report of receipts fec and disbursements form 3xfec form 3x (rev. 06/2004 ) page 3 t t t t 37549.36...
TRANSCRIPT
FE6AN026
FEC FORM 3XRev. 12/2004
Office
Use
Only
NOTE: Submission of false, erroneous, or incomplete information may subject the person signing this Report to the penalties of 2 U.S.C. §437g.
4. TYPE OF REPORT
(Choose One)
(a) Quarterly Reports:
12-Day Primary (12P) General (12G) Runoff (12R)
PRE-Election
Report for the: Convention (12C) Special (12S)
30-Day
POST-Election General (30G) Runoff (30R) Special (30S)
Report for the:
(b) Monthly
Report
Due On:
Feb 20 (M2) May 20 (M5) Aug 20 (M8)
Mar 20 (M3) Jun 20 (M6) Sep 20 (M9)
Apr 20 (M4) Jul 20 (M7) Oct 20 (M10) Jan 31 (YE)
FEC
FORM 3X
REPORT OF RECEIPTS
AND DISBURSEMENTSFor Other Than An Authorized Committee
1. NAME OF COMMITTEE (in full)
ADDRESS (number and street)
Check if different than previously reported. (ACC)
TYPE OR PRINT
CITY STATE ZIP CODE2. FEC IDENTIFICATION NUMBER
5. Covering Period through
I certify that I have examined this Report and to the best of my knowledge and belief it is true, correct and complete.
Type or Print Name of Treasurer
Signature of Treasurer Date
April 15 Quarterly Report (Q1)
July 15 Quarterly Report (Q2)
October 15 Quarterly Report (Q3)
January 31 Year-End Report (YE)
July 31 Mid-Year Report (Non-election Year Only) (MY)
Termination Report (TER) in the
Election on State of
in the
Election on State of
Office Use Only
C 3. IS THIS NEW AMENDED
REPORT (N) OR (A)
(c)
Nov 20 (M11)(Non-Election Year Only)
Dec 20 (M12)(Non-Election Year Only)
Example: If typing, type
over the lines.
(d)
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
12FE4M5
14
20001
09
Timothy Smith
Timothy Smith
2015
[Electronically Filed]
C00365072
PAGE 1 / 266
201508
Washington DC
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
300 New Jersey Avenue NE
Suite 600
09/14/2015 11 : 47
Image# 201509149001637952
2015
01 3108
FE6AN026
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M M / D D / Y Y Y Y M M / D D / Y Y Y Y
Y Y Y Y
COLUMN B
Calendar Year-to-Date
COLUMN A
This Period
6. (a) Cash on Hand
January 1,
(b) Cash on Hand at
Beginning of Reporting Period ............
(c) Total Receipts (from Line 19) .............
(d) Subtotal (add Lines 6(b) and
6(c) for Column A and Lines
6(a) and 6(c) for Column B) ...............
7. Total Disbursements (from Line 31) ...........
8. Cash on Hand at Close of
Reporting Period
(subtract Line 7 from Line 6(d)) .................
9. Debts and Obligations Owed TO
the Committee (Itemize all on
Schedule C and/or Schedule D) ................
10. Debts and Obligations Owed BY
the Committee (Itemize all on
Schedule C and/or Schedule D) ................
For further information contact:
Federal Election Commission
999 E Street, NW
Washington, DC 20463
Toll Free 800-424-9530
Local 202-694-1100
FEC Form 3X (Rev. 02/2003 ) Page 2
SUMMARY PAGEOF RECEIPTS AND DISBURSEMENTS
This committee has qualified as a multicandidate committee. (see FEC FORM 1M)
Report Covering the Period: From: To:
Write or Type Committee Name
165768.93
2015 213092.79
148268.93
37549.36
0.00
2015
426834.28
201508
128219.57
362010.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
Image# 201509149001637953
575103.21
148268.93
01 31
17500.00
08
0.00
FE6AN026
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M M / D D / Y Y Y Y M M / D D / Y Y Y Y
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Report Covering the Period: From: To:
COLUMN B
Calendar Year-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 (add
Lines 11(a)(i) and (ii) .................
(b) Political Party Committees ..................
(c) Other Political Committees
(such as PACs) ....................................
(d) Total Contributions (add Lines
11(a)(iii), (b), and (c)) (Carry
Totals to Line 33, page 5) ..............
12. Transfers From Affiliated/Other
Party Committees ........................................
13. All Loans Received .....................................
14. Loan Repayments Received .......................
15. Offsets To Operating Expenditures
(Refunds, Rebates, etc.)
(Carry Totals to Line 37, page 5) ...............
16. Refunds of Contributions Made
to Federal Candidates and Other
Political Committees ....................................
17. Other Federal Receipts
(Dividends, Interest, etc.) ............................
18. Transfers from Non-Federal and Levin Funds
(a) Non-Federal Account
(from Schedule H3) .............................
(b) Levin Funds (from Schedule H5) .........
(c) Total Transfers (add 18(a) and 18(b)) ..
19. Total Receipts (add Lines 11(d),
12, 13, 14, 15, 16, 17, and 18(c)) .........
20. Total Federal Receipts
(subtract Line 18(c) from Line 19) .........
DETAILED SUMMARY PAGEof Receipts
Write or Type Committee Name
I. Receipts
FEC Form 3X (Rev. 06/2004 ) Page 3
37549.36
37549.36
0.00
5000.00
0.00
0.00
0.00
0.00
362010.42
2015
0.00
37549.36
0.00
0.00
2466.54
0.00
2015
37549.36
68894.17
08
288116.25
0.00
0.00
0.00
0.00
0.00
357010.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
357010.42
0.00
35082.82
362010.42
Image# 201509149001637954
0.00
0.00
0.00
01 31
0.00
08
0.00
0.00
FE6AN026
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21. Operating Expenditures: (a) Allocated Federal/Non-Federal Activity (from Schedule H4)
(i) Federal Share .............................
(ii) Non-Federal Share ......................
(b) Other Federal Operating
Expenditures .......................................
(c) Total Operating Expenditures
(add 21(a)(i), (a)(ii), and (b)) .............
22. Transfers to Affiliated/Other Party
Committees .................................................23. Contributions to Federal Candidates/Committees and Other Political Committees .................
24. Independent Expenditures
(use Schedule E) .......................................25. Coordinated Party Expenditures (2 U.S.C. §441a(d)) (use Schedule F)........................................
26. Loan Repayments Made ............................
27. Loans Made ................................................28. Refunds of Contributions To: (a) Individuals/Persons Other Than Political Committees .................
(b) Political Party Committees .................
(c) Other Political Committees
(such as PACs) ...................................
(d) Total Contribution Refunds
(add Lines 28(a), (b), and (c)) ...........
29. Other Disbursements .................................
30. Federal Election Activity (2 U.S.C. §431(20))
(a) Allocated Federal Election Activity
(from Schedule H6)
(i) Federal Share ................................
(ii) "Levin" Share.................................
(b) Federal Election Activity Paid Entirely
With Federal Funds .................
(c) Total Federal Election Activity (add ..
Lines 30(a)(i), 30(a)(ii) and 30(b)) ....
31. Total Disbursements (add Lines 21(c), 22,
23, 24, 25, 26, 27, 28(d), 29 and 30(c)) ..
32. Total Federal Disbursements
(subtract Line 21(a)(ii) and Line 30(a)(ii)
from Line 31) ..............................................
COLUMN B
Calendar Year-to-Date
COLUMN A
Total This PeriodII. Disbursements
DETAILED SUMMARY PAGEof Disbursements
FEC Form 3X (Rev. 02/2003 ) Page 4
0.00
0.00
0.00
0.00
409000.00
524.28
0.00
17500.00
0.00
17310.00
0.00
0.00
0.00
0.00
0.00
17500.00
0.00
0.00
524.28
0.00
0.00
0.00
426834.28
0.00
0.00
0.00
17500.00
0.00
0.00
426834.28
0.00
0.00
0.00
0.00
0.00
0.00
Image# 201509149001637955
0.00
0.00
0.00
0.00
0.00
0.00
FE6AN026
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COLUMN B
Calendar Year-to-Date
COLUMN A
Total This Period
DETAILED SUMMARY PAGEof Disbursements
FEC Form 3X (Rev. 02/2003 ) Page 5
III. Net Contributions/Operating Ex-
penditures
33. Total Contributions (other than loans)
(from Line 11(d), page 3) ..........................
34. Total Contribution Refunds
(from Line 28(d)) ........................................
35. Net Contributions (other than loans)
(subtract Line 34 from Line 33) ................
36. Total Federal Operating Expenditures
(add Line 21(a)(i) and Line 21(b)) .........
37. Offsets to Operating Expenditures
(from Line 15, page 3)...............................
38. Net Operating Expenditures
(subtract Line 37 from Line 36) ................
357010.4237549.36
0.00
356486.14
0.00
37549.36
0.00
0.00
0.00
0.00
Image# 201509149001637956
0.00 524.28
FE6AN026
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Aggregate Year-to-Date
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
76.92
692.28
1384.56
38.46
38.46
MO
NJ
1 Express Way
1 Express Way
100 Parsons Pond Dr
692.28
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
07417-2604Transaction ID : 201508209534-38
63121-1824
MOSaint Louis
Franklin Lakes
Saint Louis
Express Scripts Inc.
Medco Health Services, Inc.
Transaction ID : 201508209534-31963121-1824
Transaction ID : 20150826125247-316
Express Scripts Inc.
14
28
13
153.84
6
Image# 201509149001637957
08
08
08
266
Jo-Ellen Abou Nader
2015
Leslie Anne Achter
2015
2015
Jo-Ellen Abou Nader
Sr Director - Product Mgmt
Sr Director - Product Mgmt
VP Pricing
FE6AN026
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Aggregate Year-to-Date
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C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
76.92
1384.56
1384.56
76.92
76.92
NJ
NJ
100 Parsons Pond Dr
100 Parsons Pond Dr
100 Parsons Pond Dr
1384.56
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
07417-2604Transaction ID : 20150826125247-20
07417-2604
NJFranklin Lakes
Franklin Lakes
Franklin Lakes
Medco Health Services, Inc.
Medco Health Services, Inc.
Transaction ID : 20150826125247-3707417-2604
Transaction ID : 201508209534-20
Medco Health Services, Inc.
27
13
27
230.76
7
Image# 201509149001637958
08
08
08
266
Edward John Adamcik
2015
Edward John Adamcik
2015
2015
Leslie Anne Achter
VP Pricing
VP Pharma Rebates
VP Pharma Rebates
FE6AN026
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Aggregate Year-to-Date
, , .
C
, , .C
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C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.69
346.14
1038.42
19.23
19.23
MO
MO
1 Express Way
1 Express Way
1 Express Way
346.14
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-269
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Services Co
Transaction ID : 201508209534-46063121-1824
Transaction ID : 20150826125247-456
Express Scripts Inc.
14
28
14
96.15
8
Image# 201509149001637959
08
08
08
266
Anica Addison
2015
Angela M Adler
2015
2015
Anica Addison
Sr Director- Bus Analysis/Plan
Sr Director- Bus Analysis/Plan
VP Contract Strat & Compliance
FE6AN026
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Aggregate Year-to-Date
, , .
C
, , .C
, , .
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
115.38
2076.84
2076.84
115.38
57.69
MO
MO
1 Express Way
1 Express Way
1 Express Way
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-246
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Services Co
Express Scripts Services Co
Transaction ID : 20150826125247-26563121-1824
Transaction ID : 201508209534-250
Express Scripts Services Co
28
14
28
288.45
9
Image# 201509149001637960
08
08
08
266
Martin Akins
2015
Martin Akins
2015
2015
Angela M Adler
VP Contract Strat & Compliance
VP Deputy General Counsel
VP Deputy General Counsel
FE6AN026
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Aggregate Year-to-Date
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C
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C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
38.46
1384.56
692.28
76.92
76.92
VA
MO
3031 Mount Hill Dr
3031 Mount Hill Dr
1 Express Way
1384.56
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-328
23113-3923
VAMidlothian
Saint Louis
Midlothian
Medco Health Services, Inc.
Express Scripts Inc.
Transaction ID : 201508209534-3723113-3923
Transaction ID : 20150826125247-36
Medco Health Services, Inc.
13
27
14
192.30
10
Image# 201509149001637961
08
08
08
266
Jody H Allen
2015
David A Anderson
2015
2015
Jody H Allen
VP Clinical Account Management
VP Clinical Account Management
VP Strategy
FE6AN026
, , .
, , .
, , .
Aggregate Year-to-Date
, , .
C
, , .C
, , .
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
115.38
2076.84
2076.84
115.38
38.46
MO
MO
1 Express Way
1 Express Way
1 Express Way
692.28
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-341
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-32563121-1824
Transaction ID : 201508209534-344
Express Scripts Inc.
28
14
28
269.22
11
Image# 201509149001637962
08
08
08
266
Phyllis Anderson
2015
Phyllis Anderson
2015
2015
David A Anderson
VP Strategy
VP Chief Marketing Officer
VP Chief Marketing Officer
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.69
1038.42
1038.42
57.69
57.69
MN
NJ
6625 W 78th St
6625 W 78th St
100 Parsons Pond Dr
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
07417-2604Transaction ID : 201508209534-57
55439-2649
MNMinneapolis
Franklin Lakes
Minneapolis
Express Scripts Inc.
Medco Health Services, Inc.
Transaction ID : 201508209534-19255439-2649
Transaction ID : 20150826125247-191
Express Scripts Inc.
14
28
13
173.07
12
Image# 201509149001637963
08
08
08
266
Stephanie N Anderson
2015
David P Arciszewski
2015
2015
Stephanie N Anderson
VP Client Services - Division
VP Client Services - Division
Associate General Counsel
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
14.00
252.00
252.00
14.00
57.69
MN
MN
6625 W 78th St
100 Parsons Pond Dr
6625 W 78th St
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
55439-2649Transaction ID : 20150826125247-230
55439-2649
NJFranklin Lakes
Minneapolis
Minneapolis
Medco Health Services, Inc.
Express Scripts Services Co
Transaction ID : 20150826125247-5607417-2604
Transaction ID : 201508209534-232
Express Scripts Services Co
27
14
28
85.69
13
Image# 201509149001637964
08
08
08
266
Jennifer Lea Athmann
2015
Jennifer Lea Athmann
2015
2015
David P Arciszewski
Associate General Counsel
Sr Clinical Account Executive (Sales)
Sr Clinical Account Executive (Sales)
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
25.00
346.14
450.00
19.23
19.23
WI
IL
N70W28852 Vernon Dr
N70W28852 Vernon Dr
1607 Stoddard St
346.14
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
61108-6422Transaction ID : 201508209534-144
53029-9619
WIHartland
Rockford
Hartland
Express Scripts Services Co
Accredo Health Group, Inc.
Transaction ID : 201508209534-23953029-9619
Transaction ID : 20150826125247-236
Express Scripts Services Co
14
28
14
63.46
14
Image# 201509149001637965
08
08
08
266
Andrew G Avgoulas
2015
William E Ax
2015
2015
Andrew G Avgoulas
Sr Clinical Account Executive (Sales)
Sr Clinical Account Executive (Sales)
Director - Sales
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
14.00
285.00
252.00
19.00
25.00
OH
OH
9431 Heron Way
1607 Stoddard St
3300 Ardmore Rd
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
44120-3404Transaction ID : 201508209534-312
43310-9345
ILRockford
Shaker Heights
Belle Center
Accredo Health Group, Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-14361108-6422
Transaction ID : 201508209534-478
Priority Healthcare Dist
28
14
14
58.00
15
Image# 201509149001637966
08
08
08
266
Mark Stephen Axe
2015
Jason R Baker
2015
2015
William E Ax
Director - Sales
Director - Sales
Sales Director
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
76.92
207.72
1384.56
11.54
14.00
MN
NC
6625 W 78th St
3300 Ardmore Rd
3516 Sharon View Rd
252.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
28210-3316Transaction ID : 201508209534-338
55439-2649
OHShaker Heights
Charlotte
Minneapolis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-30944120-3404
Transaction ID : 20150826125247-166
Express Scripts Services Co
28
28
14
102.46
16
Image# 201509149001637967
08
08
08
266
Lori Barnes
2015
Wendy Lynn Barnes
2015
2015
Jason R Baker
Sales Director
Director - Account Management (SAM99J)
VP Provider Strat & Contract
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
30.00
540.00
540.00
30.00
76.92
MO
MO
1 Express Way
3516 Sharon View Rd
1 Express Way
1384.56
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-322
63121-1824
NCCharlotte
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-33528210-3316
Transaction ID : 201508209534-325
Express Scripts Inc.
28
14
28
136.92
17
Image# 201509149001637968
08
08
08
266
Scott Allen Becker
2015
Scott Allen Becker
2015
2015
Wendy Lynn Barnes
VP Provider Strat & Contract
Sr Director - Project Mgmt
Sr Director - Project Mgmt
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.00
1384.56
342.00
76.92
76.92
MN
AZ
6625 W 78th St
6625 W 78th St
7909 S Hardy Dr
1384.56
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
85284-1112Transaction ID : 201508209534-505
55439-2649
MNMinneapolis
Tempe
Minneapolis
Express Scripts Inc.
ESI Mail Pharmacy Services Inc
Transaction ID : 201508209534-25655439-2649
Transaction ID : 20150826125247-252
Express Scripts Inc.
14
28
14
172.84
18
Image# 201509149001637969
08
08
08
266
Andrew Behm
2015
Stephen Mark Bench
2015
2015
Andrew Behm
VP Clinical Evaluation/Policy
VP Clinical Evaluation/Policy
Sr Director Operations
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.69
1038.42
1038.42
57.69
19.00
IA
IA
1332 SE 78th St
7909 S Hardy Dr
1332 SE 78th St
342.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
50237-2265Transaction ID : 20150826125247-44
50237-2265
AZTempe
Runnells
Runnells
ESI Mail Pharmacy Services Inc
Medco Health Services, Inc.
Transaction ID : 20150826125247-50085284-1112
Transaction ID : 201508209534-45
Medco Health Services, Inc.
28
13
27
134.38
19
Image# 201509149001637970
08
08
08
266
Theresa D Benshoof
2015
Theresa D Benshoof
2015
2015
Stephen Mark Bench
Sr Director Operations
Sr Dir Acct Mgmt
Sr Dir Acct Mgmt
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
15.00
450.00
270.00
25.00
25.00
TN
MO
1640 Century Center Pkwy
1640 Century Center Pkwy
1 Express Way
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-370
38134-8822
TNMemphis
Saint Louis
Memphis
Accredo Health, Incorporated
Express Scripts Inc.
Transaction ID : 201508209534-14738134-8822
Transaction ID : 20150826125247-146
Accredo Health, Incorporated
14
28
14
65.00
20
Image# 201509149001637971
08
08
08
266
Jean Keith Bergwall
2015
Todd Michael Berta
2015
2015
Jean Keith Bergwall
Director - Product Management
Director - Product Management
Sr Director-Financial Analysis (Financ
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
25.00
450.00
450.00
25.00
15.00
NJ
NJ
100 Parsons Pond Dr
1 Express Way
100 Parsons Pond Dr
270.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
07417-2604Transaction ID : 20150826125247-73
07417-2604
MOSaint Louis
Franklin Lakes
Franklin Lakes
Express Scripts Inc.
Medco Health Services, Inc.
Transaction ID : 20150826125247-36763121-1824
Transaction ID : 201508209534-74
Medco Health Services, Inc.
28
13
27
65.00
21
Image# 201509149001637972
08
08
08
266
Eileen T Bidell
2015
Eileen T Bidell
2015
2015
Todd Michael Berta
Sr Director-Financial Analysis (Financ
Pharmacy Director
Pharmacy Director
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.23
720.00
346.14
40.00
40.00
MO
TN
1 Express Way
1 Express Way
1640 Century Center Pkwy
720.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
38134-8822Transaction ID : 201508209534-138
63121-1824
MOSaint Louis
Memphis
Saint Louis
Express Scripts Inc.
Accredo Health Group, Inc.
Transaction ID : 201508209534-45063121-1824
Transaction ID : 20150826125247-447
Express Scripts Inc.
14
28
14
99.23
22
Image# 201509149001637973
08
08
08
266
Benjamin Thomas Bier
2015
Ashley T Billings
2015
2015
Benjamin Thomas Bier
Sr Director - Bus Analysis
Sr Director - Bus Analysis
Director - Corp Financial Svc
FE6AN026
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Aggregate Year-to-Date
, , .
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
29.00
522.00
522.00
29.00
19.23
MN
MN
6625 W 78th St
1640 Century Center Pkwy
6625 W 78th St
346.14
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
55439-2649Transaction ID : 20150826125247-196
55439-2649
TNMemphis
Minneapolis
Minneapolis
Accredo Health Group, Inc.
Express Scripts Services Co
Transaction ID : 20150826125247-13738134-8822
Transaction ID : 201508209534-197
Express Scripts Services Co
28
14
28
77.23
23
Image# 201509149001637974
08
08
08
266
Scott D Billmeier
2015
Scott D Billmeier
2015
2015
Ashley T Billings
Director - Corp Financial Svc
Director - Business Systems (Informati
Director - Business Systems (Informati
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.23
342.00
346.14
19.00
19.00
MO
IN
1 Express Way
1 Express Way
4750 E 450 S
342.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
46075-8404Transaction ID : 201508209534-111
63121-1824
MOSaint Louis
Whitestown
Saint Louis
Express Scripts Inc.
Medco Health Services, Inc.
Transaction ID : 201508209534-33063121-1824
Transaction ID : 20150826125247-327
Express Scripts Inc.
14
28
13
57.23
24
Image# 201509149001637975
08
08
08
266
Robert J Blaisdell
2015
Allyson Blandford
2015
2015
Robert J Blaisdell
Sr Director - Marketing
Sr Director - Marketing
Legislative Specialist
FE6AN026
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, , .
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.69
1038.42
1038.42
57.69
19.23
DC
DC
1808 Hoban Rd NW
4750 E 450 S
1808 Hoban Rd NW
346.14
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
20007-2037Transaction ID : 20150826125247-342
20007-2037
INWhitestown
Washington
Washington
Medco Health Services, Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-11046075-8404
Transaction ID : 201508209534-345
Express Scripts Inc.
27
14
28
134.61
25
Image# 201509149001637976
08
08
08
266
Phillip J. Blando
2015
Phillip J. Blando
2015
2015
Allyson Blandford
Legislative Specialist
Sr Director - GovtAffairs
Sr Director - GovtAffairs
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
25.00
1038.42
450.00
57.69
57.69
NJ
MO
100 Parsons Pond Dr
100 Parsons Pond Dr
1 Express Way
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-528
07417-2604
NJFranklin Lakes
Saint Louis
Franklin Lakes
Medco Health Services, Inc.
Express Scripts Inc.
Transaction ID : 201508209534-6807417-2604
Transaction ID : 20150826125247-67
Medco Health Services, Inc.
13
27
14
140.38
26
Image# 201509149001637977
08
08
08
266
Jonathan Blauman
2015
James J Blondin
2015
2015
Jonathan Blauman
Sr Director - Government Prgms
Sr Director - Government Prgms
Sr Director - Strategic Plan
FE6AN026
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.23
346.14
346.14
19.23
25.00
MO
MO
4700 N Hanley Rd
1 Express Way
4700 N Hanley Rd
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63134-2700Transaction ID : 20150826125247-169
63134-2700
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
ESI Specialty Distribution Svs
Transaction ID : 20150826125247-52363121-1824
Transaction ID : 201508209534-170
ESI Specialty Distribution Svs
28
14
28
63.46
27
Image# 201509149001637978
08
08
08
266
Janet Lynn Blunt
2015
Janet Lynn Blunt
2015
2015
James J Blondin
Sr Director - Strategic Plan
Director - Program Management
Director - Program Management
FE6AN026
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, , .
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.23
450.00
346.14
25.00
25.00
NJ
MO
100 Parsons Pond Dr
100 Parsons Pond Dr
4700 N Hanley Rd
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63134-2700Transaction ID : 201508209534-402
07417-2604
NJFranklin Lakes
Saint Louis
Franklin Lakes
Medco Health Services, Inc.
Express Scripts Inc.
Transaction ID : 201508209534-9507417-2604
Transaction ID : 20150826125247-94
Medco Health Services, Inc.
13
27
14
69.23
28
Image# 201509149001637979
08
08
08
266
Michael S Bogda
2015
Emily Rochelle Bohnemeier
2015
2015
Michael S Bogda
Director - IT Engineering
Director - IT Engineering
Sr Director - Service Delivery
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
15.00
270.00
270.00
15.00
19.23
MO
MO
1 Express Way
4700 N Hanley Rd
1 Express Way
346.14
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-152
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-39963134-2700
Transaction ID : 201508209534-153
Express Scripts Inc.
28
14
28
49.23
29
Image# 201509149001637980
08
08
08
266
Jill S Bone
2015
Jill S Bone
2015
2015
Emily Rochelle Bohnemeier
Sr Director - Service Delivery
Dir - Network/Gov Prog/Stds
Dir - Network/Gov Prog/Stds
FE6AN026
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, , .
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, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.23
1038.42
346.14
57.69
57.69
MO
OH
1 Express Way
1 Express Way
931 Cuthbert Ct
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
43068-6789Transaction ID : 201508209534-213
63121-1824
MOSaint Louis
Reynoldsburg
Saint Louis
ESI Pharmaceutical Procurement
Express Scripts Services Co
Transaction ID : 201508209534-34863121-1824
Transaction ID : 20150826125247-345
ESI Pharmaceutical Procurement
14
28
14
134.61
30
Image# 201509149001637981
08
08
08
266
Chad E Brady
2015
Diane Brake
2015
2015
Chad E Brady
VP Corporate Procurement
VP Corporate Procurement
Strategic Relations Sr Dir
FE6AN026
, , .
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, , .
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
25.00
450.00
450.00
25.00
19.23
NJ
NJ
100 Parsons Pond Dr
931 Cuthbert Ct
100 Parsons Pond Dr
346.14
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
07417-2604Transaction ID : 20150826125247-45
07417-2604
OHReynoldsburg
Franklin Lakes
Franklin Lakes
Express Scripts Services Co
Medco Health Services, Inc.
Transaction ID : 20150826125247-21143068-6789
Transaction ID : 201508209534-46
Medco Health Services, Inc.
28
13
27
69.23
31
Image# 201509149001637982
08
08
08
266
Paul R Bressi
2015
Paul R Bressi
2015
2015
Diane Brake
Strategic Relations Sr Dir
Director - IT
Director - IT
FE6AN026
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Aggregate Year-to-Date
, , .
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
25.00
1384.56
450.00
76.92
76.92
MO
NJ
1 Express Way
1 Express Way
100 Parsons Pond Dr
1384.56
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
07417-2604Transaction ID : 201508209534-49
63121-1824
MOSaint Louis
Franklin Lakes
Saint Louis
Express Scripts Inc.
Medco Health Services, Inc.
Transaction ID : 201508209534-51263121-1824
Transaction ID : 20150826125247-507
Express Scripts Inc.
14
28
13
178.84
32
Image# 201509149001637983
08
08
08
266
Amy Jean Bricker
2015
Linda B Bridge
2015
2015
Amy Jean Bricker
VP Pricing
VP Pricing
Director - Marketing
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
76.92
1384.56
1384.56
76.92
25.00
MO
MO
1 Express Way
100 Parsons Pond Dr
1 Express Way
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-449
63121-1824
NJFranklin Lakes
Saint Louis
Saint Louis
Medco Health Services, Inc.
Express Scripts Services Co
Transaction ID : 20150826125247-4807417-2604
Transaction ID : 201508209534-452
Express Scripts Services Co
27
14
28
178.84
33
Image# 201509149001637984
08
08
08
266
Julia Gwinn Brncic
2015
Julia Gwinn Brncic
2015
2015
Linda B Bridge
Director - Marketing
VP & Associate General Counsel
VP & Associate General Counsel
FE6AN026
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Aggregate Year-to-Date
, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
25.00
1384.56
450.00
76.92
76.92
MO
TN
1 Express Way
1 Express Way
1640 Century Center Pkwy
1384.56
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
38134-8822Transaction ID : 201508209534-141
63121-1824
MOSaint Louis
Memphis
Saint Louis
Express Scripts Services Co
Accredo Health Group, Inc.
Transaction ID : 201508209534-27863121-1824
Transaction ID : 20150826125247-275
Express Scripts Services Co
14
28
14
178.84
34
Image# 201509149001637985
08
08
08
266
David L Brodsky
2015
Steven G Brown
2015
2015
David L Brodsky
VP Account Management
VP Account Management
Director - Pharma Contracting
FE6AN026
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Aggregate Year-to-Date
, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.69
1038.42
1038.42
57.69
25.00
MO
MO
1 Express Way
1640 Century Center Pkwy
1 Express Way
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-170
63121-1824
TNMemphis
Saint Louis
Saint Louis
Accredo Health Group, Inc.
ESI Pharmaceutical Procurement
Transaction ID : 20150826125247-14038134-8822
Transaction ID : 201508209534-171
ESI Pharmaceutical Procurement
28
14
28
140.38
35
Image# 201509149001637986
08
08
08
266
Janine Burkett
2015
Janine Burkett
2015
2015
Steven G Brown
Director - Pharma Contracting
VP Drug Procurement
VP Drug Procurement
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
40.00
1038.42
720.00
57.69
57.69
MN
NJ
775 Prairie Center Dr
775 Prairie Center Dr
100 Parsons Pond Dr
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
07417-2604Transaction ID : 201508209534-16
55344-7314
MNEden Prairie
Franklin Lakes
Eden Prairie
Medco Health Services, Inc.
Medco Health Services, Inc.
Transaction ID : 201508209534-5855344-7314
Transaction ID : 20150826125247-57
Medco Health Services, Inc.
13
27
13
155.38
36
Image# 201509149001637987
08
08
08
266
Kevin P Buron
2015
Doreen Calder
2015
2015
Kevin P Buron
VP Sales
VP Sales
Director - Government Prgms
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.00
342.00
342.00
19.00
40.00
MO
MO
4600 N Hanley Rd
100 Parsons Pond Dr
4600 N Hanley Rd
720.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63134-2715Transaction ID : 20150826125247-479
63134-2715
NJFranklin Lakes
Saint Louis
Saint Louis
Medco Health Services, Inc.
ESI Mail Pharmacy Services Inc
Transaction ID : 20150826125247-1607417-2604
Transaction ID : 201508209534-484
ESI Mail Pharmacy Services Inc
27
14
28
78.00
37
Image# 201509149001637988
08
08
08
266
James E Canham
2015
James E Canham
2015
2015
Doreen Calder
Director - Government Prgms
VP Pharmacy Operations
VP Pharmacy Operations
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.23
692.28
346.14
38.46
38.46
MO
MO
1 Express Way
1 Express Way
1 Express Way
692.28
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-296
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Services Co
Express Scripts Inc.
Transaction ID : 201508209534-51963121-1824
Transaction ID : 20150826125247-514
Express Scripts Services Co
14
28
14
96.15
38
Image# 201509149001637989
08
08
08
266
Randy Lawrence Canis
2015
Frank Cannistraro
2015
2015
Randy Lawrence Canis
Sr Legal Counsel
Sr Legal Counsel
Director - Financial Analysis (Finance
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.69
1038.42
1038.42
57.69
19.23
MO
MO
1 Express Way
1 Express Way
1 Express Way
346.14
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-315
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Services Co
Transaction ID : 20150826125247-29363121-1824
Transaction ID : 201508209534-318
Express Scripts Services Co
28
14
28
134.61
39
Image# 201509149001637990
08
08
08
266
Lisa Cannone
2015
Lisa Cannone
2015
2015
Frank Cannistraro
Director - Financial Analysis (Finance
VP Contracting, Strategy and Regulator
VP Contracting, Strategy and Regulator
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.69
1038.42
1038.42
57.69
57.69
IL
NJ
101 N Wacker Dr
101 N Wacker Dr
100 Parsons Pond Dr
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
07417-2604Transaction ID : 201508209534-66
60606-1784
ILChicago
Franklin Lakes
Chicago
Express Scripts Inc.
Medco Health Services, Inc.
Transaction ID : 201508209534-34160606-1784
Transaction ID : 20150826125247-338
Express Scripts Inc.
14
28
13
173.07
40
Image# 201509149001637991
08
08
08
266
Brian G. Carey
2015
Melissa Carr
2015
2015
Brian G. Carey
VP Contact Center
VP Contact Center
VP Product Management
FE6AN026
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Aggregate Year-to-Date
, , .
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
25.00
450.00
450.00
25.00
57.69
FL
FL
6272 Lee Vista Blvd
100 Parsons Pond Dr
6272 Lee Vista Blvd
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
32822-5148Transaction ID : 20150826125247-129
32822-5148
NJFranklin Lakes
Orlando
Orlando
Medco Health Services, Inc.
Accredo Health Group, Inc.
Transaction ID : 20150826125247-6507417-2604
Transaction ID : 201508209534-130
Accredo Health Group, Inc.
27
14
28
107.69
41
Image# 201509149001637992
08
08
08
266
Joseph A Casaccia Jr
2015
Joseph A Casaccia Jr
2015
2015
Melissa Carr
VP Product Management
Director Pharmacy Practice
Director Pharmacy Practice
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
28.84
234.00
519.12
13.00
13.00
FL
NJ
16345 Heathrow Dr
16345 Heathrow Dr
100 Parsons Pond Dr
234.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
07417-2604Transaction ID : 201508209534-103
33647-2640
FLTampa
Franklin Lakes
Tampa
Medco Health Solutions, Inc.
Medco Health Services, Inc.
Transaction ID : 201508209534-8633647-2640
Transaction ID : 20150826125247-85
Medco Health Solutions, Inc.
13
27
13
54.84
42
Image# 201509149001637993
08
08
08
266
Catherine A Casale
2015
Heather Rosemarie Cascone
2015
2015
Catherine A Casale
Sr Account Executive
Sr Account Executive
Director - Government Affairs
FE6AN026
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Aggregate Year-to-Date
, , .
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.23
346.14
346.14
19.23
28.84
MO
MO
1 Express Way
100 Parsons Pond Dr
1 Express Way
519.12
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-329
63121-1824
NJFranklin Lakes
Saint Louis
Saint Louis
Medco Health Services, Inc.
ESI Pharmaceutical Procurement
Transaction ID : 20150826125247-10207417-2604
Transaction ID : 201508209534-332
ESI Pharmaceutical Procurement
27
14
28
67.30
43
Image# 201509149001637994
08
08
08
266
Alexis Catalanotto
2015
Alexis Catalanotto
2015
2015
Heather Rosemarie Cascone
Director - Government Affairs
Sr Director - Procurement
Sr Director - Procurement
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
28.85
1038.42
519.30
57.69
57.69
MO
MN
8640 Evans Ave
8640 Evans Ave
6625 W 78th St
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
55439-2649Transaction ID : 201508209534-168
63134-2903
MOSaint Louis
Minneapolis
Saint Louis
Express Scripts Inc.
Express Scripts Services Co
Transaction ID : 201508209534-40663134-2903
Transaction ID : 20150826125247-403
Express Scripts Inc.
14
28
14
144.23
44
Image# 201509149001637995
08
08
08
266
Hollie Harris Caupp
2015
Anne M Cecko
2015
2015
Hollie Harris Caupp
VP Info Systems - Division
VP Info Systems - Division
Sr Dir Acct Mgmt
FE6AN026
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, , .
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.86
1041.48
1041.48
57.86
28.85
MO
MO
1 Express Way
6625 W 78th St
1 Express Way
519.30
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-302
63121-1824
MNMinneapolis
Saint Louis
Saint Louis
Express Scripts Services Co
Express Scripts Services Co
Transaction ID : 20150826125247-16755439-2649
Transaction ID : 201508209534-305
Express Scripts Services Co
28
14
28
144.57
45
Image# 201509149001637996
08
08
08
266
Jacob J Cedergreen
2015
Jacob J Cedergreen
2015
2015
Anne M Cecko
Sr Dir Acct Mgmt
VP Shared Services
VP Shared Services
FE6AN026
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, , .
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.23
1384.56
346.14
76.92
76.92
MO
MO
1 Express Way
1 Express Way
1 Express Way
1384.56
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-379
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 201508209534-54663121-1824
Transaction ID : 20150826125247-542
Express Scripts Inc.
14
28
14
173.07
46
Image# 201509149001637997
08
08
08
266
Robert Chiaravalloti
2015
Douglas Edward Childerson
2015
2015
Robert Chiaravalloti
VP & Associate General Counsel
VP & Associate General Counsel
Sr Network Contracting Manager
FE6AN026
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, , .
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.23
346.14
346.14
19.23
19.23
MO
MO
1 Express Way
1 Express Way
1 Express Way
346.14
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-396
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-37663121-1824
Transaction ID : 201508209534-399
Express Scripts Inc.
28
14
28
57.69
47
Image# 201509149001637998
08
08
08
266
Roger Yu-Wei Chiu
2015
Roger Yu-Wei Chiu
2015
2015
Douglas Edward Childerson
Sr Network Contracting Manager
Director - Operations
Director - Operations
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
20.00
1384.56
360.00
76.92
76.92
MO
MO
1 Express Way
1 Express Way
1 Express Way
1384.56
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-253
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Medco Health Services, Inc.
Transaction ID : 201508209534-38563121-1824
Transaction ID : 20150826125247-382
Express Scripts Inc.
14
28
14
173.84
48
Image# 201509149001637999
08
08
08
266
Richard Jong Youl Chong
2015
Jessica Dawn Ciccolella-Kahl
2015
2015
Richard Jong Youl Chong
VP Client Svcs - Enterprise
VP Client Svcs - Enterprise
Product Management Sr Director
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
34.00
612.00
612.00
34.00
20.00
NC
NC
690 Plantation Dr
1 Express Way
690 Plantation Dr
360.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
28139-6804Transaction ID : 20150826125247-355
28139-6804
MOSaint Louis
Rutherfordton
Rutherfordton
Medco Health Services, Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-24963121-1824
Transaction ID : 201508209534-358
Express Scripts Inc.
28
14
28
88.00
49
Image# 201509149001638000
08
08
08
266
Brian A Cilone
2015
Brian A Cilone
2015
2015
Jessica Dawn Ciccolella-Kahl
Product Management Sr Director
VP Pharmacy Operations
VP Pharmacy Operations
FE6AN026
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, , .
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M M / D D / Y Y Y Y
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, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
12.50
450.00
450.00
12.50
12.50
NV
NV
6225 Annie Oakley Dr
6225 Annie Oakley Dr
6225 Annie Oakley Dr
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
89120-3914Transaction ID : 20150826125247-6
89120-3914
NVLas Vegas
Las Vegas
Las Vegas
Express Scripts Pharmacy, Inc.
Express Scripts Pharmacy, Inc.
Transaction ID : 201508209534-689120-3914
Transaction ID : 201508209534-555
Express Scripts Pharmacy, Inc.
07
14
21
37.50
50
Image# 201509149001638001
08
08
08
266
Marlene Clement
2015
Marlene Clement
2015
2015
Marlene Clement
Director - Service Delivery
Director - Service Delivery
Director - Service Delivery
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
28.00
504.00
504.00
28.00
12.50
CA
CA
1831 Commerce St
6225 Annie Oakley Dr
1831 Commerce St
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
92880-2526Transaction ID : 20150826125247-135
92880-2526
NVLas Vegas
Corona
Corona
Express Scripts Pharmacy, Inc.
Accredo Health Group, Inc.
Transaction ID : 20150826125247-55189120-3914
Transaction ID : 201508209534-136
Accredo Health Group, Inc.
28
14
28
68.50
51
Image# 201509149001638002
08
08
08
266
Daniel L Cole
2015
Daniel L Cole
2015
2015
Marlene Clement
Director - Service Delivery
Sr Director Operations
Sr Director Operations
FE6AN026
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Aggregate Year-to-Date
, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
20.00
1038.42
360.00
57.69
57.69
MO
WI
1 Express Way
1 Express Way
632 Mary Knoll Ln
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
53098-1216Transaction ID : 201508209534-417
63121-1824
MOSaint Louis
Watertown
Saint Louis
Express Scripts Inc.
Express Scripts Services Co
Transaction ID : 201508209534-25763121-1824
Transaction ID : 20150826125247-253
Express Scripts Inc.
14
28
14
135.38
52
Image# 201509149001638003
08
08
08
266
Amber Dawn Compton
2015
Robyn Rene Cooper
2015
2015
Amber Dawn Compton
VP Retail Strategy & Contract
VP Retail Strategy & Contract
Sr Account Executive
FE6AN026
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
15.00
270.00
270.00
15.00
20.00
TX
TX
3307 Twin Lakes Dr
632 Mary Knoll Ln
3307 Twin Lakes Dr
360.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
75078-9216Transaction ID : 20150826125247-385
75078-9216
WIWatertown
Prosper
Prosper
Express Scripts Services Co
CuraScript Inc
Transaction ID : 20150826125247-41453098-1216
Transaction ID : 201508209534-388
CuraScript Inc
28
14
28
50.00
53
Image# 201509149001638004
08
08
08
266
Samuel Burton Correll
2015
Samuel Burton Correll
2015
2015
Robyn Rene Cooper
Sr Account Executive
Sr Director - Sales
Sr Director - Sales
FE6AN026
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
12.50
450.00
450.00
12.50
11.54
OH
OH
255 Phillipi Rd
8640 Evans Ave
255 Phillipi Rd
207.72
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
43228-1307Transaction ID : 201508209534-129
43228-1307
MOSaint Louis
Columbus
Columbus
Express Scripts Inc.
Express Scripts Pharmacy, Inc.
Transaction ID : 20150826125247-25463134-2903
Transaction ID : 201508209534-2
Express Scripts Pharmacy, Inc.
28
06
13
36.54
54
Image# 201509149001638005
08
08
08
266
Michelle Y. Culpepper
2015
Michelle Y. Culpepper
2015
2015
Timothy Andrew Cox
Sr Director - IT
Sr Manager - Safety
Sr Manager - Safety
FE6AN026
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.69
450.00
1038.42
12.50
12.50
OH
MO
255 Phillipi Rd
255 Phillipi Rd
8455 University Place Dr
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1825Transaction ID : 201508209534-227
43228-1307
OHColumbus
Saint Louis
Columbus
Express Scripts Pharmacy, Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-243228-1307
Transaction ID : 20150826125247-128
Express Scripts Pharmacy, Inc.
20
27
14
82.69
55
Image# 201509149001638006
08
08
08
266
Michelle Y. Culpepper
2015
James Cunningham
2015
2015
Michelle Y. Culpepper
Sr Manager - Safety
Sr Manager - Safety
VP Operations
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.00
342.00
342.00
19.00
57.69
MO
MO
1 Express Way
8455 University Place Dr
1 Express Way
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-417
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-22563121-1825
Transaction ID : 201508209534-420
Express Scripts Inc.
28
14
28
95.69
56
Image# 201509149001638007
08
08
08
266
John Cunningham
2015
John Cunningham
2015
2015
James Cunningham
VP Operations
VP Finance
VP Finance
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.23
450.00
346.14
25.00
25.00
TX
MO
4603 Newcastle Dr
4603 Newcastle Dr
1 Express Way
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-468
75034-8406
TXFrisco
Saint Louis
Frisco
Medco Health Services, Inc.
Express Scripts Services Co
Transaction ID : 201508209534-10575034-8406
Transaction ID : 20150826125247-104
Medco Health Services, Inc.
13
27
14
69.23
57
Image# 201509149001638008
08
08
08
266
Ajay Dalal
2015
Shawn Davis
2015
2015
Ajay Dalal
Sr Clinical Account Executive (Sales)
Sr Clinical Account Executive (Sales)
Sr Dir - Clinical Account Mgmt
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.69
1038.42
1038.42
57.69
19.23
MN
MN
6625 W 78th St
1 Express Way
6625 W 78th St
346.14
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
55439-2649Transaction ID : 20150826125247-453
55439-2649
MOSaint Louis
Minneapolis
Minneapolis
Express Scripts Services Co
Express Scripts Inc.
Transaction ID : 20150826125247-46463121-1824
Transaction ID : 201508209534-457
Express Scripts Inc.
28
14
28
134.61
58
Image# 201509149001638009
08
08
08
266
David M Dederichs
2015
David M Dederichs
2015
2015
Shawn Davis
Sr Dir - Clinical Account Mgmt
VP State Government Affairs
VP State Government Affairs
FE6AN026
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, , .
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
65.00
692.28
1170.00
38.46
38.46
WI
MN
N19W24130 Riverwood Dr
N19W24130 Riverwood Dr
6625 W 78th St
692.28
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
55439-2649Transaction ID : 201508209534-508
53188-1131
WIWaukesha
Minneapolis
Waukesha
Medco Health Services, Inc.
Express Scripts Inc.
Transaction ID : 201508209534-7053188-1131
Transaction ID : 20150826125247-69
Medco Health Services, Inc.
13
27
14
141.92
59
Image# 201509149001638010
08
08
08
266
Luca Deflorentiis
2015
Gregory Charles Deutsch
2015
2015
Luca Deflorentiis
Sr Director - Account Mgmt (Sales)
Sr Director - Account Mgmt (Sales)
Sr Director - IT
FE6AN026
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
12.50
450.00
450.00
12.50
65.00
NJ
NJ
136 Beaver Run Rd
6625 W 78th St
136 Beaver Run Rd
1170.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
07848-3117Transaction ID : 201508209534-128
07848-3117
MNMinneapolis
Lafayette
Lafayette
Express Scripts Inc.
Express Scripts Pharmacy, Inc.
Transaction ID : 20150826125247-50355439-2649
Transaction ID : 201508209534-1
Express Scripts Pharmacy, Inc.
28
06
13
90.00
60
Image# 201509149001638011
08
08
08
266
Tamara S Didyk
2015
Tamara S Didyk
2015
2015
Gregory Charles Deutsch
Sr Director - IT
Director - Operations
Director - Operations
FE6AN026
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.69
450.00
1038.42
12.50
12.50
NJ
MO
136 Beaver Run Rd
136 Beaver Run Rd
1 Express Way
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-161
07848-3117
NJLafayette
Saint Louis
Lafayette
Express Scripts Pharmacy, Inc.
Express Scripts Services Co
Transaction ID : 20150826125247-107848-3117
Transaction ID : 20150826125247-127
Express Scripts Pharmacy, Inc.
20
27
14
82.69
61
Image# 201509149001638012
08
08
08
266
Tamara S Didyk
2015
Dusty Kay Diekman
2015
2015
Tamara S Didyk
Director - Operations
Director - Operations
VP Account Management Ops
FE6AN026
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
20.00
360.00
360.00
20.00
57.69
MN
MN
6625 W 78th St
1 Express Way
6625 W 78th St
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
55439-2649Transaction ID : 20150826125247-176
55439-2649
MOSaint Louis
Minneapolis
Minneapolis
Express Scripts Services Co
Express Scripts Inc.
Transaction ID : 20150826125247-16063121-1824
Transaction ID : 201508209534-177
Express Scripts Inc.
28
14
28
97.69
62
Image# 201509149001638013
08
08
08
266
Matthew E Dietrich
2015
Matthew E Dietrich
2015
2015
Dusty Kay Diekman
VP Account Management Ops
Sr Director-Financial Analysis (Cross
Sr Director-Financial Analysis (Cross
FE6AN026
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
28.85
346.14
519.30
19.23
19.23
OH
MO
6161 Oak Tree Blvd
6161 Oak Tree Blvd
1 Express Way
346.14
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-204
44131-2516
OHIndependence
Saint Louis
Independence
Medco Health Services, Inc.
Express Scripts Inc.
Transaction ID : 201508209534-12244131-2516
Transaction ID : 20150826125247-121
Medco Health Services, Inc.
13
27
14
67.31
63
Image# 201509149001638014
08
08
08
266
Cynthia A Dixon
2015
Douglas Dobey
2015
2015
Cynthia A Dixon
Sr Account Executive
Sr Account Executive
Director - Bus Analysis/Plan
FE6AN026
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.69
1038.42
1038.42
57.69
28.85
MN
MN
6625 W 78th St
1 Express Way
6625 W 78th St
519.30
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
55439-2649Transaction ID : 20150826125247-194
55439-2649
MOSaint Louis
Minneapolis
Minneapolis
Express Scripts Inc.
Express Scripts Services Co
Transaction ID : 20150826125247-20263121-1824
Transaction ID : 201508209534-195
Express Scripts Services Co
28
14
28
144.23
64
Image# 201509149001638015
08
08
08
266
Jason G Dohm
2015
Jason G Dohm
2015
2015
Douglas Dobey
Director - Bus Analysis/Plan
VP Clinical Account Management
VP Clinical Account Management
FE6AN026
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
115.38
1038.42
2076.84
57.69
57.69
MO
MO
1 Express Way
1 Express Way
1 Express Way
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-273
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Services Co
Transaction ID : 201508209534-47363121-1824
Transaction ID : 20150826125247-469
Express Scripts Inc.
14
28
14
230.76
65
Image# 201509149001638016
08
08
08
266
Michael Sean Donnelly
2015
Sean E Donnelly
2015
2015
Michael Sean Donnelly
VP Account Management
VP Account Management
VP General Manager II
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
14.42
519.12
519.12
14.42
115.38
NJ
NJ
2040 Route 130
1 Express Way
2040 Route 130
2076.84
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
08016-9716Transaction ID : 201508209534-556
08016-9716
MOSaint Louis
Burlington
Burlington
Express Scripts Services Co
Express Scripts Pharmacy, Inc.
Transaction ID : 20150826125247-27063121-1824
Transaction ID : 201508209534-7
Express Scripts Pharmacy, Inc.
28
07
14
144.22
66
Image# 201509149001638017
08
08
08
266
Lynda J Doremus
2015
Lynda J Doremus
2015
2015
Sean E Donnelly
VP General Manager II
Pharmacy Director
Pharmacy Director
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.23
519.12
346.14
14.42
14.42
NJ
MN
2040 Route 130
2040 Route 130
6625 W 78th St
519.12
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
55439-2649Transaction ID : 201508209534-237
08016-9716
NJBurlington
Minneapolis
Burlington
Express Scripts Pharmacy, Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-708016-9716
Transaction ID : 20150826125247-552
Express Scripts Pharmacy, Inc.
21
28
14
48.07
67
Image# 201509149001638018
08
08
08
266
Lynda J Doremus
2015
Juliana Mullins Dorsey
2015
2015
Lynda J Doremus
Pharmacy Director
Pharmacy Director
Sr Director - Human Resources
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
38.46
692.28
692.28
38.46
19.23
MO
MO
1 Express Way
6625 W 78th St
1 Express Way
346.14
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-480
63121-1824
MNMinneapolis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Services Co
Transaction ID : 20150826125247-23455439-2649
Transaction ID : 201508209534-485
Express Scripts Services Co
28
14
28
96.15
68
Image# 201509149001638019
08
08
08
266
Kristy Ann Dougherty
2015
Kristy Ann Dougherty
2015
2015
Juliana Mullins Dorsey
Sr Director - Human Resources
Sr Director- Bus Analysis/Plan
Sr Director- Bus Analysis/Plan
FE6AN026
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
50.00
346.14
900.00
19.23
19.23
MO
CT
1 Express Way
1 Express Way
125 Comstock Trl
346.14
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
06424-2306Transaction ID : 201508209534-62
63121-1824
MOSaint Louis
East Hampton
Saint Louis
Express Scripts Inc.
Medco Health Services, Inc.
Transaction ID : 201508209534-38663121-1824
Transaction ID : 20150826125247-383
Express Scripts Inc.
14
28
13
88.46
69
Image# 201509149001638020
08
08
08
266
Danielle Lynn Drzewucki
2015
Dana L Duncan
2015
2015
Danielle Lynn Drzewucki
Sr Director-Financial Analysis (Financ
Sr Director-Financial Analysis (Financ
Director - IT
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
192.30
3461.40
3461.40
192.30
50.00
MO
MO
1 Express Way
125 Comstock Trl
1 Express Way
900.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-197
63121-1824
CTEast Hampton
Saint Louis
Saint Louis
Medco Health Services, Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-6106424-2306
Transaction ID : 201508209534-198
Express Scripts Inc.
27
14
28
434.60
70
Image# 201509149001638021
08
08
08
266
Keith J Ebling
2015
Keith J Ebling
2015
2015
Dana L Duncan
Director - IT
EVP & General Counsel
EVP & General Counsel
FE6AN026
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, , .
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
60.00
450.00
1080.00
25.00
25.00
WI
AZ
N19W24130 Riverwood Dr
N19W24130 Riverwood Dr
7909 S Hardy Dr
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
85284-1112Transaction ID : 201508209534-165
53188-1131
WIWaukesha
Tempe
Waukesha
Medco Health Services, Inc.
Express Scripts Inc.
Transaction ID : 201508209534-10253188-1131
Transaction ID : 20150826125247-101
Medco Health Services, Inc.
13
27
14
110.00
71
Image# 201509149001638022
08
08
08
266
Janet Edwards
2015
Shannon Lee Eghlimi
2015
2015
Janet Edwards
Sr Clinical Account Executive (Sales)
Sr Clinical Account Executive (Sales)
VP Client Services - Division
FE6AN026
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Aggregate Year-to-Date
, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
60.00
1080.00
1080.00
60.00
60.00
CO
CO
14045 Park Cove Dr
7909 S Hardy Dr
14045 Park Cove Dr
1080.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
80023-9398Transaction ID : 20150826125247-263
80023-9398
AZTempe
Broomfield
Broomfield
Express Scripts Inc.
Express Scripts Services Co
Transaction ID : 20150826125247-16485284-1112
Transaction ID : 201508209534-267
Express Scripts Services Co
28
14
28
180.00
72
Image# 201509149001638023
08
08
08
266
Tracy A Egler
2015
Tracy A Egler
2015
2015
Shannon Lee Eghlimi
VP Client Services - Division
Sr Director - Account Mgmt (Sales)
Sr Director - Account Mgmt (Sales)
FE6AN026
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
58.00
2076.84
1044.00
115.38
115.38
AZ
FL
14425 N Pauls Spur Dr
14425 N Pauls Spur Dr
6272 Lee Vista Blvd
2076.84
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
32822-5148Transaction ID : 201508209534-289
86305-9624
AZPrescott
Orlando
Prescott
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 201508209534-24986305-9624
Transaction ID : 20150826125247-245
Express Scripts Inc.
14
28
14
288.76
73
Image# 201509149001638024
08
08
08
266
Charles E Eller
2015
Earl E English
2015
2015
Charles E Eller
VP Pharmacy Technology
VP Pharmacy Technology
VP Operations
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.69
1038.42
1038.42
57.69
58.00
MO
MO
1 Express Way
6272 Lee Vista Blvd
1 Express Way
1044.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-530
63121-1824
FLOrlando
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Services Co
Transaction ID : 20150826125247-28632822-5148
Transaction ID : 201508209534-534
Express Scripts Services Co
28
14
28
173.38
74
Image# 201509149001638025
08
08
08
266
Rodney V Fahs
2015
Rodney V Fahs
2015
2015
Earl E English
VP Operations
Assistant General Counsel
Assistant General Counsel
FE6AN026
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Aggregate Year-to-Date
, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.70
346.14
1038.60
19.23
19.23
FL
NJ
5214 Point Harbor Ln
5214 Point Harbor Ln
100 Parsons Pond Dr
346.14
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
07417-2604Transaction ID : 201508209534-42
33572-3327
FLApollo Beach
Franklin Lakes
Apollo Beach
Medco Health Services, Inc.
Medco Health Services, Inc.
Transaction ID : 201508209534-3633572-3327
Transaction ID : 20150826125247-35
Medco Health Services, Inc.
13
27
13
96.16
75
Image# 201509149001638026
08
08
08
266
Steven A Fandetti
2015
Edward A Fischer
2015
2015
Steven A Fandetti
Sr Account Executive
Sr Account Executive
VP Change Mgmt & QA
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
25.00
450.00
450.00
25.00
57.70
OH
OH
19379 Idlewood Trl
100 Parsons Pond Dr
19379 Idlewood Trl
1038.60
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
44149-3154Transaction ID : 20150826125247-122
44149-3154
NJFranklin Lakes
Strongsville
Strongsville
Medco Health Services, Inc.
Medco Health Services, Inc.
Transaction ID : 20150826125247-4107417-2604
Transaction ID : 201508209534-123
Medco Health Services, Inc.
27
13
27
107.70
76
Image# 201509149001638027
08
08
08
266
Theresa Fitch
2015
Theresa Fitch
2015
2015
Edward A Fischer
VP Change Mgmt & QA
Sr Dir Acct Mgmt
Sr Dir Acct Mgmt
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.00
1038.42
342.00
57.69
57.69
MO
MO
1 Express Way
1 Express Way
1 Express Way
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-207
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Services Co
Express Scripts Inc.
Transaction ID : 201508209534-40463121-1824
Transaction ID : 20150826125247-401
Express Scripts Services Co
14
28
14
134.38
77
Image# 201509149001638028
08
08
08
266
Scott C Fitzgibbon
2015
Donna Jean Flieg
2015
2015
Scott C Fitzgibbon
Sr Director - Account Mgmt (Sales)
Sr Director - Account Mgmt (Sales)
Sr Director-Corp Financial Svc
FE6AN026
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, , .
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M M / D D / Y Y Y Y
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, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.23
346.14
346.14
19.23
19.00
MO
MO
1 Express Way
1 Express Way
1 Express Way
342.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-203
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Services Co
Transaction ID : 20150826125247-20563121-1824
Transaction ID : 201508209534-205
Express Scripts Services Co
28
14
28
57.46
78
Image# 201509149001638029
08
08
08
266
James William Florea
2015
James William Florea
2015
2015
Donna Jean Flieg
Sr Director-Corp Financial Svc
Sr Product Manager
Sr Product Manager
FE6AN026
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, , .
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M M / D D / Y Y Y Y
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, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
15.00
692.28
540.00
38.46
38.46
MO
NJ
1 Express Way
1 Express Way
2040 Route 130
692.28
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
08016-9716Transaction ID : 201508209534-8
63121-1824
MOSaint Louis
Burlington
Saint Louis
Express Scripts Inc.
Express Scripts Pharmacy, Inc.
Transaction ID : 201508209534-39363121-1824
Transaction ID : 20150826125247-390
Express Scripts Inc.
14
28
07
91.92
79
Image# 201509149001638030
08
08
08
266
Stephen M Foote
2015
John R Ford
2015
2015
Stephen M Foote
Sr Director - Strategic Plan
Sr Director - Strategic Plan
Sr Director Operations
FE6AN026
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, , .
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M M / D D / Y Y Y Y
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, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
15.00
540.00
540.00
15.00
15.00
NJ
NJ
2040 Route 130
2040 Route 130
2040 Route 130
540.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
08016-9716Transaction ID : 20150826125247-553
08016-9716
NJBurlington
Burlington
Burlington
Express Scripts Pharmacy, Inc.
Express Scripts Pharmacy, Inc.
Transaction ID : 201508209534-55708016-9716
Transaction ID : 20150826125247-8
Express Scripts Pharmacy, Inc.
14
21
28
45.00
80
Image# 201509149001638031
08
08
08
266
John R Ford
2015
John R Ford
2015
2015
John R Ford
Sr Director Operations
Sr Director Operations
Sr Director Operations
FE6AN026
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Aggregate Year-to-Date
, , .
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
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, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.23
1038.42
346.14
57.69
57.69
MO
MN
1 Express Way
1 Express Way
6625 W 78th St
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
55439-2649Transaction ID : 201508209534-272
63121-1824
MOSaint Louis
Minneapolis
Saint Louis
Express Scripts Inc.
Express Scripts Services Co
Transaction ID : 201508209534-42263121-1824
Transaction ID : 20150826125247-419
Express Scripts Inc.
14
28
14
134.61
81
Image# 201509149001638032
08
08
08
266
Christopher R Fowler
2015
Cheryl Ann Fox
2015
2015
Christopher R Fowler
Sr Director - Product Mgmt
Sr Director - Product Mgmt
Director - Service Delivery
FE6AN026
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
115.38
2076.84
2076.84
115.38
19.23
MO
MO
1 Express Way
6625 W 78th St
1 Express Way
346.14
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-233
63121-1824
MNMinneapolis
Saint Louis
Saint Louis
Express Scripts Services Co
Express Scripts Services Co
Transaction ID : 20150826125247-26955439-2649
Transaction ID : 201508209534-236
Express Scripts Services Co
28
14
28
249.99
82
Image# 201509149001638033
08
08
08
266
Ronald Fox
2015
Ronald Fox
2015
2015
Cheryl Ann Fox
Director - Service Delivery
VP General Manager II
VP General Manager II
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.00
692.28
1026.00
38.46
38.46
MO
MO
1 Express Way
1 Express Way
1 Express Way
692.28
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-334
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 201508209534-34663121-1824
Transaction ID : 20150826125247-343
Express Scripts Inc.
14
28
14
133.92
83
Image# 201509149001638034
08
08
08
266
Nicholas Grant Frey
2015
David Eric Frimel
2015
2015
Nicholas Grant Frey
Sr Legal Counsel II
Sr Legal Counsel II
Sr Dir - Sec/Safety & Records
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
13.00
234.00
234.00
13.00
57.00
NM
NM
4500 Alexander Blvd NE
1 Express Way
4500 Alexander Blvd NE
1026.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
87107-6805Transaction ID : 20150826125247-156
87107-6805
MOSaint Louis
Albuquerque
Albuquerque
Express Scripts Inc.
Express Scripts Services Co
Transaction ID : 20150826125247-33163121-1824
Transaction ID : 201508209534-157
Express Scripts Services Co
28
14
28
83.00
84
Image# 201509149001638035
08
08
08
266
Thomas M. Gaiser
2015
Thomas M. Gaiser
2015
2015
David Eric Frimel
Sr Dir - Sec/Safety & Records
Sr Software Dev. Eng.
Sr Software Dev. Eng.
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.70
1038.60
1038.60
57.70
11.54
NJ
NJ
20 Brookshire Dr
1 Express Way
20 Brookshire Dr
207.72
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
08691-2555Transaction ID : 20150826125247-38
08691-2555
MOSaint Louis
Robbinsville
Robbinsville
Express Scripts Inc.
Medco Health Services, Inc.
Transaction ID : 20150826125247-27363121-1824
Transaction ID : 201508209534-39
Medco Health Services, Inc.
28
13
27
126.94
85
Image# 201509149001638036
08
08
08
266
Frank Gentilella
2015
Frank Gentilella
2015
2015
James M Garland
Sr Director-Financial Analysis (Financ
VP Account Management
VP Account Management
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
28.84
1038.42
519.12
57.69
57.69
MO
MO
1 Express Way
1 Express Way
1 Express Way
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-201
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Medco Health Services, Inc.
Express Scripts Inc.
Transaction ID : 201508209534-11063121-1824
Transaction ID : 20150826125247-109
Medco Health Services, Inc.
13
27
14
144.22
86
Image# 201509149001638037
08
08
08
266
Darren Gettings
2015
Michelle Goolsby
2015
2015
Darren Gettings
VP Retail Strategy & Contract
VP Retail Strategy & Contract
Director - Strategic Planning
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
38.46
692.28
692.28
38.46
28.84
MO
MO
1 Express Way
1 Express Way
1 Express Way
519.12
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-536
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Services Co
Transaction ID : 20150826125247-19963121-1824
Transaction ID : 201508209534-540
Express Scripts Services Co
28
14
28
105.76
87
Image# 201509149001638038
08
08
08
266
Rhonda Kay Needham Graack
2015
Rhonda Kay Needham Graack
2015
2015
Michelle Goolsby
Director - Strategic Planning
Sr Legal Counsel II
Sr Legal Counsel II
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
38.46
1384.56
1384.56
38.46
38.46
FL
FL
3301 Bayshore Blvd
3301 Bayshore Blvd
3301 Bayshore Blvd
1384.56
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
33629-8875Transaction ID : 20150826125247-12
33629-8875
FLTampa
Tampa
Tampa
Express Scripts Pharmacy, Inc.
Express Scripts Pharmacy, Inc.
Transaction ID : 201508209534-1233629-8875
Transaction ID : 201508209534-561
Express Scripts Pharmacy, Inc.
07
14
21
115.38
88
Image# 201509149001638039
08
08
08
266
Karen Graff
2015
Karen Graff
2015
2015
Karen Graff
Sr Director -Training
Sr Director -Training
Sr Director -Training
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
14.00
252.00
252.00
14.00
38.46
MN
MN
4715 Quaker Ln N
3301 Bayshore Blvd
4715 Quaker Ln N
1384.56
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
55442-2515Transaction ID : 20150826125247-178
55442-2515
FLTampa
Plymouth
Plymouth
Express Scripts Pharmacy, Inc.
Express Scripts Services Co
Transaction ID : 20150826125247-55733629-8875
Transaction ID : 201508209534-179
Express Scripts Services Co
28
14
28
66.46
89
Image# 201509149001638040
08
08
08
266
Stacy L Gray
2015
Stacy L Gray
2015
2015
Karen Graff
Sr Director -Training
Sr Account Executive
Sr Account Executive
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
25.00
346.14
450.00
19.23
19.23
TX
NJ
19806 Taylor Cove Ct
19806 Taylor Cove Ct
100 Parsons Pond Dr
346.14
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
07417-2604Transaction ID : 201508209534-47
77433-0101
TXCypress
Franklin Lakes
Cypress
Express Scripts Services Co
Medco Health Services, Inc.
Transaction ID : 201508209534-42977433-0101
Transaction ID : 20150826125247-426
Express Scripts Services Co
14
28
13
63.46
90
Image# 201509149001638041
08
08
08
266
Emily Marie Greenwood
2015
Edward J Grix
2015
2015
Emily Marie Greenwood
Sr Clinical Account Executive (Sales)
Sr Clinical Account Executive (Sales)
Sr Director - IT
FE6AN026
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, , .
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M M / D D / Y Y Y Y
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
76.92
1384.56
1384.56
76.92
25.00
NJ
NJ
100 Parsons Pond Dr
100 Parsons Pond Dr
100 Parsons Pond Dr
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
07417-2604Transaction ID : 20150826125247-55
07417-2604
NJFranklin Lakes
Franklin Lakes
Franklin Lakes
Medco Health Services, Inc.
Medco Health Services, Inc.
Transaction ID : 20150826125247-4607417-2604
Transaction ID : 201508209534-56
Medco Health Services, Inc.
27
13
27
178.84
91
Image# 201509149001638042
08
08
08
266
Gina L Gruhn
2015
Gina L Gruhn
2015
2015
Edward J Grix
Sr Director - IT
VP Strategic Relations
VP Strategic Relations
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
76.92
1038.42
1384.56
57.69
57.69
NJ
NJ
100 Parsons Pond Dr
100 Parsons Pond Dr
100 Parsons Pond Dr
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
07417-2604Transaction ID : 201508209534-98
07417-2604
NJFranklin Lakes
Franklin Lakes
Franklin Lakes
Medco Health Services, Inc.
Accredo Health Group, Inc.
Transaction ID : 201508209534-7907417-2604
Transaction ID : 20150826125247-78
Medco Health Services, Inc.
13
27
13
192.30
92
Image# 201509149001638043
08
08
08
266
Carolyn M Guglielmo
2015
Anurag K Gupta
2015
2015
Carolyn M Guglielmo
Sr Director - Account Mgmt (Sales)
Sr Director - Account Mgmt (Sales)
VP Strategy
FE6AN026
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Aggregate Year-to-Date
, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.23
269.22
269.22
19.23
76.92
MO
MO
1 Express Way
100 Parsons Pond Dr
1 Express Way
1384.56
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-546
63121-1824
NJFranklin Lakes
Saint Louis
Saint Louis
Accredo Health Group, Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-9707417-2604
Transaction ID : 201508209534-550
Express Scripts Inc.
27
14
28
115.38
93
Image# 201509149001638044
08
08
08
266
Brandi N Hamm
2015
Brandi N Hamm
2015
2015
Anurag K Gupta
VP Strategy
Sr Product Manager
Sr Product Manager
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.69
450.00
1038.42
25.00
25.00
TN
MO
1670 Century Gate Drive
1670 Century Gate Drive
1 Express Way
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-395
38134
TNMemphis
Saint Louis
Memphis
Medco Health Services, Inc.
Express Scripts Inc.
Transaction ID : 201508209534-13738134
Transaction ID : 20150826125247-136
Medco Health Services, Inc.
14
28
14
107.69
94
Image# 201509149001638045
08
08
08
266
Sharon Devine Harris
2015
Michael David Harrold
2015
2015
Sharon Devine Harris
Sr Director - Human Resources
Sr Director - Human Resources
Sr Director - GovtAffairs
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
20.00
360.00
360.00
20.00
57.69
MO
MO
1 Express Way
1 Express Way
1 Express Way
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-510
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Services Co
Transaction ID : 20150826125247-39263121-1824
Transaction ID : 201508209534-515
Express Scripts Services Co
28
14
28
97.69
95
Image# 201509149001638046
08
08
08
266
Richard G Hauser
2015
Richard G Hauser
2015
2015
Michael David Harrold
Sr Director - GovtAffairs
Sr Legal Counsel
Sr Legal Counsel
FE6AN026
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Aggregate Year-to-Date
, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
25.00
2884.50
450.00
192.30
192.30
MO
FL
1 Express Way
1 Express Way
250 Technology Park
2884.50
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
32746-7115Transaction ID : 201508209534-378
63121-1824
MOSaint Louis
Lake Mary
Saint Louis
Express Scripts Inc.
ESI Specialty Distribution Svs
Transaction ID : 201508209534-35363121-1824
Transaction ID : 20150826125247-350
Express Scripts Inc.
14
28
14
409.60
96
Image# 201509149001638047
08
08
08
266
James Martin Havel
2015
Nicole D Hebbert
2015
2015
James Martin Havel
EVP & Chief Financial Officer
EVP & Chief Financial Officer
VP Pharmacy Operations
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.23
346.14
346.14
19.23
25.00
MO
MO
4600 N Hanley Rd
250 Technology Park
4600 N Hanley Rd
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63134-2715Transaction ID : 20150826125247-189
63134-2715
FLLake Mary
Saint Louis
Saint Louis
ESI Specialty Distribution Svs
Express Scripts Inc.
Transaction ID : 20150826125247-37532746-7115
Transaction ID : 201508209534-190
Express Scripts Inc.
28
14
28
63.46
97
Image# 201509149001638048
08
08
08
266
Rochelle R Henderson
2015
Rochelle R Henderson
2015
2015
Nicole D Hebbert
VP Pharmacy Operations
Sr Dir - Research/Clinical Svc
Sr Dir - Research/Clinical Svc
FE6AN026
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, , .
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
76.92
1384.56
1384.56
76.92
76.92
MO
MO
1 Express Way
1 Express Way
1 Express Way
1384.56
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-317
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 201508209534-52263121-1824
Transaction ID : 20150826125247-517
Express Scripts Inc.
14
28
14
230.76
98
Image# 201509149001638049
08
08
08
266
Brian Henry
2015
Thomas E Henry Jr
2015
2015
Brian Henry
VP Corp Comm & Public Affairs
VP Corp Comm & Public Affairs
VP Knowledge Solutions
FE6AN026
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, , .
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
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, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
115.38
2076.84
2076.84
115.38
76.92
MO
MO
1 Express Way
1 Express Way
1 Express Way
1384.56
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-259
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Services Co
Transaction ID : 20150826125247-31463121-1824
Transaction ID : 201508209534-263
Express Scripts Services Co
28
14
28
307.68
99
Image# 201509149001638050
08
08
08
266
Jarrod Henshaw
2015
Jarrod Henshaw
2015
2015
Thomas E Henry Jr
VP Knowledge Solutions
VP Deputy General Counsel
VP Deputy General Counsel
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
C
, , .C
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
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, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.00
252.00
342.00
14.00
14.00
MO
FL
1 Express Way
1 Express Way
6272 Lee Vista Blvd
252.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
32822-5148Transaction ID : 201508209534-389
63121-1824
MOSaint Louis
Orlando
Saint Louis
ESI Pharmaceutical Procurement
Accredo Inc. (Elim)
Transaction ID : 201508209534-38263121-1824
Transaction ID : 20150826125247-379
ESI Pharmaceutical Procurement
14
28
14
47.00
100
Image# 201509149001638051
08
08
08
266
Ronald Scott Hettenhausen
2015
Michelle Young Hilliard
2015
2015
Ronald Scott Hettenhausen
Sr Director - Procurement
Sr Director - Procurement
Sr Director-Corp Financial Svc
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
C
, , .C
, , .
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
76.92
1384.56
1384.56
76.92
19.00
MO
MO
8455 University Place Dr
6272 Lee Vista Blvd
8455 University Place Dr
342.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1825Transaction ID : 20150826125247-424
63121-1825
FLOrlando
Saint Louis
Saint Louis
Accredo Inc. (Elim)
Express Scripts Inc.
Transaction ID : 20150826125247-38632822-5148
Transaction ID : 201508209534-427
Express Scripts Inc.
28
14
28
172.84
101
Image# 201509149001638052
08
08
08
266
Glenn Martin Hoffman
2015
Glenn Martin Hoffman
2015
2015
Michelle Young Hilliard
Sr Director-Corp Financial Svc
VP Corporate Real Estate Svc
VP Corporate Real Estate Svc
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
25.00
1038.42
450.00
57.69
57.69
CA
MI
41 Saint Raphael
41 Saint Raphael
17464 N Laurel Park Dr
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
48152-3981Transaction ID : 201508209534-60
92677-2762
CALaguna Niguel
Livonia
Laguna Niguel
Medco Health Services, Inc.
Medco Health Services, Inc.
Transaction ID : 201508209534-7292677-2762
Transaction ID : 20150826125247-71
Medco Health Services, Inc.
13
27
13
140.38
102
Image# 201509149001638053
08
08
08
266
Roger W Holland
2015
Matthew E Holmes
2015
2015
Roger W Holland
Sr Sales Director
Sr Sales Director
Sr Director - Account Mgmt (Sales)
FE6AN026
, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
25.00
450.00
450.00
25.00
25.00
OK
OK
4901 W Reno Ave
17464 N Laurel Park Dr
4901 W Reno Ave
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
73137-4601Transaction ID : 20150826125247-139
73137-4601
MILivonia
Oklahoma City
Oklahoma City
Medco Health Services, Inc.
Accredo Health Group, Inc.
Transaction ID : 20150826125247-5948152-3981
Transaction ID : 201508209534-140
Accredo Health Group, Inc.
27
14
28
75.00
103
Image# 201509149001638054
08
08
08
266
Lynn Hostmyer
2015
Lynn Hostmyer
2015
2015
Matthew E Holmes
Sr Director - Account Mgmt (Sales)
Director - Pharmacy Operations
Director - Pharmacy Operations
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
150.00
3456.00
2650.00
192.00
192.00
MO
DC
1 Express Way
1 Express Way
300 New Jersey Ave NW
3456.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
20001-2030Transaction ID : 201508209534-313
63121-1824
MOSaint Louis
Washington
Saint Louis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 201508209534-21163121-1824
Transaction ID : 20150826125247-209
Express Scripts Inc.
14
28
14
534.00
104
Image# 201509149001638055
08
08
08
266
Christine A Houston
2015
Jonah Houts
2015
2015
Christine A Houston
SVP Operations
SVP Operations
VP Corporate Govt Affairs
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
40.00
720.00
720.00
40.00
150.00
MO
MO
1 Express Way
300 New Jersey Ave NW
1 Express Way
2650.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-165
63121-1824
DCWashington
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-31020001-2030
Transaction ID : 201508209534-166
Express Scripts Inc.
28
14
28
230.00
105
Image# 201509149001638056
08
08
08
266
Daniel L Howard
2015
Daniel L Howard
2015
2015
Jonah Houts
VP Corporate Govt Affairs
Sr IT Engineer
Sr IT Engineer
FE6AN026
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Aggregate Year-to-Date
, , .
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
76.92
1384.56
1384.56
76.92
76.92
MO
PA
1 Express Way
1 Express Way
920 Harvest Dr
1384.56
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
19422-1968Transaction ID : 201508209534-125
63121-1824
MOSaint Louis
Blue Bell
Saint Louis
Express Scripts Services Co
UBC Late Stage, Inc.
Transaction ID : 201508209534-16263121-1824
Transaction ID : 20150826125247-161
Express Scripts Services Co
14
28
13
230.76
106
Image# 201509149001638057
08
08
08
266
Julie L Huppert
2015
Brett Huselton
2015
2015
Julie L Huppert
VP Product Development
VP Product Development
VP Strategic Relations
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
38.46
692.28
692.28
38.46
76.92
AZ
AZ
3001 S Priest Dr
920 Harvest Dr
3001 S Priest Dr
1384.56
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
85282-3492Transaction ID : 20150826125247-223
85282-3492
PABlue Bell
Tempe
Tempe
UBC Late Stage, Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-12419422-1968
Transaction ID : 201508209534-225
Express Scripts Inc.
27
14
28
153.84
107
Image# 201509149001638058
08
08
08
266
Regan Iker-Lopez
2015
Regan Iker-Lopez
2015
2015
Brett Huselton
VP Strategic Relations
Sr Director Operations
Sr Director Operations
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.69
900.00
1038.42
50.00
50.00
FL
MO
6366 SW 90th St
6366 SW 90th St
4700 N Hanley Rd
900.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63134-2700Transaction ID : 201508209534-488
32608-8569
FLGainesville
Saint Louis
Gainesville
Express Scripts Services Co
Express Scripts Inc.
Transaction ID : 201508209534-1832608-8569
Transaction ID : 20150826125247-18
Express Scripts Services Co
13
27
14
157.69
108
Image# 201509149001638059
08
08
08
266
Susan M Ito Hollander
2015
Julie A Iverson
2015
2015
Susan M Ito Hollander
Strategic Relations Sr Dir
Strategic Relations Sr Dir
Sr Dir - Quality/Process Imp
FE6AN026
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, , .
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
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, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
38.46
692.28
692.28
38.46
57.69
FL
FL
7930 Winder Rd
4700 N Hanley Rd
7930 Winder Rd
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
32063-5742Transaction ID : 20150826125247-105
32063-5742
MOSaint Louis
Macclenny
Macclenny
Express Scripts Inc.
Medco Health Services, Inc.
Transaction ID : 20150826125247-48363134-2700
Transaction ID : 201508209534-106
Medco Health Services, Inc.
28
13
27
134.61
109
Image# 201509149001638060
08
08
08
266
Brenda Jackson
2015
Brenda Jackson
2015
2015
Julie A Iverson
Sr Dir - Quality/Process Imp
Sr Director - Government Prgms
Sr Director - Government Prgms
FE6AN026
, , .
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, , .
C
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M M / D D / Y Y Y Y
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, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.23
630.00
346.14
35.00
35.00
NJ
AZ
100 Parsons Pond Dr
100 Parsons Pond Dr
3001 S Priest Dr
630.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
85282-3492Transaction ID : 201508209534-347
07417-2604
NJFranklin Lakes
Tempe
Franklin Lakes
Medco Health Services, Inc.
Express Scripts Inc.
Transaction ID : 201508209534-1507417-2604
Transaction ID : 20150826125247-15
Medco Health Services, Inc.
13
27
14
89.23
110
Image# 201509149001638061
08
08
08
266
Jason M James
2015
Jason Mark Jankowski
2015
2015
Jason M James
Sr Manager - Business Systems (Informa
Sr Manager - Business Systems (Informa
Director - Contact Center
FE6AN026
, , .
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, , .
C
, , .C
, , .
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
20.00
360.00
360.00
20.00
19.23
NH
NH
158 Bow Lake Estates Rd
3001 S Priest Dr
158 Bow Lake Estates Rd
346.14
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
03884-6706Transaction ID : 20150826125247-123
03884-6706
AZTempe
Strafford
Strafford
Express Scripts Inc.
Medco Health Services, Inc.
Transaction ID : 20150826125247-34485282-3492
Transaction ID : 201508209534-124
Medco Health Services, Inc.
28
13
27
59.23
111
Image# 201509149001638062
08
08
08
266
Gene T Jay
2015
Gene T Jay
2015
2015
Jason Mark Jankowski
Director - Contact Center
Sr Director - Clinical Program Managem
Sr Director - Clinical Program Managem
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
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, , .C
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
14.00
692.28
252.00
38.46
38.46
MO
MN
8455 University Place Dr
8455 University Place Dr
11175 Red Leaf Dr
692.28
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
55374-4693Transaction ID : 201508209534-221
63121-1825
MOSaint Louis
Rogers
Saint Louis
Express Scripts Services Co
Express Scripts Services Co
Transaction ID : 201508209534-53663121-1825
Transaction ID : 20150826125247-532
Express Scripts Services Co
14
28
14
90.92
112
Image# 201509149001638063
08
08
08
266
Thomas D Jenkins
2015
Dana Nicole Johnson
2015
2015
Thomas D Jenkins
Sr Director - Client Contract (Sales)
Sr Director - Client Contract (Sales)
Sr Account Executive
FE6AN026
, , .
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
38.46
692.28
692.28
38.46
14.00
FL
FL
700 S Harbour Island Blvd
11175 Red Leaf Dr
700 S Harbour Island Blvd
252.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
33602-5712Transaction ID : 20150826125247-89
33602-5712
MNRogers
Tampa
Tampa
Express Scripts Services Co
Medco Health Services, Inc.
Transaction ID : 20150826125247-21955374-4693
Transaction ID : 201508209534-90
Medco Health Services, Inc.
28
13
27
90.92
113
Image# 201509149001638064
08
08
08
266
Anne Sorrentino Johnston
2015
Anne Sorrentino Johnston
2015
2015
Dana Nicole Johnson
Sr Account Executive
Sr Director - IT
Sr Director - IT
FE6AN026
, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
20.00
2076.84
360.00
115.38
115.38
FL
MO
250 Technology Park
250 Technology Park
1 Express Way
2076.84
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-295
32746-7115
FLLake Mary
Saint Louis
Lake Mary
Priority Healthcare Dist
Express Scripts Inc.
Transaction ID : 201508209534-30732746-7115
Transaction ID : 20150826125247-304
Priority Healthcare Dist
14
28
14
250.76
114
Image# 201509149001638065
08
08
08
266
Gayle C Johnston
2015
David P Jones
2015
2015
Gayle C Johnston
President, Curascript SD
President, Curascript SD
Sr Director - Insurance/Risk
FE6AN026
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, , .
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
75.00
1350.00
1350.00
75.00
20.00
MO
MO
1 Express Way
1 Express Way
1 Express Way
360.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-43
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Accredo Health Group, Inc.
Transaction ID : 20150826125247-29263121-1824
Transaction ID : 201508209534-44
Accredo Health Group, Inc.
28
13
27
170.00
115
Image# 201509149001638066
08
08
08
266
Regina Jones
2015
Regina Jones
2015
2015
David P Jones
Sr Director - Insurance/Risk
Sr Director - Service Delivery
Sr Director - Service Delivery
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
38.46
1038.42
692.28
57.69
57.69
MO
MN
8640 Evans Ave
8640 Evans Ave
6625 W 78th St
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
55439-2649Transaction ID : 201508209534-220
63134-2903
MOSaint Louis
Minneapolis
Saint Louis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 201508209534-46563134-2903
Transaction ID : 20150826125247-461
Express Scripts Inc.
14
28
14
153.84
116
Image# 201509149001638067
08
08
08
266
Jonathan W Joplin
2015
Russell Jurek
2015
2015
Jonathan W Joplin
VP Infrastructure
VP Infrastructure
Sr Director - Account Mgmt (Sales)
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
12.50
225.00
225.00
12.50
38.46
MO
MO
8455 University Place Dr
6625 W 78th St
8455 University Place Dr
692.28
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1825Transaction ID : 20150826125247-79
63121-1825
MNMinneapolis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-21855439-2649
Transaction ID : 201508209534-80
Express Scripts Inc.
28
13
27
63.46
117
Image# 201509149001638068
08
08
08
266
Hector Just
2015
Hector Just
2015
2015
Russell Jurek
Sr Director - Account Mgmt (Sales)
Sr Dir - Corp Real Estate Svc
Sr Dir - Corp Real Estate Svc
FE6AN026
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, , .
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.00
692.28
342.00
38.46
38.46
MO
MO
1 Express Way
1 Express Way
8849 Woodpark Dr
692.28
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63127-1439Transaction ID : 201508209534-185
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Services Co
CuraScript Inc
Transaction ID : 201508209534-46963121-1824
Transaction ID : 20150826125247-465
Express Scripts Services Co
14
28
14
95.92
118
Image# 201509149001638069
08
08
08
266
Kerrigan Gatewood Kaplan
2015
Tammy T Karagiannis
2015
2015
Kerrigan Gatewood Kaplan
Sr Director- Bus Analysis/Plan
Sr Director- Bus Analysis/Plan
Sr Director - Account Mgmt (Sales)
FE6AN026
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, , .
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.69
1038.42
1038.42
57.69
19.00
MO
MO
1 Express Way
8849 Woodpark Dr
1 Express Way
342.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-436
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
CuraScript Inc
Express Scripts Inc.
Transaction ID : 20150826125247-18463127-1439
Transaction ID : 201508209534-439
Express Scripts Inc.
28
14
28
134.38
119
Image# 201509149001638070
08
08
08
266
Adam W Kautzner
2015
Adam W Kautzner
2015
2015
Tammy T Karagiannis
Sr Director - Account Mgmt (Sales)
VP Drug Trend & Formulary
VP Drug Trend & Formulary
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
C
, , .C
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.23
450.00
346.14
25.00
25.00
NJ
MO
100 Parsons Pond Dr
100 Parsons Pond Dr
616 NE English Manor Dr
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
64086-4508Transaction ID : 201508209534-549
07417-2604
NJFranklin Lakes
Lees Summit
Franklin Lakes
Medco Health Services, Inc.
Express Scripts Inc.
Transaction ID : 201508209534-9407417-2604
Transaction ID : 20150826125247-93
Medco Health Services, Inc.
13
27
14
69.23
120
Image# 201509149001638071
08
08
08
266
William R Keeler
2015
Peter Kelley
2015
2015
William R Keeler
Sr Software Dev. Eng.
Sr Software Dev. Eng.
LSS Quality & Proc Imp Sr Mgr
FE6AN026
, , .
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, , .
C
, , .C
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M M / D D / Y Y Y Y
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, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
38.46
692.28
692.28
38.46
19.23
MO
MO
1 Express Way
616 NE English Manor Dr
1 Express Way
346.14
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-244
63121-1824
MOLees Summit
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-54564086-4508
Transaction ID : 201508209534-248
Express Scripts Inc.
28
14
28
96.15
121
Image# 201509149001638072
08
08
08
266
Dawn R Kelly
2015
Dawn R Kelly
2015
2015
Peter Kelley
LSS Quality & Proc Imp Sr Mgr
Sr Dir - Fin. Strategic Plan.
Sr Dir - Fin. Strategic Plan.
FE6AN026
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Aggregate Year-to-Date
, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
76.92
342.00
1384.56
19.00
19.00
MO
OH
183 Lawton Rd
183 Lawton Rd
10308 Murdock Goshen Rd
342.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
45140-9763Transaction ID : 201508209534-494
65681-7423
MOLampe
Loveland
Lampe
Express Scripts Services Co
Express Scripts Services Co
Transaction ID : 201508209534-18965681-7423
Transaction ID : 20150826125247-188
Express Scripts Services Co
14
28
14
114.92
122
Image# 201509149001638073
08
08
08
266
Karen E Kennedy
2015
Robert K Kennedy
2015
2015
Karen E Kennedy
Sr Director - Pharma Contract
Sr Director - Pharma Contract
VP Account Management
FE6AN026
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.69
1038.42
1038.42
57.69
76.92
MO
MO
1 Express Way
10308 Murdock Goshen Rd
1 Express Way
1384.56
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-460
63121-1824
OHLoveland
Saint Louis
Saint Louis
Express Scripts Services Co
Express Scripts Inc.
Transaction ID : 20150826125247-48945140-9763
Transaction ID : 201508209534-464
Express Scripts Inc.
28
14
28
192.30
123
Image# 201509149001638074
08
08
08
266
Timothy Kessler
2015
Timothy Kessler
2015
2015
Robert K Kennedy
VP Account Management
VP Infrastructure
VP Infrastructure
FE6AN026
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
28.84
692.28
519.12
38.46
38.46
NY
DC
121 Conklingtown Rd
121 Conklingtown Rd
300 New Jersey Ave NW
692.28
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
20001-2030Transaction ID : 201508209534-543
10918-1835
NYChester
Washington
Chester
Medco Health Services, Inc.
Express Scripts Inc.
Transaction ID : 201508209534-8910918-1835
Transaction ID : 20150826125247-88
Medco Health Services, Inc.
13
27
14
105.76
124
Image# 201509149001638075
08
08
08
266
Karin Kleinegger
2015
Gary Justin Kline
2015
2015
Karin Kleinegger
Sr Dir Acct Mgmt
Sr Dir Acct Mgmt
Legislative Sr Director
FE6AN026
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
25.00
450.00
450.00
25.00
28.84
GA
GA
1016 Fairwood Ln NW
300 New Jersey Ave NW
1016 Fairwood Ln NW
519.12
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
30101-7865Transaction ID : 20150826125247-141
30101-7865
DCWashington
Acworth
Acworth
Express Scripts Inc.
Accredo Health Group, Inc.
Transaction ID : 20150826125247-53920001-2030
Transaction ID : 201508209534-142
Accredo Health Group, Inc.
28
14
28
78.84
125
Image# 201509149001638076
08
08
08
266
Richard B Klusovsky
2015
Richard B Klusovsky
2015
2015
Gary Justin Kline
Legislative Sr Director
Sr Account Executive
Sr Account Executive
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
28.85
2076.84
519.30
115.38
115.38
MO
MO
1 Express Way
1 Express Way
1 Express Way
2076.84
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-396
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 201508209534-54463121-1824
Transaction ID : 20150826125247-540
Express Scripts Inc.
14
28
14
259.61
126
Image# 201509149001638077
08
08
08
266
Chris K Knibb
2015
Michael E Knoke
2015
2015
Chris K Knibb
VP Chief Accounting Officer
VP Chief Accounting Officer
Director - Investigations
FE6AN026
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, , .
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
77.00
1386.00
1386.00
77.00
28.85
MO
MO
1 Express Way
1 Express Way
1 Express Way
519.30
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-515
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-39363121-1824
Transaction ID : 201508209534-520
Express Scripts Inc.
28
14
28
182.85
127
Image# 201509149001638078
08
08
08
266
Michael W Koehler
2015
Michael W Koehler
2015
2015
Michael E Knoke
Director - Investigations
VP Human Resources
VP Human Resources
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
20.00
342.00
360.00
19.00
19.00
NJ
MN
906 Irving Ave
906 Irving Ave
6625 W 78th St
342.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
55439-2649Transaction ID : 201508209534-158
07090-1636
NJWestfield
Minneapolis
Westfield
Medco Health Services, Inc.
Express Scripts Services Co
Transaction ID : 201508209534-28707090-1636
Transaction ID : 20150826125247-284
Medco Health Services, Inc.
14
28
14
58.00
128
Image# 201509149001638079
08
08
08
266
Paul S Koellhoffer
2015
Blane K Kolb
2015
2015
Paul S Koellhoffer
VP Account Management Ops
VP Account Management Ops
Sr Account Executive
FE6AN026
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
50.00
900.00
900.00
50.00
20.00
OH
OH
159 Winfield Dr
6625 W 78th St
159 Winfield Dr
360.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
43402-2762Transaction ID : 20150826125247-28
43402-2762
MNMinneapolis
Bowling Green
Bowling Green
Express Scripts Services Co
Medco Health Solutions, Inc.
Transaction ID : 20150826125247-15755439-2649
Transaction ID : 201508209534-28
Medco Health Solutions, Inc.
28
13
27
120.00
129
Image# 201509149001638080
08
08
08
266
Kathleen Korducki
2015
Kathleen Korducki
2015
2015
Blane K Kolb
Sr Account Executive
Sr Director - Account Mgmt (Sales)
Sr Director - Account Mgmt (Sales)
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.23
1386.00
346.14
77.00
77.00
MO
NJ
1 Express Way
1 Express Way
100 Parsons Pond Dr
1386.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
07417-2604Transaction ID : 201508209534-109
63121-1824
MOSaint Louis
Franklin Lakes
Saint Louis
Express Scripts Inc.
Medco Health Services, Inc.
Transaction ID : 201508209534-42663121-1824
Transaction ID : 20150826125247-423
Express Scripts Inc.
14
28
13
173.23
130
Image# 201509149001638081
08
08
08
266
Dawn Lee Kotva
2015
Anne Mcgurrin Kraft
2015
2015
Dawn Lee Kotva
VP Project Management
VP Project Management
Director - Product Management
FE6AN026
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, , .
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M M / D D / Y Y Y Y
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, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
40.00
720.00
720.00
40.00
19.23
MO
MO
1 Express Way
100 Parsons Pond Dr
1 Express Way
346.14
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-229
63121-1824
NJFranklin Lakes
Saint Louis
Saint Louis
Medco Health Services, Inc.
Express Scripts Services Co
Transaction ID : 20150826125247-10807417-2604
Transaction ID : 201508209534-231
Express Scripts Services Co
27
14
28
99.23
131
Image# 201509149001638082
08
08
08
266
Julie Terese Kulawiec
2015
Julie Terese Kulawiec
2015
2015
Anne Mcgurrin Kraft
Director - Product Management
Sr Director - Account Mgmt (Sales)
Sr Director - Account Mgmt (Sales)
FE6AN026
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.00
270.00
1026.00
15.00
15.00
MO
MN
1 Express Way
1 Express Way
3946 162nd St NW
270.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
55320-2160Transaction ID : 201508209534-206
63121-1824
MOSaint Louis
Clearwater
Saint Louis
ESI Specialty Distribution Svs
Express Scripts Services Co
Transaction ID : 201508209534-44463121-1824
Transaction ID : 20150826125247-441
ESI Specialty Distribution Svs
14
28
14
87.00
132
Image# 201509149001638083
08
08
08
266
Ronald M Lacy
2015
Andrew Lagnese
2015
2015
Ronald M Lacy
Sr Director Operations
Sr Director Operations
Sr Director - Account Mgmt (Sales)
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
20.00
300.00
360.00
20.00
57.00
MO
MO
1 Express Way
3946 162nd St NW
1 Express Way
1026.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-529
63121-1824
MNClearwater
Saint Louis
Saint Louis
Express Scripts Services Co
Express Scripts Inc.
Transaction ID : 20150826125247-20455320-2160
Transaction ID : 20150826125247-267
Express Scripts Inc.
28
28
14
97.00
133
Image# 201509149001638084
08
08
08
266
James A Lammers
2015
Andrea Iris Lampert
2015
2015
Andrew Lagnese
Sr Director - Account Mgmt (Sales)
VP & Chief Technology Officer
VP HR Management
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
76.92
1384.56
1384.56
76.92
20.00
MO
MO
1 Express Way
1 Express Way
1 Express Way
360.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-368
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-52463121-1824
Transaction ID : 201508209534-371
Express Scripts Inc.
28
14
28
173.84
134
Image# 201509149001638085
08
08
08
266
Douglas Richard Lang
2015
Douglas Richard Lang
2015
2015
Andrea Iris Lampert
VP HR Management
VP Compliance - Pharmacy
VP Compliance - Pharmacy
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.69
692.28
1038.42
38.46
38.46
MO
CA
1 Express Way
1 Express Way
1100 Kimberly Ct
692.28
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
95661-5394Transaction ID : 201508209534-69
63121-1824
MOSaint Louis
Roseville
Saint Louis
Express Scripts Inc.
Medco Health Services, Inc.
Transaction ID : 201508209534-54163121-1824
Transaction ID : 20150826125247-537
Express Scripts Inc.
14
28
13
134.61
135
Image# 201509149001638086
08
08
08
266
Todd Larkin
2015
Cynthia Laubacher
2015
2015
Todd Larkin
Sr Dir - Procurement Sourcing (Procure
Sr Dir - Procurement Sourcing (Procure
Sr Director - GovtAffairs
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
25.00
450.00
450.00
25.00
57.69
PA
PA
3000 Ericsson Dr
1100 Kimberly Ct
3000 Ericsson Dr
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
15086-6501Transaction ID : 20150826125247-142
15086-6501
CARoseville
Warrendale
Warrendale
Medco Health Services, Inc.
Accredo Health Group, Inc.
Transaction ID : 20150826125247-6895661-5394
Transaction ID : 201508209534-143
Accredo Health Group, Inc.
27
14
28
107.69
136
Image# 201509149001638087
08
08
08
266
Michele P Law
2015
Michele P Law
2015
2015
Cynthia Laubacher
Sr Director - GovtAffairs
VP Pharmacy Operations
VP Pharmacy Operations
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
38.46
519.30
653.82
28.85
28.85
VA
MO
39232 Foxhill Rd
39232 Foxhill Rd
1 Express Way
519.30
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-456
20175-6817
VALeesburg
Saint Louis
Leesburg
Express Scripts Services Co
Express Scripts Inc.
Transaction ID : 201508209534-29220175-6817
Transaction ID : 20150826125247-289
Express Scripts Services Co
14
28
14
96.16
137
Image# 201509149001638088
08
08
08
266
Lisa Christine Le Gette
2015
Brian LeDuc
2015
2015
Lisa Christine Le Gette
Sr Clinical Account Executive (Sales)
Sr Clinical Account Executive (Sales)
VP Information Systems
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
25.00
692.28
450.00
38.46
38.46
MN
IN
6625 W 78th St
6625 W 78th St
2825 W Perimeter Rd
692.28
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
46241-3612Transaction ID : 201508209534-493
55439-2649
MNMinneapolis
Indianapolis
Minneapolis
Express Scripts Services Co
Express Scripts Inc.
Transaction ID : 201508209534-15655439-2649
Transaction ID : 20150826125247-155
Express Scripts Services Co
14
28
14
101.92
138
Image# 201509149001638089
08
08
08
266
Jason Lee
2015
Mark Leeper
2015
2015
Jason Lee
Sr Director - Account Mgmt (Sales)
Sr Director - Account Mgmt (Sales)
Sr Director - Product Mgmt
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
48.00
864.00
864.00
48.00
25.00
MO
MO
1 Express Way
2825 W Perimeter Rd
1 Express Way
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-466
63121-1824
INIndianapolis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-48846241-3612
Transaction ID : 201508209534-470
Express Scripts Inc.
28
14
28
121.00
139
Image# 201509149001638090
08
08
08
266
Justin Lienemann
2015
Justin Lienemann
2015
2015
Mark Leeper
Sr Director - Product Mgmt
VP Financial Plan & Analysis II
VP Financial Plan & Analysis II
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
14.00
1384.56
252.00
76.92
76.92
PA
MO
920 Harvest Dr
920 Harvest Dr
1 Express Way
1384.56
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-380
19422-1968
PABlue Bell
Saint Louis
Blue Bell
UBC Late Stage, Inc.
CuraScript Inc
Transaction ID : 201508209534-12619422-1968
Transaction ID : 20150826125247-125
UBC Late Stage, Inc.
13
27
14
167.84
140
Image# 201509149001638091
08
08
08
266
Patrick Lindsay
2015
Denise Lynn Loewenstein
2015
2015
Patrick Lindsay
President, UBC
President, UBC
Director - Account Management (RAM99J)
FE6AN026
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, , .
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M M / D D / Y Y Y Y
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
76.92
1384.56
1384.56
76.92
14.00
MO
MO
1 Express Way
1 Express Way
1 Express Way
252.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-470
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
CuraScript Inc
Express Scripts Inc.
Transaction ID : 20150826125247-37763121-1824
Transaction ID : 201508209534-474
Express Scripts Inc.
28
14
28
167.84
141
Image# 201509149001638092
08
08
08
266
Michael Looney
2015
Michael Looney
2015
2015
Denise Lynn Loewenstein
Director - Account Management (RAM99J)
VP Product Management
VP Product Management
FE6AN026
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
28.85
1038.42
519.30
57.69
57.69
AZ
MN
3001 S Priest Dr
3001 S Priest Dr
1600 McKnight Rd N
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
55119-3194Transaction ID : 201508209534-208
85282-3492
AZTempe
Maplewood
Tempe
Accredo Health Group, Inc.
Express Scripts Services Co
Transaction ID : 201508209534-43485282-3492
Transaction ID : 20150826125247-431
Accredo Health Group, Inc.
14
28
14
144.23
142
Image# 201509149001638093
08
08
08
266
Jennifer Cherie Lord
2015
LeAnn LeClaire Lowe
2015
2015
Jennifer Cherie Lord
VP Pharmacy Operations
VP Pharmacy Operations
Director - Government Prgms
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
76.92
207.72
1384.56
11.54
28.85
MO
MO
8640 Evans Ave
1600 McKnight Rd N
1 Express Way
519.30
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-163
63134-2903
MNMaplewood
Saint Louis
Saint Louis
Express Scripts Services Co
Express Scripts Inc.
Transaction ID : 20150826125247-20655119-3194
Transaction ID : 20150826125247-278
Express Scripts Inc.
28
28
14
117.31
143
Image# 201509149001638094
08
08
08
266
Eric Lowing
2015
Thomas A Luft
2015
2015
LeAnn LeClaire Lowe
Director - Government Prgms
Director - IT
Sr Director - Network Contract
FE6AN026
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
38.46
692.28
692.28
38.46
76.92
MO
MO
1 Express Way
1 Express Way
1 Express Way
1384.56
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-541
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-16263121-1824
Transaction ID : 201508209534-545
Express Scripts Inc.
28
14
28
153.84
144
Image# 201509149001638095
08
08
08
266
Jeff David Lutes
2015
Jeff David Lutes
2015
2015
Thomas A Luft
Sr Director - Network Contract
Assistant General Counsel
Assistant General Counsel
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
120.00
692.28
2160.00
38.46
38.46
AZ
MO
3001 S Priest Dr
3001 S Priest Dr
1 Express Way
692.28
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-154
85282-3492
AZTempe
Saint Louis
Tempe
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 201508209534-41885282-3492
Transaction ID : 20150826125247-415
Express Scripts Inc.
14
28
14
196.92
145
Image# 201509149001638096
08
08
08
266
Kevin Woodrow Macbeth
2015
Christina Macinski
2015
2015
Kevin Woodrow Macbeth
Sr Director - Client Services
Sr Director - Client Services
VP Supply Chain Economics
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
28.84
519.12
519.12
28.84
120.00
MN
MN
6625 W 78th St
1 Express Way
6625 W 78th St
2160.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
55439-2649Transaction ID : 20150826125247-227
55439-2649
MOSaint Louis
Minneapolis
Minneapolis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-15363121-1824
Transaction ID : 201508209534-229
Express Scripts Inc.
28
14
28
177.68
146
Image# 201509149001638097
08
08
08
266
Michelle Mack
2015
Michelle Mack
2015
2015
Christina Macinski
VP Supply Chain Economics
Director - Government Affairs
Director - Government Affairs
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
115.38
450.00
2076.84
25.00
25.00
MO
MO
1 Express Way
1 Express Way
1 Express Way
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-191
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
CuraScript Inc
Transaction ID : 201508209534-44263121-1824
Transaction ID : 20150826125247-439
Express Scripts Inc.
14
28
14
165.38
147
Image# 201509149001638098
08
08
08
266
Snezana Mahon
2015
Daniel J. Mandoli
2015
2015
Snezana Mahon
Sr Director - Government Prgms
Sr Director - Government Prgms
VP & General Manager, Specialty Operat
FE6AN026
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
76.93
207.72
1384.74
11.54
115.38
MO
TN
1 Express Way
1 Express Way
1670 Century Gate Drive
2076.84
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
38134Transaction ID : 201508209534-131
63121-1824
MOSaint Louis
Memphis
Saint Louis
CuraScript Inc
Accredo Health Group, Inc.
Transaction ID : 20150826125247-19063121-1824
Transaction ID : 20150826125247-220
Express Scripts Inc.
28
28
14
203.85
148
Image# 201509149001638099
08
08
08
266
Bonnie E Mann
2015
William D. Martin
2015
2015
Daniel J. Mandoli
VP & General Manager, Specialty Operat
Sr Marketing Manager
VP Acct Mgmt - Pharma & Retail
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
25.00
450.00
450.00
25.00
76.93
NJ
NJ
100 Parsons Pond Dr
1670 Century Gate Drive
100 Parsons Pond Dr
1384.74
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
07417-2604Transaction ID : 20150826125247-98
07417-2604
TNMemphis
Franklin Lakes
Franklin Lakes
Accredo Health Group, Inc.
Medco Health Services, Inc.
Transaction ID : 20150826125247-13038134
Transaction ID : 201508209534-99
Medco Health Services, Inc.
28
13
27
126.93
149
Image# 201509149001638100
08
08
08
266
Edward Martinez
2015
Edward Martinez
2015
2015
William D. Martin
VP Acct Mgmt - Pharma & Retail
Director - Government Prgms
Director - Government Prgms
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
38.46
1384.56
692.28
76.92
76.92
MO
MO
1 Express Way
1 Express Way
1 Express Way
1384.56
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-419
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Services Co
Transaction ID : 201508209534-15063121-1824
Transaction ID : 20150826125247-149
Express Scripts Inc.
14
28
14
192.30
150
Image# 201509149001638101
08
08
08
266
Karen Matteuzzi
2015
Lucy Patricia McAfee
2015
2015
Karen Matteuzzi
VP Human Resources -
VP Human Resources -
Sr Director - Government Prgms
FE6AN026
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, , .
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
38.46
692.28
692.28
38.46
38.46
AZ
AZ
105 W Harmont Dr
1 Express Way
105 W Harmont Dr
692.28
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
85021-5639Transaction ID : 20150826125247-116
85021-5639
MOSaint Louis
Phoenix
Phoenix
Express Scripts Services Co
Medco Health Services, Inc.
Transaction ID : 20150826125247-41663121-1824
Transaction ID : 201508209534-117
Medco Health Services, Inc.
28
13
27
115.38
151
Image# 201509149001638102
08
08
08
266
Dennis Mcallister
2015
Dennis Mcallister
2015
2015
Lucy Patricia McAfee
Sr Director - Government Prgms
Sr Pharmacy Compliance Dir
Sr Pharmacy Compliance Dir
FE6AN026
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Aggregate Year-to-Date
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
25.00
342.00
450.00
19.00
19.00
MO
NJ
1 Express Way
1 Express Way
100 Parsons Pond Dr
342.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
07417-2604Transaction ID : 201508209534-75
63121-1824
MOSaint Louis
Franklin Lakes
Saint Louis
Express Scripts Services Co
Medco Health Services, Inc.
Transaction ID : 201508209534-23463121-1824
Transaction ID : 20150826125247-232
Express Scripts Services Co
14
28
13
63.00
152
Image# 201509149001638103
08
08
08
266
Joseph Mccullison
2015
Thomas E Mcdonald
2015
2015
Joseph Mccullison
Sr Director - Account Mgmt (Sales)
Sr Director - Account Mgmt (Sales)
Sr Manager - Software Dev. Eng
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.00
342.00
342.00
19.00
25.00
MN
MN
6625 W 78th St
100 Parsons Pond Dr
6625 W 78th St
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
55439-2649Transaction ID : 20150826125247-159
55439-2649
NJFranklin Lakes
Minneapolis
Minneapolis
Medco Health Services, Inc.
Express Scripts Services Co
Transaction ID : 20150826125247-7407417-2604
Transaction ID : 201508209534-160
Express Scripts Services Co
27
14
28
63.00
153
Image# 201509149001638104
08
08
08
266
Cathy S Mcdougle
2015
Cathy S Mcdougle
2015
2015
Thomas E Mcdonald
Sr Manager - Software Dev. Eng
Director - Account Management (SAM99J)
Director - Account Management (SAM99J)
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
20.00
1384.56
360.00
76.92
76.92
MO
MO
1 Express Way
1 Express Way
1 Express Way
1384.56
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-264
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Services Co
Transaction ID : 201508209534-43263121-1824
Transaction ID : 20150826125247-429
Express Scripts Inc.
14
28
14
173.84
154
Image# 201509149001638105
08
08
08
266
Christopher Alan McGinnis
2015
Kathleen Mchugh
2015
2015
Christopher Alan McGinnis
VP Investor Relations
VP Investor Relations
Director - Project Management
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
25.00
450.00
450.00
25.00
20.00
NJ
NJ
100 Parsons Pond Dr
1 Express Way
100 Parsons Pond Dr
360.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
07417-2604Transaction ID : 20150826125247-92
07417-2604
MOSaint Louis
Franklin Lakes
Franklin Lakes
Express Scripts Services Co
Medco Health Services, Inc.
Transaction ID : 20150826125247-26063121-1824
Transaction ID : 201508209534-93
Medco Health Services, Inc.
28
13
27
70.00
155
Image# 201509149001638106
08
08
08
266
William E Mclaughlin
2015
William E Mclaughlin
2015
2015
Kathleen Mchugh
Director - Project Management
VP Information Systems
VP Information Systems
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.23
346.14
346.14
19.23
115.38
MN
MN
6625 W 78th St
1 Express Way
6625 W 78th St
1153.80
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
55439-2649Transaction ID : 20150826125247-438
55439-2649
MOSaint Louis
Minneapolis
Minneapolis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-52563121-1824
Transaction ID : 201508209534-441
Express Scripts Inc.
28
14
28
153.84
156
Image# 201509149001638107
08
08
08
266
Douglas James McPeek
2015
Douglas James McPeek
2015
2015
Steven McNamara
VP Client Svcs - Enterprise
Financial Analysis Specialist - Prici
Financial Analysis Specialist - Prici
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
20.00
360.00
360.00
20.00
11.54
MI
MI
5147 Blue Spruce Dr
1 Express Way
5147 Blue Spruce Dr
207.72
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
48197-6809Transaction ID : 20150826125247-31
48197-6809
MOSaint Louis
Ypsilanti
Ypsilanti
Express Scripts Inc.
Medco Health Services, Inc.
Transaction ID : 20150826125247-19363121-1824
Transaction ID : 201508209534-31
Medco Health Services, Inc.
28
13
27
51.54
157
Image# 201509149001638108
08
08
08
266
Wendy Calkin Mello
2015
Wendy Calkin Mello
2015
2015
Robert M Meisemann
Director - Underwriting (Pharma/Retail
Sr Product Manager
Sr Product Manager
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
25.00
252.00
450.00
14.00
14.00
MO
PA
1 Express Way
1 Express Way
3000 Ericsson Dr
252.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
15086-6501Transaction ID : 201508209534-134
63121-1824
MOSaint Louis
Warrendale
Saint Louis
ESI Pharmaceutical Procurement
Accredo Health Group, Inc.
Transaction ID : 201508209534-46163121-1824
Transaction ID : 20150826125247-457
ESI Pharmaceutical Procurement
14
28
14
53.00
158
Image# 201509149001638109
08
08
08
266
John Michael Menchella
2015
Danette Meredith
2015
2015
John Michael Menchella
Director - Procurement
Director - Procurement
Director - Prior Authorization
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
76.92
1384.56
1384.56
76.92
25.00
MO
MO
1 Express Way
3000 Ericsson Dr
1 Express Way
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-337
63121-1824
PAWarrendale
Saint Louis
Saint Louis
Accredo Health Group, Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-13315086-6501
Transaction ID : 201508209534-340
Express Scripts Inc.
28
14
28
178.84
159
Image# 201509149001638110
08
08
08
266
Kathryn Rogers Mihalevich
2015
Kathryn Rogers Mihalevich
2015
2015
Danette Meredith
Director - Prior Authorization
VP Compliance - Govt Programs
VP Compliance - Govt Programs
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.69
450.00
1038.42
25.00
25.00
IL
MO
826 Downing St
826 Downing St
1 Express Way
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-254
60062-3021
ILNorthbrook
Saint Louis
Northbrook
Medco Health Services, Inc.
Express Scripts Services Co
Transaction ID : 201508209534-6460062-3021
Transaction ID : 20150826125247-63
Medco Health Services, Inc.
13
27
14
107.69
160
Image# 201509149001638111
08
08
08
266
Dan Milkens
2015
Lori Terese Miller
2015
2015
Dan Milkens
Sr Sales Director
Sr Sales Director
VP Account Management Ops
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.23
346.14
346.14
19.23
57.69
MO
MO
1 Express Way
1 Express Way
1 Express Way
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-410
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Services Co
Express Scripts Inc.
Transaction ID : 20150826125247-25063121-1824
Transaction ID : 201508209534-413
Express Scripts Inc.
28
14
28
96.15
161
Image# 201509149001638112
08
08
08
266
Melissa Ann Miller
2015
Melissa Ann Miller
2015
2015
Lori Terese Miller
VP Account Management Ops
Director - Talent Acquisition
Director - Talent Acquisition
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
192.30
3461.40
3461.40
192.30
11.54
MO
MO
1 Express Way
7909 S Hardy Dr
1 Express Way
207.72
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-328
63121-1824
AZTempe
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-17485284-1112
Transaction ID : 201508209534-331
Express Scripts Inc.
28
14
28
396.14
162
Image# 201509149001638113
08
08
08
266
Steven Bradley Miller
2015
Steven Bradley Miller
2015
2015
Peter D Miller
Director - IT
SVP & Chief Medical Officer
SVP & Chief Medical Officer
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
58.00
1384.56
1044.00
76.92
76.92
MO
MO
1 Express Way
1 Express Way
1 Express Way
1384.56
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-532
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Services Co
Transaction ID : 201508209534-34963121-1824
Transaction ID : 20150826125247-346
Express Scripts Inc.
14
28
14
211.84
163
Image# 201509149001638114
08
08
08
266
John E. Mimlitz
2015
Gregory S Mitchell
2015
2015
John E. Mimlitz
Vice President Tax
Vice President Tax
Assistant General Counsel
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
28.84
519.12
519.12
28.84
58.00
TN
TN
1148 Oak River Rd
1 Express Way
1148 Oak River Rd
1044.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
38120-3316Transaction ID : 20150826125247-114
38120-3316
MOSaint Louis
Memphis
Memphis
Express Scripts Services Co
Express Scripts Inc.
Transaction ID : 20150826125247-52863121-1824
Transaction ID : 201508209534-115
Express Scripts Inc.
28
13
27
115.68
164
Image# 201509149001638115
08
08
08
266
Monalisa Mohanty
2015
Monalisa Mohanty
2015
2015
Gregory S Mitchell
Assistant General Counsel
Sr Clinical Account Executive (Sales)
Sr Clinical Account Executive (Sales)
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
58.00
720.00
1044.00
40.00
58.00
MO
MO
1 Express Way
8640 Evans Ave
8640 Evans Ave
1044.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63134-2903Transaction ID : 20150826125247-240
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 201508209534-24463134-2903
Transaction ID : 201508209534-291
Express Scripts Inc.
14
14
28
156.00
165
Image# 201509149001638116
08
08
08
266
Charles G Moore
2015
Charles Moore
2015
2015
Charles Moore
Sr Director - IT
Sr Director - Network Contract
Sr Director - IT
FE6AN026
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Aggregate Year-to-Date
, , .
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
77.00
1386.00
1386.00
77.00
40.00
MO
MO
1 Express Way
1 Express Way
1 Express Way
720.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-258
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Services Co
Transaction ID : 20150826125247-28863121-1824
Transaction ID : 201508209534-262
Express Scripts Services Co
28
14
28
194.00
166
Image# 201509149001638117
08
08
08
266
Steven D Morgan
2015
Steven D Morgan
2015
2015
Charles G Moore
Sr Director - Network Contract
VP & Associate General Counsel
VP & Associate General Counsel
FE6AN026
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Aggregate Year-to-Date
, , .
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
20.00
900.00
360.00
50.00
50.00
WI
MO
N19W24130 Riverwood Dr
N19W24130 Riverwood Dr
1 Express Way
900.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-293
53188-1131
WIWaukesha
Saint Louis
Waukesha
Medco Health Services, Inc.
Express Scripts Inc.
Transaction ID : 201508209534-5253188-1131
Transaction ID : 20150826125247-51
Medco Health Services, Inc.
13
27
14
120.00
167
Image# 201509149001638118
08
08
08
266
Craig Allen Morris
2015
Julie M Morrison
2015
2015
Craig Allen Morris
Sr Dir - Clinical Account Mgmt
Sr Dir - Clinical Account Mgmt
Sr Director - Service Delivery
FE6AN026
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, , .
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.00
342.00
342.00
19.00
20.00
IN
IN
2825 W Perimeter Rd
1 Express Way
2825 W Perimeter Rd
360.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
46241-3612Transaction ID : 20150826125247-362
46241-3612
MOSaint Louis
Indianapolis
Indianapolis
Express Scripts Inc.
Accredo Inc. (Elim)
Transaction ID : 20150826125247-29063121-1824
Transaction ID : 201508209534-365
Accredo Inc. (Elim)
28
14
28
58.00
168
Image# 201509149001638119
08
08
08
266
Richard W Moulton II
2015
Richard W Moulton II
2015
2015
Julie M Morrison
Sr Director - Service Delivery
Dir - Clinical Account Mgmt
Dir - Clinical Account Mgmt
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
25.00
692.28
450.00
38.46
38.46
NJ
GA
100 Parsons Pond Dr
100 Parsons Pond Dr
3338 Peachtree Rd NE
692.28
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
30326-1471Transaction ID : 201508209534-30
07417-2604
NJFranklin Lakes
Atlanta
Franklin Lakes
Medco Health Services, Inc.
Medco Health Services, Inc.
Transaction ID : 201508209534-11807417-2604
Transaction ID : 20150826125247-117
Medco Health Services, Inc.
13
27
13
101.92
169
Image# 201509149001638120
08
08
08
266
Apt 2803
Michele Mucci
2015
Andrew T Nanick
2015
2015
Michele Mucci
Assistant General Counsel
Assistant General Counsel
Sr Clinical Account Executive (Sales)
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
76.92
1384.56
1384.56
76.92
25.00
NJ
NJ
100 Parsons Pond Dr
3338 Peachtree Rd NE
100 Parsons Pond Dr
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
07417-2604Transaction ID : 20150826125247-217
07417-2604
GAAtlanta
Franklin Lakes
Franklin Lakes
Medco Health Services, Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-3030326-1471
Transaction ID : 201508209534-219
Express Scripts Inc.
27
14
28
178.84
170
Image# 201509149001638121
08
08
08
266
Apt 2803
Frank Neville
2015
Frank Neville
2015
2015
Andrew T Nanick
Sr Clinical Account Executive (Sales)
SVP, Supply Chain Management
SVP, Supply Chain Management
FE6AN026
, , .
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, , .
C
, , .C
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M M / D D / Y Y Y Y
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, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
192.00
342.00
3456.00
19.00
19.00
MO
MO
1 Express Way
1 Express Way
1 Express Way
342.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-294
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
CuraScript Inc
Express Scripts Inc.
Transaction ID : 201508209534-40163121-1824
Transaction ID : 20150826125247-398
CuraScript Inc
14
28
14
230.00
171
Image# 201509149001638122
08
08
08
266
Elizabeth Gillen Newport
2015
David A Norton
2015
2015
Elizabeth Gillen Newport
Sr Director - Account Mgmt (Pharma/Ret
Sr Director - Account Mgmt (Pharma/Ret
SVP Specialty & Supply Chain
FE6AN026
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
20.00
360.00
360.00
20.00
192.00
MO
MO
8455 University Place Dr
1 Express Way
8455 University Place Dr
3456.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1825Transaction ID : 20150826125247-303
63121-1825
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Services Co
Transaction ID : 20150826125247-29163121-1824
Transaction ID : 201508209534-306
Express Scripts Services Co
28
14
28
232.00
172
Image# 201509149001638123
08
08
08
266
Thomas Matthew Nowakowski
2015
Thomas Matthew Nowakowski
2015
2015
David A Norton
SVP Specialty & Supply Chain
Sr Director - Account Mgmt (Sales)
Sr Director - Account Mgmt (Sales)
FE6AN026
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
38.46
1038.42
692.28
57.69
57.69
NJ
CA
100 Parsons Pond Dr
100 Parsons Pond Dr
24612 Vista Cerritos
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
91302-3000Transaction ID : 201508209534-217
07417-2604
NJFranklin Lakes
Calabasas
Franklin Lakes
Medco Health Services, Inc.
Express Scripts Services Co
Transaction ID : 201508209534-6507417-2604
Transaction ID : 20150826125247-64
Medco Health Services, Inc.
13
27
14
153.84
173
Image# 201509149001638124
08
08
08
266
Janine Nowatzky
2015
Julie Colleen Nowfar-Rad
2015
2015
Janine Nowatzky
Sr Director - Marketing
Sr Director - Marketing
Sr Dir - Clinical Account Mgmt
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
25.00
450.00
450.00
25.00
38.46
IL
IL
101 N Wacker Dr
24612 Vista Cerritos
101 N Wacker Dr
692.28
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
60606-1784Transaction ID : 20150826125247-24
60606-1784
CACalabasas
Chicago
Chicago
Express Scripts Services Co
Medco Health Services, Inc.
Transaction ID : 20150826125247-21591302-3000
Transaction ID : 201508209534-24
Medco Health Services, Inc.
28
13
27
88.46
174
Image# 201509149001638125
08
08
08
266
Kelly A O'Connell
2015
Kelly A O'Connell
2015
2015
Julie Colleen Nowfar-Rad
Sr Dir - Clinical Account Mgmt
Sr Account Executive
Sr Account Executive
FE6AN026
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
20.00
1038.42
360.00
57.69
57.69
SC
MO
922 Simpkins St
922 Simpkins St
1 Express Way
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-547
29412-5250
SCCharleston
Saint Louis
Charleston
CuraScript Inc
Express Scripts Inc.
Transaction ID : 201508209534-39129412-5250
Transaction ID : 20150826125247-388
CuraScript Inc
14
28
14
135.38
175
Image# 201509149001638126
08
08
08
266
Sarah Roshini O'Neill
2015
Jeffrey A Oberman
2015
2015
Sarah Roshini O'Neill
Sr Director - Sales
Sr Director - Sales
VP Human Resources
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
12.50
450.00
450.00
12.50
20.00
AZ
AZ
4610 E Cotton Ctr Blvd
1 Express Way
4610 E Cotton Ctr Blvd
360.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
85040-8898Transaction ID : 201508209534-559
85040-8898
MOSaint Louis
Phoenix
Phoenix
Express Scripts Inc.
Express Scripts Pharmacy, Inc.
Transaction ID : 20150826125247-54363121-1824
Transaction ID : 201508209534-10
Express Scripts Pharmacy, Inc.
28
07
14
45.00
176
Image# 201509149001638127
08
08
08
266
Ste 105
Ste 105
Bryan J Olenik
2015
Bryan J Olenik
2015
2015
Jeffrey A Oberman
VP Human Resources
Pharmacy Director
Pharmacy Director
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
25.00
450.00
450.00
12.50
12.50
AZ
NY
4610 E Cotton Ctr Blvd
4610 E Cotton Ctr Blvd
4 Highgate Ct
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
10901-3404Transaction ID : 201508209534-85
85040-8898
AZPhoenix
Suffern
Phoenix
Express Scripts Pharmacy, Inc.
Medco Health Services, Inc.
Transaction ID : 20150826125247-1085040-8898
Transaction ID : 20150826125247-555
Express Scripts Pharmacy, Inc.
21
28
13
50.00
177
Image# 201509149001638128
08
08
08
266
Ste 105
Ste 105
Bryan J Olenik
2015
Claudine A Olsen
2015
2015
Bryan J Olenik
Pharmacy Director
Pharmacy Director
Sr Director - Account Mgmt (Sales)
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
25.00
450.00
450.00
25.00
25.00
NJ
NJ
100 Parsons Pond Dr
4 Highgate Ct
100 Parsons Pond Dr
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
07417-2604Transaction ID : 20150826125247-100
07417-2604
NYSuffern
Franklin Lakes
Franklin Lakes
Medco Health Services, Inc.
Medco Health Services, Inc.
Transaction ID : 20150826125247-8410901-3404
Transaction ID : 201508209534-101
Medco Health Services, Inc.
27
13
27
75.00
178
Image# 201509149001638129
08
08
08
266
Alexander Onik
2015
Alexander Onik
2015
2015
Claudine A Olsen
Sr Director - Account Mgmt (Sales)
Director - IT
Director - IT
FE6AN026
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.00
346.14
342.00
19.23
19.23
MO
MN
4700 N Hanley Rd
4700 N Hanley Rd
6625 W 78th St
346.14
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
55439-2649Transaction ID : 201508209534-210
63134-2700
MOSaint Louis
Minneapolis
Saint Louis
Express Scripts Inc.
Express Scripts Services Co
Transaction ID : 201508209534-41563134-2700
Transaction ID : 20150826125247-412
Express Scripts Inc.
14
28
14
57.46
179
Image# 201509149001638130
08
08
08
266
Cora M Opsahl
2015
Matthew B Ordner
2015
2015
Cora M Opsahl
Director - Operations
Director - Operations
Sr Director - Product Mgmt
FE6AN026
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, , .
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
38.46
692.28
692.28
38.46
19.00
MO
MO
1 Express Way
6625 W 78th St
1 Express Way
342.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-544
63121-1824
MNMinneapolis
Saint Louis
Saint Louis
Express Scripts Services Co
Express Scripts Inc.
Transaction ID : 20150826125247-20855439-2649
Transaction ID : 201508209534-548
Express Scripts Inc.
28
14
28
95.92
180
Image# 201509149001638131
08
08
08
266
Elizabeth Ortmann-Vincenzo
2015
Elizabeth Ortmann-Vincenzo
2015
2015
Matthew B Ordner
Sr Director - Product Mgmt
Sr Director - Compliance
Sr Director - Compliance
FE6AN026
, , .
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, , .
C
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.69
346.14
1038.42
19.23
19.23
OH
NJ
8990 Duke Blvd
8990 Duke Blvd
19 E Hollywood Ln
346.14
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
08223-1714Transaction ID : 201508209534-97
45040-8943
OHMason
Marmora
Mason
Express Scripts Services Co
Medco Health Services, Inc.
Transaction ID : 201508209534-49745040-8943
Transaction ID : 20150826125247-492
Express Scripts Services Co
14
28
13
96.15
181
Image# 201509149001638132
08
08
08
266
Honor O Page
2015
Richard A Palombo
2015
2015
Honor O Page
Sr Clinical Account Executive (Sales)
Sr Clinical Account Executive (Sales)
Sr Pharmacy Compliance Dir
FE6AN026
, , .
, , .
, , .
Aggregate Year-to-Date
, , .
C
, , .C
, , .
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
38.46
692.28
692.28
38.46
57.69
FL
FL
7805 SE 25th Ave
19 E Hollywood Ln
7805 SE 25th Ave
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
34480-8361Transaction ID : 20150826125247-384
34480-8361
NJMarmora
Ocala
Ocala
Medco Health Services, Inc.
Express Scripts Services Co
Transaction ID : 20150826125247-9608223-1714
Transaction ID : 201508209534-387
Express Scripts Services Co
27
14
28
134.61
182
Image# 201509149001638133
08
08
08
266
Charles A Parker
2015
Charles A Parker
2015
2015
Richard A Palombo
Sr Pharmacy Compliance Dir
Sr Director - Account Mgmt (Sales)
Sr Director - Account Mgmt (Sales)
FE6AN026
, , .
, , .
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Aggregate Year-to-Date
, , .
C
, , .C
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
20.00
346.14
360.00
19.23
19.23
MO
MO
1 Express Way
1 Express Way
1 Express Way
346.14
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-373
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Services Co
Transaction ID : 201508209534-52663121-1824
Transaction ID : 20150826125247-521
Express Scripts Inc.
14
28
14
58.46
183
Image# 201509149001638134
08
08
08
266
Jason M Parrish
2015
Ryan N Payton
2015
2015
Jason M Parrish
Pharmacy Director
Pharmacy Director
Sr Director - financial Analysis - Pri
FE6AN026
, , .
, , .
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Aggregate Year-to-Date
, , .
C
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
192.30
3461.40
3461.40
192.30
20.00
MO
MO
1 Express Way
1 Express Way
1 Express Way
360.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-213
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Services Co
Express Scripts Inc.
Transaction ID : 20150826125247-37063121-1824
Transaction ID : 201508209534-215
Express Scripts Inc.
28
14
28
404.60
184
Image# 201509149001638135
08
08
08
266
George Paz
2015
George Paz
2015
2015
Ryan N Payton
Sr Director - financial Analysis - Pri
Chairman & CEO
Chairman & CEO
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
C
, , .C
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
11.54
252.00
207.72
14.00
14.00
MN
MO
6625 W 78th St
6625 W 78th St
1 Express Way
252.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-266
55439-2649
MNMinneapolis
Saint Louis
Minneapolis
Express Scripts Inc.
Express Scripts Services Co
Transaction ID : 201508209534-18855439-2649
Transaction ID : 20150826125247-187
Express Scripts Inc.
14
28
28
39.54
185
Image# 201509149001638136
08
08
08
266
Nancy Pehl
2015
Ray Pepin
2015
2015
Nancy Pehl
Sr Dir - Clinical Eval/Policy
Sr Dir - Clinical Eval/Policy
Sr Account Executive
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.69
1384.56
769.20
76.92
76.92
MO
MO
1 Express Way
1 Express Way
1 Express Way
1384.56
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-542
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Accredo Health Group, Inc.
Express Scripts Inc.
Transaction ID : 201508209534-13263121-1824
Transaction ID : 20150826125247-131
Accredo Health Group, Inc.
14
28
14
211.53
186
Image# 201509149001638137
08
08
08
266
Victor Perini
2015
Matthew Perlberg
2015
2015
Victor Perini
VP Pharmacy Operations
VP Pharmacy Operations
Sr Director - Strategic Plan
FE6AN026
, , .
, , .
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Aggregate Year-to-Date
, , .
C
, , .C
, , .
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
14.00
252.00
252.00
14.00
57.69
MN
MN
6625 W 78th St
1 Express Way
6625 W 78th St
769.20
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
55439-2649Transaction ID : 20150826125247-221
55439-2649
MOSaint Louis
Minneapolis
Minneapolis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-53863121-1824
Transaction ID : 201508209534-223
Express Scripts Inc.
28
14
28
85.69
187
Image# 201509149001638138
08
08
08
266
Christopher Peterson
2015
Christopher Peterson
2015
2015
Matthew Perlberg
Sr Director - Strategic Plan
Dir - Clinical Eval & Policy
Dir - Clinical Eval & Policy
FE6AN026
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, , .
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M M / D D / Y Y Y Y
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, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
76.93
450.00
1384.74
25.00
25.00
MN
MN
6625 W 78th St
6625 W 78th St
6625 W 78th St
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
55439-2649Transaction ID : 201508209534-40
55439-2649
MNMinneapolis
Minneapolis
Minneapolis
Express Scripts Services Co
Medco Health Services, Inc.
Transaction ID : 201508209534-26655439-2649
Transaction ID : 20150826125247-262
Express Scripts Services Co
14
28
13
126.93
188
Image# 201509149001638139
08
08
08
266
James R Peterson
2015
Thomas J Pettyes
2015
2015
James R Peterson
Sr Sales Director
Sr Sales Director
VP Account Management
FE6AN026
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, , .
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, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.00
342.00
342.00
19.00
76.93
OH
OH
2121 Kingston Dr
6625 W 78th St
2121 Kingston Dr
1384.74
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
43537-1154Transaction ID : 20150826125247-395
43537-1154
MNMinneapolis
Maumee
Maumee
Medco Health Services, Inc.
Express Scripts Services Co
Transaction ID : 20150826125247-3955439-2649
Transaction ID : 201508209534-398
Express Scripts Services Co
27
14
28
114.93
189
Image# 201509149001638140
08
08
08
266
Jo Lyn Philippi
2015
Jo Lyn Philippi
2015
2015
Thomas J Pettyes
VP Account Management
Sr Account Executive
Sr Account Executive
FE6AN026
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
25.00
1038.42
450.00
57.69
57.69
CO
VA
10297 E Lake Dr
10297 E Lake Dr
9297 Angler Trl
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
23116-5481Transaction ID : 201508209534-51
80111-7014
COEnglewood
Mechanicsville
Englewood
Medco Health Services, Inc.
Medco Health Services, Inc.
Transaction ID : 201508209534-10480111-7014
Transaction ID : 20150826125247-103
Medco Health Services, Inc.
13
27
13
140.38
190
Image# 201509149001638141
08
08
08
266
Thomas M Pierce
2015
Page Pigg
2015
2015
Thomas M Pierce
VP Employment & Labor Relation
VP Employment & Labor Relation
Sr Clinical Account Executive (Sales)
FE6AN026
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, , .
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, , .
C
, , .C
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
115.38
2076.84
2076.84
115.38
25.00
MO
MO
1 Express Way
9297 Angler Trl
1 Express Way
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-320
63121-1824
VAMechanicsville
Saint Louis
Saint Louis
Medco Health Services, Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-5023116-5481
Transaction ID : 201508209534-323
Express Scripts Inc.
27
14
28
255.76
191
Image# 201509149001638142
08
08
08
266
Britton Pim
2015
Britton Pim
2015
2015
Page Pigg
Sr Clinical Account Executive (Sales)
VP & GM Product Management
VP & GM Product Management
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
25.00
360.00
450.00
20.00
20.00
MO
MO
1 Express Way
1 Express Way
8455 University Place Dr
360.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1825Transaction ID : 201508209534-455
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Services Co
Express Scripts Inc.
Transaction ID : 201508209534-18263121-1824
Transaction ID : 20150826125247-181
Express Scripts Services Co
14
28
14
65.00
192
Image# 201509149001638143
08
08
08
266
Paula Plackemeier
2015
Richard L Plass
2015
2015
Paula Plackemeier
Sr Account Executive
Sr Account Executive
VP Pharmacy Operations
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
76.00
1368.00
1368.00
76.00
25.00
MO
MO
1 Express Way
8455 University Place Dr
1 Express Way
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-356
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-45263121-1825
Transaction ID : 201508209534-359
Express Scripts Inc.
28
14
28
177.00
193
Image# 201509149001638144
08
08
08
266
Celeste Ophelia Player
2015
Celeste Ophelia Player
2015
2015
Richard L Plass
VP Pharmacy Operations
VP Pharmacy Practice
VP Pharmacy Practice
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
25.00
450.00
450.00
25.00
0.00
NV
NV
6225 Annie Oakley Dr
1 Express Way
6225 Annie Oakley Dr
285.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
89120-3914Transaction ID : 20150826125247-91
89120-3914
MOSaint Louis
Las Vegas
Las Vegas
Express Scripts Inc.
Medco Health Services, Inc.
Transaction ID : 201508209534-24163121-1824
Transaction ID : 201508209534-92
Medco Health Services, Inc.
14
13
27
50.00
194
Image# 201509149001638145
08
08
08
266
Syed K Quadri
2015
Syed K Quadri
2015
2015
Tricia Pool
Sr Director - Sales
Director - Compliance
Director - Compliance
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
38.46
3461.40
692.28
192.30
192.30
MO
MO
1 Express Way
1 Express Way
1 Express Way
3461.40
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-299
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Services Co
Express Scripts Inc.
Transaction ID : 201508209534-35063121-1824
Transaction ID : 20150826125247-347
Express Scripts Services Co
14
28
14
423.06
195
Image# 201509149001638146
08
08
08
266
David Queller
2015
Rebecca Mary Rabbitt Pogorzelski
2015
2015
David Queller
SVP Sales & Acct Mgmt
SVP Sales & Acct Mgmt
VP Product Management
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
38.50
693.00
693.00
38.50
38.46
MO
MO
1 Express Way
1 Express Way
1 Express Way
692.28
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-476
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Services Co
Transaction ID : 20150826125247-29663121-1824
Transaction ID : 201508209534-481
Express Scripts Services Co
28
14
28
115.46
196
Image# 201509149001638147
08
08
08
266
Susan Ratz
2015
Susan Ratz
2015
2015
Rebecca Mary Rabbitt Pogorzelski
VP Product Management
Sr Director - Strategic Plan
Sr Director - Strategic Plan
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
28.85
1038.42
519.30
57.69
57.69
MO
NY
1 Express Way
1 Express Way
433 River St
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
12180-2250Transaction ID : 201508209534-152
63121-1824
MOSaint Louis
Troy
Saint Louis
Express Scripts Inc.
ESI Mail Pharmacy Services Inc
Transaction ID : 201508209534-42363121-1824
Transaction ID : 20150826125247-420
Express Scripts Inc.
14
28
14
144.23
197
Image# 201509149001638148
08
08
08
266
January Busa Realista
2015
Charles Reed
2015
2015
January Busa Realista
Sr Director - Strategic Plan
Sr Director - Strategic Plan
Sr Pharmacy Director (Operations)
FE6AN026
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, , .
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
25.00
450.00
450.00
25.00
28.85
NJ
NJ
100 Parsons Pond Dr
433 River St
100 Parsons Pond Dr
519.30
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
07417-2604Transaction ID : 20150826125247-62
07417-2604
NYTroy
Franklin Lakes
Franklin Lakes
ESI Mail Pharmacy Services Inc
Medco Health Services, Inc.
Transaction ID : 20150826125247-15112180-2250
Transaction ID : 201508209534-63
Medco Health Services, Inc.
28
13
27
78.85
198
Image# 201509149001638149
08
08
08
266
Margaret Reichenbacher
2015
Margaret Reichenbacher
2015
2015
Charles Reed
Sr Pharmacy Director (Operations)
Sr Director - IT
Sr Director - IT
FE6AN026
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, , .
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M M / D D / Y Y Y Y
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.23
450.00
346.14
25.00
25.00
FL
MO
10816 Barbados Isle Dr
10816 Barbados Isle Dr
1 Express Way
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-164
33647-2791
FLTampa
Saint Louis
Tampa
Medco Health Services, Inc.
Express Scripts Inc.
Transaction ID : 201508209534-2533647-2791
Transaction ID : 20150826125247-25
Medco Health Services, Inc.
13
27
14
69.23
199
Image# 201509149001638150
08
08
08
266
Heather A Reigle
2015
Kelly Rhodus
2015
2015
Heather A Reigle
Sr Account Executive
Sr Account Executive
Director - Account Management (RAM99J)
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
76.00
1368.00
1368.00
76.00
19.23
FL
FL
6272 Lee Vista Blvd
1 Express Way
6272 Lee Vista Blvd
346.14
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
32822-5148Transaction ID : 20150826125247-313
32822-5148
MOSaint Louis
Orlando
Orlando
Express Scripts Inc.
Express Scripts Services Co
Transaction ID : 20150826125247-16363121-1824
Transaction ID : 201508209534-316
Express Scripts Services Co
28
14
28
171.23
200
Image# 201509149001638151
08
08
08
266
Jann Rachael Rigell
2015
Jann Rachael Rigell
2015
2015
Kelly Rhodus
Director - Account Management (RAM99J)
VP Account Management
VP Account Management
FE6AN026
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, , .
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M M / D D / Y Y Y Y
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, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
12.50
450.00
450.00
25.00
25.00
MN
OH
3067 Cypress Cir N
3067 Cypress Cir N
4865 Dixie Hwy
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
45014-1932Transaction ID : 201508209534-3
55340-8809
MNMedina
Fairfield
Medina
Medco Health Services, Inc.
Express Scripts Pharmacy, Inc.
Transaction ID : 201508209534-3355340-8809
Transaction ID : 20150826125247-33
Medco Health Services, Inc.
13
27
07
62.50
201
Image# 201509149001638152
08
08
08
266
David N Robarge
2015
Jennifer Lee Roberts
2015
2015
David N Robarge
Sr Clinical Account Executive (Sales)
Sr Clinical Account Executive (Sales)
Director - Operations
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
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, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
12.50
450.00
450.00
12.50
12.50
OH
OH
4865 Dixie Hwy
4865 Dixie Hwy
4865 Dixie Hwy
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
45014-1932Transaction ID : 20150826125247-548
45014-1932
OHFairfield
Fairfield
Fairfield
Express Scripts Pharmacy, Inc.
Express Scripts Pharmacy, Inc.
Transaction ID : 201508209534-55245014-1932
Transaction ID : 20150826125247-3
Express Scripts Pharmacy, Inc.
14
21
28
37.50
202
Image# 201509149001638153
08
08
08
266
Jennifer Lee Roberts
2015
Jennifer Lee Roberts
2015
2015
Jennifer Lee Roberts
Director - Operations
Director - Operations
Director - Operations
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.69
342.00
1038.42
19.00
19.00
MN
MO
6301 Cecilia Cir
6301 Cecilia Cir
1 Express Way
342.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-333
55439-2715
MNMinneapolis
Saint Louis
Minneapolis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 201508209534-31555439-2715
Transaction ID : 20150826125247-312
Express Scripts Inc.
14
28
14
95.69
203
Image# 201509149001638154
08
08
08
266
Robin Terrell Roberts
2015
William Carl Rogler III
2015
2015
Robin Terrell Roberts
Director - Client Services
Director - Client Services
Sr Director - Integration
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
38.46
653.82
653.82
38.46
57.69
MN
MN
6625 W 78th St
1 Express Way
6625 W 78th St
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
55439-2649Transaction ID : 20150826125247-192
55439-2649
MOSaint Louis
Minneapolis
Minneapolis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-33063121-1824
Transaction ID : 201508209534-193
Express Scripts Inc.
28
14
28
134.61
204
Image# 201509149001638155
08
08
08
266
Michael L Rosen
2015
Michael L Rosen
2015
2015
William Carl Rogler III
Sr Director - Integration
Sr Director - IT
Sr Director - IT
FE6AN026
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Aggregate Year-to-Date
, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
38.46
450.00
692.28
25.00
25.00
MO
MN
1 Express Way
1 Express Way
6625 W 78th St
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
55439-2649Transaction ID : 201508209534-13
63121-1824
MOSaint Louis
Minneapolis
Saint Louis
Express Scripts Inc.
Medco Health Services, Inc.
Transaction ID : 201508209534-46363121-1824
Transaction ID : 20150826125247-459
Express Scripts Inc.
14
28
13
88.46
205
Image# 201509149001638156
08
08
08
266
Bradley Alan Rosencrans
2015
Barry Rosenthal
2015
2015
Bradley Alan Rosencrans
VP Information Systems
VP Information Systems
Sr Sales Director
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
9.62
207.72
346.32
11.54
38.46
NJ
FL
100 Parsons Pond Dr
6625 W 78th St
206 11th Ave NE
692.28
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
33701-1949Transaction ID : 201508209534-11
07417-2604
MNMinneapolis
Saint Petersburg
Franklin Lakes
Medco Health Services, Inc.
Express Scripts Pharmacy, Inc.
Transaction ID : 20150826125247-1355439-2649
Transaction ID : 20150826125247-281
Express Scripts Services Co
27
28
07
59.62
206
Image# 201509149001638157
08
08
08
266
Chris A Ruegg
2015
Kathryn Ruetz
2015
2015
Barry Rosenthal
Sr Sales Director
Sr Sales Director
Director - Quality/Process Imp
FE6AN026
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Aggregate Year-to-Date
, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
9.62
346.32
346.32
9.62
9.62
FL
FL
206 11th Ave NE
206 11th Ave NE
206 11th Ave NE
346.32
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
33701-1949Transaction ID : 20150826125247-556
33701-1949
FLSaint Petersburg
Saint Petersburg
Saint Petersburg
Express Scripts Pharmacy, Inc.
Express Scripts Pharmacy, Inc.
Transaction ID : 201508209534-56033701-1949
Transaction ID : 20150826125247-11
Express Scripts Pharmacy, Inc.
14
21
28
28.86
207
Image# 201509149001638158
08
08
08
266
Kathryn Ruetz
2015
Kathryn Ruetz
2015
2015
Kathryn Ruetz
Director - Quality/Process Imp
Director - Quality/Process Imp
Director - Quality/Process Imp
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
28.85
346.14
519.30
19.23
19.23
SC
IN
148 Clubhouse Dr
148 Clubhouse Dr
2825 W Perimeter Rd
346.14
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
46241-3612Transaction ID : 201508209534-412
29172-2589
SCWest Columbia
Indianapolis
West Columbia
Medco Health Services, Inc.
Express Scripts Inc.
Transaction ID : 201508209534-2329172-2589
Transaction ID : 20150826125247-23
Medco Health Services, Inc.
13
27
14
67.31
208
Image# 201509149001638159
08
08
08
266
Karen Cathcart Russell
2015
Matthew R Ryan
2015
2015
Karen Cathcart Russell
Sr Clinical Account Executive (Sales)
Sr Clinical Account Executive (Sales)
Sr Director - Strategic Plan
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
0.00
240.00
240.00
0.00
28.85
MN
MN
6625 W 78th St
2825 W Perimeter Rd
6625 W 78th St
519.30
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
55439-2649Transaction ID : 20150826125247-147
55439-2649
INIndianapolis
Minneapolis
Minneapolis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-40946241-3612
Transaction ID : 201508209534-148
Express Scripts Inc.
28
14
28
28.85
209
Image# 201509149001638160
08
08
08
266
Brenda Sabistina
2015
Brenda Sabistina
2015
2015
Matthew R Ryan
Sr Director - Strategic Plan
Director - Corp Financial Svc
Director - Corp Financial Svc
FE6AN026
, , .
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, , .
C
, , .C
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.69
692.28
1038.42
38.46
38.46
AZ
OH
3001 S Priest Dr
3001 S Priest Dr
8990 Duke Blvd
692.28
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
45040-8943Transaction ID : 201508209534-495
85282-3492
AZTempe
Mason
Tempe
ESI Mail Pharmacy Services Inc
Express Scripts Inc.
Transaction ID : 201508209534-34285282-3492
Transaction ID : 20150826125247-339
ESI Mail Pharmacy Services Inc
14
28
14
134.61
210
Image# 201509149001638161
08
08
08
266
John Sadauskas
2015
Stephen L Sadowski
2015
2015
John Sadauskas
Sr Pharmacy Director (Operations)
Sr Pharmacy Director (Operations)
Sr Director - Integration
FE6AN026
, , .
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, , .
C
, , .C
, , .
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
28.85
519.30
519.30
28.85
57.69
DC
DC
300 New Jersey Ave NW
8990 Duke Blvd
300 New Jersey Ave NW
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
20001-2030Transaction ID : 20150826125247-520
20001-2030
OHMason
Washington
Washington
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-49045040-8943
Transaction ID : 201508209534-525
Express Scripts Inc.
28
14
28
115.39
211
Image# 201509149001638162
08
08
08
266
Sergio A Santiviago
2015
Sergio A Santiviago
2015
2015
Stephen L Sadowski
Sr Director - Integration
Director - Government Affairs
Director - Government Affairs
FE6AN026
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Aggregate Year-to-Date
, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
76.92
1044.00
1384.56
58.00
58.00
MO
NJ
1 Express Way
1 Express Way
100 Parsons Pond Dr
1044.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
07417-2604Transaction ID : 201508209534-78
63121-1824
MOSaint Louis
Franklin Lakes
Saint Louis
Express Scripts Services Co
Medco Health Services, Inc.
Transaction ID : 201508209534-53563121-1824
Transaction ID : 20150826125247-531
Express Scripts Services Co
14
28
13
192.92
212
Image# 201509149001638163
08
08
08
266
Joseph J Satorius
2015
David A Schlett
2015
2015
Joseph J Satorius
Assistant General Counsel
Assistant General Counsel
VP Pricing Strategy & Analysis
FE6AN026
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Aggregate Year-to-Date
, , .
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M M / D D / Y Y Y Y
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
38.46
692.28
692.28
38.46
76.92
MO
MO
1 Express Way
100 Parsons Pond Dr
1 Express Way
1384.56
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-268
63121-1824
NJFranklin Lakes
Saint Louis
Saint Louis
Medco Health Services, Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-7707417-2604
Transaction ID : 201508209534-271
Express Scripts Inc.
27
14
28
153.84
213
Image# 201509149001638164
08
08
08
266
Ann M Schulte
2015
Ann M Schulte
2015
2015
David A Schlett
VP Pricing Strategy & Analysis
Sr Director - Strategic Plan
Sr Director - Strategic Plan
FE6AN026
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Aggregate Year-to-Date
, , .
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
15.00
1035.00
270.00
57.50
57.50
FL
AZ
10045 S US Highway 1
10045 S US Highway 1
3001 S Priest Dr
1035.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
85282-3492Transaction ID : 201508209534-335
34952-5607
FLPort St Lucie
Tempe
Port St Lucie
Medco Health L.L.C.
Express Scripts Inc.
Transaction ID : 201508209534-4134952-5607
Transaction ID : 20150826125247-40
Medco Health L.L.C.
13
27
14
130.00
214
Image# 201509149001638165
08
08
08
266
Francis Edward Schulte
2015
Travis G Schultz
2015
2015
Francis Edward Schulte
VP Contact Center
VP Contact Center
VP Pharmacy Operations
FE6AN026
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Aggregate Year-to-Date
, , .
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
75.00
1350.00
1350.00
75.00
15.00
MN
MN
7330 Everest Ln N
3001 S Priest Dr
7330 Everest Ln N
270.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
55311-3824Transaction ID : 20150826125247-86
55311-3824
AZTempe
Maple Grove
Maple Grove
Express Scripts Inc.
Medco Health Services, Inc.
Transaction ID : 20150826125247-33285282-3492
Transaction ID : 201508209534-87
Medco Health Services, Inc.
28
13
27
165.00
215
Image# 201509149001638166
08
08
08
266
Jeffrey D Scott
2015
Jeffrey D Scott
2015
2015
Travis G Schultz
VP Pharmacy Operations
Sr Director - Account Mgmt (Sales)
Sr Director - Account Mgmt (Sales)
FE6AN026
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Aggregate Year-to-Date
, , .
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.00
1384.56
323.00
76.92
76.92
UT
MO
3021 E Millcreek Rd
3021 E Millcreek Rd
8455 University Place Dr
1384.56
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1825Transaction ID : 201508209534-364
84109-3109
UTSalt Lake City
Saint Louis
Salt Lake City
Medco Health Services, Inc.
Express Scripts Services Co
Transaction ID : 201508209534-1784109-3109
Transaction ID : 20150826125247-17
Medco Health Services, Inc.
13
27
14
172.84
216
Image# 201509149001638167
08
08
08
266
Monica L Scozzare
2015
Kevin P Scully
2015
2015
Monica L Scozzare
VP Clinical Analytics
VP Clinical Analytics
Product Management Director
FE6AN026
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, , .
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
115.38
2076.84
2076.84
115.38
19.00
MO
MO
1 Express Way
8455 University Place Dr
1 Express Way
323.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-324
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Services Co
Express Scripts Inc.
Transaction ID : 20150826125247-36163121-1825
Transaction ID : 201508209534-327
Express Scripts Inc.
28
14
28
249.76
217
Image# 201509149001638168
08
08
08
266
Brian J Seiz
2015
Brian J Seiz
2015
2015
Kevin P Scully
Product Management Director
VP & GM Product Management
VP & GM Product Management
FE6AN026
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Aggregate Year-to-Date
, , .
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
38.46
1384.56
692.28
76.92
76.92
NJ
MO
100 Parsons Pond Dr
100 Parsons Pond Dr
1 Express Way
1384.56
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-433
07417-2604
NJFranklin Lakes
Saint Louis
Franklin Lakes
Medco Health Services, Inc.
Express Scripts Inc.
Transaction ID : 201508209534-9107417-2604
Transaction ID : 20150826125247-90
Medco Health Services, Inc.
13
27
14
192.30
218
Image# 201509149001638169
08
08
08
266
George Serpikov
2015
Jennifer Jay Shappley
2015
2015
George Serpikov
VP Client Services - Division
VP Client Services - Division
Sr Dir - Talent Acquisition
FE6AN026
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, , .
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
40.00
720.00
720.00
40.00
38.46
NJ
NJ
100 Parsons Pond Dr
1 Express Way
100 Parsons Pond Dr
692.28
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
07417-2604Transaction ID : 20150826125247-19
07417-2604
MOSaint Louis
Franklin Lakes
Franklin Lakes
Express Scripts Inc.
Medco Health Services, Inc.
Transaction ID : 20150826125247-43063121-1824
Transaction ID : 201508209534-19
Medco Health Services, Inc.
28
13
27
118.46
219
Image# 201509149001638170
08
08
08
266
John J Shea
2015
John J Shea
2015
2015
Jennifer Jay Shappley
Sr Dir - Talent Acquisition
Assistant General Counsel
Assistant General Counsel
FE6AN026
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, , .
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M M / D D / Y Y Y Y
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, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
28.85
692.28
519.30
38.46
38.46
IN
MO
4750 E 450 S
4750 E 450 S
8640 Evans Ave
692.28
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63134-2903Transaction ID : 201508209534-255
46075-8404
INWhitestown
Saint Louis
Whitestown
Medco Health Services, Inc.
Express Scripts Inc.
Transaction ID : 201508209534-12146075-8404
Transaction ID : 20150826125247-120
Medco Health Services, Inc.
13
27
14
105.77
220
Image# 201509149001638171
08
08
08
266
Gina Shockley
2015
Vernon Shoemaker
2015
2015
Gina Shockley
Assistant General Counsel
Assistant General Counsel
Director - IT
FE6AN026
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, , .
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, , .C
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.69
1038.42
1038.42
57.69
28.85
MO
MO
1 Express Way
8640 Evans Ave
1 Express Way
519.30
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-340
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Services Co
Transaction ID : 20150826125247-25163134-2903
Transaction ID : 201508209534-343
Express Scripts Services Co
28
14
28
144.23
221
Image# 201509149001638172
08
08
08
266
Elizabeth Ann Siemer
2015
Elizabeth Ann Siemer
2015
2015
Vernon Shoemaker
Director - IT
Sr Legal Counsel II
Sr Legal Counsel II
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.23
1038.42
346.14
57.69
57.69
TN
MN
1640 Century Center Pkwy
1640 Century Center Pkwy
2298 Wood Duck Trl
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
55379-8404Transaction ID : 201508209534-302
38134-8822
TNMemphis
Shakopee
Memphis
Accredo Health Group, Inc.
Express Scripts Services Co
Transaction ID : 201508209534-14538134-8822
Transaction ID : 20150826125247-144
Accredo Health Group, Inc.
14
28
14
134.61
222
Image# 201509149001638173
08
08
08
266
Hayden Simons
2015
Christine Schmidt Singleton
2015
2015
Hayden Simons
Sr Director-Corp Financial Svc
Sr Director-Corp Financial Svc
Sr Clinical Account Executive (Sales)
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
C
, , .C
, , .
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
38.46
692.28
692.28
38.46
19.23
PA
PA
5010 Ritter Rd
2298 Wood Duck Trl
5010 Ritter Rd
346.14
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
17055-4828Transaction ID : 20150826125247-76
17055-4828
MNShakopee
Mechanicsburg
Mechanicsburg
Express Scripts Services Co
Medco Health Services, Inc.
Transaction ID : 20150826125247-29955379-8404
Transaction ID : 201508209534-77
Medco Health Services, Inc.
28
13
27
96.15
223
Image# 201509149001638174
08
08
08
266
John L Sisto
2015
John L Sisto
2015
2015
Christine Schmidt Singleton
Sr Clinical Account Executive (Sales)
Sr Pharmacy Compliance Dir
Sr Pharmacy Compliance Dir
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
C
, , .C
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
115.38
1038.42
1499.94
57.69
57.69
MO
MO
1 Express Way
1 Express Way
1 Express Way
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-351
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Services Co
Express Scripts Inc.
Transaction ID : 201508209534-46763121-1824
Transaction ID : 20150826125247-463
Express Scripts Services Co
14
28
14
230.76
224
Image# 201509149001638175
08
08
08
266
Ian M Smith
2015
Timothy Alan Smith
2015
2015
Ian M Smith
Assistant General Counsel
Assistant General Counsel
VP & Corporate Treasurer
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
C
, , .C
, , .
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
12.50
450.00
450.00
12.50
115.38
OH
OH
4865 Dixie Hwy
1 Express Way
4865 Dixie Hwy
1499.94
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
45014-1932Transaction ID : 201508209534-553
45014-1932
MOSaint Louis
Fairfield
Fairfield
Express Scripts Inc.
Express Scripts Pharmacy, Inc.
Transaction ID : 20150826125247-34863121-1824
Transaction ID : 201508209534-4
Express Scripts Pharmacy, Inc.
28
07
14
140.38
225
Image# 201509149001638176
08
08
08
266
Eric Sean Smither
2015
Eric Sean Smither
2015
2015
Timothy Alan Smith
VP & Corporate Treasurer
Director Pharmacy Practice
Director Pharmacy Practice
FE6AN026
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, , .
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.23
450.00
346.14
12.50
12.50
OH
MN
4865 Dixie Hwy
4865 Dixie Hwy
6625 W 78th St
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
55439-2649Transaction ID : 201508209534-487
45014-1932
OHFairfield
Minneapolis
Fairfield
Express Scripts Pharmacy, Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-445014-1932
Transaction ID : 20150826125247-549
Express Scripts Pharmacy, Inc.
21
28
14
44.23
226
Image# 201509149001638177
08
08
08
266
Eric Sean Smither
2015
David M Solomon
2015
2015
Eric Sean Smither
Director Pharmacy Practice
Director Pharmacy Practice
IT Program Manager
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
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, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
28.84
490.28
490.28
28.84
19.23
DC
DC
300 New Jersey Ave NW
6625 W 78th St
300 New Jersey Ave NW
346.14
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
20001-2030Transaction ID : 20150826125247-349
20001-2030
MNMinneapolis
Washington
Washington
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-48255439-2649
Transaction ID : 201508209534-352
Express Scripts Inc.
28
14
28
76.91
227
Image# 201509149001638178
08
08
08
266
Angela Song
2015
Angela Song
2015
2015
David M Solomon
IT Program Manager
Legislative Specialist
Legislative Specialist
FE6AN026
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Aggregate Year-to-Date
, , .
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, , .C
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.23
346.14
346.14
19.23
19.23
TX
NJ
350 N Ervay St
350 N Ervay St
100 Parsons Pond Dr
346.14
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
07417-2604Transaction ID : 201508209534-113
75201-3830
TXDallas
Franklin Lakes
Dallas
Express Scripts Services Co
Medco Health Services, Inc.
Transaction ID : 201508209534-38475201-3830
Transaction ID : 20150826125247-381
Express Scripts Services Co
14
28
13
57.69
228
Image# 201509149001638179
08
08
08
266
Melisa Diane Spicer
2015
Scott Stapleton
2015
2015
Melisa Diane Spicer
Director - Clinical Prog Mgmt
Director - Clinical Prog Mgmt
Director - Clinical Prog Mgmt
FE6AN026
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, , .
C
, , .C
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
25.00
450.00
450.00
25.00
19.23
NJ
NJ
100 Parsons Pond Dr
100 Parsons Pond Dr
100 Parsons Pond Dr
346.14
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
07417-2604Transaction ID : 20150826125247-53
07417-2604
NJFranklin Lakes
Franklin Lakes
Franklin Lakes
Medco Health Services, Inc.
Medco Health Services, Inc.
Transaction ID : 20150826125247-11207417-2604
Transaction ID : 201508209534-54
Medco Health Services, Inc.
27
13
27
69.23
229
Image# 201509149001638180
08
08
08
266
Leah E Sterman-Kabrt
2015
Leah E Sterman-Kabrt
2015
2015
Scott Stapleton
Director - Clinical Prog Mgmt
Sr Manager - IT Project Mgmt
Sr Manager - IT Project Mgmt
FE6AN026
, , .
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, , .
C
, , .C
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
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, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
38.46
3456.00
692.28
192.00
192.00
MO
MO
1 Express Way
1 Express Way
1 Express Way
3456.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-523
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 201508209534-53163121-1824
Transaction ID : 20150826125247-527
Express Scripts Inc.
14
28
14
422.46
230
Image# 201509149001638181
08
08
08
266
Glen Stettin
2015
Susan Allen Stith
2015
2015
Glen Stettin
SVP Clinical Res & New Solutions
SVP Clinical Res & New Solutions
Sr Director - Human Resources
FE6AN026
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, , .
C
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
38.46
692.28
692.28
38.46
38.46
MO
MO
1 Express Way
1 Express Way
1 Express Way
692.28
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-535
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-51863121-1824
Transaction ID : 201508209534-539
Express Scripts Inc.
28
14
28
115.38
231
Image# 201509149001638182
08
08
08
266
Leah J Stoecker
2015
Leah J Stoecker
2015
2015
Susan Allen Stith
Sr Director - Human Resources
Assistant General Counsel
Assistant General Counsel
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.69
1038.42
1038.42
57.69
57.69
MO
MO
1 Express Way
1 Express Way
1 Express Way
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-454
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Services Co
Express Scripts Services Co
Transaction ID : 201508209534-53863121-1824
Transaction ID : 20150826125247-534
Express Scripts Services Co
14
28
14
173.07
232
Image# 201509149001638183
08
08
08
266
Allison Stoll
2015
Michael Strahan
2015
2015
Allison Stoll
Sr Legal Counsel II
Sr Legal Counsel II
Assistant General Counsel
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
50.00
900.00
900.00
50.00
57.69
NJ
NJ
100 Parsons Pond Dr
1 Express Way
100 Parsons Pond Dr
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
07417-2604Transaction ID : 20150826125247-34
07417-2604
MOSaint Louis
Franklin Lakes
Franklin Lakes
Express Scripts Services Co
Medco Health Services, Inc.
Transaction ID : 20150826125247-45163121-1824
Transaction ID : 201508209534-34
Medco Health Services, Inc.
28
13
27
157.69
233
Image# 201509149001638184
08
08
08
266
Suzanne Strednak
2015
Suzanne Strednak
2015
2015
Michael Strahan
Assistant General Counsel
Director - Clinical Prog Mgmt
Director - Clinical Prog Mgmt
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
76.92
1038.42
1384.56
57.69
57.69
MO
MO
1 Express Way
1 Express Way
1 Express Way
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-416
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Services Co
Express Scripts Inc.
Transaction ID : 201508209534-51763121-1824
Transaction ID : 20150826125247-512
Express Scripts Services Co
14
28
14
192.30
234
Image# 201509149001638185
08
08
08
266
Suzanne Boyko Strothkamp
2015
Fred Stuckel II
2015
2015
Suzanne Boyko Strothkamp
Assistant General Counsel
Assistant General Counsel
VP Internal Audit
FE6AN026
, , .
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, , .
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.23
346.14
346.14
19.23
76.92
MO
MO
1 Express Way
1 Express Way
1 Express Way
1384.56
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-336
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-41363121-1824
Transaction ID : 201508209534-339
Express Scripts Inc.
28
14
28
115.38
235
Image# 201509149001638186
08
08
08
266
Derek A. Stumpf
2015
Derek A. Stumpf
2015
2015
Fred Stuckel II
VP Internal Audit
Director - Tax
Director - Tax
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
76.92
450.00
1384.56
25.00
25.00
MO
MO
1 Express Way
1 Express Way
1 Express Way
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-259
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Services Co
Express Scripts Inc.
Transaction ID : 201508209534-28863121-1824
Transaction ID : 20150826125247-285
Express Scripts Services Co
14
28
14
126.92
236
Image# 201509149001638187
08
08
08
266
Joshua R Sturm
2015
Heather D Sundar
2015
2015
Joshua R Sturm
Strategic Relations Sr Dir
Strategic Relations Sr Dir
VP Product Development
FE6AN026
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, , .
C
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
25.00
450.00
450.00
25.00
76.92
MO
MO
1 Express Way
1 Express Way
1 Express Way
1384.56
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-200
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
CuraScript Inc
Transaction ID : 20150826125247-25563121-1824
Transaction ID : 201508209534-202
CuraScript Inc
28
14
28
126.92
237
Image# 201509149001638188
08
08
08
266
Constance Lagrone Taylor
2015
Constance Lagrone Taylor
2015
2015
Heather D Sundar
VP Product Development
Sr Director - Account Mgmt (Pharma/Ret
Sr Director - Account Mgmt (Pharma/Ret
FE6AN026
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.23
2077.02
346.14
115.39
115.39
MO
MO
1 Express Way
1 Express Way
1 Express Way
2077.02
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-462
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 201508209534-23063121-1824
Transaction ID : 20150826125247-228
Express Scripts Inc.
14
28
14
250.01
238
Image# 201509149001638189
08
08
08
266
Todd Teixeira
2015
Katie Elizabeth Mehner Thenhaus
2015
2015
Todd Teixeira
VP Forecasting & Analytics
VP Forecasting & Analytics
Sr Dir-Ldrshp Dev/Learning/OD
FE6AN026
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, , .
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M M / D D / Y Y Y Y
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, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.00
342.00
342.00
19.00
19.23
MO
MO
1 Express Way
1 Express Way
1 Express Way
346.14
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-214
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
CuraScript Inc
Transaction ID : 20150826125247-45863121-1824
Transaction ID : 201508209534-216
CuraScript Inc
28
14
28
57.23
239
Image# 201509149001638190
08
08
08
266
Ricky L Thompson
2015
Ricky L Thompson
2015
2015
Katie Elizabeth Mehner Thenhaus
Sr Dir-Ldrshp Dev/Learning/OD
Director - Account Management (SAM99J)
Director - Account Management (SAM99J)
FE6AN026
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, , .
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, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
38.46
346.14
692.28
19.23
19.23
MN
MO
6625 W 78th St
6625 W 78th St
4600 N Hanley Rd
346.14
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63134-2715Transaction ID : 201508209534-458
55439-2649
MNMinneapolis
Saint Louis
Minneapolis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 201508209534-30955439-2649
Transaction ID : 20150826125247-306
Express Scripts Inc.
14
28
14
76.92
240
Image# 201509149001638191
08
08
08
266
Luke T Tierney
2015
David A Tomala
2015
2015
Luke T Tierney
Director - IT
Director - IT
Sr Dir - Research/Clinical Svc
FE6AN026
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, , .
C
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C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
34.00
612.00
612.00
34.00
38.46
MO
MO
1 Express Way
4600 N Hanley Rd
1 Express Way
692.28
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-428
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Services Co
Transaction ID : 20150826125247-45463134-2715
Transaction ID : 201508209534-431
Express Scripts Services Co
28
14
28
106.46
241
Image# 201509149001638192
08
08
08
266
Matthew Charles Totterdale II
2015
Matthew Charles Totterdale II
2015
2015
David A Tomala
Sr Dir - Research/Clinical Svc
VP General Manager I
VP General Manager I
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
C
, , .C
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
20.00
342.00
360.00
19.00
19.00
FL
MO
9 Lost Spring Way
9 Lost Spring Way
8455 University Place Dr
342.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1825Transaction ID : 201508209534-459
32174-1808
FLOrmond Beach
Saint Louis
Ormond Beach
ESI Specialty Distribution Svs
Express Scripts Inc.
Transaction ID : 201508209534-39232174-1808
Transaction ID : 20150826125247-389
ESI Specialty Distribution Svs
14
28
14
58.00
242
Image# 201509149001638193
08
08
08
266
Donna Trane
2015
John Kelly Tripp
2015
2015
Donna Trane
Sr Business Development Dir
Sr Business Development Dir
Director - Financial Analysis (Finance
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
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, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.23
346.14
346.14
19.23
20.00
MO
MO
1 Express Way
8455 University Place Dr
1 Express Way
360.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-475
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-45563121-1825
Transaction ID : 201508209534-480
Express Scripts Inc.
28
14
28
58.46
243
Image# 201509149001638194
08
08
08
266
Kelle Lynn Turner
2015
Kelle Lynn Turner
2015
2015
John Kelly Tripp
Director - Financial Analysis (Finance
Director - Clinical Prog Mgmt
Director - Clinical Prog Mgmt
FE6AN026
, , .
, , .
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Aggregate Year-to-Date
, , .
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.23
692.28
269.22
38.46
38.46
MO
SC
1 Express Way
1 Express Way
2412 Lincoln St
692.28
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
29201-2049Transaction ID : 201508209534-354
63121-1824
MOSaint Louis
Columbia
Saint Louis
Express Scripts Inc.
Express Scripts Services Co
Transaction ID : 201508209534-47963121-1824
Transaction ID : 20150826125247-474
Express Scripts Inc.
14
28
14
96.15
244
Image# 201509149001638195
08
08
08
266
Stephen Turner
2015
Benjamin Fox Twilley
2015
2015
Stephen Turner
Sr Director-Financial Analysis (Financ
Sr Director-Financial Analysis (Financ
Legislative Specialist
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
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, , .C
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.69
1038.42
1038.42
57.69
19.23
MO
MO
1 Express Way
2412 Lincoln St
1 Express Way
269.22
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-468
63121-1824
SCColumbia
Saint Louis
Saint Louis
Express Scripts Services Co
Accredo Health, Incorporated
Transaction ID : 20150826125247-35129201-2049
Transaction ID : 201508209534-472
Accredo Health, Incorporated
28
14
28
134.61
245
Image# 201509149001638196
08
08
08
266
Stephanie Uder
2015
Stephanie Uder
2015
2015
Benjamin Fox Twilley
Legislative Specialist
Sr Director - Product Mgmt
Sr Director - Product Mgmt
FE6AN026
, , .
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, , .
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
25.00
342.00
450.00
19.00
19.00
MA
NJ
157 Mossman Rd
157 Mossman Rd
100 Parsons Pond Dr
342.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
07417-2604Transaction ID : 201508209534-26
01776-1357
MASudbury
Franklin Lakes
Sudbury
Express Scripts Services Co
Medco Health Services, Inc.
Transaction ID : 201508209534-28301776-1357
Transaction ID : 20150826125247-280
Express Scripts Services Co
14
28
13
63.00
246
Image# 201509149001638197
08
08
08
266
Michele Lynn Valianatos
2015
Jeannine Ann Vankleeck
2015
2015
Michele Lynn Valianatos
Sr Account Executive
Sr Account Executive
Director - Corp Financial Svc
FE6AN026
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Aggregate Year-to-Date
, , .
C
, , .C
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
14.00
252.00
252.00
14.00
25.00
MO
MO
1 Express Way
100 Parsons Pond Dr
1 Express Way
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-243
63121-1824
NJFranklin Lakes
Saint Louis
Saint Louis
Medco Health Services, Inc.
CuraScript Inc
Transaction ID : 20150826125247-2607417-2604
Transaction ID : 201508209534-247
CuraScript Inc
27
14
28
53.00
247
Image# 201509149001638198
08
08
08
266
Christine M Vivod
2015
Christine M Vivod
2015
2015
Jeannine Ann Vankleeck
Director - Corp Financial Svc
Director - Account Management (RAM99J)
Director - Account Management (RAM99J)
FE6AN026
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Aggregate Year-to-Date
, , .
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, , .C
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
15.00
3456.00
270.00
192.00
192.00
MO
WI
1 Express Way
1 Express Way
N19W24130 Riverwood Dr
3456.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
53188-1131Transaction ID : 201508209534-53
63121-1824
MOSaint Louis
Waukesha
Saint Louis
Express Scripts Inc.
Medco Health Services, Inc.
Transaction ID : 201508209534-47163121-1824
Transaction ID : 20150826125247-467
Express Scripts Inc.
14
28
13
399.00
248
Image# 201509149001638199
08
08
08
266
Sara Ellen Wade
2015
Michael M Waibel
2015
2015
Sara Ellen Wade
SVP & Chief Human Resources Officer
SVP & Chief Human Resources Officer
Director- Client Benefit Admin
FE6AN026
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, , .
C
, , .C
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
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, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.00
342.00
342.00
19.00
15.00
MN
MN
6625 W 78th St
N19W24130 Riverwood Dr
6625 W 78th St
270.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
55439-2649Transaction ID : 20150826125247-171
55439-2649
WIWaukesha
Minneapolis
Minneapolis
Medco Health Services, Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-5253188-1131
Transaction ID : 201508209534-172
Express Scripts Inc.
27
14
28
53.00
249
Image# 201509149001638200
08
08
08
266
Michelle D Wales
2015
Michelle D Wales
2015
2015
Michael M Waibel
Director- Client Benefit Admin
Sr Director - IT
Sr Director - IT
FE6AN026
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, , .
C
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
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, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
25.00
692.28
425.00
38.46
38.46
MO
TN
1 Express Way
1 Express Way
1640 Century Center Pkwy
692.28
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
38134-8822Transaction ID : 201508209534-139
63121-1824
MOSaint Louis
Memphis
Saint Louis
Express Scripts Inc.
Accredo Health Group, Inc.
Transaction ID : 201508209534-47663121-1824
Transaction ID : 20150826125247-472
Express Scripts Inc.
14
28
14
101.92
250
Image# 201509149001638201
08
08
08
266
Krista Mensching Ward
2015
Lynette W Washington
2015
2015
Krista Mensching Ward
Sr Director - Government Prgms
Sr Director - Government Prgms
Director - Strategic Planning
FE6AN026
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.23
346.14
346.14
19.23
25.00
MO
MO
1 Express Way
1640 Century Center Pkwy
1 Express Way
425.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-354
63121-1824
TNMemphis
Saint Louis
Saint Louis
Accredo Health Group, Inc.
Express Scripts Services Co
Transaction ID : 20150826125247-13838134-8822
Transaction ID : 201508209534-357
Express Scripts Services Co
28
14
28
63.46
251
Image# 201509149001638202
08
08
08
266
Rachelle C Wasserman
2015
Rachelle C Wasserman
2015
2015
Lynette W Washington
Director - Strategic Planning
Director - Service Delivery
Director - Service Delivery
FE6AN026
, , .
, , .
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Aggregate Year-to-Date
, , .
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M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.69
692.28
1038.42
38.46
38.46
MO
MO
1 Express Way
1 Express Way
1 Express Way
692.28
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-224
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Services Co
Transaction ID : 201508209534-35663121-1824
Transaction ID : 20150826125247-353
Express Scripts Inc.
14
28
14
134.61
252
Image# 201509149001638203
08
08
08
266
Christine Michelle Way
2015
Steven Webb
2015
2015
Christine Michelle Way
VP Information Systems
VP Information Systems
VP Account Management
FE6AN026
, , .
, , .
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Aggregate Year-to-Date
, , .
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
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, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
192.00
3456.00
3456.00
192.00
57.69
MO
MO
1 Express Way
1 Express Way
1 Express Way
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-526
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Services Co
Express Scripts Inc.
Transaction ID : 20150826125247-22263121-1824
Transaction ID : 201508209534-530
Express Scripts Inc.
28
14
28
441.69
253
Image# 201509149001638204
08
08
08
266
Timothy Wentworth
2015
Timothy Wentworth
2015
2015
Steven Webb
VP Account Management
President and Chief Operation Officer
President and Chief Operation Officer
FE6AN026
, , .
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, , .
Aggregate Year-to-Date
, , .
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, , .C
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M M / D D / Y Y Y Y
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
11.54
2769.30
207.72
153.85
153.85
AZ
MO
7909 S Hardy Dr
7909 S Hardy Dr
8640 Evans Ave
2769.30
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63134-2903Transaction ID : 20150826125247-183
85284-1112
AZTempe
Saint Louis
Tempe
Medco Health Services, Inc.
Express Scripts Inc.
Transaction ID : 201508209534-5985284-1112
Transaction ID : 20150826125247-58
Medco Health Services, Inc.
13
27
28
319.24
254
Image# 201509149001638205
08
08
08
266
Kenneth M Wermes
2015
Eric Westrich
2015
2015
Kenneth M Wermes
VP Sales
VP Sales
Sr Bus Cont/Dis Rec Planner
FE6AN026
, , .
, , .
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Aggregate Year-to-Date
, , .
C
, , .C
, , .
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
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, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
115.00
450.00
2070.00
25.00
25.00
MO
MO
8640 Evans Ave
8640 Evans Ave
1 Express Way
450.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-261
63134-2903
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Services Co
Transaction ID : 201508209534-32663134-2903
Transaction ID : 20150826125247-323
Express Scripts Inc.
14
28
14
165.00
255
Image# 201509149001638206
08
08
08
266
Margaret L Wheeler
2015
Victoria Wheeler
2015
2015
Margaret L Wheeler
Sr Director - IT
Sr Director - IT
VP & GM Account Management Svc
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
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, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
14.00
252.00
252.00
14.00
115.00
MO
MO
11201 E 58th Ter
1 Express Way
11201 E 58th Ter
2070.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
64133-3450Transaction ID : 20150826125247-371
64133-3450
MOSaint Louis
Raytown
Raytown
Express Scripts Services Co
Express Scripts Services Co
Transaction ID : 20150826125247-25763121-1824
Transaction ID : 201508209534-374
Express Scripts Services Co
28
14
28
143.00
256
Image# 201509149001638207
08
08
08
266
Angela Kay White
2015
Angela Kay White
2015
2015
Victoria Wheeler
VP & GM Account Management Svc
Sr Account Executive
Sr Account Executive
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
C
, , .C
, , .
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.69
1038.42
1038.42
57.69
57.69
MN
MO
6625 W 78th St
6625 W 78th St
1 Express Way
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-533
55439-2649
MNMinneapolis
Saint Louis
Minneapolis
Express Scripts Services Co
Express Scripts Services Co
Transaction ID : 201508209534-27755439-2649
Transaction ID : 20150826125247-274
Express Scripts Services Co
14
28
14
173.07
257
Image# 201509149001638208
08
08
08
266
Nichole Leigh White
2015
K Philipp Wickizer
2015
2015
Nichole Leigh White
VP Account Management
VP Account Management
Assistant General Counsel
FE6AN026
, , .
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Aggregate Year-to-Date
, , .
C
, , .C
, , .
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
76.00
1368.00
1368.00
76.00
57.69
MO
MO
1 Express Way
1 Express Way
1 Express Way
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 20150826125247-504
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Services Co
Express Scripts Inc.
Transaction ID : 20150826125247-52963121-1824
Transaction ID : 201508209534-509
Express Scripts Inc.
28
14
28
209.69
258
Image# 201509149001638209
08
08
08
266
Christine Marie Wiehl
2015
Christine Marie Wiehl
2015
2015
K Philipp Wickizer
Assistant General Counsel
VP Chief Compliance Officer
VP Chief Compliance Officer
FE6AN026
, , .
, , .
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Aggregate Year-to-Date
, , .
C
, , .C
, , .
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.23
3456.00
346.14
192.00
192.00
MO
MO
1 Express Way
1 Express Way
1 Express Way
3456.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
63121-1824Transaction ID : 201508209534-521
63121-1824
MOSaint Louis
Saint Louis
Saint Louis
Express Scripts Inc.
Express Scripts Inc.
Transaction ID : 201508209534-32163121-1824
Transaction ID : 20150826125247-318
Express Scripts Inc.
14
28
14
403.23
259
Image# 201509149001638210
08
08
08
266
Gary Michael Wimberly
2015
Brian D Winkler
2015
2015
Gary Michael Wimberly
SVP & Chief Information Officer
SVP & Chief Information Officer
Director - Bus Analysis/Plan
FE6AN026
, , .
, , .
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Aggregate Year-to-Date
, , .
C
, , .C
, , .
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
30.00
540.00
540.00
30.00
19.23
NJ
NJ
100 Parsons Pond Dr
1 Express Way
100 Parsons Pond Dr
346.14
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
07417-2604Transaction ID : 20150826125247-22
07417-2604
MOSaint Louis
Franklin Lakes
Franklin Lakes
Express Scripts Inc.
Medco Health Services, Inc.
Transaction ID : 20150826125247-51663121-1824
Transaction ID : 201508209534-22
Medco Health Services, Inc.
28
13
27
79.23
260
Image# 201509149001638211
08
08
08
266
Elissa L Wojtowicz
2015
Elissa L Wojtowicz
2015
2015
Brian D Winkler
Director - Bus Analysis/Plan
Sr Director - Product Mgmt
Sr Director - Product Mgmt
FE6AN026
, , .
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, , .
C
, , .C
, , .
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M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
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SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
38.46
1038.42
692.28
57.69
57.69
MO
NJ
1 Express Way
1 Express Way
100 Parsons Pond Dr
1038.42
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
07417-2604Transaction ID : 201508209534-107
63121-1824
MOSaint Louis
Franklin Lakes
Saint Louis
Express Scripts Inc.
Medco Health Services, Inc.
Transaction ID : 201508209534-30163121-1824
Transaction ID : 20150826125247-298
Express Scripts Inc.
14
28
13
153.84
261
Image# 201509149001638212
08
08
08
266
Pamela A Wood
2015
Kathryn A. Zaccone
2015
2015
Pamela A Wood
Sr Director - Compliance
Sr Director - Compliance
Sr Director - Marketing
FE6AN026
, , .
, , .
, , .
Aggregate Year-to-Date
, , .
C
, , .C
, , .
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
57.69
1038.42
1038.42
57.69
38.46
VA
VA
43604 Emerald Dunes Pl
100 Parsons Pond Dr
43604 Emerald Dunes Pl
692.28
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
20176-3967Transaction ID : 20150826125247-80
20176-3967
NJFranklin Lakes
Leesburg
Leesburg
Medco Health Services, Inc.
Express Scripts Inc.
Transaction ID : 20150826125247-10607417-2604
Transaction ID : 201508209534-81
Express Scripts Inc.
27
13
27
153.84
262
Image# 201509149001638213
08
08
08
266
Jill D Zelman
2015
Jill D Zelman
2015
2015
Kathryn A. Zaccone
Sr Director - Marketing
Sr Director - IT
Sr Director - IT
FE6AN026
, , .
, , .
, , .
Aggregate Year-to-Date
, , .
C
, , .C
, , .
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
25.00
900.00
900.00
25.00
25.00
OH
OH
4865 Dixie Hwy
4865 Dixie Hwy
4865 Dixie Hwy
900.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
45014-1932Transaction ID : 20150826125247-5
45014-1932
OHFairfield
Fairfield
Fairfield
Express Scripts Pharmacy, Inc.
Express Scripts Pharmacy, Inc.
Transaction ID : 201508209534-545014-1932
Transaction ID : 201508209534-554
Express Scripts Pharmacy, Inc.
07
14
21
75.00
263
Image# 201509149001638214
08
08
08
266
James E Zirpoli
2015
James E Zirpoli
2015
2015
James E Zirpoli
Sr Pharmacy Director (Operations)
Sr Pharmacy Director (Operations)
Sr Pharmacy Director (Operations)
FE6AN026
, , .
, , .
, , .
Aggregate Year-to-Date
, , .
C
, , .C
, , .
C
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
M M / D D / Y Y Y Y
, , .
, , .
SCHEDULE A (FEC Form 3X)
ITEMIZED RECEIPTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
SUBTOTAL of Receipts This Page (optional) ............................................................................
TOTAL This Period (last page this line number only) ...............................................................
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
A.
FEC Schedule A (Form 3X) Rev. 02/2003
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
B.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Receipt For:
Primary General
Other (specify)
Amount of Each Receipt this Period
C.
Aggregate Year-to-Date
Date of Receipt
Name of Employer Occupation
FEC ID number of contributing
federal political committee.
PAGE OFFOR LINE NUMBER:
(check only one)Use separate schedule(s)
for each category of the
Detailed Summary Page 11a 11b 11c 12
13 15 14 16 17
19.23
346.14
346.14
19.23
25.00
MO
MO
331 Meadowtree Ct
4865 Dixie Hwy
331 Meadowtree Ct
900.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
35082.82
63347-2867Transaction ID : 20150826125247-235
63347-2867
OHFairfield
Foley
Foley
Express Scripts Pharmacy, Inc.
Express Scripts Services Co
Transaction ID : 20150826125247-55045014-1932
Transaction ID : 201508209534-238
Express Scripts Services Co
28
14
28
63.46
264
Image# 201509149001638215
08
08
08
266
Cory Zornizer
2015
Cory Zornizer
2015
2015
James E Zirpoli
Sr Pharmacy Director (Operations)
Sr Account Executive
Sr Account Executive
FE6AN026
SCHEDULE B (FEC Form 3X)
ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3X) Rev. 02/2003
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
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
Use separate schedule(s)
for each category of the
Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
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)
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
21b 22 23 24 25 26
27 28a 28b 28c 29 30b
MN
350 W Burnsville Pkwy
332 W Lee Hwy
PO Box 3535
# 303
5000.00
5000.00
5000.00
Ste 375
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
Transaction ID : B4A5CAE69D7DA61EFE0MN
VA
MO
55337
63022
20186
Contribution
Contribution
Transaction ID : DDE19A579B6296B751A
Transaction ID : 6BA6683CC9768BEB9F8
08
08
2016 General
08
2015 Contribution
2015 Contribution
2015
Building America's Republican Representation PAC
Ann PAC
15000.00
Ann PAC
John Paul Kline
2015
Building America's Republican Representation PAC
2015
Kline for Congress
265
2015
2016
2015
Image# 201509149001638216
21
02
266
25
21
Warrenton
Ballwin
Burnsville
011
011
011
FE6AN026
SCHEDULE B (FEC Form 3X)
ITEMIZED DISBURSEMENTS
Any information copied from such Reports and Statements may not be sold or used by any person for the purpose of soliciting contributions
or for commercial purposes, other than using the name and address of any political committee to solicit contributions from such committee.
NAME OF COMMITTEE (In Full)
, , .
, , .SUBTOTAL of Disbursements This Page (optional) ..................................................................
TOTAL This Period (last page this line number only) ...............................................................
FEC Schedule B (Form 3X) Rev. 02/2003
Full Name (Last, First, Middle Initial)
Mailing Address
City State Zip Code
Amount of Each Disbursement this Period
, , .
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
Use separate schedule(s)
for each category of the
Detailed Summary Page
PAGE OFFOR LINE NUMBER: (check only one)
Purpose of Disbursement
Candidate Name
Office Sought: House
Senate
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)
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
21b 22 23 24 25 26
27 28a 28b 28c 29 30b
PA
CA
PO Box 3154
700 13th Street, NWSuite 600
1000.00
1500.00
EXPRESS SCRIPTS INC. POLITICAL FUND (A/K/A EXPRESS SCRIPTS PAC)
17500.00
PA
DC 20005
19381-3154
Transaction ID : 8BA79E56868C4631C6A
Transaction ID : 03C78EDF6F9C565AE55
08
08
2016 Primary
2016 General
2015
Ryan A. Costello
Nancy Pelosi
2500.00
Nancy Pelosi for Congress
2016
Ryan Costello for Congress
266
2016
2015
Image# 201509149001638217
21
266
06
06
West Chester
Washington
12
011
011