBLUE

2013

Abraham Reich

Attorney

Foundation Executive

Conduit total listed in Agg. field

[MEMO ITEM]

Page 107: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

500.00

55519.00

500.00

50.00

50.00

MA

PA

PO Box 382110

805 Primrose Ln

300.00

124 Maple Ave

Friends of Val Arkoosh

19004-3031Transaction ID : VN8HHBSHME5

02238-2110

PAWynnewood

Bala Cynwyd

Cambridge

C00401224

Crozer Keystone

Self

Transaction ID : VN8HHBJWAE519096-1665

Transaction ID : VN8HHBJWAE5E

26

26

19

550.00

2014

107

2014

2014

Image# 14940311225

12

11

11

232

ACTBLUE

2013

2013

Bonnie B Dorwart

2013

Leon Katz

Surgeon

Conduit total listed in Agg. field

Rheumatologist

[MEMO ITEM]

Page 108: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

250.00

500.00

55519.00

250.00

500.00

NY

MA

360 Furman St

1704 S St NW

1000.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBW1NF5E

11201-4579

DCWashington

Cambridge

Brooklyn

C00401224

Inova Fairfax Hospital

Transaction ID : VN8HHBP13F520009-6116

Transaction ID : VN8HHBW1NF5

None

12

26

26

750.00

2014

108

2014

2014

Image# 14940311226

12

12

12

232

Apt 1216

Claire Silberman

2013

2013

ACTBLUE

2013

Nitin Puri

Physician

Homemaker

Conduit total listed in Agg. field

[MEMO ITEM]

Page 109: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

500.00

250.00

1500.00

250.00

50.00

PA

NY

217 Knoll Rd

1901 John F Kennedy Blvd

400.00

751 Waldens Pond Rd

Friends of Val Arkoosh

12203-6006Transaction ID : VN8HHBRR0M5

19086-6009

PAPhiladelphia

Albany

Wallingford

Drexel University College of Medicine

Albany Medical Center

Transaction ID : VN8HHBT1WG519103-1522

Transaction ID : VN8HHBRPNK5

Weitz & Luxenberg

22

15

16

800.00

2014

109

2014

2014

Image# 14940311227

12

12

12

232

Apt 2525

Jerry M Kristal

2013

2013

Cheryl A De Simone Devito

2013

Julie Yeh

Physician

attorney

Anesthesiologist

Page 110: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

250.00

250.00

55519.00

250.00

500.00

PA

MA

6904 Wissahickon Ave

55 W Delaware Pl

500.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBSHTM5E

19119-3700

ILChicago

Cambridge

Philadelphia

C00401224

American Society of Anesthesiologists

Transaction ID : VN8HHBS83M560610-6083

Transaction ID : VN8HHBSHTM5

Self

18

19

19

750.00

2014

110

2014

2014

Image# 14940311228

12

12

12

232

Apt 505

Denise Scott Brown

2013

2013

ACTBLUE

2013

Paul Pomerantz

CEO

Retired

Conduit total listed in Agg. field

[MEMO ITEM]

Page 111: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

250.00

55519.00

250.00

250.00

250.00

MA

SC

PO Box 382110

1520 Spruce St

3350.00

6 49th Ave

Friends of Val Arkoosh

29451-2609Transaction ID : VN8HHB762Q5

02238-2110

PAPhiladelphia

Isle Of Palms

Cambridge

C00401224

Drexel University College of Medicine

Medical University of South Carolina

Transaction ID : VN8HHBW1MQ519102-4508

Transaction ID : VN8HHBW1MQ5E

31

31

18

500.00

2014

111

2014

2014

Image# 14940311229

10

12

12

232

Apt 707

ACTBLUE

2013

2013

Florence Hutchison

2013

Daniel V. Schidlow

Dean

Conduit total listed in Agg. field

Physician

[MEMO ITEM]

Page 112: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

250.00

250.00

250.00

250.00

500.00

FL

KS

13240 N Bayshore Dr

320 W Laurier Pl

500.00

13908 Mastin St

Friends of Val Arkoosh

66221-2284Transaction ID : VN8HHB8EKW5

33181-2148

PABryn Mawr

Overland Park

North Miami

ModSolar

University of Kansas

Transaction ID : VN8HHBVS8S519010-2253

Transaction ID : VN8HHBF47V5

Armor Correctional Health Services

29

13

24

1000.00

2014

112

2014

2014

Image# 14940311230

10

11

12

232

John May

2013

2013

Patricia A Thomas

2013

Kevin Ilsen

Co-founder & CTO, VP of Product Develo

Chief Medical Officer

Professor of Pathology

Page 113: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

250.00

500.00

250.00

500.00

150.00

MO

1855 Ironstone Rd

6375 Church Rd

750.00

Friends of Val Arkoosh

Transaction ID : VN8HHBNZHZ5

63131-3804

PAPhiladelphia

Saint Louis

Drexel University

Information Requested

Transaction ID : VN8HHBNFCW519151-2504

Transaction ID : VN8HHBRSSY5

Ballas Anesthesia Inc

07

16

11

900.00

2014

113

2014

2014

Image# 14940311231

12

12

12

232

Christopher T Felling

2013

2013

Erika Aaron

2013

Theodore Corbin

Emergency Medicine

physician/ Anesthesiologist

Information Requested

Page 114: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

500.00

3000.00

500.00

500.00

500.00

NY

PA

85 Bacon Dr

15915 Emory Ln

500.00

948 Oakwood Ave

Friends of Val Arkoosh

17362-9137Transaction ID : VN8HHBG1B16

12523-1127

MDRockville

Spring Grove

Elizaville

National Institute of Health

Hillside Medical Center

Transaction ID : VN8HHBKCEZ520853-1460

Transaction ID : VN8HHBS7VZ5

Albany Associates in Cardiology

02

18

19

1500.00

2014

114

2014

2014

Image# 14940311232

11

12

12

232

MS 10

Benjamin Schaefer

2013

2013

Terry Calder

2013

John H Powers III

Senior Medical Scientist at SAIC in su

Cardiologist

Anesthesiologist

Page 115: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

250.00

55519.00

250.00

50.00

50.00

MA

NY

PO Box 382110

1418 Drake St

400.00

1075 Park Ave

Friends of Val Arkoosh

10128-1003Transaction ID : VN8HHBNYZ36

02238-2110

WIMadison

New York

Cambridge

C00401224

Group Health Cooperative - SCW

Mount Sinai School of Medicine

Transaction ID : VN8HHBW1Q2653711-2211

Transaction ID : VN8HHBW1Q26E

31

31

11

300.00

2014

115

2014

2014

Image# 14940311233

12

12

12

232

ACTBLUE

2013

2013

Richard L Berkowitz

2013

Jeff Huebner

Medical Director - Quality and Care Im

Conduit total listed in Agg. field

Maternal Fetal Medicine Physician

[MEMO ITEM]

Page 116: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

250.00

1153.00

250.00

500.00

250.00

PA

PA

123 Beechmont Rd

PO Box 382110

55519.00

1836 Benson St

Friends of Val Arkoosh

19152-2318Transaction ID : VN8HHB1EA66

15206-4513

MACambridge

Philadelphia

Pittsburgh

C00401224

University of Pennsylvania Health Syst

Transaction ID : VN8HHBNYZ36E02238-2110

Transaction ID : VN8HHBNZN66

Self-employed, Elsa Limbach

11

11

08

750.00

2014

116

2014

2014

Image# 14940311234

10

12

12

232

Elsa Limbach

2013

2013

Jonathan Frogel

2013

ACTBLUE

Conduit total listed in Agg. field

Dance Artist

Anesthesiologist

[MEMO ITEM]

Page 117: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

500.00

55519.00

750.00

500.00

500.00

MA

NY

PO Box 382110

726 Righters Mill Rd

500.00

210 W 107th St

Friends of Val Arkoosh

10025-3087Transaction ID : VN8HHB44276

02238-2110

PAPenn Valley

New York

Cambridge

C00401224

Clinical Practices University of Penns

State University of New York-Downstate

Transaction ID : VN8HHBF3Q7619072-1429

Transaction ID : VN8HHBF3Q76E

13

13

14

1000.00

2014

117

2014

2014

Image# 14940311235

10

11

11

232

Apt 4G

ACTBLUE

2013

2013

David Wlody

2013

Jack Ludmir

Physician

Conduit total listed in Agg. field

Physician

[MEMO ITEM]

Page 118: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

250.00

55519.00

500.00

250.00

250.00

MA

NJ

PO Box 382110

9600 Sotweed Dr

250.00

725 Kings Hwy

Friends of Val Arkoosh

08057-2621Transaction ID : VN8HHBFA096

02238-2110

MDPotomac

Moorestown

Cambridge

C00401224

American University School of Law

Thomas Jefferson University

Transaction ID : VN8HHBRSQ8620854-4750

Transaction ID : VN8HHBRSQ86E

16

16

14

500.00

2014

118

2014

2014

Image# 14940311236

11

12

12

232

ACTBLUE

2013

2013

Michael Williams

2013

Nancy Abramowitz

Professor

Conduit total listed in Agg. field

Physician

[MEMO ITEM]

Page 119: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

500.00

500.00

500.00

500.00

250.00

OK

VA

7351 Bayliner Launch

24020 59th Ave SW

600.00

4308 Augusta Ave

Friends of Val Arkoosh

23230-3814Transaction ID : VN8HHBDZEA6

73013-8727

WAVashon

Richmond

Edmond

Self

Virginia Commonwealth University

Transaction ID : VN8HHBRX09698070-8014

Transaction ID : VN8HHB3K696

Database Solutions

17

09

05

1250.00

2014

119

2014

2014

Image# 14940311237

11

10

12

232

Johnny Fitch

2013

2013

John Butterworth IV

2013

Margaret Heldring

Psychologist

Programmer

Anesthesiologist

Page 120: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

500.00

400.00

500.00

150.00

500.00

PA

PA

216 Delancey St

PO Box 382110

55519.00

5 Willow Farms Ln

Friends of Val Arkoosh

15238-1542Transaction ID : VN8HHBEGKC6

19106-4309

MACambridge

Pittsburgh

Philadelphia

C00401224

The Western Pennsylvania Hospital

Transaction ID : VN8HHBDZEA6E02238-2110

Transaction ID : VN8HHB3NBB6

University of Pennsylvania

05

10

07

650.00

2014

120

2014

2014

Image# 14940311238

11

10

11

232

Carmen Guerra

2013

2013

Richard W Stypula Jr

2013

ACTBLUE

Conduit total listed in Agg. field

Physician, Researcher, and Administrat

Anesthesiologist

[MEMO ITEM]

Page 121: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

50.00

55519.00

300.00

250.00

250.00

MA

NY

PO Box 382110

634 E Lancaster Ave

500.00

136 E 64th St

Friends of Val Arkoosh

10065-7380Transaction ID : VN8HHBE00E6

02238-2110

PARadnor

New York

Cambridge

C00401224

University of Pennsylvania

unemployed

Transaction ID : VN8HHBW1KD619087-5246

Transaction ID : VN8HHBW1KD6E

31

31

05

300.00

2014

121

2014

2014

Image# 14940311239

11

12

12

232

ACTBLUE

2013

2013

Brooke S Beardslee

2013

C. William Hanson

Anesthesiologist

Conduit total listed in Agg. field

public health

[MEMO ITEM]

Page 122: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

600.00

950.00

2600.00

250.00

50.00

PA

PA

1536 Aidenn Lair Rd

PO Box 382110

55519.00

7425 Ardleigh St

Friends of Val Arkoosh

19119-1012Transaction ID : VN8HHBVS8F6

19002-3231

MACambridge

Philadelphia

Maple Glen

C00401224

American Board of Internal Medicine

Transaction ID : VN8HHBE00E6E02238-2110

Transaction ID : VN8HHBVS3F6

United Anesthesia Services, P.C.

05

31

31

850.00

2014

122

2014

2014

Image# 14940311240

12

12

11

232

Dr. Scott E. Rosenthal

2013

2013

Richard J. Baron

2013

ACTBLUE

Conduit total listed in Agg. field

Anesthesiologist/Pain Management Speci

CEO

[MEMO ITEM]

Page 123: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

50.00

55519.00

1250.00

10.00

10.00

MA

WA

PO Box 382110

523 Jarden Rd

1010.00

3838 NE 189th Pl

Friends of Val Arkoosh

98155-2744Transaction ID : VN8HHBPB5G6

02238-2110

PAWyndmoor

Lake Forest Park

Cambridge

C00401224

Cigna

University of Washington

Transaction ID : VN8HHBW20G619038-8544

Transaction ID : VN8HHBW20G6E

31

31

14

60.00

2014

123

2014

2014

Image# 14940311241

12

12

12

232

ACTBLUE

2013

2013

David V. Evans

2013

Jo Ann Miles

Attorney

Conduit total listed in Agg. field

Family Medicine

[MEMO ITEM]

Page 124: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

* In-Kind: in kind catering for event

500.00

647.79

500.00

120.50

100.00

PA

PA

2014 Hilltop Rd

812 S Clay St

500.00

111 E Mill Rd

Friends of Val Arkoosh

19031-1628Transaction ID : VN8HHBRSPH6

19031-1615

ILHinsdale

Flourtown

Flourtown

Aim Specialty Health

Self

Transaction ID : VN8HHBT8CG660521-4541

Transaction ID : VN8HHBS7PG6

Fox Rothschild

26

18

16

720.50

2014

124

2014

2014

Image# 14940311242

12

12

12

232

Mary Helf

2013

2013

Margaret M Conver

2013

Susan Nedza

Physician

Partner

None

Page 125: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

500.00

500.00

500.00

500.00

500.00

PA

NJ

912 Grandview Ave

PO Box 382110

55519.00

188 Broad Ave

Friends of Val Arkoosh

07605-2015Transaction ID : VN8HHB7H0J6

15211-1444

MACambridge

Leonia

Pittsburgh

C00401224

Mount Sinai

Transaction ID : VN8HHBRSPH6E02238-2110

Transaction ID : VN8HHBCYBH6

Sammana Inc.

16

28

21

1000.00

2014

125

2014

2014

Image# 14940311243

10

10

12

232

Diane Knox Petronko

2013

2013

Steven S Schwalbe

2013

ACTBLUE

Conduit total listed in Agg. field

Nurse/Consultant

Anesthesiologist

[MEMO ITEM]

Page 126: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

250.00

250.00

250.00

250.00

250.00

NC

PA

901 Carolina Ave

4899 Montrose Blvd

250.00

130 7th St

Friends of Val Arkoosh

15222-3430Transaction ID : VN8HHBP55N6

27705-4003

TXHouston

Pittsburgh

Durham

University of Texas

None

Transaction ID : VN8HHB08CJ677006-6164

Transaction ID : VN8HHBE40M6

Duke University

07

06

12

750.00

2014

126

2014

2014

Image# 14940311244

12

11

10

232

Apt 12A

Victoria L Seewaldt

2013

2013

Merrianne West

2013

Elizabeth L Travis

Professor

Oncologist

Retired

Page 127: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

500.00

2000.00

55519.00

500.00

250.00

WA

MA

4510 W Sheridan St

131 Cynwyd Rd

403.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBXGRQ6E

98199-1046

PABala Cynwyd

Cambridge

Seattle

C00401224

Maternity Care Coalition

Transaction ID : VN8HHBSHKP619004-3023

Transaction ID : VN8HHBXGRQ6

University of Washington

19

30

30

750.00

2014

127

2014

2014

Image# 14940311245

12

12

12

232

Karen B Domino

2013

2013

ACTBLUE

2013

Joanne Fischer

Executive Director

Anesthesiologist

Conduit total listed in Agg. field

[MEMO ITEM]

Page 128: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

500.00

55519.00

500.00

25.00

25.00

MA

PA

PO Box 382110

2323 Race St

275.00

4101 Timber Ln

Friends of Val Arkoosh

19129-5525Transaction ID : VN8HHBP56V6

02238-2110

PAPhiladelphia

Philadelphia

Cambridge

C00401224

Children's Hospital of Pennsylvania

Berger Montague

Transaction ID : VN8HHBJWAQ619103-1084

Transaction ID : VN8HHBJWAQ6E

26

26

12

525.00

2014

128

2014

2014

Image# 14940311246

12

11

11

232

Unit 903

ACTBLUE

2013

2013

Jonathan Berger

2013

Sophia Jan

Family Medicine Physician

Conduit total listed in Agg. field

IT Director

[MEMO ITEM]

Page 129: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* In-Kind: in kind food items for event

85.00

250.00

510.00

250.00

515.00

PA

PA

512 Telner St

739 Hemingway Dr

765.00

726 S 7th St

Friends of Val Arkoosh

19147-2119Transaction ID : VN8HHBE42V6

19118-4214

PAAmbler

Philadelphia

Philadelphia

Self

self-employed

Transaction ID : VN8HHBRSQV619002-1421

Transaction ID : VN8HHB8K9V6

Drexel University

12

25

06

850.00

2014

129

2014

2014

Image# 14940311247

11

10

12

232

Gordon Morewood

2013

2013

Carole Treston

2013

Sondra Miller-Wein

Immigration Attorney

Anesthesiologist

RN

Page 130: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

500.00

250.00

1250.00

250.00

500.00

CO

PA

7471 Brockway Dr

7000 Emlen St

500.00

214 Textor School Rd

Friends of Val Arkoosh

16063-3330Transaction ID : VN8HHBNSEX6

80303-4611

PAPhiladelphia

Zelienople

Boulder

Comcast Corporation

University of Pittsburgh Health System

Transaction ID : VN8HHBS92V619119-2556

Transaction ID : VN8HHBKGGW6

University of Colorado

18

03

10

1250.00

2014

130

2014

2014

Image# 14940311248

12

12

12

232

Robin R Deterding

2013

2013

Joseph Talarico

2013

Charisse Lillie

Vice President, Community Investment

Director of Breathing Institute at The

Anesthesiologist

Page 131: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

250.00

250.00

1000.00

250.00

250.00

MT

CO

501 Chancery Ln

5410 Guarino Rd

250.00

7551 E 8th Ave

Friends of Val Arkoosh

80230-6193Transaction ID : VN8HHBE11X6

59102-2547

PAPittsburgh

Denver

Billings

University of Pittsburgh

University of Colorado School of Medic

Transaction ID : VN8HHBSPHX615217-1919

Transaction ID : VN8HHBDJAX6

Billings Anesthesiology PC

20

01

05

750.00

2014

131

2014

2014

Image# 14940311249

11

11

12

232

Brian E Harrington

2013

2013

Brenda Bucklin

2013

Donna S Hoffman

faculty

Anesthesiologist

Anesthesiologist; Asst. Dean, Clinical

Page 132: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

500.00

3100.00

55519.00

500.00

250.00

PA

MA

502 Walnut Ln

PO Box 382110

55519.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBW1JZ6E

19081-1139

MACambridge

Cambridge

Swarthmore

C00401224

C00401224

Transaction ID : VN8HHBE11X6E02238-2110

Transaction ID : VN8HHBW1JZ6

University of Pennsylvania

05

31

31

500.00

2014

132

2014

2014

Image# 14940311250

12

12

11

232

David Grande

2013

2013

ACTBLUE

2013

ACTBLUE

Conduit total listed in Agg. field

Internist

Conduit total listed in Agg. field

[MEMO ITEM]

[MEMO ITEM]

Page 133: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

500.00

55519.00

750.00

250.00

250.00

MA

PA

PO Box 382110

2221 38th Pl E

250.00

400 Rex Ave

Friends of Val Arkoosh

19118-3723Transaction ID : VN8HHBW1KZ6

02238-2110

WASeattle

Philadelphia

Cambridge

C00401224

University of Washington

Self

Transaction ID : VN8HHBE07Z698112-2432

Transaction ID : VN8HHBE07Z6E

05

05

26

750.00

2014

133

2014

2014

Image# 14940311251

12

11

11

232

ACTBLUE

2013

2013

Kathryn Putnam

2013

Ruth Landau

Anesthesiologist

Conduit total listed in Agg. field

Retired

[MEMO ITEM]

Page 134: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

100.00

400.00

55519.00

100.00

500.00

PA

MA

6929 Greenhill Rd

PO Box 382110

55519.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBXGS07E

19151-2320

MACambridge

Cambridge

Philadelphia

C00401224

C00401224

Transaction ID : VN8HHBW1KZ6E02238-2110

Transaction ID : VN8HHBXGS07

Self

26

30

30

100.00

2014

134

2014

2014

Image# 14940311252

12

12

12

232

Susan Robbins

2013

2013

ACTBLUE

2013

ACTBLUE

Conduit total listed in Agg. field

Public Health

Conduit total listed in Agg. field

[MEMO ITEM]

[MEMO ITEM]

Page 135: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

50.00

300.00

55519.00

50.00

500.00

IL

MA

2006 Fir St

769 Fetters Mill Rd

500.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBDZE07E

60025-2813

PAHuntingdon Valley

Cambridge

Glenview

C00401224

Valley Eye Professionals, LLC

Transaction ID : VN8HHBRP80719006-5105

Transaction ID : VN8HHBDZE07

Huron Consulting Group

14

05

05

550.00

2014

135

2014

2014

Image# 14940311253

11

11

12

232

Beatriz Olivera

2013

2013

ACTBLUE

2013

Joanna M Fisher

Ophthalmologist

Assistant General Counsel

Conduit total listed in Agg. field

[MEMO ITEM]

Page 136: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

* In-Kind: in kind flight ticket purchase

250.00

250.00

250.00

250.00

447.80

MO

NJ

661 W Polo Dr

530 Spring Ln

8551.55

1605 Plymouth Rock Dr

Friends of Val Arkoosh

08003-2747Transaction ID : VN8HHBW2027

63105-2635

PAWyndmoor

Cherry Hill

Saint Louis

University of Pennsylvania

St. Christopher's Hospital for Childre

Transaction ID : VN8HHBXH91719038-8413

Transaction ID : VN8HHBE7517

Washington University School of Medici

14

06

31

947.80

2014

136

2014

2014

Image# 14940311254

12

11

10

232

Alex Evers

2013

2013

Harbhajan Chawla

2013

Valerie Arkoosh

Obstetric Anesthesiologist

Anesthesiologist

Neonatologist

Page 137: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

20.00

500.00

1688.00

500.00

250.00

OH

PA

569 Calumet Pl

PO Box 382110

55519.00

123 Beechmont Rd

Friends of Val Arkoosh

15206-4513Transaction ID : VN8HHBSSH37

45434-6287

MACambridge

Pittsburgh

Beavercreek

C00401224

Self-employed, Elsa Limbach

Transaction ID : VN8HHBW2027E02238-2110

Transaction ID : VN8HHB7P327

Wright State University

31

22

22

520.00

2014

137

2014

2014

Image# 14940311255

12

10

12

232

Alan P Marco

2013

2013

Elsa Limbach

2013

ACTBLUE

Conduit total listed in Agg. field

Anesthesiologist

Dance Artist

[MEMO ITEM]

Page 138: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

100.00

2000.00

100.00

1000.00

500.00

PA

TX

507 Auburn Ave

910 Park Ave

500.00

4730 Melissa Ln

Friends of Val Arkoosh

75229-4221Transaction ID : VN8HHBJWB57

19038-8406

NYNew York

Dallas

Wyndmoor

N/A

BRIDGE Lacrosse

Transaction ID : VN8HHBSMX5710075-0255

Transaction ID : VN8HHBTQ857

Philadelphia Insurance Companies

20

30

26

1600.00

2014

138

2014

2014

Image# 14940311256

11

12

12

232

John Glomb

2013

2013

Edith Lycke

2013

Harry Kamen

Retired

EVP, CUO

Founder

Page 139: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

1000.00

500.00

1000.00

500.00

100.00

PA

PA

1400 Ringneck Loop

PO Box 382110

55519.00

261 Old York Rd

Friends of Val Arkoosh

19046-3727Transaction ID : VN8HHB4CK67

19025-1038

MACambridge

Jenkintown

Dresher

C00401224

Gocial LLC

Transaction ID : VN8HHBJWB57E02238-2110

Transaction ID : VN8HHBVS857

Lindy Property Management

26

27

16

1500.00

2014

139

2014

2014

Image# 14940311257

10

12

11

232

Ste 900

Alan S Lindy

2013

2013

Robert Weiss

2013

ACTBLUE

Conduit total listed in Agg. field

President

Accountant

[MEMO ITEM]

Page 140: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

500.00

500.00

55519.00

500.00

2000.00

MA

MA

15 Marshall Ter

628 W Hortter St

5600.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBF3QB7E

01778-1103

PAPhiladelphia

Cambridge

Wayland

C00401224

Self

Transaction ID : VN8HHBFCN9719119-3649

Transaction ID : VN8HHBF3QB7

Harvard Medical School

15

13

13

2500.00

2014

140

2014

2014

Image# 14940311258

11

11

11

232

Carl E Rosow

2013

2013

ACTBLUE

2013

Stephanie Wolf

Homemaker

Anesthesiologist

Conduit total listed in Agg. field

[MEMO ITEM]

Page 141: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

200.00

500.00

55519.00

200.00

250.00

MD

MA

1211 Fairfield Ave

2009 Regency Dr

250.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBRSPC7E

21209-2223

PAWyomissing

Cambridge

Baltimore

C00401224

Reading Hospital

Transaction ID : VN8HHBJ6XC719610-2712

Transaction ID : VN8HHBRSPC7

University of Maryland

22

16

16

450.00

2014

141

2014

2014

Image# 14940311259

12

12

11

232

Mozella Williams

2013

2013

ACTBLUE

2013

Peter A Schwartz

OB-GYN

Family Medicine

Conduit total listed in Agg. field

[MEMO ITEM]

Page 142: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

250.00

55519.00

3450.00

250.00

250.00

MA

NJ

PO Box 382110

500 Kimber Rd

250.00

725 Kings Hwy

Friends of Val Arkoosh

08057-2621Transaction ID : VN8HHAZN8E7

02238-2110

NYSyracuse

Moorestown

Cambridge

C00401224

SUNY Upstate Medical University

Cooper Health System

Transaction ID : VN8HHBDZCD713224-1841

Transaction ID : VN8HHBDZCD7E

05

05

04

500.00

2014

142

2014

2014

Image# 14940311260

10

11

11

232

ACTBLUE

2013

2013

Valerie Armstead

2013

Leslie J Kohman

Cardiothoracic Surgeon

Conduit total listed in Agg. field

Physician

[MEMO ITEM]

Page 143: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

150.00

500.00

650.00

250.00

500.00

PA

PA

7830 Eastern Ave

30 Nardell Rd

500.00

7246 Bryan St

Friends of Val Arkoosh

19119-2418Transaction ID : VN8HHBS7VG7

19038-8547

MANewton

Philadelphia

Wyndmoor

Harvard Medical School

Tenent Health Corporation

Transaction ID : VN8HHB8F5G702459-2821

Transaction ID : VN8HHB081G7

Hellyer Lewis

24

07

18

900.00

2014

143

2014

2014

Image# 14940311261

12

10

10

232

James D Hellyer

2013

2013

Benjamin Sanders

2013

David Hepner

Anesthesiologist

Architect

Pediatrician

Page 144: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

750.00

250.00

1250.00

250.00

500.00

PA

NJ

114 Academy Ln

113 Doray Dr

500.00

725 Kings Hwy

Friends of Val Arkoosh

08057-2621Transaction ID : VN8HHBTY4K7

19008-1923

PAPittsburgh

Moorestown

Broomall

Pamela's Diner

Thomas Jefferson University

Transaction ID : VN8HHBVSMH715237-3619

Transaction ID : VN8HHBHYEK7

Hospital of the University of Pennsylv

31

20

31

1500.00

2014

144

2014

2014

Image# 14940311262

12

11

12

232

Jiri Horak

2013

2013

Michael Williams

2013

Gail Klingensmith

Owner

Physician

Physician

Page 145: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

250.00

55519.00

250.00

500.00

500.00

MA

NY

PO Box 382110

101 Admirals Way

500.00

17 Vandam St

Friends of Val Arkoosh

10013-1215Transaction ID : VN8HHBVS3K7

02238-2110

PAPhiladelphia

New York

Cambridge

C00401224

Not employed

SUNY

Transaction ID : VN8HHBDZDK7

Transaction ID : VN8HHBDZDK7E

05

05

29

750.00

2014

145

2014

2014

Image# 14940311263

12

11

11

232

ACTBLUE

2013

2013

James Cottrell

2013

Katie Sinha

none

Conduit total listed in Agg. field

Anesthesiologist

[MEMO ITEM]

Page 146: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

250.00

55519.00

250.00

250.00

250.00

MA

PA

PO Box 382110

483 Cross St

250.00

2400 Pershing Ave

Friends of Val Arkoosh

19001-1619Transaction ID : VN8HHBJWVM7

02238-2110

MABoylston

Abington

Cambridge

C00401224

University of Massachusetts

Self

Transaction ID : VN8HHBJW3M701505-1420

Transaction ID : VN8HHBJW3M7E

26

26

26

500.00

2014

146

2014

2014

Image# 14940311264

11

11

11

232

ACTBLUE

2013

2013

Charles S Ireland

2013

Stephen O Heard

Chair fo Anesthesiology

Conduit total listed in Agg. field

Dentist

[MEMO ITEM]

Page 147: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

250.00

1050.00

250.00

500.00

250.00

PA

PA

237 Morrison Dr

8 Eton Ln

250.00

10800 Bustleton Ave

Friends of Val Arkoosh

19116-3302Transaction ID : VN8HHBP5VR7

15216-1201

NJMedford

Philadelphia

Pittsburgh

University of Pennsylvania

Self

Transaction ID : VN8HHBFSDN708055-3346

Transaction ID : VN8HHBNZKP7

Self

16

11

12

1000.00

2014

147

2014

2014

Image# 14940311265

12

12

11

232

Debra Limbach

2013

2013

Jan N Widerman

2013

Peter C Adamson

Physician

Unemployed

Pediatrician

Page 148: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

500.00

500.00

500.00

500.00

250.00

PA

PA

7602 West Ave

461 Woodcrest Rd

250.00

231 Delancey St

Friends of Val Arkoosh

19106-4318Transaction ID : VN8HHBRR7T7

19027-2511

PAWayne

Philadelphia

Elkins Park

University of Texas

Diversified Search, Inc.

Transaction ID : VN8HHBJ81R719087-5444

Transaction ID : VN8HHBMQRS7

N/A

19

04

16

1250.00

2014

148

2014

2014

Image# 14940311266

12

12

11

232

Monica Camhi

2013

2013

Alison M Byers

2013

Janet Walkow

Information Requested

Homemaker

Vice President, Psychological and Asse

Page 149: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

1000.00

250.00

1000.00

250.00

500.00

PA

MN

190 Nantmeal Rd

2866 Furlong Rd

500.00

3535 Bamber Valley Rd SW

Friends of Val Arkoosh

55902-1407Transaction ID : VN8HHBT3TX7

19343-2636

PADoylestown

Rochester

Glenmoore

Hunterdown Orthopedic Institute

Mayo Clinic

Transaction ID : VN8HHBP9SW718902-1606

Transaction ID : VN8HHBSGMW7

N/A

13

19

23

1750.00

2014

149

2014

2014

Image# 14940311267

12

12

12

232

Norma Strouse

2013

2013

Mark A Warner

2013

Michael Pollack

Physician

Not Employed

Physician

Page 150: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

500.00

55519.00

500.00

250.00

250.00

MA

FL

PO Box 382110

503 Lombard St

450.00

4971 Pacifico Court

Friends of Val Arkoosh

33418-8995Transaction ID : VN8HHBW1WZ7

02238-2110

PAPhiladelphia

Palm Beach Gardens

Cambridge

C00401224

University of Pennsylvania

Muses+ Visionaries Magazine

Transaction ID : VN8HHBFZDX719147-1414

Transaction ID : VN8HHBFZDX7E

19

19

31

750.00

2014

150

2014

2014

Image# 14940311268

12

11

11

232

ACTBLUE

2013

2013

Erin Rossitto

2013

Mathew Beshara

OB/GYN

Conduit total listed in Agg. field

Publisher

[MEMO ITEM]

Page 151: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

100.00

1000.00

700.00

1000.00

500.00

AZ

NY

6467 E Maverick Rd

PO Box 382110

55519.00

933 New Suffolk Rd

Friends of Val Arkoosh

11935-2043Transaction ID : VN8HHAZN6Z7

85253-2630

MACambridge

Cutchogue

Paradise Valley

C00401224

Self

Transaction ID : VN8HHBW1WZ7E02238-2110

Transaction ID : VN8HHAZK0Z7

Red Development

31

03

04

1100.00

2014

151

2014

2014

Image# 14940311269

10

10

12

232

Steve Maun

2013

2013

Alan Santos

2013

ACTBLUE

Conduit total listed in Agg. field

Real Estate

Anesthesiologist

[MEMO ITEM]

Page 152: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

399.00

55519.00

399.00

250.00

250.00

MA

PA

PO Box 382110

541 Spring Ln

250.00

1 Maplewood Dr

Friends of Val Arkoosh

19073-3945Transaction ID : VN8HHBTAD08

02238-2110

PAGlenside

Newtown Square

Cambridge

C00401224

None

Self

Transaction ID : VN8HHBXGT0819038-8412

Transaction ID : VN8HHBXGT08E

30

30

27

649.00

2014

152

2014

2014

Image# 14940311270

12

12

12

232

ACTBLUE

2013

2013

Kenneth Gorelick

2013

Leslie Scheid

Homemaker

Conduit total listed in Agg. field

Physician

[MEMO ITEM]

Page 153: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

250.00

1250.00

55519.00

250.00

300.00

PA

MA

415 Saint James Ct

703 Worthington Mill Rd

300.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBW1Q18E

18064-8304

PARichboro

Cambridge

Nazareth

C00401224

Trenton Anesthesiology Assoc.

Transaction ID : VN8HHBFZ80818954-1971

Transaction ID : VN8HHBW1Q18

Northeastern Anesthesia Physicians

18

26

26

550.00

2014

153

2014

2014

Image# 14940311271

12

12

11

232

John Caprez

2013

2013

ACTBLUE

2013

Joaquin J Cantillo

Anesthesiologist

Anesthesiologist

Conduit total listed in Agg. field

[MEMO ITEM]

Page 154: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

50.00

500.00

300.00

250.00

100.00

DC

NJ

1901 Wyoming Ave NW

3 Biddlewoods Rd

2600.00

107 Sunnymeade Rd

Friends of Val Arkoosh

08844-4654Transaction ID : VN8HHB89K38

20009-5067

PAWyndmoor

Hillsborough

Washington

Self

None

Transaction ID : VN8HHBSHK2819038-8235

Transaction ID : VN8HHBSMV38

N/A

19

20

23

400.00

2014

154

2014

2014

Image# 14940311272

10

12

12

232

Elaine Reuben

2013

2013

Pamela Booth

2013

Walter Foulke

Retired

Retired

Not Employed

Page 155: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

250.00

55519.00

250.00

250.00

250.00

MA

AZ

PO Box 382110

1077 Stonybrook Dr

250.00

9121 E Palm Tree Dr

Friends of Val Arkoosh

85255-5309Transaction ID : VN8HHB4CH48

02238-2110

PABlue Bell

Scottsdale

Cambridge

C00401224

None

Mayo Clinic

Transaction ID : VN8HHBW1N4819422-2041

Transaction ID : VN8HHBW1N48E

31

31

16

500.00

2014

155

2014

2014

Image# 14940311273

10

12

12

232

ACTBLUE

2013

2013

Jeff T Mueller

2013

Eileen Kearney

Homemaker

Conduit total listed in Agg. field

Anesthesiologist

[MEMO ITEM]

Page 156: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

250.00

600.00

250.00

150.00

500.00

PA

PA

6375 Church Rd

450 Warren St

1000.00

4700 City Ave

Friends of Val Arkoosh

19131-8508Transaction ID : VN8HHBJ6V58

19151-2504

MABrookline

Philadelphia

Philadelphia

N/A

IQM Wellness

Transaction ID : VN8HHBRSM4802445-5907

Transaction ID : VN8HHBE7P48

Drexel University

16

07

22

900.00

2014

156

2014

2014

Image# 14940311274

11

11

12

232

Apt 9207

John Rich

2013

2013

Hester M Sonder

2013

Ellen M Poss

Retired

Professor, Department of Health Manage

OB-GYN/ Internal Medicine Physician

Page 157: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

250.00

1250.00

250.00

250.00

150.00

TN

VA

PO Box 158201

6375 Church Rd

450.00

3449 Sleepy Hollow Rd

Friends of Val Arkoosh

22044-1006Transaction ID : VN8HHBW1PA8

37215-8201

PAPhiladelphia

Falls Church

Nashville

Drexel University

Cornerstone Government Affairs

Transaction ID : VN8HHB0805819151-2504

Transaction ID : VN8HHB1EA58

Vanderbilt University Medical Center

07

08

31

650.00

2014

157

2014

2014

Image# 14940311275

12

10

10

232

Curtis Baysinger

2013

2013

Mark Mioduski

2013

Theodore Corbin

Emergency Medicine

Physician

Lobbyist

Page 158: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

250.00

1000.00

775.00

500.00

250.00

PA

DC

210 W Rittenhouse Sq

PO Box 382110

55519.00

1025 1st St SE

Friends of Val Arkoosh

20003-5329Transaction ID : VN8HHBW1JB8

19103-6850

MACambridge

Washington

Philadelphia

C00401224

Children's National Medical Center

Transaction ID : VN8HHBW1PA8E02238-2110

Transaction ID : VN8HHBVS1B8

Cohen and Rose (DDS)

31

31

31

750.00

2014

158

2014

2014

Image# 14940311276

12

12

12

232

Apt 1116

Apt 1008

Walter Cohen

2013

2013

Sanjeev Sriram

2013

ACTBLUE

Conduit total listed in Agg. field

Dentist

Attending Pediatrician

[MEMO ITEM]

Page 159: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

100.00

300.00

55519.00

100.00

250.00

PA

MA

159 Erdenheim Rd

PO Box 382110

55519.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBFZEB8E

19038-7849

MACambridge

Cambridge

Erdenheim

C00401224

C00401224

Transaction ID : VN8HHBW1JB8E02238-2110

Transaction ID : VN8HHBFZEB8

Touchstone Technologies, Inc

31

19

19

100.00

2014

159

2014

2014

Image# 14940311277

11

11

12

232

Craig Haddow

2013

2013

ACTBLUE

2013

ACTBLUE

Conduit total listed in Agg. field

Software development

Conduit total listed in Agg. field

[MEMO ITEM]

[MEMO ITEM]

Page 160: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

500.00

500.00

55519.00

500.00

500.00

MI

MA

26860 Drake Rd

233 S 6th St

500.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBE08C8E

48331-3531

PAPhiladelphia

Cambridge

Farmington Hills

C00401224

Ballard Spahr LLP

Transaction ID : VN8HHB7HQC819106-3718

Transaction ID : VN8HHBE08C8

Wayne State University

21

05

05

1000.00

2014

160

2014

2014

Image# 14940311278

11

11

10

232

Apt 709 N

Douglas R Bacon

2013

2013

ACTBLUE

2013

Lila Roomberg

Retired Partner

Anesthesiologist

Conduit total listed in Agg. field

[MEMO ITEM]

Page 161: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

250.00

1000.00

250.00

250.00

250.00

PA

TX

325 E Durham St

1132 Hedgerow Dr

250.00

4804 Yoakum Blvd

Friends of Val Arkoosh

77006-6118Transaction ID : VN8HHBTQHE8

19119-1219

PAGarnet Valley

Houston

Philadelphia

Crozer Keystone

Greater Houston Health Network

Transaction ID : VN8HHBD95D819060-1758

Transaction ID : VN8HHBSNSE8

University of Pennsylvania

30

20

30

750.00

2014

161

2014

2014

Image# 14940311279

12

12

10

232

Walter Tsou

2013

2013

John R Cooper Jr.

2013

Jose Maceda

Urogynecologist

Adjunct Professor

Anesthesiologist

Page 162: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

500.00

500.00

55519.00

500.00

250.00

NE

MA

809 N 96th St

210 W 107th St

1500.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBW1PF8E

68114-2498

NYNew York

Cambridge

Omaha

C00401224

State University of New York-Downstate

Transaction ID : VN8HHBVS8E810025-3087

Transaction ID : VN8HHBW1PF8

Broadmoor Development

29

26

26

750.00

2014

162

2014

2014

Image# 14940311280

12

12

12

232

Apt 4G

Ste 1

Thomas Fellman

2013

2013

ACTBLUE

2013

David Wlody

Physician

Partner

Conduit total listed in Agg. field

[MEMO ITEM]

Page 163: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

250.00

1000.00

250.00

500.00

250.00

PA

DC

301 Longfield Rd

23 S 23rd St

850.00

2924 Garfield Ter NW

Friends of Val Arkoosh

20008-3507Transaction ID : VN8HHBEV7G8

19038-7338

PAPhiladelphia

Washington

Glenside

not applicable

Children's National Medical Center

Transaction ID : VN8HHBFTQF819103-3053

Transaction ID : VN8HHBTEWF8

Abington Health

17

29

08

1000.00

2014

163

2014

2014

Image# 14940311281

11

12

11

232

Unit 6G

Jimmy Ruiz

2013

2013

Zenaide Quezado

2013

Nancy Altemus

health planner

Physician

Anesthesiologist

Page 164: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

250.00

201.00

250.00

201.00

250.00

PA

WA

497 Long Ln

1526 Valmont St

1750.00

11277 Marine View Dr SW

Friends of Val Arkoosh

98146-1621Transaction ID : VN8HHB8K1J8

19006-2932

PAPittsburgh

Seattle

Huntingdon Valley

Buckman Communications

Virginia Mason Medical Center

Transaction ID : VN8HHBNFGH815217-1422

Transaction ID : VN8HHBKC7J8

Self

07

02

25

701.00

2014

164

2014

2014

Image# 14940311282

10

12

12

232

Barry J Snyder

2013

2013

Joseph M Neal

2013

John Buckman

consultant

Orthopaedic Surgeon

Anesthesiologist

Page 165: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

250.00

1000.00

55519.00

250.00

250.00

MD

MA

4821 Montgomery Ln

4211 Calhoun Dr

250.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBRSPN8E

20814-6324

CAHuntington Beach

Cambridge

Bethesda

C00401224

MemorialCare Medical Group

Transaction ID : VN8HHB25JK892649-3037

Transaction ID : VN8HHBRSPN8

michael a newman md P.C.

09

16

16

500.00

2014

165

2014

2014

Image# 14940311283

12

12

10

232

Apt 406

Michael Newman

2013

2013

ACTBLUE

2013

Jay W Lee

Family Physician

internist

Conduit total listed in Agg. field

[MEMO ITEM]

Page 166: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

250.00

250.00

250.00

250.00

500.00

CA

NJ

PO Box 189

8729 Montgomery Ave

500.00

18 Helene Dr

Friends of Val Arkoosh

07869-4149Transaction ID : VN8HHBTC0V8

94979-0189

PAGlenside

Randolph

San Anselmo

Ophthalmic Associates

Lifeline Medical Associates

Transaction ID : VN8HHBF7VR819038-8307

Transaction ID : VN8HHBKH2T8

Unemployed

14

03

28

1000.00

2014

166

2014

2014

Image# 14940311284

12

12

11

232

Betsy McKinney

2013

2013

Sharon B Mass

2013

Robert W Connor

Opthamologist

mother

physician

Page 167: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

100.00

250.00

1200.00

250.00

500.00

NJ

NJ

103 Forest Rd

671 Highland Park Ave

500.00

24 Catalpa Cres

Friends of Val Arkoosh

08098-2728Transaction ID : VN8HHBW2019

08057-2641

IACoralville

Pilesgrove

Moorestown

University of Iowa College of Medicine

Self

Transaction ID : VN8HHBE7JW852241-3366

Transaction ID : VN8HHB7J1Z8

Thomas Jefferson University

07

21

26

850.00

2014

167

2014

2014

Image# 14940311285

12

10

11

232

Elia S Elia

2013

2013

David Reese

2013

Debra A Schwinn

Dean

Anesthesiologist

Consultant

Page 168: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

500.00

2250.00

55519.00

500.00

100.00

PA

MA

1231 Gulph Creek Dr

PO Box 382110

55519.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBJW029E

19087-4687

MACambridge

Cambridge

Radnor

C00401224

C00401224

Transaction ID : VN8HHBW2019E02238-2110

Transaction ID : VN8HHBJW029

University of Pennsylvania

26

26

26

500.00

2014

168

2014

2014

Image# 14940311286

11

11

12

232

Susan Kaplan M.D.

2013

2013

ACTBLUE

2013

ACTBLUE

Conduit total listed in Agg. field

Anesthesiologist

Conduit total listed in Agg. field

[MEMO ITEM]

[MEMO ITEM]

Page 169: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

200.00

600.00

55519.00

200.00

250.00

VA

MA

2201 Goldentree Way

433 Levering Mill Rd

500.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBXGT49E

22182-5173

PABala Cynwyd

Cambridge

Vienna

C00401224

University of Pennsylvania

Transaction ID : VN8HHBNDR2919004-2727

Transaction ID : VN8HHBXGT49

George Washington University

06

30

30

450.00

2014

169

2014

2014

Image# 14940311287

12

12

12

232

May L Chin

2013

2013

ACTBLUE

2013

Stanley J Aukburg

Anesthesiologist

Anesthesiologist

Conduit total listed in Agg. field

[MEMO ITEM]

Page 170: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

100.00

250.00

350.00

250.00

250.00

PA

NY

805 Primrose Ln

11870 Spruce Haven Dr

250.00

207 Prospect Park SW

Friends of Val Arkoosh

11218-1500Transaction ID : VN8HHBW1P59

19096-1665

MOSaint Louis

Brooklyn

Wynnewood

ABNA Engineering

NY State Office of Medical Health

Transaction ID : VN8HHBTV24963146-4818

Transaction ID : VN8HHB76549

Crozer Keystone

31

18

31

600.00

2014

170

2014

2014

Image# 14940311288

12

10

12

232

Leon Katz

2013

2013

Sarah Williams

2013

David Mizell

Engineering Manager

Surgeon

Psychiatrist

Page 171: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

50.00

250.00

228.00

250.00

100.00

PA

PA

8806 Wainwright Rd

PO Box 382110

55519.00

728 Stanbridge St

Friends of Val Arkoosh

19401-5506Transaction ID : VN8HHBJC169

19038-7446

MACambridge

Norristown

Wyndmoor

C00401224

Montgomery County Democratic Committee

Transaction ID : VN8HHBW1P59E02238-2110

Transaction ID : VN8HHBE7K59

Bux-Mont Transportation

31

07

25

300.00

2014

171

2014

2014

Image# 14940311289

11

11

12

232

James C Griffin

2013

2013

Olivia Brady

2013

ACTBLUE

Conduit total listed in Agg. field

Driver

Assistant Director

[MEMO ITEM]

Page 172: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

1000.00

1000.00

55519.00

1000.00

100.00

PA

MA

204 Four In Hand Ct

2752 Pennsylvania Avenue

350.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBKFB89E

19382-6145

PAPhiladelphia

Cambridge

West Chester

C00401224

University of Pennsylvania Hospital Sy

Transaction ID : VN8HHBSMK8919130

Transaction ID : VN8HHBKFB89

Christiana Medicial Group

20

03

03

1100.00

2014

172

2014

2014

Image# 14940311290

12

12

12

232

Unit B101

Kunal Bhagat

2013

2013

ACTBLUE

2013

Maurizio Cereda

Anesthesiologist

Internist

Conduit total listed in Agg. field

[MEMO ITEM]

Page 173: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

250.00

250.00

1250.00

250.00

250.00

PA

NC

343 Rosedale Dr

4162 Farmdale Ave

500.00

147 Montauk Ct

Friends of Val Arkoosh

27012-8661Transaction ID : VN8HHB4CKA9

19464-4445

CAStudio City

Clemmons

Pottstown

Veterans Health Administration

Wake Forest Baptist Health

Transaction ID : VN8HHBSP79991604-3016

Transaction ID : VN8HHBFX699

Kutztown University

20

18

16

750.00

2014

173

2014

2014

Image# 14940311291

10

11

12

232

Patricia Derr

2013

2013

Robert D'Angelo

2013

Rishi Manchanda

Physician

Professor

Obstetric Anesthesiologist

Page 174: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

300.00

300.00

55519.00

300.00

500.00

PA

MA

8417 Stenton Ave

1424 Flat Rock Rd

500.00

PO Box 382110

Friends of Val Arkoosh

02238-2110Transaction ID : VN8HHBW1KC9E

19038-8414

PAPenn Valley

Cambridge

Glenside

C00401224

Pepper Hamilton LLP

Transaction ID : VN8HHBRVQA919072-1216

Transaction ID : VN8HHBW1KC9

Self

17

26

26

800.00

2014

174

2014

2014

Image# 14940311292

12

12

12

232

Walter Evans

2013

2013

ACTBLUE

2013

Amy B Ginensky

Attorney

Retired

Conduit total listed in Agg. field

[MEMO ITEM]

Page 175: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

500.00

750.00

2100.00

250.00

300.00

PA

PA

16 E Mill Rd

121 Canterbury Ln

300.00

604 Harper Ave

Friends of Val Arkoosh

19046-3207Transaction ID : VN8HHBS9WE9

19118

PABlue Bell

Jenkintown

Philadelphia

Ballard Spahr LLP

Premier Brokerage Services

Transaction ID : VN8HHB4CHD919422-1278

Transaction ID : VN8HHBSGND9

Temple University

16

19

18

1050.00

2014

175

2014

2014

Image# 14940311293

12

12

10

232

Anne Nadol

2013

2013

Steven Katz

2013

Wendy A Kotzen

Partner

Administrator

President

Page 176: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

250.00

250.00

250.00

250.00

1000.00

NC

NC

4604 Dutchess Ln

124 Walsh Rd

3000.00

14 Kendall Dr

Friends of Val Arkoosh

27517-5644Transaction ID : VN8HHBDZDJ9

27707-9082

PALansdowne

Chapel Hill

Durham

University of Pennsylvania Health Syst

Duke Health

Transaction ID : VN8HHBSBFE919050-2117

Transaction ID : VN8HHB8K9G9

Duke University

18

25

05

1500.00

2014

176

2014

2014

Image# 14940311294

11

10

12

232

Cathleen Peterson-Layne

2013

2013

Catherine M Kuhn

2013

Onyi Onuoha

Anesthesiologist

Anesthesiologist

Anesthesiologist

Page 177: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

500.00

750.00

500.00

500.00

250.00

PA

MA

50 Woodland Rd

PO Box 382110

55519.00

228 Boston Post Rd

Friends of Val Arkoosh

02493-2546Transaction ID : VN8HHBNNBK9

15232-2814

MACambridge

Weston

Pittsburgh

C00401224

Harvard University

Transaction ID : VN8HHBDZDJ9E02238-2110

Transaction ID : VN8HHBNZNK9

self

05

11

09

1000.00

2014

177

2014

2014

Image# 14940311295

12

12

11

232

Sharon Semenza

2013

2013

Katherine Treadway

2013

ACTBLUE

Conduit total listed in Agg. field

lawyer

Internist

[MEMO ITEM]

Page 178: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

250.00

250.00

250.00

250.00

500.00

DC

PA

1648 32nd St NW

210 W 107th St

1250.00

230 W Washington Sq

Friends of Val Arkoosh

19106-3500Transaction ID : VN8HHBJW8R9

20007-2930

NYNew York

Philadelphia

Washington

State University of New York-Downstate

Penn Hospital

Transaction ID : VN8HHBSGZK910025-3087

Transaction ID : VN8HHB7HMQ9

The Urban Institute

19

21

26

1000.00

2014

178

2014

2014

Image# 14940311296

11

10

12

232

Apt 4G

Fl 2

Bradford Gray

2013

2013

David H Henry

2013

David Wlody

Physician

Health Policy Research

Oncologist

Page 179: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

25.00

500.00

265.00

500.00

250.00

NJ

PA

942 Wood Hollow Ln

PO Box 382110

55519.00

6484 Oakwood Ct

Friends of Val Arkoosh

17407-1352Transaction ID : VN8HHBXGRT9

07450-2230

MACambridge

Jacobus

Ridgewood

C00401224

Self

Transaction ID : VN8HHBJW8R9E02238-2110

Transaction ID : VN8HHBD6AS9

Englewood Hospital

26

29

30

525.00

2014

179

2014

2014

Image# 14940311297

12

10

11

232

Peter Goldzweig

2013

2013

Kenneth Woerthwein

2013

ACTBLUE

Conduit total listed in Agg. field

Anesthesiologist

Retired

[MEMO ITEM]

Page 180: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

250.00

500.00

250.00

500.00

25.00

PA

IL

2000 Market St

PO Box 382110

55519.00

251 E Huron St

Friends of Val Arkoosh

60611-2908Transaction ID : VN8HHB89FV9

19103-7006

MACambridge

Chicago

Philadelphia

C00401224

Northwestern University

Transaction ID : VN8HHBXGRT9E02238-2110

Transaction ID : VN8HHBHZ5V9

FOX ROTHSCHILD LLP

30

21

23

750.00

2014

180

2014

2014

Image# 14940311298

10

11

12

232

Ste 5-704

Fl 10

David S Rasner

2013

2013

Christine Stock

2013

ACTBLUE

Conduit total listed in Agg. field

ATTORNEY

Anesthesiologist

[MEMO ITEM]

Page 181: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

* Earmarked Contribution: See Below

Note: Above Contribution earmarked through thisorganization.

* Earmarked Contribution: See Below

250.00

55519.00

250.00

53.00

53.00

MA

PA

PO Box 382110

85 Wolcott Rd

659.00

1335 June Ln

Friends of Val Arkoosh

19072-1114Transaction ID : VN8HHBSHSZ9

02238-2110

MAChestnut Hill

Penn Valley

Cambridge

C00401224

Tufts MC PO

Thomas Jefferson University

Transaction ID : VN8HHBKFBV902467-3108

Transaction ID : VN8HHBKFBV9E

03

03

19

303.00

2014

181

2014

2014

Image# 14940311299

12

12

12

232

ACTBLUE

2013

2013

Jeffrey Joseph

2013

Scott Segal

Anesthesiologist

Conduit total listed in Agg. field

Anesthesiologist

[MEMO ITEM]

Page 182: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

Note: Above Contribution earmarked through thisorganization.

250.00

PO Box 382110

55519.00

Friends of Val Arkoosh

173377.84

MACambridge

C00401224

Transaction ID : VN8HHBSHSZ9E02238-2110

19

0.00

2014

182

Image# 14940311300

12

232

2013

ACTBLUE

Conduit total listed in Agg. field

[MEMO ITEM]

Page 183: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

2500.00

1000.00

2500.00

1000.00

4000.00

DC

DC

20 F St NW

409 12th St SW

5000.00

2400 N St NW

Friends of Val Arkoosh

20037-1153Transaction ID : VN8HHBND418

20001-6700

DCWashington

Washington

Washington

C00325936

C00364158

C00375360

Transaction ID : VN8HHB7HWB020024-2125

Transaction ID : VN8HHB079P3

21

07

06

7500.00

2014

183

2014

2014

Image# 14940311301

12

10

10

232

SUITE 310 C

SOCIETY OF THORACIC SURGEONS POLITICAL ACTION COMMITTEE

2013

2013

AMERICAN COLLEGE OF CARDIOLOGY POLITICAL ACTION COMMITTEE

2013

THE AMERICAN CONGRESS OF OB-GYNS PAC (OB-GYN PAC)

Page 184: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

SCHEDULE A (FEC Form 3)

ITEMIZED RECEIPTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

! ! ! , , .SUBTOTAL of Receipts This Page (optional) ............................................................................

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

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

A.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

B.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code

Receipt For:

Primary General

Other (specify)

C.

Election Cycle-to-Date

Date of Receipt

Name of Employer Occupation

! ! ! , , .

FEC ID number of contributing

federal political committee. C

PAGE OFFOR LINE NUMBER:

(check only one)Use separate schedule(s)

for each category of the

Detailed Summary Page 11a 11b 11c 11d

12 13b 13a 14 15

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

Amount of Each Receipt this Period

! ! ! , , .

FEC Schedule A (Form 3) (Revised 02/2009)

1000.00

1000.00

5000.00

DC

10 G St NE

317 Massachusetts Ave NE

5000.00

Friends of Val Arkoosh

13500.00

20002-4253

DCWashington

Washington

C00172296

C00343137

Transaction ID : VN8HHBRV4E920002-5769

Transaction ID : VN8HHBJ7MM9

17

22

6000.00

2014

184

2014

Image# 14940311302

11

12

232

Fl 1

Ste 600

NATIONAL COMMITTEE TO PRESERVE SOCIAL SECURITY & MEDICARE PAC

2013

2013

POLITICAL ACTION COMMITTEE OF THE AMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONS

Page 185: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

PO Box 1011

PO Box 857

2008 N Daniel StApt 304

1472.53

500.00

1835.30

Friends of Val Arkoosh

Transaction ID : VN7J99PPS60

PA

PA

VA

19038-6011

22201-4199

19404-0857

Transaction ID : VN7J99PPS10

Transaction ID : VN7J99NDY60

10

11

Payroll Expense

11

Advertising

Payroll Expense

2013

3807.83

Bryan H. Lesswing

2014

Montgomery County Democratic Committee

2013

Ellen Sun

185

2014

2014

2013

Image# 14940311303

19

232

13

04

Norristown

Arlington

Glenside

001

001

Page 186: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

* In-Kind Received

912 Grandview Ave

532 Haws Ave

262 S Easton Rd

46.00

250.00

200.00

Friends of Val Arkoosh

Transaction ID : VN8HHBSGKB0I

PA

PA

PA

15211-1444

19038-3962

19401-4543

Transaction ID : VN7J99PNY70

Transaction ID : VN7J99P13A0

10

12

in kind beverages for event

12

Political Donation

Postage (Fundraising)

2013

496.00

USPS

2014

ENT Democrats

2013

Diane Knox Petronko

186

2014

2014

2013

Image# 14940311304

24

232

26

19

Norristown

Glenside

Pittsburgh

003

012

Page 187: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

* In-Kind Received

123 Beechmont Rd

2014 Hilltop Rd

* In-Kind Received

PO Box 1011

1835.30

27.29

515.00

Friends of Val Arkoosh

Transaction ID : VN8HHBRYRG0I

PA

PA

PA

15206-4513

19038-6011

19031-1615

Transaction ID : VN7J99NDXE0

Transaction ID : VN8HHBS7PE0I

12

12

in kind parking service for house party

10

in kind food items for event

Payroll

2013

2377.59

Ellen Sun

2014

Mary Helf

2013

Elsa Limbach

187

2014

2014

2013

Image# 14940311305

17

232

18

17

Flourtown

Glenside

Pittsburgh

Page 188: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

315 Old York Rd

50 Massachusetts Ave NE

PO Box 407066

1065.77

102.00

2719.16

Friends of Val Arkoosh

Transaction ID : VN7J99PPPP0

PA

DC

FL

19046

33340-7066

20002-4214

Transaction ID : VN7J99NDXK0

Transaction ID : VN7J99PPSM0

11

12

Payroll Expense

10

Travel (Train)

Credit Card Processing Fees

2013

3886.93

First Bank Merchant Services

2014

Amtrak

2013

Jacob Dusseau

188

2014

2014

2013

Image# 14940311306

03

232

12

19

Washington

Fort Lauderdale

Jenkintown

001

002

Page 189: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

PO Box 382110

1525 Locust St

PO Box 407066

Fl 6

808.86

3642.53

140.25

Friends of Val Arkoosh

Transaction ID : VN7J99P4HY0

MA

PA

FL

02238-2110

33340-7066

19102-3710

Transaction ID : VN7J99PPQQ0

Transaction ID : VN7J99NDYX0

10

12

Credit card processing fee

12

Printing (Fundraising)

Credit Card Processing Fees

2013

4591.64

First Bank Merchant Services

2014

The Strategy Group

2013

ActBlue Technical Services

189

2014

2014

2013

Image# 14940311307

03

232

16

16

Philadelphia

Fort Lauderdale

Cambridge

001

003

Page 190: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

3914 Barcroft Mews Ct

300 N 2nd St

262 S Easton Rd

Fl 8

92.00

2500.00

2500.00

Friends of Val Arkoosh

Transaction ID : VN7J99PPSF1

VA

PA

PA

22041-1218

19038-3962

17101-1303

Transaction ID : VN7J99NDZ61

Transaction ID : VN7J99NDYF1

10

11

Fundraising Consultant

10

Voter File

Postage (Fundraising)

2013

5092.00

USPS

2014

Pennsylvania Democratic Party

2013

Fiorello Consulting

190

2014

2014

2013

Image# 14940311308

17

232

02

14

Harrisburg

Glenside

Falls Church

003

Page 191: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

50 Massachusetts Ave NE

501 Wampanoag Trl

1408 Crystal Valley Way

1145.49

58.84

89.00

Friends of Val Arkoosh

Transaction ID : VN7J99NDWP1

DC

RI

PA

20002-4214

19002-4043

02915-1507

Transaction ID : VN7J99PPQJ1

Transaction ID : VN7J99PPRK1

11

10

Travel

12

Payroll Service Fee

Payroll Expense

2013

1293.33

Stephen B. Rudman

2014

Paychex

2013

Amtrak

191

2014

2014

2013

Image# 14940311309

04

232

20

03

Riverside

Ambler

Washington

001

001

Page 192: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

315 Old York Rd

PO Box 1011

PO Box 382110

68.15

1935.30

237.80

Friends of Val Arkoosh

Transaction ID : VN7J99NDXW1

PA

PA

MA

19046

02238-2110

19038-6011

Transaction ID : VN7J99NCNT1

Transaction ID : VN7J99PPPT1

12

10

Reimbursement

11

Payroll Expense

Credit card processing fee

2013

2241.25

ActBlue Technical Services

2014

Ellen Sun

2013

Jacob Dusseau

192

2014

2014

2013

Image# 14940311310

13

232

19

04

Glenside

Cambridge

Jenkintown

001

001

Page 193: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

* In-Kind Received

530 Spring Ln

1701 John F Kennedy Blvd

315 Old York Rd

2719.17

173.13

1227.94

Friends of Val Arkoosh

Transaction ID : VN8HHC25Y42I

PA

PA

PA

19038-8413

19046

19103-2833

Transaction ID : VN7J99PPSX1

Transaction ID : VN7J99PPQ32

12

12

in kind hotel room for candidate stay

11

Phones/Internet

Payroll Expenses

2013

4120.24

Jacob Dusseau

2014

Comcast

2013

Valerie Arkoosh

193

2014

2014

2013

Image# 14940311311

04

232

12

15

Philadelphia

Jenkintown

Wyndmoor

001

001

Page 194: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

50 Massachusetts Ave NE

937 Easton Rd

PO Box 58385

250.00

96.23

246.00

Friends of Val Arkoosh

Transaction ID : VN7J99PPQ82

DC

PA

PA

20002-4214

19102-8385

19001-4409

Transaction ID : VN7J99NDY52

Transaction ID : VN7J99PPT62

11

12

Travel (Train)

10

Fundraising Event Expense

Donation

2013

592.23

Liberty City Democratic Club

2014

Dunkin Donuts

2013

Amtrak

194

2014

2014

2013

Image# 14940311312

24

232

04

09

Roslyn

Philadelphia

Washington

002

003

Page 195: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

222 W Ontario St

501 Wampanoag Trl

1101 15th St NWSte 500

4200.00

2964.89

3000.00

Ste 600

Friends of Val Arkoosh

Transaction ID : VN7J99Q1VA2

IL

RI

DC

60654-3655

20005-5006

02915-1507

Transaction ID : VN7J99PPR92

Transaction ID : VN7J99NDYA2

10

11

Online Advertising

11

Payroll Tax

Fundraising Database

2013

10164.89

NGP Van, Inc.

2014

Paychex

2013

Adelstein Liston

195

2014

2014

2013

Image# 14940311313

21

232

04

18

Riverside

Washington

Chicago

003

Page 196: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

PO Box 1011

222 W Ontario St

530 Spring Ln

* In-Kind Received

Ste 600

417.96

11600.00

244.68

Friends of Val Arkoosh

Transaction ID : VN7J99NDXD2

PA

IL

PA

19038-6011

19038-8413

60654-3655

Transaction ID : VN8HHBXHPC2I

Transaction ID : VN7J99NDWC2

10

10

Payroll

10

Media Production

in kind purchase of hotel room

2013

12262.64

Valerie Arkoosh

2014

Adelstein Liston

2013

Ellen Sun

196

2014

2014

2013

Image# 14940311314

04

232

29

17

Chicago

Wyndmoor

Glenside

Page 197: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

* In-Kind Received

308 E Allens Ln

1495 Old York Rd

PO Box 407066

1081.56

82.19

243.67

Friends of Val Arkoosh

Transaction ID : VN8HHBTE1R2I

PA

PA

FL

19119-1101

33340-7066

19001-1923

Transaction ID : VN7J99NDXJ2

Transaction ID : VN7J99PPSK2

11

12

in kind food items for event

10

Office Supplies

Credit Card Processing Fees

2013

1407.42

First Bank Merchant Services

2014

Target

2013

Sophie Simpson

197

2014

2014

2013

Image# 14940311315

03

232

14

23

Abington

Fort Lauderdale

Philadelphia

001

Page 198: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

* In-Kind Received

911 Fraser Rd

1 Park Row

501 Wampanoag Trl

Fl 5

3157.07

1151.38

310.00

Friends of Val Arkoosh

Transaction ID : VN8HHC264X2I

PA

RI

RI

19038-7013

02915-1507

02903-1235

Transaction ID : VN7J99PPSR2

Transaction ID : VN7J99NDWT2

10

12

in kind food and supplies for event

11

Consultant (Compliance)

Payroll Taxes

2013

4618.45

Paychex

2014

CFO Compliance

2013

Sherry Blumenthal

198

2014

2014

2013

Image# 14940311316

05

232

03

01

Providence

Riverside

Glenside

001

Page 199: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

530 Spring Ln

315 Old York Rd

PO Box 382110

216.26

2719.16

1145.49

Friends of Val Arkoosh

Transaction ID : VN7J99NDZ03

PA

PA

MA

19038-8413

02238-2110

19046

Transaction ID : VN7J99NE3X2

Transaction ID : VN7J99NDY03

10

10

Payroll

11

Payroll

Credit card processing fee

2013

4080.91

ActBlue Technical Services

2014

Jacob Dusseau

2013

Tiernan Donohue

199

2014

2014

2013

Image# 14940311317

19

232

17

17

Jenkintown

Cambridge

Wyndmoor

001

Page 200: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

453 W 47th St

530 Spring Ln

PO Box 407066

486.81

1245.49

575.03

Friends of Val Arkoosh

Transaction ID : VN7J99PPQC3

NY

PA

FL

10036-9307

33340-7066

19038-8413

Transaction ID : VN7J99PPT13

Transaction ID : VN7J99PNZ23

12

12

Travel (Hotel)

11

Payroll Expense

Credit Card Processing Fees

2013

2307.33

First Bank Merchant Services

2014

Tiernan Donohue

2013

USA Stay

200

2014

2014

2013

Image# 14940311318

04

232

19

05

Wyndmoor

Fort Lauderdale

New York

002

003

001

Page 201: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

2008 N Daniel St

501 Wampanoag Trl

1701 John F Kennedy Blvd

173.13

65.34

1472.53

Apt 304

Friends of Val Arkoosh

Transaction ID : VN7J99PPQH3

VA

RI

PA

22201-4199

19103-2833

02915-1507

Transaction ID : VN7J99PPSE3

Transaction ID : VN7J99NDYE3

10

12

Payroll Expense

11

Payroll Service Fee

Phones/Internet

2013

1711.00

Comcast

2014

Paychex

2013

Bryan H. Lesswing

201

2014

2014

2013

Image# 14940311319

15

232

18

04

Riverside

Philadelphia

Arlington

001

001

Page 202: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

* In-Kind Received

PO Box 1011

PO Box 382110

Old York Road and West Avenue

1800.00

279.63

361.38

Friends of Val Arkoosh

Transaction ID : VN8HHBWTYM3I

PA

MA

PA

19038-6011

19046

02238-2110

Transaction ID : VN7J99NDYJ3

Transaction ID : VN7J99PJGK3

12

12

in kind mileage reimbursement

10

Credit card processing fee

Office Rent

2013

2441.01

The Piazza of Jenkintown

2014

ActBlue Technical Services

2013

Ellen Sun

202

2014

2014

2013

Image# 14940311320

03

232

26

10

Cambridge

Jenkintown

Glenside

001

001

Page 203: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

1408 Crystal Valley Way

PO Box 1011

* In-Kind Received

PO Box 382110

117.92

201.10

1245.49

Friends of Val Arkoosh

Transaction ID : VN7J99PPPS3

PA

PA

MA

19002-4043

02238-2110

19038-6011

Transaction ID : VN7J99NA1M3

Transaction ID : VN8HHBWTZN3I

11

12

Payroll Expense

11

in kind mileage reimbursement

Credit card processing fee

2013

1564.51

ActBlue Technical Services

2014

Ellen Sun

2013

Stephen B. Rudman

203

2014

2014

2013

Image# 14940311321

05

232

24

19

Glenside

Cambridge

Ambler

001

001

Page 204: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

PO Box 1011

1495 Old York Rd

530 Spring Ln

1145.49

71.14

1835.30

Friends of Val Arkoosh

Transaction ID : VN7J99PPS44

PA

PA

PA

19038-6011

19038-8413

19001-1923

Transaction ID : VN7J99PPSW3

Transaction ID : VN7J99PPQ24

12

11

Payroll Expense

11

Office Supplies

Payroll Expense

2013

3051.93

Tiernan Donohue

2014

Target

2013

Ellen Sun

204

2014

2014

2013

Image# 14940311322

04

232

13

19

Abington

Wyndmoor

Glenside

001

001

001

Page 205: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

262 S Easton Rd

50 Massachusetts Ave NE

1575 The Fairway

118.95

82.00

230.00

Friends of Val Arkoosh

Transaction ID : VN7J99NDZ94

PA

DC

PA

19038-3962

19046-1424

20002-4214

Transaction ID : VN7J99PPT54

Transaction ID : VN7J99PPQ74

12

10

Postage (Fundraising)

11

Travel (Train)

Fundraising Event Expense

2013

430.95

Whole Foods

2014

Amtrak

2013

USPS

205

2014

2014

2013

Image# 14940311323

04

232

09

31

Washington

Jenkintown

Glenside

003

002

Page 206: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

501 Wampanoag Trl

3914 Barcroft Mews Ct

PO Box 407066

58.55

2500.00

3904.92

Friends of Val Arkoosh

Transaction ID : VN7J99PPRJ4

RI

VA

FL

02915-1507

33340-7066

22041-1218

Transaction ID : VN7J99PPTA4

Transaction ID : VN7J99NDXH4

10

11

Payroll Taxes

11

Consultant (Fundraising)

Credit Card Processing Fees

2013

6463.47

First Bank Merchant Services

2014

Fiorello Consulting

2013

Paychex

206

2014

2014

2013

Image# 14940311324

04

232

24

20

Falls Church

Fort Lauderdale

Riverside

001

003

Page 207: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

937 Easton Rd

7700 Germantown Ave

7700 Germantown Ave

86.37

166.11

34.80

Friends of Val Arkoosh

Transaction ID : VN7J99PPSQ4

PA

PA

PA

19001-4409

19118-3549

19118-3549

Transaction ID : VN7J99PPSJ4

Transaction ID : VN7J99NDYP4

10

11

Volunteer Meals

11

Office Supplies

Office Supplies

2013

287.28

Staples

2014

Staples

2013

Dunkin Donuts

207

2014

2014

2013

Image# 14940311325

14

232

30

06

Philadelphia

Philadelphia

Roslyn

001

Page 208: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

1408 Crystal Valley Way

1495 Old York Rd

Old York Road and West Avenue

1800.00

15.46

463.14

Friends of Val Arkoosh

Transaction ID : VN7J99PNYX4

PA

PA

PA

19002-4043

19046

19001-1923

Transaction ID : VN7J99PPQT4

Transaction ID : VN7J99NDYV4

10

12

Reimbursement

12

Office Supplies

Office Rent

2013

2278.60

The Piazza of Jenkintown

2014

Target

2013

Stephen B. Rudman

208

2014

2014

2013

Image# 14940311326

03

232

15

20

Abington

Jenkintown

Ambler

002

001

Page 209: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

483 General Washington Rd

PO Box 407066

704 Chestnut Hill Ct

959.95

1880.87

250.00

Friends of Val Arkoosh

Transaction ID : VN7J99NDZ45

PA

FL

NC

19087-2118

27455-8347

33340-7066

Transaction ID : VN7J99PPRZ4

Transaction ID : VN7J99PPT05

11

10

Donation

11

Credit Card Processing Fees

Payroll Expense

2013

3090.82

Laura Koehler

2014

First Bank Merchant Services

2013

Upper Merion Democratic Committee

209

2014

2014

2013

Image# 14940311327

19

232

04

19

Fort Lauderdale

Greensboro

Wayne

001

003

Page 210: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

501 Wampanoag Trl

208 S Akard St

530 Spring Ln

* In-Kind Received

St #110

519.20

26.13

4311.30

Friends of Val Arkoosh

Transaction ID : VN7J99PPQB5

RI

TX

PA

02915-1507

19038-8413

75202-4206

Transaction ID : VN8HHBXH975I

Transaction ID : VN7J99PPS85

11

12

Payroll Taxes

10

Mobile Phones

in kind flight ticket purchase

2013

4856.63

Valerie Arkoosh

2014

AT&T

2013

Paychex

210

2014

2014

2013

Image# 14940311328

07

232

18

05

Dallas

Wyndmoor

Riverside

001

001

Page 211: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

50 Massachusetts Ave NE

PO Box 382110

704 Chestnut Hill Ct

959.96

96.76

102.00

Friends of Val Arkoosh

Transaction ID : VN7J99NDWM5

DC

MA

NC

20002-4214

27455-8347

02238-2110

Transaction ID : VN7J99PPQG5

Transaction ID : VN7J99NA1K5

11

10

Travel

12

Credit card processing fee

Payroll Expense

2013

1158.72

Laura Koehler

2014

ActBlue Technical Services

2013

Amtrak

211

2014

2014

2013

Image# 14940311329

04

232

05

02

Cambridge

Greensboro

Washington

001

001

Page 212: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

2008 N Daniel St

530 Spring Ln

PO Box 382110

210.05

1145.49

1572.54

Apt 304

Friends of Val Arkoosh

Transaction ID : VN7J99PPPR5

VA

PA

MA

22201-4199

02238-2110

19038-8413

Transaction ID : VN7J99NPXP5

Transaction ID : VN7J99PPRP5

11

12

Payroll Expense

11

Payroll Expenses

Credit card processing fee

2013

2928.08

ActBlue Technical Services

2014

Tiernan Donohue

2013

Bryan H. Lesswing

212

2014

2014

2013

Image# 14940311330

26

232

19

19

Wyndmoor

Cambridge

Arlington

001

001

001

Page 213: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

714 7th Ave

1575 The Fairway

1500 Van Ness Ave

74.13

39.71

1380.65

Friends of Val Arkoosh

Transaction ID : VN7J99PPPX5

NY

PA

CA

10036-1520

94109-4606

19046-1424

Transaction ID : VN7J99NDXT5

Transaction ID : VN7J99PPSV5

11

12

Travel (Hotel)

10

Volunteer Meals

Travel (Hotel)

2013

1494.49

Holiday Inn

2014

Whole Foods

2013

Renaissance Hotel

213

2014

2014

2013

Image# 14940311331

15

232

05

16

Jenkintown

San Francisco

New York

002

Page 214: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

7700 Germantown Ave

1000 Potomac St NW

530 Spring Ln

Ste 500

207.18

11500.00

255.46

Friends of Val Arkoosh

Transaction ID : VN7J99PPQ16

PA

DC

PA

19118-3549

19038-8413

20007-3552

Transaction ID : VN7J99NDYZ5

Transaction ID : VN7J99NE006

10

12

Office Supplies

10

Consultant (Research)

Payroll

2013

11962.64

Tiernan Donohue

2014

Ohlsen Research

2013

Staples

214

2014

2014

2013

Image# 14940311332

05

232

16

13

Washington

Wyndmoor

Philadelphia

001

Page 215: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

1575 The Fairway

PO Box 382110

704 Chestnut Hill Ct

959.95

14.24

78.28

Friends of Val Arkoosh

Transaction ID : VN7J99PPT96

PA

MA

NC

19046-1424

27455-8347

02238-2110

Transaction ID : VN7J99NDY36

Transaction ID : VN7J99NA156

11

11

Fundraising Event Expense

10

Credit card processing fee

Payroll

2013

1052.47

Laura Koehler

2014

ActBlue Technical Services

2013

Whole Foods

215

2014

2014

2013

Image# 14940311333

17

232

05

04

Cambridge

Greensboro

Jenkintown

003

001

Page 216: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

PO Box 1011

2014 Hilltop Rd

* In-Kind Received

222 W Ontario StSte 600

1350.00

120.50

57.80

Friends of Val Arkoosh

Transaction ID : VN7J99NDXG6

PA

PA

IL

19038-6011

60654-3655

19031-1615

Transaction ID : VN7J99NDWA6

Transaction ID : VN8HHBS7PG6I

12

10

Mileage Reimbursement

10

in kind catering for event

Media Buy

2013

1528.30

Adelstein Liston

2014

Mary Helf

2013

Ellen Sun

216

2014

2014

2013

Image# 14940311334

04

232

18

29

Flourtown

Chicago

Glenside

Page 217: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

PO Box 407066

7700 Germantown Ave

PO Box 407066

69.75

162.16

47.75

Friends of Val Arkoosh

Transaction ID : VN7J99PPQS6

FL

PA

FL

33340-7066

33340-7066

19118-3549

Transaction ID : VN7J99NDXN6

Transaction ID : VN7J99NDYN6

10

12

Credit Card Processing Fees

10

Office Supplies

Credit Card Processing Fees

2013

279.66

First Bank Merchant Services

2014

Staples

2013

First Bank Merchant Services

217

2014

2014

2013

Image# 14940311335

03

232

15

03

Philadelphia

Fort Lauderdale

Fort Lauderdale

003

Page 218: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

344 Gribbel Rd

2008 N Daniel St

739 Hemingway Dr

* In-Kind Received

Apt 304

515.00

161.28

682.64

Friends of Val Arkoosh

Transaction ID : VN7J99NDWX6

PA

VA

PA

19095-1108

19002-1421

22201-4199

Transaction ID : VN8HHBRSQV6I

Transaction ID : VN7J99PNYW6

12

10

Printing

12

Reimbursement

in kind food items for event

2013

1358.92

Sondra Miller-Wein

Cheltenham Democratic Party

2014

Bryan H. Lesswing

2013

Cheltenham Democratic Party

218

2014

2014

2013

Image# 14940311336

12

232

20

03

Arlington

Ambler

Wyncote

002

Page 219: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

* In-Kind Received

530 Spring Ln

501 Wampanoag Trl

315 Old York Rd

2719.16

65.37

447.80

Friends of Val Arkoosh

Transaction ID : VN8HHBXH917I

PA

RI

PA

19038-8413

19046

02915-1507

Transaction ID : VN7J99PPRY6

Transaction ID : VN7J99PNZ07

12

10

in kind flight ticket purchase

11

Payroll Service Fee

Payroll Expense

2013

3232.33

Jacob Dusseau

2014

Paychex

2013

Valerie Arkoosh

219

2014

2014

2013

Image# 14940311337

19

232

20

14

Riverside

Jenkintown

Wyndmoor

001

001

Page 220: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

PO Box 382110

501 Wampanoag Trl

PO Box 1011

1674.77

3280.99

148.16

Friends of Val Arkoosh

Transaction ID : VN7J99PTPF7

MA

RI

PA

02238-2110

19038-6011

02915-1507

Transaction ID : VN7J99NDXB7

Transaction ID : VN7J99NDYC7

10

12

Credit card processing fee

10

Payroll Tax

Payroll

2013

5103.92

Ellen Sun

2014

Paychex

2013

ActBlue Technical Services

220

2014

2014

2013

Image# 14940311338

04

232

18

30

Riverside

Glenside

Cambridge

Page 221: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

PO Box 382110

PO Box 382110

315 Old York Rd

2719.17

67.15

222.89

Friends of Val Arkoosh

Transaction ID : VN7J99P67M7

MA

MA

PA

02238-2110

19046

02238-2110

Transaction ID : VN7J99PPQF7

Transaction ID : VN7J99NA1J7

11

12

Credit card processing fee

12

Credit card processing fee

Payroll Expense

2013

3009.21

Jacob Dusseau

2014

ActBlue Technical Services

2013

ActBlue Technical Services

221

2014

2014

2013

Image# 14940311339

04

232

05

19

Cambridge

Jenkintown

Cambridge

001

001

Page 222: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

208 S Akard St

208 S Akard St

704 Chestnut Hill Ct

St #110

1059.95

26.09

26.13

St #110

Friends of Val Arkoosh

Transaction ID : VN7J99PPPW7

TX

TX

NC

75202-4206

27455-8347

75202-4206

Transaction ID : VN7J99PPPQ7

Transaction ID : VN7J99NDWR7

10

12

Mobile Phones

12

Mobile Phone

Payroll Expense

2013

1112.17

Laura Koehler

2014

AT&T

2013

AT&T

222

2014

2014

2013

Image# 14940311340

19

232

18

17

Dallas

Greensboro

Dallas

001

001

Page 223: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

704 Chestnut Hill Ct

1701 John F Kennedy Blvd

PO Box 382110

392.91

346.20

959.96

Friends of Val Arkoosh

Transaction ID : VN7J99NDY28

NC

PA

MA

27455-8347

02238-2110

19103-2833

Transaction ID : VN7J99PJGZ7

Transaction ID : VN7J99NDX18

10

10

Payroll

12

Phones/Internet

Credit card processing fee

2013

1699.07

ActBlue Technical Services

2014

Comcast

2013

Laura Koehler

223

2014

2014

2013

Image# 14940311341

31

232

03

04

Philadelphia

Cambridge

Greensboro

001

Page 224: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

937 Easton Rd

PO Box 382110

1408 Crystal Valley Way

326.01

98.30

95.34

Friends of Val Arkoosh

Transaction ID : VN7J99PPT88

PA

MA

PA

19001-4409

19002-4043

02238-2110

Transaction ID : VN7J99PPS28

Transaction ID : VN7J99NXV68

12

11

Fundraising Event Expense

11

Credit card processing fee

Payroll Expense

2013

519.65

Stephen B. Rudman

2014

ActBlue Technical Services

2013

Dunkin Donuts

224

2014

2014

2013

Image# 14940311342

19

232

03

04

Cambridge

Ambler

Roslyn

003

001

Page 225: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

1495 Old York Rd

PO Box 407066

501 Wampanoag Trl

65.37

188.11

25.59

Friends of Val Arkoosh

Transaction ID : VN7J99NDYS8

PA

FL

RI

19001-1923

02915-1507

33340-7066

Transaction ID : VN7J99PPQA8

Transaction ID : VN7J99PPQR8

12

10

Office Supplies

12

Credit Card Processing Fees

Payroll Service Fee

2013

279.07

Paychex

2014

First Bank Merchant Services

2013

Target

225

2014

2014

2013

Image# 14940311343

05

232

03

04

Fort Lauderdale

Riverside

Abington

001

003

Page 226: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

530 Spring Ln

2008 N Daniel St

501 Wampanoag Trl

Apt 304

56.20

138.00

959.96

Friends of Val Arkoosh

Transaction ID : VN7J99NDYY8

PA

VA

RI

19038-8413

02915-1507

22201-4199

Transaction ID : VN7J99PPST8

Transaction ID : VN7J99PPQX8

12

10

Payroll

11

Reimbursement of Expenses

Payroll Service Fee

2013

1154.16

Paychex

2014

Bryan H. Lesswing

2013

Tiernan Donohue

226

2014

2014

2013

Image# 14940311344

05

232

02

04

Arlington

Riverside

Wyndmoor

001

001

Page 227: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

262 S Easton Rd

50 Massachusetts Ave NE

PO Box 66100

14.99

125.00

11.04

Friends of Val Arkoosh

Transaction ID : VN7J99NDZ79

PA

DC

IL

19038-3962

60666-0100

20002-4214

Transaction ID : VN7J99NDZ29

Transaction ID : VN7J99PPR69

11

10

Postage (Fundraising)

10

Travel (Train)

Travel (Air)

2013

151.03

United Airlines

2014

Amtrak

2013

USPS

227

2014

2014

2013

Image# 14940311345

16

232

21

17

Washington

Chicago

Glenside

002

002

Page 228: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

518 Ryers Ave

530 Spring Ln

501 Wampanoag Trl

56.20

1145.49

800.30

Bldg 2

Friends of Val Arkoosh

Transaction ID : VN7J99PPSG9

PA

PA

RI

19012-2131

02915-1507

19038-8413

Transaction ID : VN7J99NDYB9

Transaction ID : VN7J99PPQE9

12

11

Printing

10

Payroll Expense

Payroll Service Fee

2013

2001.99

Paychex

2014

Tiernan Donohue

2013

Cheltenham Printing Company

228

2014

2014

2013

Image# 14940311346

04

232

04

14

Wyndmoor

Riverside

Cheltenham

006

001

Page 229: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

PO Box 1011

PO Box 382110

PO Box 1011

51.98

124.45

1835.30

Friends of Val Arkoosh

Transaction ID : VN7J99PPQK9

PA

MA

PA

19038-6011

19038-6011

02238-2110

Transaction ID : VN7J99PNYH9

Transaction ID : VN7J99P2GH9

12

12

Payroll Expense

12

Credit card processing fee

Mileage Reimbursement

2013

2011.73

Ellen Sun

2014

ActBlue Technical Services

2013

Ellen Sun

229

2014

2014

2013

Image# 14940311347

20

232

11

04

Cambridge

Glenside

Glenside

001

002

001

Page 230: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

620 Allengrove St

1500 Van Ness Ave

Old York Road and West Avenue

1800.00

169.51

500.00

Friends of Val Arkoosh

Transaction ID : VN7J99PPPV9

PA

CA

PA

19120-2106

19046

94109-4606

Transaction ID : VN7J99NDYM9

Transaction ID : VN7J99NDXR9

10

12

Donation

10

Travel (Hotel)

Office Rent

2013

2469.51

The Piazza of Jenkintown

2014

Holiday Inn

2013

Friends of the Northeast

230

2014

2014

2013

Image# 14940311348

25

232

15

19

San Francisco

Jenkintown

Philadelphia

012

001

Page 231: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

501 Wampanoag Trl

704 Chestnut Hill Ct

315 Old York Rd

2719.17

959.96

4285.59

Friends of Val Arkoosh

141988.72

Transaction ID : VN7J99PNYZ9

RI

NC

PA

02915-1507

19046

27455-8347

Transaction ID : VN7J99NDXX9

Transaction ID : VN7J99PPSY9

11

12

Payroll Taxes

10

Payroll Expense

Payroll

2013

7964.72

Jacob Dusseau

2014

Laura Koehler

2013

Paychex

231

2014

2014

2013

Image# 14940311349

04

232

04

20

Greensboro

Jenkintown

Riverside

001

001

Page 232: REPORT OF RECEIPTS FEC AND DISBURSEMENTSdocquery.fec.gov/pdf/119/14940311119/14940311119.pdf · 2212 Pine St 1035.00 4 N Kingshighway Blvd Friends of Val Arkoosh 63108-1359 Transaction

FE5AN018

SCHEDULE B (FEC Form 3)

ITEMIZED DISBURSEMENTS

Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions

or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.

NAME OF COMMITTEE (In Full)

! ! ! , , .

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

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

FEC Schedule B (Form 3) (Revised 02/2009)

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

A. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

B. Date of Disbursement

Full Name (Last, First, Middle Initial)

Mailing Address

City State Zip Code Amount of Each Disbursement this Period

! ! ! , , .

C.Date of Disbursement

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

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

for each category of the

Detailed Summary Page

Category/Type

17 18 19a 19b

20a 20b 20c 21

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

Purpose of Disbursement

Candidate Name

Office Sought: House

Senate

President

State: District:

Category/Type

Disbursement For:

Primary General

Other (specify)

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

M M / D D / Y Y Y Y

3008 E Laurelhurst Dr NE

227 E Meade St

4147.00

150.00

Friends of Val Arkoosh

4297.00

WA

PA 19118-2812

98105-5331

Transaction ID : VN7J99P12B7

Transaction ID : VN7J99N7CV9

10

12

contribution refund

contribution refund

2013

4297.00

Jennifer Kolker

2014

Jean Amick

232

2014

2013

Image# 14940311350

08

232

29

Seattle

Philadelphia

010

010